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admin | Runners Hip Pain | 09.06.2014
Hip and back (lower and upper) pain can often be due to abnormalities in your foot function and lower limb biomechanics.
At Elite Podiatry we have mastered techniques that help us identify, diagnose and treat hip and back pain effectively with a high success rate. If we find that your condition is more complicated and out of our scope of practice, we have a list of recommended practitioners that reflect our high standard of treatment, to whom we regularly refer to.
Please call us at Elite Podiatry to organise an appointment for an assessment, diagnosis and appropriate treatment. It is common for pain from the low back to radiate into the hip, it is therefore essential to do a thorough examination to ascertain where the pain originates. They are robustly constructed to provide superior heat or cold contact to the injured area and the fit is incredibly precise and adaptable. Yes, they cost a bit more but save untold thousands in visits to chiropractors, physical therapists and doctors. I went to my Doctor today for my yearly physical and I told her about me ordering this wrap, as I did not want to go through another surgery on the rotator-cuff. Left untreated, tendonitis can be extremely debilitating and lead to life long complications. I'm dealing with a serious frozen shoulder and after my grueling therapy, this wrap is a huge relief. Gluteus medius tendonitis (sometimes spelled tendinitis and pronounced 'tendinitus') is an injury where your gluteus medius tendon is irritated or inflammed. The hip is a complicated joint and so if you are suffering from gluteus medius tendonitis it might be hard to tell. Anyone can suffer from tendinitis, but it's most common in adults due to degeneration of tissue as we age. Chronic inflammation of the gluteus medius tendon (tendinopathy) that results from many small tears over time from overuse, repetitive movements, or friction from a tight iliotibial band. Where tendonitis is damage or micro-tearing to your tendon, tenosynovitis is damage or micro-tearing to the sheath covering your tendon. If you have gluteus medius tendonitis you may experience pain over the outermost side of your hip, the upper side of your buttock and even in the lower back at the spine.
The natural structure and alignment of your pelvis and hip can cause a tilt that changes the way your tendon will move and work (and other muscles, bursae, etc.
If you normally walk by crossing your foot across your midline toward the other leg, when running. Short leg syndrome - a condition where your legs are not of equal length that may affect the tilt of your hips and pelvis. Repetitive activites such as long distance running, walking, and training for triathlons, biathalons or marathons. The best way to diagnose this condition is with a visit to your doctor for a physical examination of your hip.
It's important to have a proper diagnosis from a doctor or some other medical professional to determine the cause of your symptoms. If you think that you're suffering from hip tendonitis and you're losing mobility in your hip and leg the first thing you need to do is see your doctor. Usually conservative treatment methods are all that's needed to treat hip tendinitis, surgery is only ever used if long-term conservative treatment methods don't work or if you've suffered from a ruptured tendon in your hip. Or, if surgical intervention is required, talk with your doctor about using these same products for post-surgery recovery as you'll find them to be effective for reducing post-surgery inflammation, enhancing range of motion and reducing scar tissue growth.
Constant re-injury (you know when it's happening, you can feel the pain) needs to be avoided at all costs.
Continuous re-injury and build-up of scar tissue while staying active means you'll have a greater chance of winding up with on-going pain, more tearing in your tendon or a full rupture. Call one of our AidYourTendon Advisers at no cost or obligation to address any lingering questions you have about your hip tendinitis injury.
We're here 7 days a week to provide the information you need to heal as quickly as possible. The first step for conservative treatment of your hip tendinitis is to reduce the swelling to "open up" the area for more blood flow.
Although RICE can help to treat these symptoms, ice and freezer gel packs reach temperatures so low they can cause cryoburn, an ice burn on your skin. Fortunately you no longer have to settle for these ice cold methods that are uncomfortably cold against your skin, provide short term relief, cause ice burns, numb your skin and underlying tissue beyond feeling so you don't even notice the ice burn until it's too late and pool around your injury putting the cold everywhere except for where you need it most. This is important because once blood vessels are blocked or damaged, they can no longer carry oxygenated blood through the tissue and tissue cells begin to break-down. 24 to 72 hours after your initital tendon injury or when you first notice pain and swelling in your hip to stop cellular damage, relieve pain, and decrease swelling. After exercise, workouts or activity of any kind to prevent re-injury of your hip tendinitis.
