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Comment
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Robert
Sep 4, 08 - 3:58 PM |
high hip pain
My sciatica is gone two days into the routine but severe hip pain has remained. My hip appears to still be under stress several weeks into the stretch and excercise routine. It is still a bit high, pops and shifts under pressure and varies from slightly irritate to really unhappy.
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Steven Hefferon
Sep 7th, 2008 - 2:56 PM |
Re: high hip pain
Robert, The only way you will get Long term relief is to continue to work towards Physical balance and developing a more stable body, It will take longer for the injure to recover and that is to be expected...
Steve
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Michael Bailey
Sep 10th, 2008 - 7:22 PM |
Re: high hip pain
Hypermobilty of the sacroiliac joint is way to common. Stretching is great but if you are not instructed in a pelvic correction technique, then this could go on and on. I treat this daily with great success in self management instruction. See a certified manual therapist for a self correction program. He will tell you specifically what muscles are causing the problem or if hypermobilty is the issue. Eether way, the PT can help you manage it.
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Tim
Sep 11th, 2008 - 9:39 AM |
Re: high hip pain
How can one find a good certified manual therapist in their area Micheal.
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Dave Hutchieson
Sep 12th, 2008 - 12:20 PM |
Re: high hip pain
Robert
There are a bunch of muscles which could be affecting your condition, but some of the key ones you need to have checked include the following:
1. The Iliacus
2. The Psoas
3. The Quadratus Lumborum
You need to get the postion of your pelvis analyzed.
Before you go and see one of these therapists, ask them the following:
Do you know how to evaluate the position pelvis using markers such as the ASIS [ Anterior Superior Iliac Spine ] and PSIS [ Posterior Superior Iliac Spine ]?
Are you familiar with tests such as Kemp's Test [Quadrant Test ]?
How do you test for a "leg length discrepancy" ?
[ Be aware that the number of people with true leg length discrepancies is very small. Most "discrepancies" are caused, for example, by things such as a tight Quadratus Lumborum Muscle "pulling" the hip up, with a corresponding rotation of the femur in it's socket ].
Also, be aware that if the joint is severely dislocated, [ as mine was ], you MAY need a chiropractic adjustment. However, that is not common.
Mine was so severely dislocated, that the chiropractor had to put his chest on my foot, and with another assistant, do a major adjustment.
The noise was so loud [ the crunch ] that people heard it in the waiting room with music on.
My case was unusual though, and most SI joint problems are caused by muscular problems.
Be aware that SI joints can go out of place by something as simple as stepping off a sidewalk and one leg goes down hard.
If you don't get any relief after contacting some PT's, let me know and I'll give you some guidance as best I can.
Dave Hutchieson
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Dave Hutchieson
Sep 12th, 2008 - 12:31 PM |
Re: high hip pain
Robert
One problem with conventional SI joint problem treatments is that you are often put on a "self-correction" program, which you have to do for the rest of your life.
These programs do not address why the ligaments [ e.g. the sacro-tuberous ligament ] have become loose in the first instance [ for HYPER- mobile joints ] or why the joint will not move as much as it is supposed to in the case of a HYPO-mobile joint.
Once I had the appropriate areas treated, I have never had to do any self corrections.
The chap who works on me recently stood up at an Orthopaedic convention and challenged the particpants on this. He is still waiting for a reply.
He has successfully treated a very large number of people with SI joint problems, none of whom require any self-adjusting/prolotherapy etc.
Be aware that the number of people who truly understand the mechanics of the SI joint [ a very complex and unusual joint ]with it's various modes of movement such as nutation can be counted on the fingers of one hand.
The joint normally moves only by a very small amount [ 2 - 5 mm in many cases ] but is very important for a range of activities including walking.
I had to diagnose myself when some of the best PT's, doctors and surgeons could not figure out what was wrong with me.
Dave Hutchieson
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Dave Hutchieson
Sep 12th, 2008 - 1:16 PM |
Re: high hip pain
Robert
This is one of the most interesting videos I have ever seen on SI joint problems.
It was posted by a chap called Toni [ or "expatient" ] from Finland.
He is a walking encyclopaedia on the SI joint, and used to be on this forum. I have not seen him on here for a while.
