How To Easily Correct The Root Cause Of Most Hip Problems
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- Опубліковано 29 чер 2024
- Most hip problems share the same root issue that is 100% curable without having to rely on pain medications, injections or having an unnecessary surgery. We talk about it at length in this video.
I’m talking about problems like:
-Hip Arthritis
-Hip Tendonitis
-Hip Labral Tears
-IT Band Syndrome
-Hip Bursitis
-and more…
If you’re dealing with a hip problem right now and you’re not sure of the cause of it, then you’ve go to begin thinking about addressing the root problem of glute strength.
Here are playlists that can help you with more specific problems:
🌟 “Hip Arthritis Help”
• Hip Arthritis Help
🌟 “IT Band Knee Pain Help”
• IT Band Syndrome Pain ...
🌟“Hip Bursitis Help”
• Hip Bursitis Help
🌟“Hip Pain Help”
• Hip Pain Help
Here's the book that talks about Hip Anterior Glide Medial Rotation Syndrome:
Diagnosis and Treatment of Movement Impairment Syndromes 1st Edition
by Shirley Sahrmann PT PhD FAPTA - amzn.to/35Mt0Ya
00:00 How To Easily Correct The Root Cause Of Most Hip Problems
01:38 Muscle Imbalance
07:02 Don’t Co-Contract Your Hip Muscles
11:10 Strengthen Your Glutes
#elpasomanualphysicaltherapy #drdavidmiddaugh
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DISCLAIMER:
Any information available at this channel is intended for general guidance only and must never be considered a substitute for advice provided by a physician, medical provider or physical therapist. El Paso Manual Physical Therapy will not be liable for any injuries that happened due to performing any exercises or advice on this channel.
Always seek the advice of your physician or other qualified health care professional with questions about your medical condition or to diagnose any conditions.
Thank you for another great video! You are a saving grace for any of us who feel like there is no hope for our hip problems. I have been working on strengthening my glute muscles and thanks to you I can already feel a positive difference.
YAYYYYYYY!!!!!!
This is fantastic to hear Karen!!!!
We're sooo happy for your success!!!!
Do you work with muscle imbalance with thoracic scoliosis from birth? Arthritis in multiple joints, neck, and back?
@@epmanualphysicaltherapy
Good day, is there any way to be sure that strengthening Glutes with pelvis foreword the front muscle of the thigh is not working ?
You turned the lights on for me. I literally have tears in my eyes. I have been to SO many chiropractors, massage therapists, consulted with physical therapists and nobody has mentioned this. I am 61 and have taught classical ballet for 3 decades and teach Pilates. I limp. My left hip clicks in the front and I often experience sharp stabbing pain in the front of my hips so I’ve been aggressively stretching my hip flexors. I think it’s what you just explained. My quads and hip flexors dominate. I can’t isolate my glutes like you explained. The quads and hip flexors fire too. I will keep trying like you said. I desperately want to be able to walk normally again…
This is so great. Because you already do a lot of movement, you’ll probably get this down in no time at all :-)
How is it now?
David is right on how to help fix our ills! He is so nice. And caring, but best is knowledgeable and experienced at his profession. And he puts out this information to help us see what we’re doing wrong & how to fix it.
Thank you David for all the great information and the reasonable courses you have put together for us to take advantage of in getting better 🙏🏻💯✅🎯
You're welcome jleetxgirl!!! We're sooooo happy you've benefitted from our information. We can't wait to see what else we can bring to this channel! Thank you for the kind words!!!
I was diagnosed with hip arthritis six years ago when I was just 50 years old. Ever since I've had to use painkillers every time I'm out of the house for more than half an hour maximum. Some weeks ago, I happened to watch one of your videos and started contracting my backside muscles the way you explain, as many times a day as I can, sitting or lying down. Unfortunately, for some reason, I can't do it when I walk or when I climb stairs. I'm not saying that I don't need any paracetamol any more, but I definitely see a difference in the pain level and my walking stamina. (I suppose after 30 years of office work my muscles there went totally flat and I developed arthritis in my right hip.) I can't thank you enough! I'll continue working on it. Greetings from Greece.
Hello Alicemi,
It sounds like you are on the right track!!!!! If you had a significant amount of weakness prior to starting to contract your backside muscles then you may need to continue int he lying down position before you transition to standing and over activities. You are on the right track , keep it up!!
I have led a sedentary lifestyle for too long, just like to read, write, research. But - glute muscles are not made for sitting on them all the time, they are made for walking. And when you look into cultures that live more naturally, without chairs, sofas, sitting or squatting on thw ground, shifting a lot, it makes sense...
