Why Does My Hip
Hurt When I Walk?
A Personal Note from Dr.Scott: Special Thanks to All Our Amazing Moms Out There!
Hey everyone,
With May rolling in, it’s hard not to think about the one person who’s had our back from day one: our moms. Yeah, Mother’s Day is around the corner, and while it might seem like just another date on the calendar, it’s a good excuse to pause and think about what these incredible women have done for us.
Moms. They’re the unsung heroes who manage the chaos, keep things running, and still find time to offer a listening ear or a piece of sage advice (even when we’re too stubborn to take it). They’ve juggled a million things at once, sacrificing without a second thought, all while trying to instill in us a sense of right and wrong, and a belief that we could be whoever we wanted to be.
At home, my wife Ashley is the real MVP, managing to do what seems like the impossible every single day. I often joke with her that she’s not of this world, that she must have some kind of superpower, because honestly, I can’t fathom pulling off half of what she does. So, I want to take a moment to not only celebrate my own mom and my incredible wife but also give a shout-out to all the moms out there making a real difference.!
This May, let’s give it up for the moms out there—biological, adoptive, spiritual, the whole spectrum. For every packed lunch, late-night pep talk, and those endless loads of laundry (how do they keep up?), we owe you one. You’ve been the backbone, the cheerleader, and sometimes, the tough love we needed to face the world.
To my own mom: thanks for putting up with my mess, for the endless support, and for the countless ways you’ve shown love, even when I was too caught up in my own stuff to notice. You’ve taught me more than I can say, and I’m grateful for it all.
So, here’s to the moms who’ve shaped us. This month, let’s make the extra effort to show them some love, appreciation, or just a simple thanks for being their awesome selves. They deserve that and so much more.
Happy Mother’s Day to all the moms out there. Here’s to you.
Remember, “fix the cause and not the symptom”.
Dr. Scott Gray
Featured Article of the Month
Why Does My Hip Hurt When I Walk?
For many, a simple pleasure like walking can become marred by discomfort or pain in the hip.
This pain can prompt a flurry of concerns: Is it merely a sign of getting older, or could it indicate something more grave that might necessitate surgery?
The fear of becoming dependent on painkillers for relief, alongside the dread of pain worsening at night and disrupting sleep, only adds to the anxiety.
Let’s delve into why your hip might hurt when you walk and explore practical solutions beyond temporary fixes.
Understanding Hip Pain
Hip pain during walks can stem from various sources, ranging from overuse injuries and strained muscles to more complex conditions such as arthritis or bursitis.
Hip pain can be a complex puzzle, with each type of pain pointing to different potential issues. Understanding the most common causes of hip pain and their associated signs and symptoms can provide crucial insights into what’s happening in your body. Let’s explore these common causes and how to identify them based on where the pain is felt.
Osteoarthritis: The Culprit Behind Groin Pain
Osteoarthritis (OA) is a leading cause of hip pain, particularly felt in the groin area. This degenerative joint disease results from the wear and tear of cartilage, leading to stiffness, reduced mobility, and pain. Signs and symptoms of OA in the hip include:
- A grating or grinding sensation in the hip joint (crepitus).
- Stiffness and reduced range of motion, especially in the morning or after sitting for extended periods.
- Pain that worsens with activity and improves with rest.
Gluteal Tendinopathy and Hip Bursitis: When the Lateral Hip Hurts
Pain on the lateral (outside) part of the hip often points to either gluteal tendinopathy or hip bursitis. Gluteal tendinopathy involves irritation or damage to the tendons of the gluteal muscles, while hip bursitis refers to inflammation of the bursae, fluid-filled sacs that cushion the hip joint. Common signs include:
- Pain when lying on the affected side, making it difficult to sleep.
- Discomfort when climbing stairs or after prolonged sitting.
- Tenderness to the touch on the outside of the hip.
Hamstring Issues: Pain Under the Buttock
Pain felt under the buttock area is frequently related to problems with the hamstring muscles. These three muscles, running down the back of the thigh, can become strained or injured, leading to pain that can extend from the buttock down the back of the leg. Symptoms of hamstring issues include:
- Sharp, sudden pain during exercise, especially during sprinting or sudden stops.
