Monday, April 15, 2013
Chiropractor Chandler AZ: Hip Stress Fracture
Your friendly Chiropractor in Chandler AZ, Dr. Dan Rae, is back at the computer this morning to write about Hip Stress Fractures. I do not see Hip Stress Fractures a lot in my practice, but I have dealt with them on occasion making it something that I feel I should address.
In the image above by MMG 2000, we are able to see the different types of Hip Stress Fractures that occur at the femoral neck. Within the bone we have different types of cells one of which is an osteoclast and the other an osteoblast. Osteoclasts in a sense eat bone or destroy it, and osteoblasts on the other hand create bone. With repetitive stress to the femoral neck, microfractures occur. This damage leads to increased bone remodeling, or the removal of old bone by osteoclasts and the formation of new bone by osteoblasts. When osteoclastic activity surpasses osteoblastic activity, the bone becomes weakened leading to fracture.
In most cases that I have had in my office the patient is usually young and active, often participating in cross country, gymnastics, dancing, or marching band. The pain comes on rather slowly and is worse when standing. The pain is normal felt on the front and deep into the leg.
Treatment for the Tension/Transverse Stress Fracture is different from that of the Compression Stress Fracture. With the Transverse Stress Fracture surgical pinning is required to stabilize the hip. With the Compression Stress Fracture an elastic support is necessary as well as rest for 2 weeks. After the two weeks non-weight-bearing exercises are implemented such as cycling and swimming. The Displaced Fracture require surgical pinning as well.
Dr. Rae's professional interests lie in helping the community reach their health potential. Through hundreds of hours of post-graduate training, Dr. Rae has studied different soft-tissue therapies, studying the muscles and how to help them function appropriately. He specialize in Hip pain.