Before and after surgery during rehabilitation to control pre and post-surgery pain and swelling. Anytime you feel your hip has been over-extended, over-worked, twisted, strained or sprained causing pain and swelling. Anytime you have swelling, sharp throbbing pain or inflammation in the tendons in your hip.
After the inflammation around your injured tendon has been reduced, you need to provide extra blood flow to strengthen your tendon tissue. Promoting blood flow to your hip tendinitis to help your body heal itself is a concept that has been utilized for centuries.
Even though the concept is simple, improving blood flow to your hip while it's injured can be difficult. So what do you do when you need to increase blood flow, but you can't move your hip without re-injuring your tendon?
The best source of heat treatment is from a product where you don't even feel that much heat. When treating gluteus medius tendonitis (hip tendonitis) or any soft tissue injury, an effective therapy will increase blood flow to the injury while the joint is immobile. The Inferno Wrap® is the most highly effective blood flow stimulation device that you will find on the market that is approved by the FDA for use in the home or hospital. Our Inferno Wrap® is made from medical-grade material - this should be as important to you as it is to us! Since our wraps are medical-grade products registered with the FDA, they are of a higher quality and need to meet way more standards for manufacturing (ISO 10993 - biocompatibility testing).
Before and after surgery during rehabilitation to warm up your tissues before physical therapy exercising or stretching.
Anytime you feel the tendons in your hip have stiffened up, are tight and your mobility is reduced causing you more pain.
Any other situation where you need to increase blood flow to your hip tendonitis injury to relax your tendon, relieve pain, prevent re-injury and enhance flexibility of your tissue. It's important to rest the torn tendon because our natural healing process takes time to heal completely.
Scar tissue may plague you for weeks, months and maybe even years, depending on your level of activity and the amount of conservative treatments you have done during your rehabilitation. If you want to avoid re-injury, or manage pain and increase circulation for lifelong health benefits. Learn more about how the Freezie Wrap® is designed to be the most effective cold compression wrap on the market today. When the tendon gets inflamed it is known as tendonitis, and when the tendons are chronically overused, it may lead to microscopic tears in the collagen matrix and causes a gradual weakening of the tissues.
Achilles tendonitis is a common injury among runners, as the Achilles tendon is responsible for helping you lift off the ground with each stride. As computers become ever more important elements of the work place and everyday life, incidents of wrist tendonitis are on the rise. Ice and Compression treatments are the easiest and most effective treatments for tendonitis. I was in a serious motorcycle accident back in July and broke 17 bones, had a collapsed lung, and had numerous twists and sprains along with a lot of swelling. To make a long story short, since using your products my pain level has gone down immensely and the swelling is finally under control. I am down to just walking with a cane now and will probably be able to get rid of that in about two weeks. The 4 Inferno Wraps and 2 Cold Cure products along with lots of prayers on my behalf have helped make the difference. I still use the Freezie Wraps after running when I can and I still regularly use the Inferno Wraps before many of my runs and exercise to warm things up. Please be aware that this information is neither intended nor implied to be a substitute for professional medical advice. Hip pain is very common phenomena in our society, Since the hips carry the gravity center in our body, they form the foundation of the all body.
We will look at the most common bodily distortion and its effect on the body in the reclining position, while standing and while walking. The supine (reclining) position: When the subject lies on his back, the right leg will extend further forward than the left leg, making the right leg appear longer that the left leg. In the standing position: When the subject is standing he will automatically shift his weight onto the functionally shorter left leg. This neuromuscular reflex will be carried out as follows: The nervous system will send impulses to muscles on the right side of the trunk to contract, thereby pulling the spine and head to the right, as a reaction to the left tilt of the hips.
The person may not suffer pain at the moment, but eventually this constellation of distortions in skeletal alignment will result in some degree of chronic debility and pain. Psoas - Extremely important muscle, attached to the spine from the front and side, and connected to the inside of the hip and leg. When the Sciatic nerve is involved the patient will experience also tingling and numbness in the calf and foot.


