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UPMC orthopaedic surgeons are experienced in treating people of all ages who experience hip pain or hip disorders.
When nonsurgical options have been exhausted, there are numerous surgeries that can remedy hip disorders, including hip arthroscopy, which became a standard of care within the past decade. At the nationally-ranked UPMC Orthopaedic Care center, our expert physicians strive to get you back on your feet and back to doing what you love in the shortest time possible.
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string(3985) "Hip pain is a common complaint, and a frequent reason patients seek help from their doctors. There are a number of conditions or injuries that can lead to pain around the hip, including:
- Hip (femoroacetabular) impingement
- Groin strain
- Labral tears
- Dislocation or injury to the surrounding muscles
- Arthritis (the most common cause)
Patients with suspect pain around the hip seek an expert's help for a variety of symptoms, which include:
- Groin pain
- Pain in the joint area, specifically in a "C" shape
- Pain on the outside of the hip directly over joint
Dharmesh Vyas, MD, orthopaedic surgeon, states, "While these conditions are common, due to the anatomy of the hip, patients often mistake hip pain for what is actually back pain." The hip joint sits behind the groin area, which is why groin pain is commonly associated with hip pain. The spine runs from the base of your skull down to the tip of the tailbone and contains nerves. When these lower spine nerves are aggravated patients may mistake their back pain for hip pain.
Symptoms of Lower Back Pain
Low
back pain will affect 60 to 80 percent of people at some point in their lives. Much of the pain experienced by that group is caused by a herniated disc pressing on a spinal nerve. Those symptoms may include:
- Pain shooting down the leg
- Increased pain when bending or sitting
- Numbness or weakness in the leg/foot
In addition to herniated discs, low back pain may be a result of:
Diagnosing the Source of the Pain
The first step to correctly treating the pain is to receive an accurate diagnosis. Dr. Vyas explains, "When I see a patient seeking treatment for suspected hip pain, the first thing I do is conduct a physical exam and take a history." A history of the pain will include asking questions such as:
- Where is the pain located?
- When does the pain occur? With activity? At rest?
- What type of pain is occurring? Is it sharp? Is it achy, etc.?
After the initial appointment, your doctor may request an x-ray in order to take a closer look at the bones. Based on the physical exam, x-ray, and possibly an
MRI your doctor should be able to make an accurate diagnosis and suggest an individualized treatment plan.
Treatment for Back or Hip Pain
Depending on the diagnosis, treatment options can include:
- Activity modification
- Anti-inflammatory medication
- Physical therapy
- Referral to a specialist
For most patients, surgery is the last option, since medication and physical therapy typically have a high success rate. However, if you are experiencing pain that lasts longer than four to six weeks, you should consult your doctor.
To make an appointment with
UPMC Orthopaedic Care, call 412-687-3900.
"
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Hip pain is a common complaint and frequent reason patients seek help from their doctors, but is the underlying issue back problems? Learn more.Read More
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string(598) "Pain in your hip from arthritis or other causes can be debilitating and interfere with your quality of life. When non-surgical options fail to provide adequate relief from your pain, an orthopaedic surgeon can replace the damaged joint with an artificial one that is custom-designed to fit your needs, relieve your pain, and get you moving again. At the nationally-ranked UPMC Orthopaedic Care Center, our expert physicians strive to get you back on your feet and back to doing what you love in the shortest time possible."
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Pain in your hip from arthritis or other causes can be debilitating and interfere with your quality of life.Read More
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string(3157) "If joint pain has slowed you down and stopped you from doing things you love, it's time to get back in motion. Surgery or medical treatment is only the first step in repairing joint damage.
Physical therapy is next to help you get the most benefit from your surgery and return to an active lifestyle. While managing pain and getting back on your feet (literally) can be incentive enough to consider physical therapy, it's also important to know what to expect during your rehabilitation journey.
What Are the Goals of Physical Therapy?
Physical therapy lets you take the next step in getting back to feeling normal and mobile again. After treatment for a joint condition or injury, you will likely undergo outpatient physical therapy provided by specialists at a certified rehabilitation center.
