HIP & GROIN PAIN AND CHIROPRACTIC
Joint pains including hip and knee pain from osteoarthritis as an adjunct to core osteoarthritis treatments and exercise
Hip pain is pain arising from the anatomical region of the hip. It can arise primarily from the joint or periarticular soft tissue or as a secondary site of pain when referred from the spine. Commonly hip pain may refer into the groin or into the thigh and knee.
The term arthritis covers a wide range of conditions involving damage and/or inflammation of the joints of the body. These conditions may variously involve pain, swelling or stiffness. There are over one hundred different types of arthritis and broadly, these can be categorised into inflammatory or non-inflammatory in nature. The most common is osteoarthritis, a non-inflammatory condition caused by degeneration or trauma.
Osteoarthritis may also be commonly referred to as Degenerative Joint Disease, Spondylosis, Rheumatism and Wear and Tear. In managing this condition I make no claims to cure or permanently alleviate symptoms. I acknowledge that there are degrees of severity of osteoarthritis, some of which require onward referral to other health professionals.
Signs and symptoms of hip arthritis
Usually there are symptoms of stiffness, and pain that is getting progressively worse. Often the pain begins insidiously and becomes more constant over time.
The stiffness is usually worse at rest and is relieved by movement. The pain is often exacerbated in cold weather. Patients who have hip osteoarthritis have pain localised to the groin area and the front or side of the thigh. Morning stiffness for approximately 30 minutes, less duration than occurs with rheumatoid arthritis, is also characteristic of hip osteoarthritis. Most significantly, there is limited range of motion of the hip and pain during motion. The symptoms can worsen to the point that pain is constantly present.
X-ray and Hip & Pelvis Pain
Several conditions can affect the hips & pelvis. Depending on the extent of your presenting complaint/s and after performing numerous Orthopaedic and Neurological tests to assess the low back, hips and pelvis, if applicable, with our digital x-ray facility we will be able to assess for:
- Ligament sprain
- Osteoarthritis (Degenerative Joint Disease)
- Soft tissue calcifications
- Congenital anomalies
- Avascular Necrosis
Treatment of Arthritis in the Hip
Chiropractors treat hip pain using a package of care that may include manual therapies, acupuncture, exercise prescription and onward referral when indicated.
There is evidence to support this approach to patient care:
- Breen A, Langworthy J, Bagust J Improved early pain management for musculoskeletal disorders. Health and Safety Executive, Report no.399, 2005
Department of Health (DoH) The Musculoskeletal Services Framework.
Department of Health, July 2006.
- National Institute for Health and Clinical Excellence. Osteoarthritis: national clinical guideline for care and management in adults. Clinical guideline 59. February 2008
- National Health and Research Medical Council (NHMRC) Evidence-based management of acute musculoskeletal pain. Australian Acute Musculoskeletal Pain Guidelines Group. University of Queensland and the Commonwealth Department of Health and Ageing, June 2003. National Health and Research Medical Council, Australia.