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Hi @Whispering eagle, sometimes when it seems like you have every pain that the video talks about it is because the inflammation has gotten a bit out of hand. Once we start treatment on a problem we gradually get rid of all of the pains and get down to the original source. So although it may seem like you have all of those problems you probably have one major problem that is creating enough inflammation to confuse the issue. If you tend to ignore the problem and let it go on for sometime that could be the case.

@@Biomechanicphysicaltherapy thanks i first thought well i have cancer. Iam a bit of a hyper condriac due to watching my brother as a child having his lung removed in 64. I fell off a ladder onto a log last year and although i had some earlier long time back and arthritis spondalitis. I felt like i was ok but sore. But now i feel pains everywhere. Hips knees ,muscles, pings. That seem to change places. Ive never been to a Chiropractor. When i was young i developed an exstream phobia watching my brother always in the hospital. I because of exspense got ignored a bit. Not my parents fault they had alot to deal with my brothers slitus unversus, and keritans disease. Very few videos address phobias. I sleep now sitting up gives me some relief. Trying to build courage. Thank you for the response

Hi @Mary-Chris Hines i’m glad we were able to give you some hope! Yes it does sound like SI but we could definitely help you sort it out. That is a very expensive evaluation! Our cash price is $110! We do except Medicare if you wanted to know what your benefits would be you could certainly call our office and they will check with your insurance company and let you know the nitty-gritty. We have had patients fly in for a week or two at a time to see us when nothing else would work, so you are not alone in that idea! Come on down!

@@Biomechanicphysicaltherapy Although I have Medicare, I also have the supplemental, and that is only HMO, so won't cover you. However, that's okay. I am seriously considering coming over! I'll make it a vacation as I used to live in Washington DC and Baltimore so can do some visiting. I'll call when I work it out.

Glad it was helpful!

I can't seem to diagnose my problem either. Best way to describe my pain is if you sit cross-legged and then try to lean back. She briefly touched on that in the hip osteoarthritis one, but I really want something in more detail.

Yeah I think I would have to see you in real life and lay my hands on you to figure it out. It’s not a common set of symptoms.

@@angelr9096 Hello yeah I think when we can see you in real life and we can try this and try that we can really puzzle it out. The best we can do a video is broad generalizations. Every body is a puzzle.

@Rhonda S I would need to see you in real life and lay my hands on you in order to figure this one out. Peoples bodies are so unique and are often quite the puzzle.

I'm from Malaysia. Instead of detail diagnosing what's the root cause all 5 of the orthopaedic surgeons recommended total hip replacement ! 😢

Road trip!

Hi it’s always hard to diagnose without actually looking at someone but it sounds to me like your sacroiliac joint could’ve been out of line that often gives a sharp pain and makes you unable to sit in the tailors‘s position which is what you were talking about with the leg crossed over the knee. It can go back in line by itself or someone can put it back for you. You don’t mention if there was any incident that occurred before hand so I’m guessing it just started up out of the blue.

@@Biomechanicphysicaltherapy Thank you for your reply. Regarding your question approximately 4-6 weeks ago I woke up one morning with this terrible pain on the lateral side of my left hip. It was not the deep sharp pain I experienced yesterday with the external rotation. In the earlier incident the pain was closer to the surface of the skin and was soft tissue related. Palpating along, just above, and just behind the Greater Trochanter revealed tenderness in the soft tissue. I presume there was an inflamed bursa along with some aggravation of the localized tendons or muscles that pass along the Trochanter. The odd thing is that I did not have these symptoms of tenderness, inflammation, and pain before I went to sleep that night 4-6 weeks ago. I do sleep predominantly on my Left side. Additionally, my latex mattress topper is worn out and has not been providing me with an adequate level support and cushioning. Even my healthy right hip feels discomfort after a couple of hours sleeping on my right side. So perhaps this played a role in the development of my hip pain 4-6 weeks ago. This weekend I finally ordered a new 3" talalay latex topper so mattress comfort issue will soon be resolved. Yesterday's onset of sharp pain in the deep left hip still remains a mystery. I never felt such a pain before. For the past few weeks my hip was progressively improving in range of motion and a general reduction in stiffness. Then, after a couple hours sitting at my computer, I experience the sharp deep hip pain when I got up to walk around. Only one movement pattern seemed to provoke the pain, external hip rotation. When I went to bed last night the pain cropped up again after a couple hours sleeping on the affected left hip which is my preferred sleeping position. When I rolled over to my right side the sharp pain in the left hip counterintuitively flared up again when I ever so slightly shifted or adjusted my body position. Frustrated, I eventually ended up sleeping on my back with my knees propped up by a pillow. While in this position I played around with my left hip and found that if I rotated my left leg externally that triggered a jolt of sharp deep in my hip. But here's the INTERESTING thing. When I squeezed my glute muscles to engage them and then rotated my left leg...no pain occured in the left hip. I kept doing this for maybe 15-20 reps and afterwards there was no pain in the left hip even when I externally rotated the leg without consciously squeezing the glutes. Despite this breakthrough I stayed in the supine position for the remainder of the night to avoid aggravating the left hip again. Since I woke up this morning there has been any sharp pain but the left hip does feel a bit stiffer than usual. To say the least I don't know what exactly is going on. Any input or insights you may be able to add no matter how speculative would be most appreciated. Btw, since the original onset of left hip tenderness and pain occured I have been steadfastly doing exercises to build strength in my hips with a focus on abduction.