Please watch the video several times.
http://www.youtube.com/watch?v=iEUPFNBXTNE
Dave Hutchieson
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Weight Training Paul
Sep 12th, 2008 - 2:58 PM |
Re: high hip pain
Hi Dave
That was great read, some good info for everyone and that video is very interesting, I first watched that a while back
You know when you say that the SI joint can go out of place by something like stepping off a sidewalk / pavement and one leg goes down too hard, if that happened, then that person must have been in a fragile position to start with would you say
So it's only severely dislocated SI issues which need a chiropractic adjustment, most other SI problem would be sorted though the muscles balancing out
Thanks bud
Paul
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Dave Hutchieson
Sep 12th, 2008 - 10:00 PM |
Re: high hip pain
Hi Paul
That's right.
Sometimes the mechanical force is so great that the joint moves into a "locked position".
If you look at the surfaces of the ilium and the scarum where they come together, it is very complicated. There are a whole series of sort of notch and groove type areas which are supposed to lock together.
These areas tend to be slightly different from person to person.
When you get large mechanical force applied [ such as stepping off a pavement onto the road and not realising that you are doing it, and hence your body is not prepared for the jolt ], the ilium can move up a bit relative to the sacrum, and lock into the next "notch" higher up ]. I use the word 'notch" very loosely here.
In my case, a chiropractor used massive force and dislocated an otherwise healthy SI joint.
So, why do some joints become hypermobile [ ot too loose ].?
Well, in order for a ligament to stretch, something must be pulling on it.
Ignoring rare cases like mine, in most cases it is due to an overtight muscle or muscles pulling the ligaments.
In some cases, an overtight muscle can "pop" the SI joint out of place.
So, what do we need to do:
We need to address the biggest culprit - the iliacus muscle.
The iliacus muscle can cause TORQUEING or TWISTING of the joint.
THIS FACT IS MISSED BY 99.99% OF ALL PHYSICAL THERAPISTS AND CHIROPRACTORS.
THEY THINK THEY ARE MAKING ADJUSTMENTS, BUT IN MOST CASES, THEY ARE ONLY CORRECTING FOR "UPSLIPS" I.E. INA VERTICAL DIRECTION.
THEY GENERICALLY TRY TO GET THE WHOLE PELVIS BACK TO A NEUTRAL POSITION [ WHICH IS GOOD AS FAR AS THE LUMBAR REGION IS CONCERNED ], BUT THIS IS ONLY A SMALL PART OF THE PICTURE.
VERY VERY FEW KNOW HOW TO ADJUST FOR TWISTING OR TORQUEING.
THE OTHER PROBLEM IS THAT EVEN WHEN THEY DO REALISE THIS, THE AREAS OF THE ILIACUS THAT CONTROL THE TORQUEING ARE VERY, VERY DIFFICULT TO WORK ON MANUALLY.
My SI joint was worked on like this, and since then I have never had a single bit of pain in my joint.
I've had pains from other things, but not in the joint area.
Dave
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Dave Hutchieson
Sep 12th, 2008 - 10:04 PM |
Re: high hip pain
Some typos there - not scarum, sacrum !!
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Weight Training Paul
Sep 13th, 2008 - 2:28 PM |
Re: high hip pain
Thanks Dave, more great info there for everyone
That makes sense with the iliacus causing twisting of the joint, I can see my right knee is turning in more, this is been corrected with Egoscue though
I think another reason for my tight iliacus was through doing squats with a duck like stance
If do that for years week in week out with hundreds of pounds on your back and never stretch, I can see how the iliacus would cause problems
No worries with the typos mate, I sometimes miss some words out as I type
Paul
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Rory in Korea
Sep 14th, 2008 - 3:33 AM |
Re: high hip pain
Hey Weight Training Paul, I was wondering about the Egosque Method? Are you going to a trained Egosque person or did you just read the book and are doing the exercises? what are the results so far with the egosque system? Rory in korea
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Weight Training Paul
Sep 14th, 2008 - 1:45 PM |
Re: high hip pain
Hi Rory
I will give you an email mate
I think that would be best if want to talk about Egoscue
WTP
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Angela
Sep 15th, 2008 - 11:57 AM |
Re: high hip pain
This is a very informative thread! Thanks Dave and Paul! I think my chiropractor has been doing a lot of the things mentioned in your capital letters there Dave. I don't think my problem is as severe, but my chiro's approach is still missing the target, relating to your post.
Paul, I'm interested too in that last question, if you can get a chance to email me too. I've seen blatant proof in my own situation that back health has MUCH to do with being in motion.
Thanks,
Angela
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