Hip pain is a very common issue in older adults which can impair their movement and ultimately their freedom. Although it is normal to think that hip Osteoarthritis (HOA) is responsible for the aged population’s prevalence of hip pain, the Framingham Osteoarthritis Research (FOS) found that is not always the case.
The FOS authors reported the presence or absence of HOA on x-ray, was poorly correlated with hip pain. Only 15.6 per cent of participants with frequent hip pain had x-rays that showed HOA. When only about one in six people with hip pain have HOA, from where does their hip pain originate?
Bursitis is a common cause. The bursae are fluid-filled sacs found between joints and attachments to the muscle tendon, that cushion the tissue and protect it. Bursitis is an inflamed bursa, which is typically the product of trauma — repetitive over time or following a one-time macro-traumatic incident, including a sport accident.
Hip synovitis (HS) is an inflammatory disease of the synovial membrane (SM) of the hip which is within the joint capsule. SM has the purpose of lubricating and nourishing the cartilage and bones within the joint capsule. The SM is what causes a joint to swell easily after an injury (think about knee or ankle fracture with LOTS of swelling).
Hip synovitis may result from damage, such as a labral tear in which the thin cartilage or labrum ring (located on the hip socket rim) breaks. The labrum cushions the hip joint and acts as a seal of rubber which helps to keep the ball in the hip socket. Injuries from athletics and slip-and-fall will cause labral tears.
Certain sources of hip discomfort include inflammation (various types), damage (bursitis, synovitis, dislocation, fracturing, labral tear, inguinal hernia, sprains, tendinitis, or strains), pinched nerves (sciatica, pinch of the femoral nerve), tumours, and more.
What are Osteopaths doing to aid hip pain? The first step is to develop an objective diagnosis by understanding the history of the patient, a detailed analysis and, if necessary, medical testing such as x-rays or even an MRI. When there is a possibility of a medical issue or other forms of inflammation, a patient may be referred to a doctor for blood testing.
If the condition is musculoskeletal in nature, care may include hip and adjacent joints compression, recovery, and soft tissue therapy for pelvic and low back. Patients may also receive recommendations for nutrition and exercise to reduce inflammation and aid the healing process.
If you are suffering from hip pain book into our Glasgow Or Ayrshire clinics at this link