Glad it helped. If you would like more help you can come in to one of our offices or give us a call for telehealth.

Hi @jeff. It could be the osteoarthritis which I am discussing in that part of the video except that you are not saying you are having pain that is the other hallmarks of osteoarthritis. One of the things that sometimes happens is there is malalignment of the head of the femur in the hip socket. This happens when your ilium is slightly out of line. If you can find a practitioner in your area who does muscle energy technique they can check your alignment in the sacroiliac joint and see if that is the problem. This is usually a physical therapist with specific training and so may be hard to find and also some chiropractors are good at sacroiliac joint but not all. The other thing that I would use to diagnose if it is a sacroiliac joint problem of alignment of the ilium problem is this ; if you sit with the soles of your feet together and your knees out to the sides is one knee resting higher than the other?. If so that can be a problem of the head of the femur not resting correctly in the hip socket which could be due to the ilium not being in its optimal position. if you can’t find someone near you you can do a telemedicine visit with us. Just call 703-723-7726.

@@Biomechanicphysicaltherapy Thank you so much for the reply. I think you nailed it because when I do as you say, soles together & legs resting outwards, the left (problem hip) stays higher & presents with mild pain. I will look into finding a PT or chiropractor who specializes in that area. Thank you again & best wishes to you & your staff!

Hmmm. Not sure about that one. Perhaps a hernia? I recently got had a guy who was diagnosed with a labral tear but ended up with a hernia so I’m guessing labral tear versus hernia.

@L Tom sometimes you have more than one thing going on and sometimes the whole darn thing hurts if your problem has been going on for a long time and multiple things end up getting inflamed. As you progress through physical therapy done properly each of those areas would resolve and you finally get to the underlying thing that caused it all. Regardless, a good therapist will handle each one of those things and look for the biomechanical problem beneath it. The biomechanical problem beneath it is critical to solving the problem. If you just treat the symptoms you may not be able to get to all of those issues. You cannot exercise this problem away. A lot of physical therapists just use exercise. This will not work for you.

Hi, yes, it does sound like it could be hip impingement, but it could also be SI joint which changes the way the femur moves in the hip socket, which can give you a similar kind of pain. an x-ray or other imaging will be able to show impingement but it does not show if the SI joint is out out of alignment. So if your x-ray or MRI is negative, then you may want to pursue the SI angle.

First things first check your SI alignment. It is the simplest thing that can cause hip pain. And if your alignments out and you continue running it could eventually cause OA.

OK. Does the pop feel like it’s on the front of your body? It could be your psoas muscle popping across a bone. In which case your sacroiliac joint is out of alignment.

@@Biomechanicphysicaltherapy wow thankyou for your quick response. It feels like it's on the lower section of ball joint at the front.i am seeing a doc Friday and am trying to get as much info as possible as I usually have no luck with doctors.they just subscribe pain killers. Thankyou

Hello, No, it is not usually perfectly symmetric, but yes, both can hurt at the same time. The most common time I see both is when it is muscular like Ilitotibial band (ITB) syndrome or piriformis syndrome. Which are often very related to mechanics and alignment.

@@Biomechanicphysicaltherapy Thank you for taking your time 🙏

Hello sounds like SI joint sacrum probably a little twisted and the pain across the top of the hip is muscular pain from some muscles being overworked due to the strain of the hip bones being slightly out of line. I would definitely find a practitioner who does muscle energy technique And get that sorted out you will be very happy. If it's been going on long time, it will take a bit of maintenance and you may find yourself and PT kind of regularly to keep yourself but PT takes less than an hour, most people think it's worth it to keep things in line. Plus, remember the long-term consequences of potentially deteriorating a joint and then having arthritic pain later so I think it's worth it.