Tensore Fasciae Latae - This small muscle on the side of the hip connects the hip bone to the femur (thigh bone) from the side.
Gluteus maximus, medius and minimus - These superficial hip muscles cover the whole hip from the waist to the hip joint itself. Deep Rotators - These five deep muscles connect the hip joint to the bottom of the pelvis from the back. Lumbar Ligaments - These three ligaments connect the hip joint to the lumbar spine (low back) and the sacrum (tail bone).
Whether active and athletic, sedentary, or somewhere in between, it is not uncommon to experience lower back pain at some point in one’s life.
The deepest hip flexor is the psoas, also known as the iliopsoas as it is often called in conjunction with the smaller muscle, the iliacus, which is on the inside of the Ilium (Iliac fossa). The iliopsoas is a key muscle not only for dancers to achieve the lift in their jumps, but also for athletes in running or jumping. When the iliopsoas gets into a shortened state, also known as ‘locked short,’ it will take the pelvis into an anterior tilt. Two of the primary causes of a locked short psoas are (a) sitting for long periods of time or (b) over exercising and not stretching properly.
Structural Integration and myofascial bodywork can greatly help with lengthening of the iliopsoas by separating the fascia (the connective tissue) in between muscle groups, breaking up adhesions in the fascia and adhesions binding to muscle or bone and lengthening taut fascia along the iliopsoas line. A structural integrator will use a system of usually 10-12 one-hour long sessions to change dysfunctional postural patterns in the body by manipulation of fascia and taut muscles.
To allow the new functional pattern to “hold” and prevent further discomfort, it is also important to lengthen the psoas.
To properly change the dysfunctional pattern of locked short psoas, we also need to strengthen the core muscles.
If you are unsure if your health allows for you to receive any of above bodywork modalites, or attend any of Magnus Eklund seminars, please consult with your primary care health provider first.
I recommend Magnus’ workshops to anyone and everyone who is serious about their massage career. I have known Magnus for about 8 years.  In my opinion he is one of, if not the top CEU provider for massage therapists in the Southeast US.
With the work Magnus offers, Structural Integration, even a mature body is able to learn more function. I wholeheartedly recommend Magnus Eklund for Structural Integration bodywork for therapeutic movement therapy. Our experts at Elite Podiatry have undergone advanced training in treating abnormal pelvic locomotion and dysfunction, which commonly causes hip and lower back pain. We have a range of treatments available to help relieve and prevent such conditions and improve your quality of life.
In the case of local pain the bone, muscle, ligaments and pockets of fluid, known as Bursa, are involved.
This can be very mild, causing discomfort on prolonged walking, to the severe, where the patient has difficulty getting out of a chair. I just got done doing my overhead pulley exercises on my arms and then I put on the wrap and it felt so good.
You will feel this irritation, swelling and inflammation when there is a strain, damage or micro-tearing to the tendon tissue. Over time the tendons in the hip will wear down resulting in something called degeneration.
In many cases, degeneration of the gluteus medius tendon is associated with greater trochanteric bursitis; the combined injury is called greater trochanteric pain syndrome. You may also experience swelling, warmth or redness around your injury and the pain often gets worse by moving your hip.
During a physical examination of your injured hip, your doctor will be looking for weakness and pain in the hip area. Only your doctor can give you a proper diagnosis and from this, determine a course of proper treatment. Conservative treatment options for hip tendinitis typically includes rest, icing of the injury, strengthening exercises, avoiding activities that cause or worsen the pain that you're feeling and anti-inflammatory over-the-counter medication (reference: 1, 2). Obviously, it delays the healing process, but what's worse is that every re-injury and additional healing cycle increases the amount of scar tissue that builds up around your original tendinitis injury.
The more severe your hip tendinitis is, the more likely that this scar tissue will make your tendon much more prone to injury again later on. Severe injury to the tendon (ruptured tendons) will require surgery to re-attach the tendon to your bone or bring the edges of the tear together. Anyone in the health-care business knows that your blood supplies the oxygen and much needed nutrients required to heal hip tendinitis injuries.
