Massage Therapy and Neck Pain

As I explored last week, muscle rigidity  is characterised by the inability of one or more of your muscles to relax normally.  One cause of muscle rigidity is [...]

Hip pain is common problem, and it can be confusing because there are many causes.  The most common cause of Hip Pain is arthritis for which you will need to see your GP for them to advise on the best treatment option of you. Trochanteric Bursitis Trochanteric bursitis is an extremely common problem that causes inflammation of the bursa, which is a protective cusion over the outside of the hip joint.  There are two main bursa which protect the hip joint, the superficial trochanteric bursa and the deep trochanteric bursa.  The superficial trochanteric bursa lies beneath the tensor fasciae latae (one of the muscles on the side of your hip) and the deep trochanteric bursa lies beneath the the largest of your glutes (gluteus maximus) both of the these muscles insert in to the Iliotibial Band (ITB).  Reduced flexibility in your gluteus maximus, tensor fasciae latae or ITB can cause trochanteric bursitis, from too much cycling or running or from running on uneven surfaces.  Another common cause is some women is an imbalance between your abductor and adductor muscles.  Trochanteric bursitis can also be caused by clients altering their posture as a result of a previous back injury. In all these cases a deep tissue or sports massage can help.  However if the cause is walking with more weight going through the outside of your foot (excessive foot eversion) then your make need to see a podiatrist for personalized orthotics. Hip Flexors Illiopsoas the main hip flexor, shortens when we sit down, so prolonged sitting can cause contracture (anatomical shortening) which can cause either lower back or hip pain.  I have personally found this to be a common cause of hip pain which can be successfully treated with deep tissue or sports massage. If you experience lower back or hip pain when standing up from a seated position then rectus femoris which is one your largest quadriceps muscle make be tight and/or your gluteus maximus which is the other muscle which helps your stand from a seated position may be weak.  If you suspect you have weak glutes you can strengthen them with squats and lunges. Fractures Hip fractures are common in the elderly with osteoporosis.  Stress fractures of the hip are common in people who participate in high impact sports e.g. long distance running, treatment is usually to avoid the high impact sport and this is usually successfully. When should I see my GP about my hip pain?  

• Inability to walk comfortably on the affected side
• Injury that causes deformity around the joint
• Hip pain that occurs at night or while resting
• Hip pain that persists beyond a few days
• Inability to bend the hip
• Swelling of the hip or the thigh area
• Signs of an infection, including fever, redness, warmth
• Any other unusual symptoms

Recently scientists have looked at the impact of abdominal massage on people with constipation. Constipation affects twice as many women as men.  Older people are more likely to be affected and in addition taking certain medications e.g. opioids can cause it. A randomised control trail of 204 patients with constipation (from opioid medication), were split into two equal groups.  The intervention group were taught how to administer abdominal massage on themselves, in a clockwise direction over the intestines on the abdominal wall, which they performed twice a day for four weeks after breakfast & dinner. The control group received standard medical care, such as laxatives, suppositories and enemas. Both groups were asked to keep a diary of their bowel movements and to complete three questionnaires, including the Bristol stool scale for evaluating stools and bowel habits, the visual analogue scale, which contains questions about constipation, including severity, straining & pain. Patients in the massage group reported significant improvements in stool consistency, straining during defecation, the feeling of incomplete emptying after defecation and experienced increase bowel movements.  They also reported a reduction in the severity of constipation, pain, straining, gas & fullness in the rectum.  However, the massage had no effect on the stool amount. The researchers concluded that abdominal massage was an effective approach for managing opioid induced constipation.  So if you suffer from constipation consider abdominal massage. Reference https://www.ncbi.nlm.nih.gov/pubmed/31358243