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Chiropractors/Hip pain; SI Joint?
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Question
I have had pain in my left hip for 3 months. It is in the front, side and buttocks. I can push on the areas and either feel bruised or relieve the pain some. The lower back on the left is tired and sore. This pain has begun to travel up the left side, shoulder blade and over to the right shoulder. My Chiropractor says it is the SI Joint and has me lie on my side and bend left knee up with arms crossed and twists. It is not getting better after 2 sessions - I had seen him for 3 months once a week and then not been in for 2 months. Had been given a "come in for rechecks when you feel necessary". Should I have an xray done? Could it be a bursa sac? My right hip hurts as well, not a severe.
Thank you.
Dear Christine,
Your "hip" area pain can be from bursitis, myofascitis in the lower back or gluteal musculature, or an SI joint problem. If all you are getting is side-posture joint manipulation, then there is no way to alleviate any possible bursitis or myofascitis. Bursitis is easy to diagnose. There is often very localized tenderness to press on the hip bursa, and the bursa pain is usually quite prominent at night. Laying on it in bed is also painful. Myofascitis can cause similar symptoms, but bursitis is easy to differentiate because of a locally tender bursa, whereas myofascitis will have no bursa tenderness and will show more global, diffuse tenderness across a broad muscle region. Both are amenable to therapeutic ultrasound. Bursitis sometimes responds very well to the combination of ultrasound and deep soft tissue mobilization (especially Graston Technique). When bursitis doesn't respond in a few sessions, then consultation with an orthopedist for cortisone injection is the best bet. Your DC should be able to rule out bursitis and myofascitis. If you cannot get a logical reason why your diagnosis is SI joint irritation, then you need to find a new doctor. Also, most SI joint problems respond quickly to joint manipulation, unless there are myofascial lesions that are complicating it. If so, then the DC must do soft tissue methods to clear the myofascial problems.
'Hope this was helpful.
Dr. G
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Questioner's Rating
| Rating(1-10) | Knowledgeability = 10 | Clarity of Response = 10 | Politeness = 10 |
| Comment | Thank you. I do not fully understand the medical part of this problem, but I am more secure in what is going on as well as the treatments for the problem. The left hip pain was releived a week after my last treatment and the right hip and right leg became painful - a burning pain and across the lower back. My DC said that it is a back issue and it is going to take time to get it adjusted. Thank you. | ||
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Chiropractors
Answers by Expert:
- Scott F. Gillman, DC, DACBSP
- Dr. Paul Newhart
- Dr. Victor Dolan, DC, DACBSP
- Dr. Brendon J. O`Brien, D.C.
- Gerald Anzalone, D.C.
- David Kulla, DC
- Robert A. Arnone, DC
- Keith E. Biggs, DC
- John Quackenbush DC
- Dr. Timothy K. Durnin
- Dr. Man Tran, Ph.D., D.C., L.Ac.
- Timothy A. Peck, DC
- J.R. Strecker, B.S., D.C.
- Dr. Nekessa Remy
Scott F. Gillman, DC, DACBSP
Expertise
21 Years in practice: I can answer any question regarding chiropractic and sports medicine treatment. Mostly, I can help the unknowing public understand what is safe, valid, reasonable and evidence-based, and what kinds of unscrupulous chiropractors and fraudulent methods to stay away from. I have an advanced specialty degree in Chiropractic Sports Medicine. I have experience treating elite and Olympic athletes.
Experience
Experience:
- 21 years in practice;
- Pan American Games, 2011: Official Medical Staff for the Pan Am Games.
- Beijing 2008 Olympic Games: World Olympians Associan and International Sports Chiropractic Association Healthcare Team;
- International Chiropractic Sports Sciences Diploma;
- Official Provider: Jamaican Track and Field team for Penn Relays (2009-2011)
- Experience with USA Gymnastics Healthcare team and International Powerlifting Association Medical Staff;
- 300 hour chiropractic sports medicine diplomate degree (DACBSP); International Chiropractic Sports Sciences Diploma (ICSSD)
- Healthcare Consultant: Century, Ty-Wood Corp. Holliston, MA (2005-2007)
- Team Chiropractor: Boston Bulldogs USL D-3 & Boston Renegades USL W-1 League (1999-2004)
- Independent Examiner: Scope Medical and The Physician's Network
- Professional/Clinical Monitor: Affiliated Monitors, Inc.
- Board of Directors: MetroWest Chamber of Commerce (Massachusetts)2000-2006
- "The Impact of Chiropractic Manipulative Therapy on Chronic Recurrent Lateral Ankle Sprain Syndrome in Two Young Athletes" J. of Chiro Med , Fall 2004
- "Work Related Injury;" The Hanover Report, June, 1993
- "Long Lasting Analgesic Effect of Oxymorphonazine in Rats;" Agonists and Antagonists III, n.7675, 1985
- BS Biology, Doctor of Chiropractic: Northwestern College of Chiropractic,
- Diplomate: American Chiropractic Board of Sports Physicians (DACBSP)
Education/Credentials
Doctor of Chiropractic Diplomate: American Chiropractic Board of Sports Physicians
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