- Tenderness and swelling in the back of the thigh.
- Difficulty walking or bending the knee without pain.
Beyond Aging: Identifying the Culprit
While it’s tempting to chalk up hip pain to the natural aging process, doing so can overlook treatable conditions that might be the actual culprits. Conditions like osteoarthritis, where the cartilage cushioning the joints wears down over time, are common in older adults but aren’t the sole cause of hip pain. Tendinitis, hip bursitis, and even issues stemming from other parts of the body, such as the lower back, can manifest as hip pain and affects all ages.
Surgery: A Last Resort
The prospect of surgery can be daunting, stirring fears of lengthy recoveries and uncertain outcomes. However, it’s essential to understand that surgery is typically considered a last resort, pursued only when other treatments have failed to provide relief. Non-invasive therapies such as physical therapy, targeted exercises, and lifestyle modifications often significantly reduce hip pain and improve mobility.
Seeking Alternatives to Painkillers
Reliance on painkillers for hip pain relief is a common concern, especially for those seeking long-term solutions. Fortunately, there are alternatives. Physical therapy, for example, can help strengthen the muscles around the hip, improving alignment and reducing strain on the joint. Additionally, modalities like heat and cold therapy, acupuncture, and even yoga can offer pain relief without the need for medication.
Managing Night-Time Hip Pain
The fear of hip pain worsening at night, potentially disrupting sleep, is valid. To mitigate this, consider adjusting your sleeping position or using pillows for support to take pressure off the hip. Establishing a pre-sleep routine that includes gentle stretching or warm baths can also ease discomfort and promote restful sleep.
A Broader Perspective on Hip Pain
It’s crucial to recognize that the majority of hip pain doesn’t usually originate in the hip itself; rather, it’s often a symptom of an underlying issue elsewhere in the body. Surprisingly to some, areas such as the back, pelvis, or even the feet can manifest pain in the hip region. This complexity is due to the interconnected nature of the musculoskeletal system, where dysfunction in one part can lead to pain in another.
Understanding the true source of your hip pain is vital for effective treatment. For instance, lower back problems can refer pain to the hip area, and imbalances or issues with the feet can alter your gait, placing unusual stress on the hip joints. Similarly, issues with the pelvis can directly impact the alignment and function of the hips, leading to discomfort during activities like walking.
Given these complexities, pinpointing the exact cause of hip pain can be challenging without professional insight. That’s where we come in. At Back in Motion Physical Therapy & Performance, our team of physical therapists specializes in diagnosing and treating the multifaceted nature of hip pain. Through comprehensive assessments, we can identify whether your hip pain is a standalone issue or a symptom of an underlying condition elsewhere in your body. By addressing the root cause, we aim to not only alleviate your current discomfort but also prevent future occurrences.
We understand the apprehension that comes with persistent pain and the desire for a solution that goes beyond temporary relief. Our approach is tailored to each individual, focusing on holistic recovery and long-term wellbeing. Whether your pain stems from your back, pelvis, feet, or the hip itself, we are dedicated to guiding you back to your best self, free from pain and restriction.
If you’re tired of letting hip pain dictate your pace, it’s time to take the first step towards recovery. Visit us at Back in Motion Physical Therapy & Performance. Together, we can unlock the door to a pain-free life, starting with an accurate diagnosis and a personalized treatment plan.
Conclusion on Why Your Hip Hurt When Walking
Hip pain during walks, while concerning, often has treatable causes. Before jumping to conclusions about aging or the necessity of surgery, explore the range of available treatments aimed at addressing the root cause of your discomfort.
Remember, opting for a solution beyond temporary fixes, like painkillers, can lead to sustained relief and improved quality of life. If night-time hip pain is a particular worry, know that strategies exist to alleviate discomfort and safeguard your rest. As always, consult with a healthcare provider to tailor a treatment plan to your specific needs, ensuring you can return to enjoying walks pain-free.