This channel is my absolute favourite to learn about everything, and to get helpful exercises 👍👌
Have you tried moringa powder buy at health stores
Excellent advice! Started working on my glute muscles and in two weeks started to feel HUGE relief! After doctor visits and chiropractor visits no one ever mentioned muscle imbalance….great video!
Wooohoooo!!! This is amazing news Tim!!! We’re so happy for your pain relief!!!
I have been doing workouts for my glutes several days a week since I started watching your videos. I am doing much better! Thank you!
Hey Liz, you are so welcome! We are so glad we were able to help you get to doing better!
Dr David is a genius. Thank you with all my heart for your videos.
You’re welcome Carol!
OMG!! Thank you for this video! I have pain from back, down my leg, through the knee, down the shin to ankle. And I became seriously out of shape! I will work on this issue! Thank you!
You're welcome Val!!! Please let us know how it goes trying this out. 😀
If I lived in the USA, I would be breaking his clinic door down. He is simply the best. God bless you.
Whoaw !! What a good explanation!!! I will work on this new perspective of my body posture, I have now a good understanding of how the body stands and how the muscles work to balance the weight. Thank you for this wide teaching 🙏🌈🦋
I have had an extensive labrum tear with cartilage loss which was repaired in 2018. I have done so much research on this topic. I cannot begin to tell you how much your videos have helped me. Never did I realize the root problem was weak glutes. I am struggling to activate my glutes as you have shown in the video. I will work to isolate my glute muscles and continue to strengthen them. I am definitely quad dominant with tight hip flexors along with bursitis and outer knee pain on the affected side. I need to fix this imbalance on the affected side while also decreasing the chances of this same issue happening on my other hip. Thank you 🙏, thank you 🙏 so much for this information you provide. It is invaluable.
I'm almost 57 and my hips especially my right one have gotten so bad to the point where I can barely walk at times, I'm also unsteady on that hip and it feels like it wants to collapse underneath me. And then I came across your video doing a Google search on bursitis because I've been diagnosed with that as well as arthritis and my doctor gave me an injection in my right bursa and it helped for about a day and now it's back to hurting me again although not quite as bad. In a roundabout way I'm telling you that I am going to be watching your videos like my mobility depends on it because I think it may. I appreciate you being very detailed in your explanations and I would ask that you continue to do so. The funny thing is is my hip started bothering me when I lived in El Paso LOL, now I live in Oklahoma and unfortunately I cannot go see you. And I have one of those massage gun things and so I watched your video first about how to massage your bursa area and my hip feels better just using the massage gun, I do not want to be forced to use a cane or a walker or a wheelchair. They gave me some exercises to do to stretch out and work my muscles and things connected to my bursa. But with the arthritis on my inner hip those are almost impossible for me to do without a lot of pain. So here I am binge watching you LOL to try to get myself mobile again. Because I really want to feel better. So please any videos you can come up with on how to get rid of the arthritis and bursitis pain in a person's hip would be much appreciated. Again thank you
Without surgical intervention the only relief from arthritis is exercise. The muscles must be strong and stable around the joint. Weak musculature causes imbalances. The body is a kinetic chain. If hamstrings are tight and weak you’ll experience low back pain. Because the hamstrings insert into the lower back. I just recently had a hip replacement. I’ve been incredibly active my entire life. Avoid the surgery at all costs. Because the pain is inexplicable. No one or idea can prepare you for the level 10+ pain that lasts a solid month. I’m at month 3 of recovery. I can walk fine but it’s still tender and painful to the touch. My physical therapist calls an arthroplasty brutal. It is. Lotsa saws and hammers for that procedure.
Dr. D, You are a God sent. I wish I had discovered your video three years ago but its better late than never. Thanks a million for your dedication to helping us.
Hey Harriet! Thank you so much for your kind words 😊
Genuine thank you for my increase in awareness from this explanation!
I can't thank you enough I've been having weak glute for two years and I've been diagnosed with hip arthritis, those exercises have been so helpful to me. Thumbs up for good work
Hugely helpful, Dr. David. Thankyou.....Going back to your exercises specific to glute/hip arthritis again. So much easier to stick with when I know the reason.
Thank you 🎉 MUCH NEEDED
You have explained so much that it's taken me over a year to figure out in my searches for help for my pain and problems. I'm still learning... and learning quite a bit from your videos. I think I'm on the right path after some mistakes. I don't know if I can ever reach a truly satisfactory level of functioning but I don't give up! So much retraining to do. Years of unbalance and misalignment. Your videos are encouraging to me and I know the info you explain will help me move forward even more.
