A Postural Therapist's View on Hip Degeneration & Hip Replacement Surgery

Today I'm pleased to bring you Part 2 of Catee Ingwersen's blog on Joint Replacements and Joint Degeneration


 

Hip Replacements

By Catee Ingwersen:  The Posture Clinic

The pelvis and hip joints work together.  

The pelvis is designed in the shape of a bowl except that it has two identical halves.  Imagine a bowl cut in half.  Now imagine the two halves are designed to move like opposite "See Saws" (the children's playground apparatus).  As one half moves downward the other half moves upward.  This is called flexion and extension.   

The "hip" is referred to as where the leg bone inserts in the pelvis or hip socket.  The hip joint is shown here.  This joint is a ball and socket joint and should be able to move freely in a rotational multidirectional fashion.  
In general, proper functional pelvic and hip movement is where the pelvis is doing it's "See-Sawing" and the head of the leg bone or the hip joint is freely moving too.  All these components are free to move and there is freedom of blood and nerve circulation without friction inside the hip joint.  

Over time due to inactivity, sitting too long, injury etc. the muscles that coordinate the flexion/extension pelvic motion and the leg/hip motion become imbalanced, impaired, problematic and then do not function properly.  

Degenerative changes in the hip socket occur when the pelvis stops moving, stops flexing and extending properly but the leg bone continues to move in the socket.  This can be seen where pelvic function and movement becomes impaired and immobile and begins to rotate versus flex and extend or stops moving entirely.  

This causes a serious lack of blood supply and a great deal of friction and wear and tear inside the hip joint.  It affects muscles, joints, ligaments, cartilage, bone.....all components!  Many other muscles, joints and in many cases, organ systems will be adversely effected including the spine.  

When bones and joints have reduced, compromised blood circulation, the bone actually dies.  Dying bone is called Necrosis.  Avascular means without blood flow.  Avascular Necrosis, a common diagnosis, is a SYMPTOM -- a CONSEQUENCE of the ROOT CAUSE of muscle and joint dysfunction.

Take your fist pretending it's the head of your femur or leg bone, put it in the palm of your other cupped hand.  Your cupped hand acts as the deep hip socket, the acetabulum, which is part of the pelvis.  Now move, rotate and grind your fist in your palm (keeping the palm stationary) for 30 days and see if you don't develop major blisters, friction and damage.  This is what happens with hip dysfunction but the friction goes on for years.  The head of the femur or leg bone keeps moving in the socket BUT the pelvis and hip socket stops moving.  

The key to preventing Hip Joint Degeneration and avoid Hip Replacement is to get the pelvis and hip joint SYSTEMATICALLY functioning properly again.  This does not mean go to the gym and start using weight machines or the pool or doing Pilates or exercise classes.  It does not mean start using the Elliptical Trainer.  It means finding a posture therapist who works with the entire body and does not focus on symptoms.   

Once you have developed  degenerative joints anywhere in the body, it is time to look at the ENTIRE body because 100% of the time, there are other joints and muscles that have also been seriously compromised in the process of you creating your joint degeneration.   

If you only focus on the one painful area (the steering wheel analogy see the second paragraph above) you are missing many other important areas that need as much if not more rehabilitation.  If you are not bearing weight equally front to back, side to side, you have a snowballs chance of getting pain free and life without limitation.  

Go to a trained skilled Posture Therapist who will help rehabilitate the dysfunctional posture, muscles and joints for the entire body.

If the hip joint is replaced and the pelvic dysfunction and immobility is not addressed there will be more wear and tear elsewhere in body.  It's coming.

 

Don't Settle for Band-Aids on SYMPTOMS - Find & fix the ROOT CAUSE

 

When you are dealing with pain and the possibility of invasive procedures that will not solve the underlying problem, make sure you know exactly what the root cause is.  Keep asking your doctor "why".  Answers like "arthritis" or "Avascular Necrosis" or "torn Meniscus" or "ACL/PCL tear" or "Labral tear" are not Root Causes.  If you are confused by the answer to "why" or aren't sure, it's time to get more information.  

Modern medicine is only focused on the body part in pain--the symptom.  Unfortunately seldom is the part in pain the root cause of the pain.  Because the body functions AS A UNIT, just working with the painful part will not address the total underlying problem.  

 

Now is the time to fix the muscle and joint dysfunction and start living without limitation.  

 

If you'd like more information about Catee, or The Posuture Clinic, be sure to visit her on the website, or call 772-559-1532.