@@Biomechanicphysicaltherapy Thank you so much, best regards, Richard,

Hello @KamiltheCamel Your experience with the physical therapist is one of my biggest pet peeves! To get to the bottom of what your problem is the first thing that needs to happen is a look at your mechanics and your alignment. It might also be helpful to know if you have any arthritis in your hip joint. The pain you’re describing can be from pain within the joint due to arthritis or due to something like a labral tear it could also be from malalignment of the SI which causes pain in the hip when the ileum is not oriented properly with the femur. So it would be really great if you could find a therapist who is interested in mechanics. I don’t know where you live but I’m guessing you are too far away to visit one of our clinics. I believe that the most important and first thing that should be addressed is pain and mechanics once that is handled then you can work on strength. Unfortunately it is a very common tactic for physical therapists to rely on exercise alone. It’s possible that we might be able to help you with a telehealth visit if you cannot find anyone in your area. Not all physical therapists are the same so although I do agree with you that it does not sound appropriate to go back to the person that you were already seeing - but maybe there’s another therapist in your area that could help. If you want to try a telephone video visit with one of our therapists give us a call at 703-723-7726 and they will schedule an appointment with someone who is very good at hips and SI.

@@Biomechanicphysicaltherapy Yeah the whole time I felt very lost. Like, I am going to you over 12 times and not once can you explain what is actually going on. The only real tests they did was testing my hip strength and they found it was really weak. They also saw that I had pronation and a flat foot and helped me have better walking technique, but when there is a lot of pain, I can't really walk correctly. The other really weird thing is the pain comes and goes for NO reason, so I feel so out of control. Like I don't even know what I am doing right or wrong. I am in Washington State, so I am not sure if my insurance would cover a telehealth visit from out of state. If you know anything about that and it does, then I would love to call. Otherwise, if you have any recommendations for the Seattle area, that would be great. Thank you for taking the time to respond.

KamiltheCamel Yes it sounds very frustrating. I will have my people look into it tomorrow. They will need to know some information about your health insurance. I do not know anyone in Washington state I’m sorry. Just call the office at 703-723-7726 tell them about the conversation that we’ve had and I will tell them to expect your call. And they can try to figure it out for you!

hey Kamil, i think i am having the same problem as you. Have you got any information that you gained to share about treating the problem?

@@moodz8111 Lamoy Moodie. It turned out I have Ankylosing spondylitis. Basically I have an autoimmune form of arthritis that mainly affects the hips and SI joint. Literally all they had to do was take an X-ray, but I am young, so they never did. If you don't have an X-ray yet, GET ONE. At the very least you can rule out arthritis and you know it is something less serious.

Will be glad to help! You can also come in for a free 15 minute evaluation if you just want to see what we have to say without treatment.

@Delan Nyandoro If you were initially able to bear weight and then not able to bear weight later it may not be broken. You will of course be able to see from the x-ray. Sometimes the adrenaline will cover up pain however. If the x-ray shows no fracture but the SI and the pubic symphysis are not in line that is something that the physiotherapist could help with immediately and the doctors would not be able to help with. It may be muscular. Take a picture of your x-ray & let us know!

Hello @pudding7074 Gout in the hip is not very common. If you have gout in your great toe that causes you to limp I could imagine it might cause hip pain. If I were to see you in my clinic I would also be ruling out the SI joint and low back. I have seen patients who have no back pain, but have knee or forefoot or heel pain that is coming from their back. I would use muscle energy technique to evaluate and treat as I have not found other physical therapy approaches have helped with those type of cases. I think there are great manual therapists in Australia, call around to the local PT places and ask for Muscle Energy Technique and manual therapy.

Thank you!

@@pudding7074 Sure!

@rad stf It sounds like you have some thing that was not covered in the video. I’m saying this based on the age that you say you are and when your pain started. It’s called a slipped capital femoral epiphysis. Basically due to high impact activity or growing too fast or weighing too much for your joints to take It causes a slip of the growth plate and a slight change in the architecture of your hip. Have you had an x-ray? That could help answer the question.

Happy to help - Sounds like femoroacetabular impingement - could be some arthritis. Usually IR deficit too. Core and hip strength and some specific stretching without causing the pinch is the treatment. Sounds like a more chronic case for it to be B and severe, maybe lumbar compression making it worse. A good mechanical, manual physical therapist would be able to help!

@@Biomechanicphysicaltherapy Thank you for the information. I will look into the physical therapy option to start.

Oh yes it could be a fracture but it could be something else out of line. Unfortunately you’re probably gonna have to get an x-ray to figure that out. The other problem is that with Ehlers-Danlos and the things that happen are unpredictable. There are other things that can be wrong that would prevent weight-bearing if that makes you feel any better for now!

@@Biomechanicphysicaltherapy the other thing that makes me think possible fracture is the bone pain. Like I can Trace it down half of my femur...

