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admin | Hip Flexor Treatment | 27.07.2015
Hip pain is an easy thing for our physical therapists to assist you with, being a major pain to contend with it is a challenge to do much of anything that you are used too when you are under severe hip pain. Professional Physical Therapy Associates in Kalispell, MT is one of the most convenient places to get treatments for injuries sustained, in the broad state of Montana. Using digital clinical video gait analysis we provide one to one tuition or group classes to help you transform the way you walk, improving your elegance, gait and poise.
Compare the dramatic transformation to your posture and control after receiving instruction from the internationally recognised walking expert Martin Bell. Too many ladies suffer in silence the pain caused by wearing high heeled shoes, book now and take your first step to transform your walk and develop graceful elegance and poise. Weak buttocks (poor gluteal muscle control), means that it can be difficult for ladies to control their knees and feet properly especially when walking down a steep slope, even in flats!  When you put on a pair of high heeled shoes you force your body to walk down a steep slope all day long. Walking should be athletic and vibrant, and should not dependant on the shoes you chose to wear. Contact us to learn how to transform your walk, developing a graceful, toned poise and an understanding of how to prevent further injury to your body.
If you’re walking like a pirate but don’t captain a large ship, your swagger may be preventable and treatable, and the remedy doesn’t involve buying an eye-path and a parrot.
Lateral hip pain has traditionally been referred to as trochanteric bursitis, however recent studies have shown that inflammation of the bursae is almost always secondary to glut med or glut min tendinopathy (Kong et al. GMt is much more prevalent in females (particularly post-menopausal) than males with a ratio of 4:1, however it can also effect young athletes, particularly runners or recreational athletes participating in stair running, step aerobics or hill sprints.
Recent studies have demonstrated that isometric exercise can inhibit the tendons pain response while still allowing load to be placed on the tendon. As stated above, GMt is primarily caused by altered biomechanics and muscle activation patterns.

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Some of the most common problems with having hip pain are those that inhibit your ability to walk, sleep, and maintain a positive degree of mobility in your daily life.
Gluteus medius  tendinopathy (GMt) is a relatively common condition that affects the outside of the hip.
The main ways people typically overload their GMt are by walking and running with a slightly altered gait pattern (possibly secondarily due to a sore back, hip or knee) or weakness in their glut max muscle. Degenerative tears of glut med or min occur in 20% of patients with osteoarthritis of the hip (Howell et al. Isometrics also make it possible to add load without compression, a worthwhile consideration. Exercise physiology serves to correct these issues by improving walking gait (biomechanics and posture) and improving muscle activation patterns by strengthening key muscles such as core muscles, glut max, and glut med. Walking with an altered gait will increase the load on the glut med muscle and adds further compression to the tendon, resulting in lateral hip pain. This can present as a sharp, shooting or aching pain in your hip and be caused by factures, strains, dislocation or other forms of damage to your hip.
Anyone who is not careful about his or her activities can suffer an accident that causes this injury. The gluteus medius (glut med) muscle is a powerful abductor and internal rotator that primarily acts to stabilise the hips during walking and running. Tendinopathy is essentially tendon irritation resulting in changes to the structure of the tendon, making it more susceptible to further damage and ultimately reducing its ability to transfer load.

The glut max muscle helps to control the movement of the hip and if it is dysfunctional (or just plain lazy), it will increase the load on other structures such as glut med. The wavy line represents the load such as running, stairs, walking or hills being exerted on the musculotendinous unit. For a GMt rehabilitation program to be effective, education is paramount as this will result in reduced hip pain, better adherence, improved postural awareness, and better long term results. Encourage people to walk normally if possible and avoid rest as it will only further weaken the musculotendinous complex.
It is commonly found in runners and body builders as well as those who may strain their legs too far, like soccer players or sprinters. Overload of the glut med muscle or excessive compression of the tendon on the greater trochanter (hip bone) can result in GMt.
You can see how resting the tendon may help alleviate symptoms by avoiding aggravating activities, however the tendon will be increasingly susceptible to load with increased rest.
Due to the pattern of referred pain from the greater trochanter down the lateral thigh, it is often misdiagnosed as low back pain, which can lead to unnecessary and ineffective treatment. Gradually increasing the capacity will enhance the tendons ability to tolerate load while avoiding hip pain and discomfort.

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