If you have a desk job that involves sitting right in front of your computer throughout the day or for a major part of the day, you could be unknowingly putting yourself at augmented risk of reduced hip mobility. The hips are one of the major muscles in your body that are used in a number of activities you do everyday.

Causes of Hip Immobility-

1. Sitting for long hours at the same place and working. This is common to people who work in front of the computer screens for extended hours continuously.

2. Toxic Synovitis, which is an inflammation of the hip joint. It causes pain and stiffness.

3. Juvenile Arthritis

4. Rheumatoid arthritis

5. Tendinitis or inflammation of the tendons that causes severe discomfort in movement

6. Ankylosing spondylitis that mainly affects the spine. It can cause extreme pain and discomfort in the movement of the hips. This makes it difficult to sit, stand or lie down.

7. Injuries

8. Fractures and breakage

9. Muscle and tissue ruptures near the hip region

10. Sprains and strains

11. Lack of proper blood circulation

12. Pain and injuries in the lower back region which can spread to the hip, causing stiffness and swelling

Physiotherapy for Hip Mobility-

Physiotherapy alias physical therapy is considered as one of the fastest growing allied areas of present generation medicine. Being an important rehabilitative service needed in a community and a vital therapeutic supplement of the medical profession, it's the treatment of diseases and disabilities using physical exercises, heat radiations, cold therapy, hydrotherapy, acupuncture and therapeutic massage. 

As doctors, physiotherapists or physical therapists are essential in helping the patient to recover and rehabilitate from a state of incapacity, due to genetic defect or the result of an accident or an illness. Physiotherapy for Hip Mobility involves certain exercises. Below give are some of the most common exercises for hip mobility-.

Lying Hip Rotations. One has to lie on the back on a padded mat, then put one leg over the other, exactly over the knee on one s lower thigh. Now, use either a towel or the hands to get to the leg that is placed below and without hyperextending, slowly pull this leg s knee closer to the chest.

Butterfly Movements and The Frog Posture.

The Kneeling Lunge. Here, one has to lunge forward with one knee on a padded mat. Then position the foot carefully beyond the knee that is put forward. Place your hands over the knees; straighten hip of the rear leg while leaning with the hips forward. Hold this particular stretch and repeat with the opposite side.

The Squatting Position.

The Pigeon Posture. In this, your knees need to be right below the hip on the padded mat. Then lower the outer side of the right buttock to the mat. You have to position your right heel in such a manner that it is exactly in front of the left hip. Hold this stretch for about 5-6 breaths and exhale deeply through the nose.

Bending forwards or backwards, guided and assisted by a physiotherapist.

Stretching Exercises.

Hot compresses on the area of inflammation.

Ice packs can also be applied alternately on the spot of injury.

Massage helps to regulate blood circulation and is an important part of physiotherapy.

Physiotherapy for Hip Mobility

The various angles and contours of our body define us and our personality to a great extent. There are many instances where women, in particular, may feel that they can do with a little more shape in areas like their breasts and buttocks. For this, there are various toning exercises and diet plans that may help over a long duration of time. But for those who would like a more wholesome appearance in less time, there is always the option of getting implants. Much like breast implants, one can also avail the option of getting butt implants that can add some curves to that region of the body. Let us find out all there is to know about this kind of surgical and cosmetology procedure.

Butt augmentation or butt implants are usually done with the help of gluteal implants that can be injected into the muscles of that region of the body. These can greatly enhance the shape of the butt.

Butt implant, basically a body contouring procedure, can be done with liposculpture, which seeks to remove the excess fat from the area as well. However, this can increase the time taken to complete the surgery.

The augmented rear will have a rather firm, but natural feel after the surgery is completed. It will have the taut feeling that a person gets to enjoy when he or she indulges in heavy workouts that involve lifting weights and plunges.

There are many shape options that will be given to the patients who are about to go through this procedure. The shapes will include oval or round, depending on the overall figure and built of the patient.

There are other options in this regard too. One can go in for cohesive silicone or solid silicone for the filling, which will form the implants and give shape to the butt region. Also, one can choose from a variety of surfaces that can go from smooth to textured. One can also choose gel options for the buttocks so that it suits the body type and kind of shape that the patient wants.

The location of the implants is another very important factor that one needs to consider in such cases. There are three locations that one can choose from. The patient can choose the top portion that lies towards the upper sides of the buttocks, or the crease where both the cheeks meet. The third location is towards the lower part of the buttocks.

The other things to consider are the shape and skin quality before the procedure. One will also have to evaluate the upper lower and mid buttock area so as to ascertain the best area when it comes to implants.

Top Things To Know About Butt Implants

Physiotherapy plays a pivotal role in helping a person recover after a hip replacement surgery. It brings back the old flexibility and prevents blood clots in the area where the procedure has taken place. After the surgery team gives its green signal, a physiotherapist starts working with a patient for a full recovery. 