You’re a great teacher! Thank you for this video!
You are so welcome! 😊
Wish I lived in El Paso. I'd go to the clinic. Incredibly helpful information. Exercise time.
Come on over Thinman! ✈️
😊Doctor, you are soooo very good at explaining! Thank you😊
Thank you Sunshine! ☀️
My sister recommended I subscribe to your channel. My Dr said my hip X-rays show moderate osteoarthritis. She sent me to a physical therapist. He recommended some exercises and to ride the recumbent bike. I have super strong quads and no glutes. Is the recumbent bike going to increase my quads and so more harm?
Thank you very much, doctor!
Thank you so much. Finally. I think this is my issue.
I just came across your video last night. I started doing some of these things you said. I can already feel a difference in pain level. Thank you so much!❤
Hey Katy! So glad to hear it! Keep up the good work! :-)
Thanks Doc. This is such an honest and helpful explanation. You are a breathe of fresh air.
Glad to hear it was helpful! You are very welcome 😊
You're really good at explaining this concept, Dr. David.
Hey Candomath, thank you so much for the kind words! Just in case you're interested, we have
a hip pain help playlist that can be helpful. You can access it here:
“Hip Pain Help”
ua-cam.com/play/PLJVIPiFvv1mZF48A6w0CrTONLq2ZaVw3G.html
We'd love to hear how you are doing as you progress.🙌 Please take care!
@@epmanualphysicaltherapy Thank you!! Your tip to engage the glutes throughout the day is making a huge difference. Engaging my lower abs wasn't enough. As you mentioned, it doesn't matter how strong our muscles are if we don't properly engage them throughout the day. Sending much love to El Paso
Thank u for this info 👍
I too, have huge quads and I am 4'8" and overweight but can do over 100 deep squats--yet I can't isolate my glutes. You are brilliant! I have hope for overcoming my hip pain and documented OA! Thank you!!!!
Dr, your the man. Now I can begin to walk better ( I hope)
Another great video. 👍
Great video, thanks
You're welcome Linda!!!
I started having extreme pain while walking all of a suden, and was diagnosed with severe damage and wear to my hip joint. And need surgery. Following your excercises have gotten some releif, that haven't felt in the year ive been suffering from this. Thank you.
Thank you sooooooo much! What a help to me! Blessings!
You're very welcome!
Thanks doc I listen to your bursitis video and I'm strengthening my glutes but this video was a real eye-opener on how I was using my hip flexors and quads too much so now I'm focusing on my glutes you're the best may the Lord richly bless you thank you
Hey David! You're welcome! Great job focusing on your glutes! Keep up the good work! God bless!
Thanks David.
You’re welcome Larry!!!
Thank You. This is a great video
Hi Lucina! You are very welcome! Thanks for your kind words and support! We hate to see that you are dealing with hip pain.🥺 We are happy to hear that this video was able to offer you some help and we hope it can bring you some relief. In case you are interested we do have additional information and exercises in a playlist we have compiled for hip pain help. You can check it out here:
“Hip Pain Help”
ua-cam.com/play/PLJVIPiFvv1mZF48A6w0CrTONLq2ZaVw3G.html
We'd love to hear how you are doing as you progress.🙌 Please take care!🧡
Thankyou you helped me
Besides mentally telling yourself not to fire the quads and hamstrings and hip flexors, how can we manually manipulate these muscle groups to back off when we're trying to get the glutes firing? That's been the biggest issue for me. Thanks for this great explanation of how all these muscle groups work together!
Excellent info! That's why the exercises are working. Would traction help?
Thx so much . I start to feel down with my hip pain but ...
Great info, just what I needed! Explains my multiple right hip problems. I’ve been trying, unable to fire my right glute without activating my knee. What can I do to get it stronger?
Thank you-This is enlightening about identifying muscle imbalances for resolving hip problems/osteoarthritis. I was told I had osteoarthritis 6 years ago after xrays and tests and then one PT mentioned I had an overused TFL and my hamstrings were not firing. So wierd - since Im a lap swimmer and been an athlete all my life and practiced yoga and was a hiker. How do these muscle imbalances start?
🤗GREAT. THANKS
Of course Tina!
WOW - Thank you so much for this very helpful video.
Could a loss of hip cartilage also be caused by weak abdominal muscles. Like from abdominal surgery that resulted in a lot of scar tissue through the abdomen that formed adhesions? Thanks again!
