Hip Pain, Trochanteric “Bursitis”/Tendinopathy, Exercise Best, Cortisone Worst

This study was more interesting in its entirety than its abstract. I thought the home exercises given were beyond banal, but they still turned out best in the long term. Cortisone injected into tendons was yet again shown to be fool’s gold, and shock wave therapy? I don’t know but I’m still skeptical. More comments … Read more

Electric Stim to Prevent DVTs After Total Hip Replacement

Haemodynamic performance of neuromuscular electrical stimulation (NMES) during recovery from total hip arthroplasty. Broderick BJ, Breathnach O, Condon F, Masterson E, Ólaighin G. J Orthop Surg Res. 2013 Mar 5;8:3. AbstractBACKGROUND:Patients post total hip arthroplasty (THA) remain at high risk of developing Deep Vein Thrombosis (DVT) during the recovery period following surgery despite the availability of … Read more

Osteoarthritis and Obesity

This blog is a request of my Aunt who asked if I could post anything relating to obesity and extra wear and tear on the the joints (aka osteoarthritis). It’s considered common knowledge in medicine that obesity increases the risk for arthritis, and I hear my physical therapy patients frequently say that their knees or … Read more

Muscle Strength Protective Against Arthritis

The role of muscles in joint degeneration and osteoarthritis. J Biomech. 2007;40 Suppl 1:S54-63. Epub 2007 Apr 16. Herzog W1, Longino D. AbstractThe purpose of this work was to establish a controlled and reversible muscle weakness model for studying the effects of weakness on joint degeneration leading to osteoarthritis (OA). The knee extensor muscles of … Read more

Resistance Training Improves Running Biomechanics

Resistance training is accompanied by increases in hip strength and changes in lower extremity biomechanics during running. Clin Biomech (Bristol, Avon). 2009 Jan;24(1):26-34. Snyder KR, Earl JE, O’Connor KM, Ebersole KT. AbstractBACKGROUND:Movement and muscle activity of the hip have been shown to affect movement of the lower extremity, and been related to injury. The purpose … Read more

Tibial Stress Fractures in Runners: It’s All the Same Problem

Distinct hip and rearfoot kinematics in female runners with a history of tibial stress fracture. Journal of Orthopaedic & Sports Physical Therapy. 2010 Feb;40(2):59-66. Milner CE1, Hamill J, Davis IS. STUDY DESIGN: Cross-sectional controlled laboratory study. OBJECTIVES: To investigate the kinematics of the hip, knee, and rearfoot in the frontal and transverse planes in female … Read more

Runners with Patellofemoral Pain, Have Altered Hip and Knee Rotational Stress

Patellofemoral joint stress during running in females with and without patellofemoral pain. Knee. 2012 Oct;19(5):703-8. Wirtz AD1, Willson JD, Kernozek TW, Hong DA. AbstractPatellofemoral pain (PFP) is a common complaint among female runners. The etiology for PFP is frequently associated with increased patellofemoral joint stress (PFJS) and altered hip and knee joint kinematics during running. … Read more

Low Back Pain, Hip Strength, and IT Band Tightness

The relationship between hip abductor muscle strength and iliotibial band tightness in individuals with low back pain. Chiropractic & Osteopathy. 2010 Jan 13;18:1. Arab AM, Nourbakhsh MR. Abstract BACKGROUND: Shortening of the iliotibial band (ITB) has been considered to be associated with low back pain (LBP). It is theorized that ITB tightness in individuals with … Read more

Patellofemoral Pain Most Associated with Hip Weakness

Influence of the hip on patients with patellofemoral pain syndrome: a systematic review. Sports Health. 2011 Sep;3(5):455-65. Meira EP, Brumitt J. AbstractCONTEXT:Patellofemoral pain syndrome (PFPS) is one of the most common conditions limiting athletes. There is a growing body of evidence suggesting that dysfunction at the hip may be a contributing factor in PFPS.DATA SOURCES:MEDLINE … Read more

Hip Pain: Trochanteric Bursitis Isn’t Bursitis

Prospective evaluation of magnetic resonance imaging and physical examination findings in patients with greater trochanteric pain syndrome. Arthritis Rheum. 2001 Sep;44(9):2138-45. Bird PA1, Oakley SP, Shnier R, Kirkham BW. From the Study “All subjects were women (median age 58 years, range 36-75 years). The median duration of symptoms was 12 months (range 12-60 months). MRI … Read more

Hip Abduction Strength More Important to Function than Quadriceps after TKA

Hip abduction strength more important to function than quadriceps after Total Knee Arthroplasty. Physical Therapy. Feb 2011; 91(2): 225–233. From the study: Measurements Strength of quadriceps muscles and hip abductors was measured using an isokinetic dynamometer. Performance-based physical function was assessed with 4 measures: self-selected walking speed, the Figure-of-8 Walk Test, the Stair Ascend/Descend Test, … Read more