Here is a list of some common exercises that a physiotherapist suggests after a hip replacement surgery:

Walking: It is important to use the crutches for a time period of 4-5 weeks post the procedure. Until the surgeon or the physiotherapist advises against using the crutches, it makes sense to use it while walking. It makes sense to retain the normal walking posture by using the crutches rather than limping without it. A physiotherapist reviews the pressure exerted by the arm while holding a crutch, before advising the patient to get rid of the crutches.
Increasing hip flexibility: This is a basic form of exercise where an individual lies on one side of the body with knees and hips bent. A pillow is placed in between the knees. While doing this, it should be ensured that both the feet is kept together and the back muscle is not twisted. The top knee should be slowly raised like an opening of the calm shell. This position should be maintained for 4-5 seconds.
Strengthening the hips: The body should rest on the stomach. The buttocks should be tightened and one leg should be slowly lifted. This position should be maintained for a stretch of 3-5 seconds. The same should be repeated for both the legs.
Strengthening the hip and the stomach muscle: The body should rest on the back with a leg bent. The stomach muscle should be tightened and the bent leg should be lifted carefully while ensuring that the bend does not supersede more than 90 degrees. While keeping the stomach muscle tight, the lifted leg should slowly come down to touch the surface. This act should be repeated for 5-6 times.
Strengthening the thigh muscle: While sitting in a steady chair, an elastic loop should be wrapped around the ankles. The elastic loop should be stretched with one leg while keeping the other foot firmly rooted to the ground. The lifted foot should slowly come down to the normal position. The same act should be repeated for 4-5 times.
Improving balance: An elastic loop should be tied to one leg of a table and the other end of the loop should be tied to one ankle. The table should be held on for maintaining balance. Maintaining an erect position, the tied up ankle should be stretched sideways. The position should be maintained for 3-5 seconds to return back to normal standing position.

How Physiotherapy Can Improve Recovery After Hip Replacement Surgery?

Hip arthroscopy is a minimally invasive surgical procedure in which doctors view the joint problem without making any cuts through the skin and other soft tissues. Hip Arthroscopy is performed to treat several hip problems.

In Hip Arthroscopy, the doctors insert an arthroscope (a small camera) into the hip joint. The pictures are displayed on a video monitor with the help of an arthroscope. The surgeons will use these images to guide the surgical instrument.

As the surgical instrument and arthroscope are very thin, the surgeons make a very small incision compared to the one that is done in open surgery. As a result, patients feel less pain and stiffness in joints. This type of surgery also takes less time to recover and one can return to their normal life within a short period of time.

Hip Anatomy:

The hip is a socket and ball joint. The socket is formed by a part of a large pelvis bone called acetabulum. The ball joint is on the upper end of the femur (thighbone). Articular cartilage is a slippery tissue that covers the surface of the socket and ball. It creates a frictionless and smooth surface that helps the bones to glide across each other easily. Strong fibrocartilage is ringed on the acetabulum called labrum. It creates a gasket around the socket.

The joint is surrounded by a ligament, which creates a capsule to hold the joint together. The inner surface of the capsule is lined by a membrane called synovium. It produces a synovial fluid that helps in lubricating the joints.

When to Recommend Hip Arthroscopy?

If a person is suffering from chronic pain and does not respond to any other nonsurgical treatment, including physical therapy and medication, doctors may recommend a person opt for hip arthroscopy.

Hip arthroscopy helps a person to get relief from many problems that cause painful symptoms including damaged articular cartilage, labrum, or other soft tissues. The damage can be the result of any form of injury. However, there are other orthopedic conditions that can also lead to damage. The orthopedic conditions include:

Femoroacetabular Impingement (FAI):

In this type of disorder, an extra bone is developed on the femoral head (cam impingement) or along the acetabulum (pincer impingement). The overgrowth of the bone is known as spurs that damage the soft tissues surrounding the hip joint. In most cases, the bone spurs develop in either part. However, there are cases in which the bone spurs develop in both femoral head and acetabulum.

Dysplasia:

In this condition, the hip socket is abnormally shallow. Due to this problem, more stress is put on the labrum in order to keep the femoral head within the socket. This may raise the condition of the labral tear.

Snapping Hip Syndrome:

In this condition, the tendon rubs across the hip joint repeatedly. This type of popping or snapping is generally harmless and can be repaired without any treatment. However, the tendon may be fully damaged due to continuous rubbing in some cases.

Other conditions where hip arthroscopy is recommended include synovitis, hip joint infection, and labral tear.

Arthroscopic Femoroacetabular Surgery:

If the diagnosis results show that damage is caused by femoroacetabular impingement and a patient is not getting relieved from pain by any nonsurgical method, doctors recommend going for Arthroscopic Femoroacetabular Surgery.

In this type of surgery, the doctor repair and clear out the damage of the articular cartilage and labrum. He may also trim the rim of the acetabulum bone and shave the bump of the femoral head.

Arthroscopic Labral Repair:

If patients are not getting relief from conservative treatment, doctors recommend Arthroscopic Labral Repair. In this type of surgery, surgeons cut out and remove the damaged or torn part of the labrum. He further repairs the torn part by sewing it.

