Hip Pain With Rash

A 59 year old male patient came into the office saying he almost couldn’t stand up because of hip pain when he first woke up. He mentioned that about a month ago he had a rash on the back of calf the same leg that the hip pain is in.

I told him a bullseye shaped rash is often an indicator of Lyme disease. If you were out hiking in the woods or in tall grass during that time, you possibly could have been bitten by a deer tick and developed Lyme disease. This can produce multiple joint pain throughout the body, mostly in knees and elbows but change between joints. It is possible to have conditions presented as orthopedic issues from Lyme disease. Be sure to tell your doctor if you were hiking or travelling in wooded areas.

Another common reason for hip joint pain is Osteoarthritis. Osteoarthritis is associated with ageing. The exact cause is unclear. As osteoarthritis develops, you experience loss of cartilage, bone spurs around the joint, and muscle weakness of the extremity. As people age, they can expect symptoms including mild to severe pain in a joint, especially after overuse or long periods of inactivity, such as sitting for a long time; creaking or grating sound in the joint; Swelling, stiffness, limited movement of the joint, especially in the morning; Weakness in muscles around the sore joint; even deformity of the joint.

Obesity, genetic factors, injury to the joint surface, occupations and physical activities that put stress on joints and neuromuscular disorders, like diabetes, increase your chance of developing osteoarthritis.

The goal of treatment is to reduce joint pain and inflammation and to improve joint function. During your assessment and evaluation for physical therapy it is important to screen out the low back for inter-vertebral discs problems, which are a very common source of pain in the low back. Improper gait and posture can put abnormal stress on the discs and the material between them that acts as a cushion. Bone degeneration increases with age. Pain can affect the facet joints of your lower back along with surrounding soft tissues when you have degenerative arthritis.

Persistent pain indicates the need for a Physical Therapy evaluation to provide a customized treatment program. Traction and joint mobilization, if indicated, along with stretching, strengthening and stabilization of the tissues are typical physical therapy treatments for low back pain.

If your pain is spreading it could possibly be the condition called “sciatica” which can be resolved by similar low back pain treatments.

At the Healing Center of Scottsdale, we offer a unique treatment program with the ATM2 device. ATM2 stands for Active Therapeutic Movement which is based off of Mulligan theory, a joint mobilization technique.

Jeff Juraska, PT


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