Ballet dancers often report a snapping sound or sensation in the hip. It may or may not be painful. In this study, real-time ultrasound (US) is used to identify the cause of the snapping. Dancers were also examined by a doctor and a physical therapist. Real-time ultrasound allows the tendon to be examined as it moves across the hip joint. Abnormal or jerky movements of the iliopsoas tendon and iliotibial band (ITB) were of special interest. The iliopsoas muscle and tendon help flex or bend the hip. The ITB is a band of connective tissue that goes from the hip to the knee along the outside of the thigh. Twenty-six (26) dancers from a professional ballet company and school were included. Most of the dancers had symptoms of snapping hip on both sides. Half reported the snapping started when they were 14 to 16 years old. Many could make the hip snap on purpose. Some dancers snap the hip to make the pain go away. For others, snapping is a habit. US results showed that the iliopsoas tendon mo...
Does acupuncture help with knee and hip osteoarthritis?
I am often asked if I "believe" in acupuncture . I believe in helping patients. I believe in diagnosing problems and then offering effective, lasting treatments that allow my patients to return to a full, active, pain-free life. If acupuncture helps in this regard, I think it is a positive contribution.
I trained in acupuncture at the UCLA Helms Medical Acupuncture Course and offer it to certain patients who I think would benefit from it. I believe acupuncture is helpful in certain scenarios. But does acupuncture work for the pain and decreased function associated with knee and hip osteoarthritis?
There is some scientific literature suggesting that the use of acupuncture in the treatment of knee and hip osteoarthritis may be beneficial. In 2006, Witt et al. published a study in Arthritis and Rheumatism in which the authors found that acupuncture plus standard care was "associated with a marked clinical improvement in ...
Advanced osteoarthritis of the hip that has not responded to the standard, conservative treatments is typically treated with hip replacement surgery . However, over the past several years a similar operation has been receiving increased interest as an alternative to hip replacement - it is known as hip resurfacing. The question is, does hip resurfacing offers advantages over standard hip replacement?
Standard hip replacement surgery has a long track record of being effective. There is no doubt about this -- in terms of improving quality of life, it is one of the most effective procedures in all of medicine. Most people who have hip replacements are in their 60's or older, and do not generally engage in a high-level of physical activity each day (sports, vigorous exercise, etc.). However, some surgeons feel that younger or more active people with hip disease may benefit from hip resurfacing surgery.
What is hip resurfacing?
It is a procedure that is similar to ...
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