Take Away:

Both treatment methods are minimal incision processes and require fewer hospital stays. However, it is always advisable to consult a doctor before opting for any treatment.

Know More About Hip Arthroscopic Surgery!

Hip replacement is a surgery in which a specialist doctor surgically removes an agonizing hip joint afflicted with arthritis and replaces it with a man-made joint usually produced using metal and plastic elements. It is usually done when all other treatment choices have been tried and have proven unsuccessful in providing satisfactory pain alleviation. The technique is to mitigate the pain in ahip joint, in order to make walking and other physical exercises easier.

The surgical procedure is as follows:

Hip replacement surgery can be performed generally or by utilizing what is called a non-obtrusive method. The primary difference between the two methodologies is the number of entry points needed for the surgery.
During standard hip replacement surgery, you are given general anesthesia to relax your muscles; this will keep you from feeling any pain during the surgery or being awake during the surgery. A spinal sedative might be given to counteract pain as an add-on option.
The specialist will then make a cut at the edge of the hip and move the muscles connected to the highest point of the thighbone to uncover the hip joint.
Next, the ball part of the joint is taken out by cutting the thighbone with a saw. At this point a fake joint is attached to the thighbone using a material that allows them to stay intact.
The specialist then readies the surface of the hipbone - evacuating any harmed ligament - and joins the substituting attachment to the hipbone.
The new ball part of the thighbone is then embedded into the new joint part of the hip. The specialist then reattaches the muscles and shuts the entry point.
There are some things you need to keep in mind and be attentive about, post the surgery. These are as follows:

You will probably remain in the healing facility for four to six days and may need to remain in bed with a pad between your legs to keep the new hip joint set up.
A seepage tube will be set in your bladder to help you urinate without having to walk to the bathroom.
Non-intrusive treatment usually starts the day after surgery and within the days you can go around with a walker or a walking stick.
You will continue with the non-intrusive treatment for quite a long time which could be a number of months post the surgery.
For anywhere in the range of six to twelve months after hip replacement surgery, rotating or putting pressure on the operated leg needs to be limited to a great extent. You need to likewise not cross the operated leg past the midline of the body nor turn it inwards.
You cannot twist the hip past ninety degrees. This includes both twisting forward at the abdomen and crouching.
Your physical advisor will tell you the methods and equipment that will help you comply with the above rules and precautionary measures while performing every day exercises.

Hip Replacement - Things You Must Keep In Mind!

Total Hip Replacement is also known as Total Hip Arthroplasty, in which the damaged cartilage and bones in the hip area are removed and replaced with prosthetic components. On the other hand, Total Knee Replacement, also known as Total Knee Arthroplasty or resurfacing, involves replacing the bone surface of the knee area. 

Causes of Hip and Knee Pain 

Arthritis is the most common cause of chronic hip and knee pain or disability. Other causes include: 

  Avascular necrosis or Osteonecrosis is a condition where there is an inadequate supply of blood to the femoral head due to a hip injury. The inadequate supply of blood may cause the bone surface to collapse and this can result in arthritis. 

  Rheumatoid Arthritis is the most common inflammatory Arthritis. In this condition, the synovial membrane surrounding the joint begins to thicken and become inflamed. This results in cartilage loss, stiffness, and pain. 

  Osteoarthritis is the type of arthritis, usually related to old age but can occur among young people too. The cartilage cushioning the hip and knee bones becomes soft and gradually wears off. The bones eventually start rubbing against each other which causes stiffness and pain in the knee and hip area. 

  Post-Traumatic Arthritis can follow a severe hip and knee fracture or injury. 

  Some children with hip disease or problem, even after treatment, can develop into arthritis later. This may be caused by uneven or unusual growth of hip which affects the joint surfaces. 

Knee Replacement Procedure 

  Bone Preparation: The surface of impaired cartilage at the end of the tibia and femur are separated besides a small extent of the underlying bone. 

  Locating the Metal Implants: The removed bone and cartilage are substituted by metal implants creating the joint surface. These metal pieces may either be press-fit or cemented into the bone. 

  Resurfacing the Patella: The undersurface of the kneecap or Patella is cropped and reformed with a plastic button. This process is variable depending upon the condition. 

  Inserting a Spacer: To form a smooth gliding surface, a plastic spacer of medical-grade is positioned between the metal components. 

Hip Replacement Procedure 

  Metal stem replaces the damaged femoral head and positioned into the femur s hollow center. 

  On the upper portion of the stem, a ceramic or metal ball is planted. This ball acts as a substitute for the damaged/detached femoral head. 

  The damaged Acetabulum or cartilage surface of the socket is discarded and supplanted by a metal socket. Cement or screws are used to sustain the socket in place. 

  A spacer, either metallic, plastic or ceramic is placed between the socket and the new ball for a smooth gliding surface. 

Take Away 

Knee and Hip Replacement are taken as the last option for the patient. The surgery and its outcome vary depending upon various factors. One should consult the doctor before undergoing for the Hip and Knee Replacement Surgery.

Primary Knee & Hip Replacement - Know More About Them!

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