Whether you've undergone knee, hip, or shoulder replacement surgery or are struggling with chronic joint pain, physical therapy is essential to your recovery.
Physical therapy helps you build:
- Strength
- Flexibility
- Range of motion
The primary goals of therapy are to regain function, lessen pain, and adapt to new limitations that come from joint replacement or major injury.
After knee replacement surgery, for example, you still won't have full range of motion or be able to bend your knee 90 degrees without doing regular exercises. By strengthening the muscles around your new joint, you will:
- Regain function
- Reduce pain
- Prevent future injury
What Happens During Physical Therapy?
Progressive exercises are they key component of a physical therapy program after a
total joint replacement. These exercises are tailored to your:
- Injury
- Limitations
- Recovery goals.
You'll start with simple stretches and advance to more challenging moves. Exercises focus on strength, balance, coordination, and stability.
To help decrease pain, reduce swelling, and restore motion, your program may include manual therapy. This includes:
- Soft tissue mobilization
- Joint mobilization
- Specific guided exercises
A physical therapist will likely send you home with exercises to do on your own as well. Although it may be painful at times, putting in the hard work is the best way for you to recover and begin some of your previous activities again.
Have you gone through physical therapy after a sports injury or accident? How long did it take you to bounce back? What tips and advice would you offer to anyone who plans to visit a physical therapist?
"
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Physical therapy helps you regain mobility and function after joint replacement surgery. Putting in the hard work helps you get active again.Read More
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string(5124) "Spiking, jumping, setting — for all the excitement that goes along with a game of volleyball, like all sports, every player runs a risk of injury. Learn about five common volleyball injuries, so you can protect yourself during practice and games on the court.
1. Volleyball Ankle Injuries
The most common volleyball-related injuries involve the ankle — ankle sprains are the most common injury in the sport.
Most ankle sprains are not severe, and require only a few days or a few weeks of rest and, often, physical therapy. More severe ankle injuries can result in fractures and ligament/tendon injuries that can require surgery. A supportive ankle brace can help you avoid re-injury, so if you have a history of ankle injuries, your doctor may recommend that you wear one.
2. Jumper's Knee (patellar tendonitis)
Volleyball requires players to jump to defensively block incoming balls and offensively spike balls into the opposing team's court.
Repeated jumping — especially on hard surfaces like the gymnasium floor — can result in a condition called jumper's knee. This is when the tendons around the knee cap (patella) become irritated by small micro-tears, resulting in knee pain and stiffness.
You can prevent jumper's knee by reducing the amount you jump at practice, as well as by strengthening the surrounding knee muscles. If you experience pain from jumping, it is best to seek attention from a medical expert, which may include your team’s athletic trainer or a sports medicine physician.
Playing on a softer surface, such as a sandy beach, can also help reduce impact to the knee. Keep in mind, however, that sand volleyball players may have additional risk factors for injury compared to indoor players.
3. Shoulder Injuries in Volleyball
In volleyball, spiking and serving are high-stress activities that can result in injuries to the tendons and ligaments that support the shoulder.
While casual players probably don't need to worry about hurting their shoulders, competitive players should limit the amount of serves and spikes and listen carefully to their body's pain signals.
Shoulder strengthening, stretching before play, and using proper mechanics for serving and hitting, also can reduce your risk of injury.
4. Volleyball Finger Injuries
Volleyball players can suffer jammed, dislocated, and fractured fingers from contact with the ball, the net, and even with teammates.
An injured finger should be evaluated and treated immediately, especially if there is significant pain, swelling, discoloration, or inability to move it. A prompt evaluation and treatment plan can reduce the likelihood of long-term issues, including pain and deformity.
5. Lower Back Pain from Volleyball
Many athletes have lower back pain from playing their sport, however, low back pain is fairly common among volleyball players as a result of muscle or ligament strain. If the pain doesn't get better after a few days, or is worse during certain movements, you should be evaluated by a medical professional.
