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The hip forms the connection between the upper body and legs on both sides. It encompasses the area between the upper edge of the pelvis and the upper end of the thigh bone - i.e. the hip joint, with all the tissue structures above it. The movement of the hip joint is controlled by numerous different muscles such as the iliopsoas muscle, the large gluteus muscle (gluteus maximus muscle) or the adductors. It is exposed to considerable stress every day and is therefore frequently affected by signs of wear. The muscles in the hip area are covered with differently pronounced fat posters, whereby massive fat layers can also form on the hips and thighs due to illness with a so-called lipedema (colloquially known as riding bag or riding trousers syndrome). These are not related to overweight or obesity, which is often only recognized late.
Symptoms in the area of the hip are usually noticeable in the form of hip pain and restricted movement, although this can be due to a wide variety of causes. These range from congenital hip defects, signs of wear and tear such as osteoarthritis of the hip and inflammation of the joint (arthritis), to muscular complaints, bone diseases and rheumatic diseases, to acute injuries such as bruises or fractures. Hip pain in adolescents can also be attributed to a so-called hip runny nose (coxitis fugax). In addition, a pinched nerve and various neuralgia can cause hip pain. Depending on the numerous possible causes of hip pain, the diagnosis is sometimes a little more complex, but usually a few simple movement tests can provide relatively reliable information about the causative disease.
In the treatment of hip complaints, considerable success can be achieved in many cases with manual therapies or physiotherapy. Naturopathy relies primarily on methods of osteopathy, Rolfing and chiropractic. Traditional Chinese medicine procedures, such as acupuncture, are also said to have a positive therapeutic effect in hip disorders. However, surgical intervention cannot always be avoided and it may even be necessary to replace the hip joint with a hip joint prosthesis. Corresponding operations are now part of the everyday repertoire in many German clinics, but in recent years there has been increasing criticism of the prostheses used and their materials, and individual products have had to be withdrawn from the market due to serious defects. In view of the associated risks, however, surgery should only be used as the last option for therapy anyway and only for patients who are severely affected. Especially since with the help of manual therapies the complaints in everyday life can often be minimized or completely eliminated. (fp)