Back and Hip pain are amongst some of the most common Musculoskeletal ailments, forcing thousands of patients to Osteopaths each week. Because the hip and low back are closely linked within the body structure, many of these conditions often intersect, with only one of the two issues being diagnosed. This can cause wrong or missed diagnosis, leading to ineffective treatment, avoidable costs, and unsatisfying outcomes for the patient with prolonged pain, disability, and mental health distress.
In some instances, a problem somewhere else in the anatomy can send pain in another areas. For example, upper neck dysfunction could result in symptoms in the hand and wrist that could be perceived as carpal tunnel syndrome. Or for example, a problem with a patient’s foot arch, can alter a person’s gait and lead to a problem with the knee. Which can lead to wrong diagnosis and a treatment plan for the knee is undertaken instead of the foot and knee. With the hip and low back, both scenarios can occur, which is why it’s important to focus on the whole patient and not just the area of main concern or discomfort.
This is why Osteopaths consider the whole patient when they qualify patients’ conditions like hip pain or back pain, starting with a thorough patient history. Areas like Pain Location, Medical History (or Mechanism of injury), New, Other Symptoms (or, Onset), Provoking/Palliative, Quality, Radiation, Severity, and Timing.
The remaining history of Past, Family, and Social histories and, a Review of Systems allows the Osteopath to consider other potentially important aspects of the patient’s past such as prior injuries, accidents, surgeries, current medications, genetics, social aspects (smoking, drinking, exercise habits, sleep quality) and more, which can give clues to the current issues. These tactics serve as good outcome tools to determine successful treatment programs and patient care.
The examination includes observing the patients posture, walk and move and their affect (is their condition all-consuming); palpating or feeling for painful structures and performing movements that both increase and relieve their pain; measuring patient’s range of motion; determining what position is favoured or “best” vs. “worst”; and nerve function tests to look for impairments with regards to sensation, strength, and reflexes.
Each part of the Osteopaths examination and qualification process is designed to arrive at the correct diagnosis, so that treatment can accurately target healing and improving the function of ailing parts.
If you have a have a hip problem, back problem, or both, book online
Adapted article – credit: https://www.drmatthewdunnonline.com/1603/hip-problem-back-problem–or-both-/