The hip is made up by the connection between the femur and the pelvis. There is natural physiological locking mechanism that allows this joint to be one of the most stable areas in the body. In addition, the presence of strong ligaments and powerful muscle groups add that extra layer of resilient needed for this area to respond and adapt to the constant weight bearing stress that is upon on this structure, therefore the stability and health of the hip is reliant of on five important tissue layers as explained below.
Another important caveat information is the fact that the overall state of the hip joint is highly dependent on the alignment of the pelvic Sacro-Iliac joint as there is a significant functional synergism between these two structures, hence the SI joint should be evaluated as part of the overall hip assessment protocol.
The 5 defence Hip Mechanisms is hierarchically made up by the proper Alignment of the femur and the pelvic joint followed by the strength of the core, quadriceps, adductor, abductor Muscles then by the health of all the hip Ligaments, the proper cushion support provided by the Cartilage and labrum and finally by the frame support of the Bones. The extend and level of tissue damage is dependent on the number of protective layers that have been compromised from the trauma.
For instance, when the first protective Alignment layer is affected, there is a misalignment dysfunction resulting in potential hip deformities as seeing in functional short leg deficiencies, therefore I consider Level 1 Injury as there is only one main structure that has been affected.
In arthritis of the hip joint where the trauma impaired four layers of the protective mechanisms ( Alignment, Muscles Ligaments and Cartilage) its considered Level 4 Injury as there were four layers that have been compromised allowing the biomechanical stress to end up damaging the inner structures, the cartilage. In summary, there are 5 protective layers of defence and 5 corresponding Level of injuries, higher the level of injury the more substantial the number of tissue damage as per the accumulative damage that is passed from one phase to the other. (Level 5 injury means that all the previous defence mechanisms have been compromised up to the 5th layer as seen in femoral head stress fractures).
Throughout my extensive education and clinical experience, I conclude that even though there are several named pathologies and diseases described by the traditional medicine, the origin and the predisposing factors that have lead the development these healthcare conditions shared a similar causation and pathophysiological principle.
In addition, due to the multiple level of tissue damage often seeing in injuries there is not a single approach that is enough in order to properly managed and fully resolve the condition in question, hence I developed specific treatment protocols utilising different health care methods and techniques that eventually allowed me to efficiently resolve and heal as well as prevent the further development of future injuries.
The protocols I developed aim to properly repair and restore the entire self defence mechanism
5 Levels of Hip Injuries and the corresponding associated conditions.
Level 1 injuries - Misalignment dysfunctions
Note: Minor joint misalignment does not create any visible deformation. Clinical assessment and X-ray imaging are paramount for diagnosing subtle joint dysfunction.
Certain Hip Misalignments disturbs certain adjoining nerves at the level of the joint.
Level 2 injuries - Misalignment - Muscle/tendon/fascia/injuries
Level 3 Injuries – Misalignment – Muscle compromised - Ligamentous injuries
Level 4 Injury - Misalignment – Muscle compromised – Ligamentous weakness - Cartilage Injury
Level 5 Injury- Misalignment – Muscle compromised – Ligamentous weakness and Cartilage damaged leading to Bone fractures
Miscellaneous Hip conditions
Rheumatoid Arthritis; Its part of an autoimmune systemic condition expressing inflammatory cascade withing the joints and soft tissues
Hip Neurological pain syndromes; Subluxations (nerve compromised) at the level of lower thoracic, Lumbar and Sacro-ilicac joints may create referral patterns of pain at the level of the Hip area.
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Treatment methods I utilize in my practice to restore and enhance the healing of the entire layers of tissue injuries according to the specific healthcare conditions diagnosed.
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