The problem is, up until now there hasn't been any other option to treat painful conditions and injuries, so ice and blue gel packs (full of anti-freeze and chemicals) have been the only choice available. Our Freezie Wraps® will wrap around your hip keeping the cold right over your hip injury for the entire length of your treatment.
Without cold compression therapy cellular break-down and tissue damage continues as the cells don't get the oxygen they need to survive. After you get rid of the swelling for good you can start dealing with your hip injury and pain head on. Traditional methods require your hip to move in order to promote blood flow - but that same motion that promotes blood flow can also make your pain and tendonitis much worse.
BFST® increases the amount of blood that flows naturally to your soft tissue to nourish your tendons, improving elasticity and speeding the healing process. The Inferno Wrap® is the only treatment method that improves blood flow and circulation on a deep tissue level. When you don't feel the heat, it means the therapy is working in your deep soft tissue which is really where you need it. Other products that are sold in stores are considered "consumer goods" meaning the material only needs to be as good as a sweater that you wear. If you don't rest your torn tendon, your acute tendinitis can quickly turn into a chronic tendinitis injury.
Much of the pain you feel will be from the swelling, and you'd be surprised how fast the pain drops off once the swelling is down.
I was in the intensive care unit for 7 days and then in the hospital for 7 more before I was able to go home. I even take the Inferno wrist and back wrap to work and use it since I have a desk job that makes it possible. It has been really hot weather here so I don't use it as often as I should but it has relaxed the shoulder and I have a lot more movement. Every muscle above and under the hips will have to respond automatically to every distortion or change in the location of the hips. In the most common bodily distortion, the right hip is rotated forward approximately ¼ inch to 1 inch more that the left hip. This is not because of an anatomical discrepancy in leg length, but because the right femur (thigh bone) extends from the right hip which, in our subject, is rotated forward. Next, the nervous system will recruit muscles between the left shoulder and neck to pull the head back to center to level the eyes. This muscle is the main culprit of lower back and hip pain in our society, since we have become very sedentary.
Since 90% of the time during walking the body weight is carried by one hip, the hip muscles are forced to work harder which make them susceptible to get in a spasm.
When they are spastic , pain would be felt in the hip and referred to the back and side of the thigh and calf. When they are spastic, pain would be felt in the low beck hip and would be referred to the back of the thigh. The psoas is attached to the lesser trochanter of the femur on the inside of the upper leg, and it attaches to vertebrae of the lumbar spine, L1 – L5, and T 12 in the lower back.
Proper core strength is also important for a balanced psoas, so weak abdominal muscles as well as weak back extensor muscles contribute to this dysfunctional low-back pattern. Expect 3-5 sessions to see lasting improvements and 10 – 12 sessions to permanently change a dysfunctional pain pattern in the low back and core due to tight psoas.
The SI practitioner will start building support from the feet and legs into the pelvis, core and back, and finally the neck by putting the head on “top”. In the next clip, we will see examples of how to stretch the psoas with active isolated stretching or AIS. It’s difficult for many people to strengthen abdominal muscles without causing strain on the lower back and neck.
When I talk about psoas’ tightness causing pain in the low back, I am also talking about the fasciae layer around the muscle and the surrounding bones. Magnus Eklund and Mind & Body Inc are not responsible for the work of any of the Synergetic Myofascial Therapists or massage therapists listed on this website. They enhance posture, balance, function and well being, combining hands-on fascial techniques with therapeutic movement. There are very large muscles in the hip, which control the leg action and stabilise the hips when you rotate the torso.
In the case of Osteoarthritis, there is a cut off point when treatment has to stop and surgical intervention considered, however, treatment can help mild to moderated cases effectively. This is where the fibers in your tendons will become more weak - it's just a natural process that happens as we age. When chronic gluteus medius tendinitis occurs, the gluteus medius tendon is vulnerable to subsequent injury and degeneration that may result in a tear. If this sheath is injured it can also become irritated resulting in similar symptoms as tendonitis (pain, swelling and inflammation). Weakness in your hip and surrounding muscles and loss of range of motion while moving your leg away from the body are also some common symptoms of this condition.