Winston’s Healthy Recipe:
Spring Vegetable Salad with Asparagus, Peas and Radishes
Ingredients
For the salad:
- 1 teaspoon extra virgin olive oil
- 1/4 heaping cup sliced almonds
- 1/8 teaspoon salt, plus more for seasoning the salad
- 1/2 cup fresh or frozen (defrosted) English peas
- 6 stalks asparagus, tough ends trimmed
- 15 snap peas, strings stripped off
- 4 radishes
- 1 head butter lettuce, washed and torn into large pieces
- 1/4 cup loosely packed fresh mint (or fresh dill, tarragon or a combination), roughly chopped
- Freshly ground black pepper
Ingredients
For the dressing:
- 2 tablespoons crème fraîche
- 1/4 cup extra virgin olive oil
- 1 tablespoon fresh lemon juice
- Zest from 1/2 lemon
- 3 tablespoons fresh chives, minced
- 1 teaspoon Dijon mustard
- 1/2 teaspoon kosher salt
Directions
Heat 1 teaspoon olive oil in a medium skillet set over medium heat. Add the almonds and 1/8 teaspoon of salt and toast in the pan, stirring occasionally, until almonds are browned across the surface, about 5 minutes.
Transfer to a plate to cool.
If using sweet and tender fresh or frozen peas, leave them as is and add them to a large bowl.
If the peas are a bit starchy, blanch them in a pot of salted boiling water until just tender, 2 to 3 minutes. Drain the peas and immerse them in ice water, then drain and put them in a large serving bowl. Set aside.
Cut the asparagus and snap peas on a diagonal into very thin slices. You should have about 1 cup of each. Cut the radishes into paper-thin slices.
Add the asparagus, snap peas, radishes, lettuce, and mint into the bowl with the peas.
In a small bowl, whisk together the crème fraîche, olive oil, lemon juice, lemon zest, chives, mustard, and salt.
Drizzle about two-thirds of the dressing over the salad and toss well.
Add more dressing if needed and toss again (you may have some leftover dressing). Taste and season with fresh ground black pepper and salt, if needed.
Garnish with toasted almonds. Serve immediately.
Fitness Corner
How Exercising Regularly Can Improve Your Energy – A Personal Trainer’s Perspective
In the fast-paced world we live in, feeling constantly drained or lethargic has almost become the norm for many. With schedules packed from dawn till dusk, the thought of squeezing in a workout might seem like a recipe for more fatigue. However, as a personal trainer, I’ve witnessed firsthand the paradoxical energy-boosting effects of regular exercise. It might seem counterintuitive, but the more you move, the more energy you have. Here’s why incorporating regular exercise into your routine can be a game-changer for your energy levels.
The Science Behind Exercise and Energy
When you exercise, your body undergoes a remarkable transformation not just in terms of fitness and appearance, but also in how it manages energy. Regular physical activity improves the efficiency of the cardiovascular system, allowing your heart and lungs to deliver oxygen and nutrients to your tissues more effectively. This enhanced efficiency means your body conserves energy better, leaving you feeling more energized throughout the day.
Furthermore, exercise stimulates the production of mitochondria within your muscle cells. Known as the powerhouse of the cell, mitochondria play a crucial role in energy production. More mitochondria mean your body is better at producing energy, enhancing your overall stamina and reducing feelings of fatigue.
The Endorphin Effect
One of the immediate benefits of exercise is the release of endorphins, often referred to as the body’s natural mood elevators. These chemicals, released in the brain during and after physical activity, have been shown to improve mood, decrease stress levels, and reduce the perception of pain. This endorphin rush can leave you feeling more energized and ready to tackle your day with a positive outlook.
Consistency is Key
While the occasional workout can provide a temporary energy boost, the real benefits come with consistency. Regular exercise helps regulate your sleep patterns, which is crucial for feeling rested and energetic. People who maintain an active lifestyle tend to fall asleep faster and enjoy deeper, more restorative sleep. This, in turn, translates to improved energy levels during the day.
It’s also important to find a balance. Overtraining or pushing yourself too hard without adequate rest can have the opposite effect, leading to increased fatigue and burnout. Listening to your body and incorporating a mix of cardiovascular exercise, strength training, and flexibility work, along with proper rest, will maximize the energy-boosting benefits of your regimen.
