Archives for posts with tag: compression stress fracture

Your friendly Chiropractor in Chandler AZ, Dr. Dan Rae, is back at the computer this morning trying to fit this article in prior to seeing patients today.  In keeping with the hip theme I am going to review a condition called Snapping Hip Syndrome.  A question that I get asked several times each day is why is my hip popping or snapping.  Well, today you will find out one of the main reasons for this.

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In the images above by MendMeShop, we are able to see the structures involved in Snapping Hip Syndrome as well as a little bit of how it happens.  Snapping at the hip is most often due to tendons that are tight and snap over a bony prominence or or a fluid-filled sack called bursa.  In some cases, moving the leg away from the body may cause a suction effect similar to joint gapping with manipulation, and even less frequently, a loose body may be found in the joint.  However, with loose bodies, there are also signs of mechanical movement blockage.

These patients are generally in my office for something else when they ask about there hip snapping because it does not generally cause them pain.  The location of the snapping is a good indication of the offending tendon.

Usually this is not a problem, and it is typically position dependent.  If painful or irritating strengthening exercises have proven to be more beneficial than stretching.  However, if the irritation persists stretching can be implemented as well as soft-tissue therapies such as Active Release Technique (ART) and Graston Technique.

If you are struggling with Hip Pain call my office today at (480) 366-4041.  We can Help!

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Your friendly Chiropractor in Chandler AZ, Dr. Dan Rae, is back at the computer this morning to write about Hip Stress Fractures.  I do not see Hip Stress Fractures a lot in my practice, but I have dealt with them on occasion making it something that I feel I should address.

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In the image above by MMG 2000, we are able to see the different types of Hip Stress Fractures that occur at the femoral neck.  Within the bone we have different types of cells one of which is an osteoclast and the other an osteoblast.  Osteoclasts in a sense eat bone or destroy it, and osteoblasts on the other hand create bone.  With repetitive stress to the femoral neck, microfractures occur.  This damage leads to increased bone remodeling, or the removal of old bone by osteoclasts and the formation of new bone by osteoblasts.  When osteoclastic activity surpasses osteoblastic activity, the bone becomes weakened leading to fracture.

In most cases that I have had in my office the patient is usually young and active, often participating in cross country, gymnastics, dancing, or marching band.  The pain comes on rather slowly and is worse when standing.  The pain is normal felt on the front and deep into the leg.

Treatment for the Tension/Transverse Stress Fracture is different from that of the Compression Stress Fracture.  With the Transverse Stress Fracture surgical pinning is required to stabilize the hip.  With the Compression Stress Fracture an elastic support is necessary as well as rest for 2 weeks.  After the two weeks non-weight-bearing exercises are implemented such as cycling and swimming.  The Displaced Fracture require surgical pinning as well.

If you are struggling with Hip Pain, call my office today (480) 366-4041.  We can Help!