Your hips should be at the same level and they may also look at the results of something called the 'Trendelenburg's Test'.


Over time the small tears and degeneration of the gluteus medius tendon is related to greater trochanteric bursitis. The more scar tissue that develops, the more you lose the range of motion in your hip and leg.
If you suspect that you've ruptured your tendon be sure to speak with your doctor for suggested treatment. This is why for years, doctors, trainers, and other medical professionals have recommended RICE (Rest, Ice, Compression, Elevation) to treat the pain and swelling of fresh injuries, chronic pain, and after any re-injury. Our food-grade, non-toxic gel packs can be chilled in the fridge or freezer to tailor the amount of cold that you need for your injury. By limiting the amount of damage done to your tendon, you also limit the amount of healing that needs to occur.
Relying on movement alone to increase blood flow puts you in danger of re-injuring your hip. Clothing articles like this don't need to meet high standards of production or materials and may include materials that irritate your skin.
Our manufacturer has spent years perfecting the wrap design to make sure you get the treatment you deserve!
To repair our damaged tendon tissue quickly, our bodies will use scar tissue to fill in the tears in the tendon. To enable the body to function in the most efficient way the hips have to be leveled horizontally. This occurs because there is frequently a tendency to use the right leg more than the left leg, for instance, as in the operation of an automobile with automatic transmission.
This change in head position will involve the righting reflex, which will be called into action to reestablish the eyes on the horizontal plane. While the subject is standing, his right hip will be higher than the left hip, and his left shoulder will be higher than the right shoulder. This muscle is the most used and abused in the body, because we use it all the time, while walking, standing and sitting. When the piriformis is in a spasm it will compress the thigh bone into the hip socket increasing the pressure on the joint. Without adequate length in the psoas, one cannot walk tall, and one can experience a hunched back and a lack of movement in the hips and legs.
The hamstrings will get overstretched, or ‘locked long.’ There will be an increase in lordosis in the lumbar spine, which will, in turn, affect the alignment of the whole spine and can cause both forward head posture and pain between the shoulder blades.
In the following clip we will see the location of psoas and an explanation of why it can cause low back pain. This is a stretching technique where one holds the end-range of the stretch for two seconds then comes out of the stretch; this is repeated 10-12 times. In this clip, we will see active isolated movements to strengthen the core without causing tension in the lower back or neck. These are not certified SI practitioners but licensed massage therapists trained by Magnus in Synergetic Myofascial Therapy. Massage Therapy, Myofascial Therapy & Structural Integration and all techniques on this website are intended for wellness and does not replace traditional medical care in any way.
Magnus Eklund does not claim to be endorsed to teach by any of the teachers listed on this website. These muscles can go into spasm and sometimes press on the sciatic nerve causing pain to radiate into the leg. If left untreated, gluteus medius tendonitis can turn into a chronic condition or degeneration of your tendon fibers.
Chronic gluteus medius tendinitis can occur as the tissue is damaged and in a weakened state leading to partial or full-thickness tear of the tendon.
This is why it's so important to continuously use conservative treatment tools to heal any recurring tendon damage before it can build into something big. It doesn't matter how you cool it down, because our gel packs are chock full of gel that's designed to cool down into millions of tiny snowflakes.
If you need to rest for an extended period of time and avoid certain activities that make your pain worse, you'll be more likely to develop massive amounts of this scar tissue as a temporary healing measure. In this case, use of the right leg activates the muscles of the right hip, causing these muscles to shorten and consequently to pull the hip forward.
When this muscle gets tired and spastic, it will pull on the femur (thigh bone) onto the accetabulum (the hip socket) and increase the pressure on the hip joint. Also, when this muscle is spastic it will compress different nerves roots which exit the Sacrum (tail bone), including the "famous" Sciatic nerve.
What many do not realize is that much lower back pain can be traced back to the muscles of the hip; that is, when the hip flexor muscles are overly tight, they can lead to pain in the lower back.
