hip osteoarthritis

by Jamie
(Marlow, Oklahoma)

Do you have any specific stretches and exercises for osteoarthritis of the hip. I am 53 years old and have moderate osteoarthritis of right hip. I want to do all I can to prevent or at least delay as long as possible any type of drugs or surgery. I may have overlooked any mentioned in this website. Thank you for any helpful information.

Hello Jamie,
First, most important, have someone stand behind you, shirt off, and place their hands on your iliac crests, and check: is one lower than the other?

Lots of research showing the folk with a "leg lenth inequality" (use the Search this site function at Chiropractic Help for more info) have a higher prevalence of hip and knee arthritis.

Secondly, is there ANY sign of Developmental Hip Dysplasia (too little cover of the ball), or Femero Acetabular Impingement Syndrome (too much cover) on the X-ray? You can attach the X-rays to this page.

Thirdly, your sacroiliac joint should be adjusted every few months. It will tend to fixate altering the biomechanics of hip and increasing the OA. I also do an intensive mobilisation of the hip and capsule, but that you couldn't do.

For treatment, I would do our basic three exercises on the Lower back exercises page, very simple and basic, EVERY morning before getting out of bed. Last thing at night too.

Then, GENTLY, rotate your hip from out to in, so that you can feel the pinch in the groin, but without it causing any pain. You are increasing the flow of nutrient-rich fluid in the joint.

Lastly, on that same exercise page, scroll down to Core Exercise. That will strengthen the large hip / back muscles. Do all these faithfully if you want to avoid that op.

Lastly, take fish oil capsules daily, eat more fatty fish, flax seed oil.

Oh, yes, one more: actually THE most important. Lots of research showing that the single most important thing that you or anyone can do for your hip is lose weight if you are obese. See our Weight loss programs at C-H. No compromise: get it off or suffer. It may mean a whole new way of living and eating. Getting into salads, fruit, hummus, oats, olive oil, fish and halving the carbs in your diet.

One more! Research on glucosamine chondroitin is weak, but research from Harvard strongly recommends a Chicken Bones extract made in your own kitchen.

You can get info on all these using that search function at C-H. Good luck, hope this contributes.

Dr B

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Mar 13, 2012
Natural remedies
by: Anonymous

Hello there are many many foods and herbal supplements you can Google and find that will naturally deter inflammation in your body as well. And find calcium rich foods but also one thing to consider is your magnesium levels since magnesium helps with the proper absorption of calcium. So another thing to look for. If you are on other prescribed medication I would consult with your doctor prior to using any herbal supplements most will not approve of such just something to take into consideration.

Yes, that magnesium may be significant. Research shows that a magnesium deficiency is the primary cause of chondro calcinosis, a primary cause of arthritis. Spinach if my memory serves me correctly is the best source. Eggs Florentine!

Dr B

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Interesting challenges of the day

1. Mr S is a 76 year old man with neck pain of some 9 months duration. Luckily, most of the discomfort is upper cervical which is only rarely arthritic; his lower cervical spine is a degenerative mess that I have left alone. After seven treatments his pain and stiffness is 50 percent better, and he is happy in the circumstances. He can sleep through the night now and that makes a huge difference.

2. Mr P is 32 year old man with very severe lower back pain radiating to the big toe which is 30 percent numb. He had an episode three weeks ago, took anti-inflammatories and was soon better as is typical of the medial disc herniation. But before it healed, after a trivia it came roaring back, much worse. The characteristic crossed sign was evident; sitting in a chair, straightening the right leg provoked severe left back pain and tingling in the leg. He is doing well.

3. Severe lower back pain is scary; just ask Mrs P. Just watching her get out of the car I she was in trouble; she had a slipped disc at L4 making her lean towards the opposite side; luckily she had no pain in the leg. Despite family pressure that this was far too severe for a chiropractor, she persevered. Within five days she was standing upright, and after two weeks almost pain-free. 

Despite a hectic job, she wisely took my advice and stayed home for what I call exercising bed rest.

4. Mr S has had lower back, groin and back of thigh and calf pain for fourth months.

He has a pincer deformity in the hip causing the stabs in the groin, and a degenerative facet causing the sciatica. Both are responding well to chiropractic and he is well pleased; sixty-five percent better after three treatments.

5. Mr T is a wise man; he has taken a warning TIA seriously and has lost 15 pounds, and has at least as much again to lose. A change to a low starch diet and half hour daily stroll has made the difference; but the walking is making his foot and back miserable. The expensive orthotic is hopeless; luckily his hips and back are fine, but he needs a simple heel lift; he has a short leg.

6. I too have had serious lower back issues, luckily fixed by my own chiropractor; so I too have to do my exercises, take care when lifting supers full of honey, gardening and using the chainsaw. Regaining the function of your spine is just as important as the pain.

7. My own granddaughter, only 7 is hypermobile giving her pelvic, knee and ankle issues. X-rays show a mildly dysplastic hip. Years ago we would have called it growing pains. She too regularly needs chiropractic care and luckily responds well. Increased range of motion is more difficult than too stiff in my opinion. Our care is for kids too.

8. This 65-year old lady is a serious gardener; every day she is bending, lifting and digging for 2 to 3 hours a day. It regularly catches her in the sacroiliac joint, so she has a treatment once a month that sorts it out. She does her lower back exercises faithfully.

9. This 88-year old lady is an inspiration; every day she is busy in the community. With a nasty scoliosis she manages very well with a chiropractic adjustment every six weeks and exercises faithfully done. 

10. Mr X is a 71-year old retired man who wants to continue with maintenance care every six to eight weeks; he had suffered from two years of lower back pain when he first came a few months ago. He has no discomfort now after 8 chiropractic treatments, but is aware that danger lurks.

11. Mrs C has been having severe headaches, and taking a lot of analgesics. It is a non-complicated upper cervical facet syndrome, and she is doing well.

12. Mr D is a 38-year old year man with chronic shoulder pain after a rotator cuff tear playing cricket. It responded well to treatment, but he knows he must do his exercises every day; for two years he could not sleep on that shoulder.

13. Mr D, a 71-year old man, has a severe ache in the shoulder and midback since working above his head. Trapped nerve tests are negative but he has advanced degenerative joints of Luschka; after just two treatments he is 50 percent better. Can we reach 90?

And so the day goes; chiropractors should not be treating the elderly most medical sites state but that is so much bunkum.

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