As some of you know, Jason and I have for the past week or so been moving to our new house. I want to thank everyone who helped us out this week.... its been unusually hectic and yes...a little stressful. Whether it was a borrowed truck, a few trips with a van, some extra muscle moving boxes and furniture or taking care of Brandy....it was all very much appreciated. We truly have great friends here at CrossFit. In addition I want to thank Jennifer Morris for everything she has done for us over the past couple of months. We wouldn't be at this stage without your persistance, consideration and involvement.
Though we missed our usual Monday post from Dr. Sean....here it is....better late than never.
The Athletic Hip
There are several sports that are hard on the hip joints. As medical technology improves we now know that mechanical hip pain can be a result of cartilage damage in the hip. This is why it is becoming increasingly popular for athletes such as Alex Rodrigues to undergo hip surgery to sustain his career.
Cartilage damage in the hip is most often the result of repetitive internal rotation. Runners whose feet and knees internally rotate (as discussed in previous weeks) will subject the hip cartilage to wear and tear due to the kinetic chain effect of causing internal hip rotation. Sports such as hockey, soccer and gymnastics that require large hip ranges of motion create opportunity for this kind of damage. Furthermore, activities on hard surfaces such as ice, artificial turf etc can increase these forces.
Hip pain that becomes worse with exercise and is not responsive to traditional physiotherapy, chiropractic or massage therapy (within 12 weeks) needs further investigation. A special type of MRI must be ordered called an MRI arthrogram. This test involves injecting dye into the hip joint to help elucidate the damage to the cartilage. A standard MRI is not good enough and is often negative. It is not uncommon for medical professional not versed properly in sports injury to order the incorrect type of test and miss this diagnosis.
Treatment for this condition can involve several avenues. Soft–tissue treatment, joint manipulation, acupuncture and stretching can help control the pain and muscle tightness that is secondary to inflammation in the hip. Improving biomechanics of the hip, knee and ankle can limit the wear and tear to the joints. Avoiding impact on hard surfaces (such as box jumpsJ) will also ease the strain. More advanced techniques can include injections of cortisone, hyarulonic acid such as Durolane and anti-inflammatory medications can be beneficial. Arthroscopic surgery is becoming the treatment of choice for this condition but currently there are very few surgeons well versed in this procedure. There is currently one surgeon in London, ON and one in Vail, Colorado.
Please pay attention to these types of signs and symptoms when exercising and hopefully this may help some to attain a correct diagnosis for this common sports injury.
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