Preventing Volleyball Injuries
These steps can help prevent volleyball injuries:
- Stretch and warm-up before playing
- Eat a balanced diet and drink plenty of water
- Keep up your cardiovascular fitness and core strength
- Get enough rest. You may want to avoid playing for multiple teams to reduce the risk of overuse injuries
- Practice good technique. Consulting a specialty coach will help you make the most of the mechanics
- Treat injuries as they occur and allow your body to completely recover before heading back out on the court
For more information on sports injuries and rehabilitation, visit the
UPMC Sports Medicine website."
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Learn to identify these five common volleyball injuries, including sprains and shoulder tears, and find ways to prevent injury and stay healthy on the court.Read More
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string(4840) "Hip arthroscopy has become an increasingly popular surgical option for younger, active patients experiencing non-arthritic hip pain.
While the surgery is often minimally invasive, rehabilitation (rehab) following hip arthroscopy is imperative to recovery. Your physician will work with your physical therapist to develop a personalized rehab plan to help you return to your sport.
According to Keelan Enseki, PT, MS, ATC, orthopaedic physical therapy residency director at UPMC Centers for Rehab Services, rehab will advance in phases and many patients are able to return to full-activity and their sport in three to four months.
Here is what you can expect during rehab:
One to Four Weeks After Hip Arthroscopy
Following surgery, weight bearing precautions vary depending upon your procedure. In minimally invasive cases, there is typically a short period of partial weight bearing, often two weeks or less, in which you will be required to use crutches and/or a brace to support your hip.
During this time, your physical therapist also will develop a personalized rehab plan for you, which will include a timeline to meet functional goals. Before you leave the hospital, your physical therapist will demonstrate exercises for you to start as soon as you get home; however, your physical therapy visits will begin two to three days after surgery. It is important to stay committed to therapy.
Phase One and Early Range-of-Motion (ROM)
To prevent postoperative joint stiffness during phase one, your physical therapist will recommend exercises to restore normal joint motion, maintain flexibility, and build strength. These exercises typically start immediately after surgery and may include:
- Circumduction motion
- Stretches
The goal of phase one is to restore functional
motion of the hip and to prepare your muscles to begin walking again. Your ROM will continue to be evaluated by your physical therapist as you progress to the next phase of rehab, as you will need to meet specific criteria before beginning phase two. Keelan mentions that progression of intensity or volume of exercises prematurely can cause increased inflammation, pain, and delayed recovery.
Four to Eight Weeks After Hip Arthroscopy
By this point, most patients have returned to walking normally and driving again. You will likely experience very little discomfort other than some stiffness or tightness, and your physical therapist will continue to prescribe exercises to help you achieve full ROM.
Phase Two and Soft-Tissue Mobilization
During phase two, your physical therapist may also perform soft tissue mobilization to help relax your muscles and reduce scar tissue. You may also begin hip and leg muscle strengthening. Exercises during this phase typically include:
- Increased time on an upright bike
- Leg presses or squats
- Advanced stretching to improve flexibility
- Balance exercises
Eight to 12 Weeks after Hip Arthroscopy
During this time, most patients will begin phase three of their rehab plan. Your physical therapist will work with you so that you establish a full range of motion in order to prepare you to meet your return to sport criteria. Patients should not expect to reach full activity until they have completed at least three full months (12 weeks) of rehab.
Phase Three and Returning to Your Sport
Your hip strength and motion will likely be fully restored during this phase. When you are pain-free, your physical therapist will advance you to running and jogging exercises. To help you reach your desired level of function in your sport, your physical therapist will typically recommend
plyometric and functional exercises. During this phase you also will:
- Advance to the treadmill and/or elliptical
- Increase weight and repetition of exercises
- Complete stretching so that tightness is resolved
Depending on the demands of your sport, you may need to continue rehab beyond 12 weeks, as some athletes require four to five months of structured rehabilitation. Your physical therapist will alter your personalize your rehab plan based on how you progress through each phase.
For more information on physical therapy following hip arthroscopy, visit the
UPMC Sports Medicine website for call
1-855-93-SPORT (77678)."
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Hip arthroscopy has become an increasingly popular surgical option for younger, active patients experiencing non-arthritic hip pain.Read More
