ORTHOPEDIC PHYSICAL THERAPY
2748 COLONIAL DRIVE
(406) 443-1122
INFO@MONTANASPINEANDJOINT.COM

Hip

Trochanteric Bursitis

trochanteric_bursitisDiagnoses: Bursa are small sacs that contain fluid. They are located between bones and soft tissue to provide cushion and prevent excess friction. When bursa become inflamed and irritated, the condition is referred to as bursitis. Bursitis of the hip typically occurs over a body prominence of the femur called the greater trochanter.

Symptoms: Bursitis typically causes pain on the outside of the hip directly over the bone. It can begin as a sharp and intense pain and progress into more of an ache over a greater area of the thigh. Pain is usually more intense at night and a person might have difficulty lying on the affected side. Pain may also increase while transitioning from a sitting to standing position.

Causes: Hip bursitis is most common in middle aged and elderly women. Risk factors have been associated with:

  • Repetitive stress
  • Leg length inequality
  • Bone spurs
  • Spine pathologies
  • Rheumatoid Arthritis
  • Trauma to Bursa

Our Physical Therapy Treatment: Treatment will be dependent on the patient and their response to exercise. Treatment might include:

  • Mechanical diagnoses/treatment
  • Stretching exercises
  • Lower extremity strengthening exercises
  • Manual mobilizations
  • Rule out spine pathology
  • Soft tissue mobilizations
  • Task specific performance analysis

http://orthoinfo.aaos.org/topic.cfm?topic=a00409

Avascular Necrosis

thDiagnoses: Avascular Necrosis refers to the breakdown of bone tissue secondary to a comprised blood supply. Blood flow can become impaired if the hip is fractured or dislocated.

Symptoms: Symptoms are not typically present in the early stages of the condition. As avascular necrosis worsens, pain might be felt while weight bearing or even lying down. Pain ranges from mild to severe and may be located in the groin, thigh, or buttock.

Causes: Avascular Necrosis occurs due to a limited blood supply to the hip. Causes of this could include:

  • Joint or bone trauma
  • Fatty deposits or blood vessels
  • Diseases such as sickle cell anemia or Gaucher’s disease

Our Physical Therapy Treatment: Treatment will be dependent on the patient and their response to exercise. Treatment might include:

  • Mechanical diagnoses/treatment
  • Stretching exercises
  • Lower extremity strengthening exercises
  • Manual mobilizations
  • Soft tissue mobilizations
  • Task specific performance analysis

http://www.mayoclinic.org/diseases-conditions/avascular-necrosis/basics/treatment/con-20025517

Hip Osteoarthritis

ds00019_ ds00627_im02982_mcdc7_hiparthritisthu_jpg.pngDiagnoses: Osteoarthritis is the most common form of arthritis in the body. It occurs when the cartilage on the ball of the femur wears down over time. This creates less cushion in the joint and allows for more impact between bones.

Symptoms: Osteoarthritis gradually worsens over time resulting in increased pain and decreased range of motion of the joint. Other symptoms might include tenderness to light pressure, stiffness (especially in the morning), grinding sensations, and bone spurs.

Causes: Causes include degeneration of the cartilage of the hip joint over time. When the cartilage decreases, increased friction occurs between the ball of the femur and the socket.

Our Physical Therapy Treatment: Treatment will be dependent on the patient and their response to exercise. Treatment might include:

  • Mechanical diagnoses/treatment
  • Stretching exercises
  • Lower extremity strengthening exercises
  • Manual mobilizations
  • Task specific performance analysis
  • Education on lifestyle changes

http://www.mayoclinic.org/diseases-conditions/osteoarthritis/basics/causes/con-20014749

Hip Strain

A00361F01Diagnoses: Hip strains occur when a muscle supporting the joint is stretched beyond a healthy range or torn. Strains can range from mild, moderate, or severe and can occur in any of the muscles surrounding the hip joint.

Symptoms: Symptoms can include pain and tenderness over the injured site. Other symptoms might include:

  • Increased pain with movement of the hip
  • Swelling
  • Decreased hip range of motion
  • Muscle weakness

Causes: A hip strain can be and acute injury occurring from an overstretch of muscle, fall, or blow to the hip. It can also be an overuse injury where the muscle slowly breaks down secondary to repetitive use. Risk factors for hip strains might include previous injury to the same area, muscle tightness, improper warm-ups prior to exercising, or progressing exercises too quickly.

Our Physical Therapy Treatment: Treatment will be dependent on the patient and their response to exercise. Treatment might include:

  • Mechanical diagnoses/treatment
  • Stretching exercises
  • Lower extremity stabilization exercises
  • Manual mobilizations
  • Task specific performance analysis

http://orthoinfo.aaos.org/topic.cfm?topic=A00361