Often times people go to their primary care physician and/or orthopedic surgeon with complaints of hip pain only to be told they are "bone on bone" and need a cortisone shot or hip replacement surgery. Before jumping into more invasive procedures like surgery, a trial of PT can be amazingly beneficial in reducing pain, improving function, and avoiding hip surgery.
In a recent trial of 109 patients meeting criteria for hip osteoarthritis, the patients were split into 2 groups both with different outcomes. The first group received physical therapy exercises and the second group received a specialized program of manual hands on care combined with specific physical therapy exercise. For the patients in the second group improvements in pain, hip function, ROM, and quality of life improved, was significantly higher, and remained after a 7 month follow-up (Hoeksma et al).
The physical therapists at HAPT have all been trained in the specific hands on treatment combined with exercises that were provided in this randomized controlled treatment trial. Please contact us if you have questions about hip pain and want to know if we can help. Having a detailed examination of your hip, low back and pelvis can keep you from needing invasive procedures and improve with low cost simple solutions.
Hoeksma, HL et al. Comparison of Manual Therapy and Exercise Therapy in Osteoarthritis of the Hip: A Randomized Clinical Trial. Arthritis & Rheumatism. 2004; 51: 722-729.
Written By John Kangas, PT, OCS
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