I love your videos Dr David! Thank you so much for sharing all this information. I suspect I have a sciatica (shooting pain in the left lower back and hip when e.g. trying to get up from laying flat position). Just recently I began getting pain on the left knee's inner side too. Would glute strengthening help here? Maybe you have a video on sciatica pain as well? Thank you so much! Many Blessings!
Hey Golden Light! Sorry to hear about your sciatica problem :-(
We do have help for sciatica right here:
"Sciatica Pain Exercises & Stretches"
ua-cam.com/play/PLJVIPiFvv1maZPQPPtirn4oxj8oCPuIMR.html
I'm not even sure how I stumbled across your videos but I'm glad I did! I have hip pain only when I sleep ongoing for several months. I have to sleep on my back but I also developed plantar fasciitis. Months before this I had surface numbness in my left thigh that went away. I have been working out for over 5 years 2 to 3 days a week and am in pretty good shape for my age (50). I just had this feeling that possibly all of these new problems are somehow related and I am big on finding the root cause of things and don't like to go to doctors. I finally went to a podiatrust but I have not opted for injections for the plantar fasciitis. Anyway, after watching your videos I'm leaning towards thinking my problem may be Bursitis. I'm going to start doing the glute muscle strengthening excercises and see if it helps. The classes I do have a heavy focus on the quads and mine are strong so the muscle inbalance would make sense! Thank you so much! I wish you were closer to me in Texas!
Hey Lisa! Sorry to hear about your plantar fasciitis problem and hip problem :-(
Working on the glute strength is a fantastic starting point. It may also be sciatica, as that can cause both hip and heel pain. Either way, addressing glute strength will help sciatica or a hip bursitis problem. In case you need it, here is a playlist for sciatica problems.
"Sciatica Pain Exercises & Stretches"
ua-cam.com/play/PLJVIPiFvv1maZPQPPtirn4oxj8oCPuIMR.html
@@epmanualphysicaltherapy😊
You explain these issues so well. The info you share is so appreciated
Thank you for all this info. Do you possibly have a trusted, experienced in manual pt in the Boulder county area of Colorado? I'd love to come to see you, but El Paso is a bit far. Thanks.
Hey Stevie Willett-Shaw! We're not too far at all ✈️
In the US, you can find a physical therapist trained similar to Dr. David at this website: aaompt.org/Main/Public_Resources/Find-A-Fellow/Main/Member_Resources/Find-A-Fellow.aspx?hkey=108c9a56-f793-45e4-b3ed-cefe5d871a94
Dr. David is a fellow of the American Academy of Manual Physical Therapists. His specialty is orthopedic manual physical therapy, which is the ideal specialty for helping someone avoid surgery, injections, and medications.
Normal physical therapists are best trained to help people right after surgery.
Hi Doc - I've undertaken the glute strength thing earnestly and with success so far. I've cut out quads work at the gym...and surprise surprise the osteoarthritic pain in my hips is backing off, and the clunks are not as acute. At 52 I'm not going to be a fitness model lol but I wonder, could I ever confidently return to squats, deadlifts and lunges?
Are there any cues or techniques to fire the glutes only? I’m struggling with this
David, I don't know if you read these comments. If you do, can you comment on issues that may be caused or exacerbated by the golf swing. If you watch pros golf swings in slow motion there is a tremendous amount of hip rotation in the swing.
Excellent advice!! This is such a common problem
But what is the root of the issue for not using the glutes? Is it neurological ? Our lifestyle ? Sitting too much?
I also had no idea this could lead to cartilage loss So now I w Nader if this is something that caused my parents to both need hip replacements and soemthing I should pay even more attention to!!!
Can anything else cause cartilage loss (besides joint incongruence)
Top!
Thank you Luz!!!
@@epmanualphysicaltherapy vous êtes vraiment sympathique. On sent que vous etes humain, que vous avez du ❤.
David, I don't see the link you referred to re: Shirley Starman's book? Thanx!
Here's the book that talks about Hip Anterior Glide Medial Rotation Syndrome:
Diagnosis and Treatment of Movement Impairment Syndromes 1st Edition
by Shirley Sahrmann PT PhD FAPTA - amzn.to/35Mt0Ya
I have tight hip flexors and am using a lateral machine (scoop) to help. Almost all of the pain I experience is my flexors. So can I keep using that with glute exercises, or stop using it and just concentrate on my glutes
I have a glute problem and now Iam using a walking stick to walk with for 5 years now, how can I get back to my normal life? which excercises are the best? and can I get well doing those excercises?
