Less than 20% of patients with hip pain show x-ray signs of osteoarthritis.
That’s actually a good thing. Pain is a warning sign that something is wrong. If you don’t eliminate the cause of the pain, the deforming forces will continue to act on tissues until the chronic inflammatory reaction destroys the ligaments and joint cartilage = osteoarthritis. It is better to get treatment to eliminate the source of tissue disease prior to the formation of irreversible damage.
The symptoms associated with sciatica and hip pain are both physically and mentally draining. Even worse is that most people with this condition feel like they are not taken seriously and that their symptoms are underappreciated, illegitimate, and invisible. It just seems like a downward spiral.
What is the main cause of chronic hip pain?
There are many potential causes of hip pain. The leading cause is wear-and-tear osteoarthritis. The thigh bone and pelvis are not aligned causing instability within the hip joint.
The foot is the foundation of the body, no great surprise there, but what happens when the foundation of the body is misaligned?
The structures above the foundation will also become misaligned. There is an orthopedic disease that occurs in the hindfoot that leads to ankle bone instability. The ankle bone, called the talus, partially dislocates on the heel bone, the calcaneus. This ankle bone displacement leads to misalignment of the hindfoot and that excessive ankle bone motion also pulls the hip bone away from the pelvis.
Let’s think about this.
The average person takes about 8,000 steps per day. That’s over 90 million steps by the time you reach 50 years of age. Even if your hindfoot is only slightly misaligned, if you twist the hip excessively 90 million times, eventually the tissues will become diseased.
When we learn about all of the various treatments for hip pain, there was no discussion on what we can do to prevent excessive hip motion. To have any long-term success with treating hip pain, we have to realign the feet.
What is the best form of treatment?
When you perform an online search for hip pain and sciatica, you will see so many different treatment recommendations.
Hopefully, you will find some options that make sense but unfortunately, many find only temporary relief. Conservative, non-surgical options should always be considered before undergoing an irreversible surgical procedure.
Currently recommended treatments include:
- Information and education
- Weight loss for overweight patients
- Physical therapy as the base of conservative treatment
- Nonsteroidal anti-inflammatory drugs (NSAIDs) are recommended for patients with persistent pain and (weak) opioids, “pain pills”
- The last option before total joint replacement (TJR) is indicated or if TJR is contraindicated.
It is important to know hip surgery does not guarantee the end of your hip pain.
Many patients will continue to have hip pain, and many will require revision hip surgery. Researchers discovered that revision surgery is due to continued hip instability. This all tells us that there are “outside” factors that are continuing to negatively affect the hip. The one underlying cause that has to be addressed is the partially dislocating ankle bone. The best and most effective option to maintain the alignment and stability of the ankle bone is by the insertion of HyProCure into the naturally occurring space between the ankle and heel bones. Instantly, the ankle bone is stabilized while still allowing a normal range of motion.