Exercise and Mental Energy
The benefits of regular exercise extend beyond physical vitality to include mental and emotional energy. Physical activity has been shown to reduce symptoms of depression and anxiety, which can drain your energy levels and leave you feeling lethargic. By improving mental health, exercise can make you feel more mentally alert and ready to face challenges.
Personal Experience
In my years as a personal trainer, I’ve seen clients transform not just their bodies, but their entire outlook on life. Those who commit to regular exercise often report feeling more vibrant and full of life. They find themselves more productive at work, enjoying leisure activities more, and generally experiencing a higher quality of life.
Getting Started
Starting an exercise routine can be daunting, especially if you’re already feeling low on energy. However, the key is to start small. Even a ten-minute walk can be beneficial. Gradually increasing the duration and intensity of your workouts as your fitness improves will help you build stamina without overwhelming yourself. Remember, the goal is to boost your energy, not deplete it further.
Conclusion
Incorporating regular exercise into your life can dramatically improve your energy levels, both physically and mentally. As counterintuitive as it might seem, expending energy through physical activity provides a significant return on investment in the form of increased vitality. As a personal trainer, I encourage you to find an activity you enjoy and start making movement a non-negotiable part of your daily routine. The energy boost you’re looking for might just be a workout away.
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The Pelvic Health Corner
Why Hasn’t Medication Helped Me With Urinary Incontinence? A Pelvic Floor Therapist’s Perspective
Struggling with urinary incontinence can feel like an endless battle, with each unexpected leak chipping away at your confidence and daily comfort.
Many turn to medication as a beacon of hope, seeking a quick fix to this pervasive issue.
However, the journey to improvement isn’t always straightforward, and you may find yourself asking, “Why hasn’t medication helped me with my urinary incontinence?” Let’s explore this question from a pelvic floor therapy perspective.
The Different Types of Urinary Incontinence
Urinary incontinence, the involuntary leakage of urine, manifests in various forms, each with its nuances.
Therefore, there are different types of urinary incontinence. From stress and urge incontinence to overflow and functional incontinence, the causes are as diverse as the conditions themselves.
This complexity often means that a one-size-fits-all approach, such as medication, might not address the underlying factors contributing to your specific type of incontinence.
Why Do We Use Medications for Treatment of Urinary Incontinence
Medications typically target symptoms rather than the root cause. For instance, they might aim to relax an overactive bladder or tighten the muscles around the urethra. While this can offer temporary relief, it doesn’t tackle the weakened pelvic floor muscles, nerve damage, or lifestyle factors that might be contributing to your incontinence. This gap in treatment is where pelvic floor therapy shines.
A Pelvic Floor Therapy Perspective on Urinary Incontinence
Pelvic floor therapy offers a personalized approach to understanding and treating urinary incontinence. By focusing on the pelvic floor muscles— the support system for your bladder and urethra—this therapy addresses the structural and functional aspects of incontinence. Through a combination of exercises, lifestyle adjustments, and hands-on treatments, pelvic floor therapy aims to strengthen this support system, enhance bladder control, and ultimately, reduce or eliminate reliance on medications.
Moreover, pelvic floor therapy delves into lifestyle and behavioral changes that medication cannot offer. Whether it’s modifying your fluid intake, adjusting your diet, or incorporating specific exercises into your routine, these holistic strategies play a crucial role in managing and overcoming urinary incontinence.
Say Goodbye to Repeat & Tiresome Bathroom Trips Forever…
So, if you’ve been wondering why medication hasn’t been the silver bullet for your urinary incontinence, consider exploring pelvic floor therapy. With its comprehensive approach to treating the underlying causes of incontinence, it offers a path toward lasting relief and recovery. Our team is dedicated to guiding you through this journey, empowering you to regain control and return to the activities you love without fear of leaks.
Reach out to us today to learn more about how pelvic floor therapy can transform your approach to managing urinary incontinence. Together, we can find a solution that goes beyond medication, tailored to your body’s unique needs and challenges. Here’s to taking the first step towards a more confident and leak-free life.
Testimonials
“I’m a little apprehensive about driving from Naples to Fort Myers, just physical therapy several times a week, but I’m glad I did. The outcome has been absolutely spectacular!
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“I really like that you were more focused on getting me back in the gym because you knew that was really important to me.”