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Southern View: March 20, 2018

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SOUTHERN VIEW Latest Christchurch news at www.star.kiwi<br />

Tuesday <strong>March</strong> <strong>20</strong> <strong>20</strong>18 13<br />

HEALTH & AWARENESS<br />

Hip pain: Do I have arthritis or<br />

could it be mainly my muscles?<br />

The team at Physical Sense in Sydenham<br />

sees clients with a range of symptoms but<br />

many of their middle-aged and senior<br />

clients visit complaining of pain in one or<br />

both hips.<br />

Physiotherapist Ietje van Stolk suggests<br />

that a major part of the pain could be due<br />

to muscle pain rather than simply arthritis.<br />

“Even if an x-ray shows arthritis, the reason<br />

for the pain may be the muscles around<br />

the joint,” she explains. Alternatively, a<br />

back muscle could also be the cause, as<br />

shown in the image.<br />

Ietje recalls one case where an 89 year<br />

old client with severe arthritis who walked<br />

with a stick, told her, “I will end up in<br />

a wheelchair, I cannot put any weight<br />

through my right leg due to pain in my hip<br />

and buttock”. “Within 4 treatments, she<br />

was walking with her stick but without the<br />

severe pain,” says Ietje. “The arthritis was<br />

one of the factors that made her muscles<br />

spasm but the other was that older people<br />

move less and the flexed position the hip<br />

is in when we sit is particularly bad for<br />

the hip.” Ietje is happy with the fact that<br />

although the client was 89 and could have<br />

been “given up on” or told to live with the<br />

pain, she made a difference to her health<br />

Hip muscle that causes hip pain<br />

(the crosses are the areas of the muscle spasms, the red areas is where the pain is felt)<br />

and wellbeing.<br />

At Physical Sense, hands-on techniques<br />

(massage and triggerpoint deactivation<br />

techniques) are used to release the muscles.<br />

The client also gets a home exercise<br />

program designed to mobilize and stretch<br />

the hip, strengthen the important core<br />

muscles and increase general strength and<br />

balance. They teach a movement sequence<br />

that stretches the hip in all directions<br />

whilst the client is able to lie safely on their<br />

bed, perfect for older or less mobile clients.<br />

In many cases having the muscles<br />

released and being taught how to maintain<br />

it, is enough to stay on top of the problem.<br />

If severe arthritis is the underlying cause,<br />

some maintenance therapy may be<br />

necessary, but that is often more affordable<br />

and, for older patients, better tolerated than<br />

surgery. In very few treatments the client<br />

Back hip muscle that causes hip pain<br />

will know if it is going to work for them or<br />

not, without financial commitment.<br />

Physical Sense Gym & Physio is located<br />

at 300 Colombo Street, Sydenham.<br />

There is a bus stop in front of the door<br />

and there is ample parking. To enquire<br />

about specialised exercise classes or<br />

physiotherapy treatment, phone 377-2577<br />

or visit www.triggerpoints.co.nz.<br />

Physical Sense Gym and Physio is located at 300 Colombo Street, Sydenham. The Blue Line Bus stops in front of the door and there is ample<br />

parking. To enquire about specialised exercise classes or physiotherapy treatment, phone 377-2577 or visit www.triggerpoints.co.nz<br />

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