Thank you so much......
How to treat a hip labral tear that came as a result ot trauma and not muscle imbalances?
Send the site on HOW TO WALK
Whats a good and easy pnf for glutes and hip?
Thank you
Hey Lakshmi! That's a good video idea - pnf for glutes and hip. We'll pass that over to Dr. David. Thank you for the suggestion!
Can these level an uneven hip?
Can you comment on impingement and labral tears? My understanding is that if the impingement has caused the labral tear there isn’t much you can do outside of surgery. Thoughts?
Watch the video .. this is not at all what he’s saying… it’s ur glutes.. they are weak..it’s a muscle imbalance u gotta figger it out.
Doctor, I appreciate your lectures but is using cycling help because I am also of a big size ? I am 131kg and I am suffering from hip Arthritis
Hey Ogirima, Thank you for reaching out! We are sorry to hear that you are suffering from hip arthritis.🥺 Cycling can be helpful if you are activating the right muscles. You'll want to feel the glutes working when you are cycling. You'll also feel activation in the hamstrings and quads but you should feel it mostly in the glutes. If you get off the bike and feel tired in the quads and hamstrings then that is a good indicator that the glutes were not activated as much as they should have.
We are going to link a video here that discusses the correct way to cycle to activate the glutes. The same techniques should be used even though the video talks about healing knee pain.
"Can Cycling Actually Help Heal Knee Pain From Chondromalacia Patela?" ua-cam.com/video/lzOiVhjFhfg/v-deo.html
We hope you start to feel some relief soon. Please take care! 🙌
My right hip is rotated due to scoliosis. I noticed this about 3 months ago. Then I started getting groin pain on the right side.
I don’t know what to do to help this. The mechanics at the ball and socket is probably out of line. I’m not sure what to do.
Hey Terri, sorry to hear about your hip problem and scoliosis :-(
Getting stronger glutes is a definitely the best place to start getting the mechanics right in the ball and socket joint. This video is what you should do next:
"Top 4 Exercises & Stretches That Actually Give You Hip Pain Relief"
ua-cam.com/video/VkYW3GBTmac/v-deo.html
Hey hallo...can u plz suggest me anything for burning sensation in knee....my right knee's left side i have severe burning pain..sometimes it automatically cool dwn n sometimes it bcm worst..thanks in advance 🙏🏻
Hey Mamta Doshi! That could be a saphenous nerve problem. Check out this video to learn more about it.
“Inner knee pain: Why does the inside of my knee hurt? [5 Common Causes]” Chapter on Saphenous Nerve
ua-cam.com/video/LKypVkLTAqs/v-deo.html
If that's the problem you're having then working on your glute strength is going to be key.
“Top 5 Glute Muscle Exercises For Knee Pain”
ua-cam.com/video/NXdCjT2QtJA/v-deo.html
@@epmanualphysicaltherapy ohhhkk.i will definitely go through this videos...thanks alotttt 🙏🏻🙏🏻🙏🏻
This is me…So interesting…
Thank you Pj Pj!!!
You have many videos pertaining to this issue …Ty by the way….they all seem to have a gluten or two or three exercises….a helpful next step would be a cohesive glute activation/ strengthening video…maybe step by step…I realize the severity etc would effect the perfect program…or maybe one or two videos that you have out that you suggest me and others could refer too…again thanks…very enlightening
This sounds like me.
BRIDGES
YESSS CONNIE!!!! 🌉
Are You Say that "imbalance" creates arthritis...??....or Artrosis...???...
Yes...that is 100% correct. Muscle imbalances create hip arthritis!!!
@@epmanualphysicaltherapy Sorry, I don't believe that.
I have ARTROSIS, a cartilage disappearing,
Arthritis is an acumulation of material between bones.
Any of booth ARE caused by a movemet, or use musles.
Booth ARE caused by FOOD ( the modern FOOD).
@@epmanualphysicaltherapy ... Tengo 61 años, soy entrenador deportivo, años trabajando con adultos mayores en mi país. Incursione en artes marciales, montañismo, bici de montaña, teatro, y maratones.
@@epmanualphysicaltherapy do you know A doctor, medical doctor or rehab, or therapis, WITH our hip problem ? ...or use a hip prótesis...?
@@epmanualphysicaltherapy since 7 years dx: "Artrosis grado 4". ...2 years made a radical change on my dietary... And HAVE good results.
Hindi m bolo
अनुराधा, हमने अभी इस वीडियो में हिंदी जोड़ी है।