Common Hip misalignments dysfunction seen with different types of ligamentous Sprains

Iliofemoral and Ischiofemoral Sprains – Anterior and Posterior rotational Pelvic misalignments

Pubofemoral Sprain – External Pelvic and hip fixed misalignments

Hip Labral tear – Chronic Pelvic and hip misalignments tends to disturb the labral fibrous tissue around the femoral joint. Associated with sharp deep localised pain at the front of the hip joint.

Hip Chronic Instability is a condition that is predisposed by the presence of chronic ligamentous injuries which leads to a deformation of the elastic properties of the ligaments resulting in compromised bone apposition causing the overall instability

Is important to note that for the ligament to become injured, the previous defence mechanism have to have failed to allow the biomechanical stress to damage the ligament, therefore, the treatment care must aim to restore the health of the entire hip protective structures.

Assessment Protocol

The entire Lower extremity biomechanical chain must be evaluated as per the neurological and mechanical influences of the spine, knee, and foot.

Clinical assessment to identify the key joint dysfunctions of the hip and pelvis that have contributed to this condition. Soft tissue analysis to pinpoint the level of irritation in the ligaments.

X-ray

Anterior – Posterior (AP) X-ray Pelvic/Hip views are essential to analyse the level and direction of the different patterns of misalignments

MRI

Hip MRI is essential for visualizing the extent of injury on the muscle/tendon and ligamentous layers.

Locate the exact injury point; Allows the treatment to be more specific during the application of the treatment modalities

Identify the extent of tissue damage and the presence of scar tissue; Provides valuable information regarding prognosis and the application of friction soft tissue modalities to aid on scar tissue removal.

Treatment protocol

Specific Pelvic/hip adjustments followed by a rehabilitation regime to strengthen the entire soft tissue support of the hip.

Application of Low-level Laser and PEMF to aid on the cellular level of heling as well as improving the microcirculation for the area.

Friction soft tissue therapy helps to reduce dysfunctional scar tissue

Specific selected essential oil application to enhance healing

Depending on level of misalignment and chronicity a minimum of 6 weeks up to 12 weeks of treatment care may be necessary to resolve this deformity.