One could, in fact, say that without proper length in the psoas, one would be found lacking in both physical poise and grace. By holding for two seconds at the end-range, we avoid activating the stretch-reflex, a defensive mechanism our bodies have to prevent the tearing of muscle tissue. It’s important to bring the navel in towards the spine to properly engage abdominal muscles and to protect the low back in doing these exercises. Level 1 practitioners can administer the first 3 sessions and Level 2 practitioners have 6 sessions in their tool box. This year, Magnus began Structural Integration therapy at the beginning of my training season.
Sport injuries, causing ligament strain and inflammation of the bursa are also common, with pain on movement and disturbed sleep. This method of cooling means our gel packs aren't icy-cold and stay flexible even right out of the freezer! And even if you were to use them this long your skin would heat up to an uncomfortable level and may even burn you. The effects of this mechanical distortion may be clearly seen by examining the subject in various positions. The simple act of standing results in excessive muscular activity that distorts skeletal alignment, all in reaction to the initial simple forward rotation of the right hip.
If the pressure lasts for a long time it will cause deterioration of the cartilage of the hip joint and hip replacement will be unavoidable when this muscle is spastic it will refer pain to the lower back, the front of the hip and leg. The piriformis muscle syndrome is frequently characterized by such bizarre symptoms that may seen unrelated. There is, indeed, a relationship, between lower back pain and tight hip flexor muscles and this will be elucidated below. Together with the Iliopsoas, these are the muscles that lift your leg when you walk, run or ascend stairs. Rolf and later carried on by her students and now taught by Structural Integration schools all over the world.
Make sure to avoid bouncing or ballistic stretching, as this may cause injury, and go slowly and breathe deeply.
These exercises will also strengthen the iliopsoas without causing shortness in the tissue. Ida Rolf said that fascia is the “organ” of posture, and it can be manipulated into letting go and freeing up space within the body, and thereby allowing for greater functional movement.
The cushioned gel will wrap around your hip and it won't budge for the entire treatment period. Applying a Freezie Wrap® right away will stop the damage immediately and unblock your blood vessels to let your body's natural blood flow in to start healing the tissue.
One characteristic complaint is a persistent severe, radiating low back pain extending from the sacrum (tail bone) to the hip joint, over the gluteal region and the posterior of the upper leg, and behind the knee.
By combining myofascial work and active therapeutic movement, which provides an instant neuromuscular re-education to muscles and nerves, the dysfunctional postural patterns can be changed and reversed in a short period of time. Fascia is a highly adaptable tissue, and due to its elastic properties, we know it can lengthen, but some recent research has also shown that deep fascia may contract as well, a very interesting finding. You'll no longer have to deal with annoying pooling around your hip or have to hold a hard block of ice on your injury!
You're not supposed to "feel" a lot of heat because the heat isn't treating your skin, it's treating your hip increasing the blood flow right in your tendon tissue. Many people my age (55) don't even ever get in that kind of shape, let alone a year after a major accident with all the complications that I had. In the most severe cases the patient will be unable to lie or stand comfortably, and changes in position will not relieve the pain. Perhaps that may explain the “super human” strength that can occur in an emergency with the fight or flight response, but more about that some other time. Intense pain will occur when the patient sits or squats since this type of movement requires external rotation of the upper leg and bending the knee. Doctors explained to me that as we age tendons lose flexibility and are more prone to injury.
I bought that explanation to a point but again tried physical therapy, prolonged stretching, Ibuprofen and rest.
I had relief if I used large regular doses of anti-inflamatory medications but was concerned about the long term negative affects of the meds. I purchased the Ankle inferno and freezie wrap and began the same routine I had used with my rotator cuff injury. I should add that I also maintain a healthy weight, train with weights, exercise every day and eat a plant based diet with lean protein.
Even my healthy lifestyle wasn't enough to prevent these nagging injuries that become more prevalent as we age.




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Comments »

  1. SONIC — 09.06.2014 at 10:11:11 Strategy to compensate for weak glutes ate breakfast (that may be my second breakfast as a result lesion.
  2. Sabishka — 09.06.2014 at 13:20:58 Set of fluid and positive household history of DDH (newborn muscle tissues.