@@lifewithkirsten7670 yes that does often indicate fracture but you can have bone pain down to you like even if your SI joint is out. And my longest Ehlers Danlos patient always had bone pain from her SI. She did end up having a fused. Very successful surgery.

FAI starts at four minutes and 16 seconds.

Sounds like SI joint

@@Biomechanicphysicaltherapy thank you! I may make an appointment if I need to. But I also discovered that I can't touch the pain if I try to find it on the outside. It goes from my hip down toward my knee. What do you think that could be? Thanks again I really appreciate it 💖

@@angelr9096 When the SI joint is out of alignment it can cause bone pain down the leg from the hip. Find someone who does muscle energy technique for sacroiliac and get them to put you in alignment. Chiropractors are not as good at SI joint as physical therapists who know muscle energy.

@@Biomechanicphysicaltherapy thank you that helps a lot! I appreciate it

@Kyhree Armstead Physical therapy is usually covered by your insurance with a co-pay of $20-$40 per visit. Here at BioMechanic, if you don’t have insurance or want to go out of network your visit can range anywhere from a free 15 minute screening or for a full visit it can cost between $50 and $110 a visit.

@@Biomechanicphysicaltherapy oh cool, I live in Washington DC and I think you all are in virginia right? Do you take trusted health plan?

Kyhree Armstead yes we take most health insurance as we are about a 40 minute drive from downtown DC. Call the office to find out what your insurance benefits are at 703-723-7726. We are open now and we do the legwork to check on your insurance for you.

@BrightonMusic A problem in the hip could cause pain going down to the ankle especially if you have some bony malalignment but it could also be a sciatica type pain. Definitely would benefit from an experience professional having a look at it and telling you which one it is.

@@Biomechanicphysicaltherapy Thank you. Which type of professional would be best? I am disappointed that my doctors do very little diagnosis. I point to the pain and they make a diagnosis from that description without any physical movements to determine the real cause of my pain that you have so well described.

@@brightonmusic You could try a physical therapist who specializes in bio mechanics, some osteopathic physician‘s (that’s DO not MD) might be able to help you figure it out. There are other physical therapy places besides us who do bio-mechanic physical therapy look for a tagline something like we go to the source of the problem not the symptoms. We all seem to use a similar kind of tagline. Hope this helps and good luck! You could always take a vacation to Virginia Beach or Leesburg Virginia and see us!

@@Biomechanicphysicaltherapy Thank you! Once i am able to travel, the idea of visiting your clinic is definitely appealing.

Hi, did you go to the doc??

A bad day!

Pain on the surface on the outside or lateral to the hip. Sore when you try to massage it. Can also involve itself with the IT band and be tight all the way down to your knee.

@@Biomechanicphysicaltherapy thanx for the reply. Relative to the iliac crest would it be slightly below and slightly anerior?

@@hzk1234 anterior. If you look it up on the Internet you can see a picture. It will not let me attach a picture to this comment.

Also sometimes i get pain on the right right side but on the back

Often times when the alignment is off you cannot see anything wrong on the x-ray. It sounds like your hip bone moved and therefore the leg is no longer in proper alignment in the socket. When your hip bone moves out of position it can give you pain low and to the side on your back and in the socket and down the leg. See if you can find a muscle energy technique physical therapist in your area. If we’re not too far come and visit us and we can fix it. One of the other problems that young people have if they are overweight is they can have a shifting of the growth plate. But that you would see on x-ray.

@@Biomechanicphysicaltherapy I am actually fairly light 41kgs, I am afraid i live in another country (Australia). Is there way to see if my leg is in proper alignment? Also should i go on with the x ray if it might be other things?

Also my left collar bone is slightly higher then my right one.

@@its_chyguy6892 your left hip bone is probably shifted up relative to your tailbone. We call that an ilial upslip.

Hi I am so sorry to hear that. That’s not quite enough information for me to help you. If you would like to schedule a phone consultation call the office. We can do a Skype visit if you’d like.

You could have more than one thing going on. But the other thing I’ve discovered. When the inflammation or problem has gone on for a long time, the whole darn thing hurts. So as soon as you get under treatment and start getting the pain and the inflammation handled, the pain will start to get more specific from where it actually started as. Maybe you can remember which pain it was when it first started? Or you could try to find a good Physical Therapist with an MLS cutting edge Laser to decrease your inflammation and help focalize it.

Yea, Sometimes it’s hard. An in person diagnosis would be the best. You can see an orthopedic MDor a physical therapist with a direct access license to diagnose.

60 years old is just sort of a hallmark for how long the problem has probably been going on and how much it has deteriorated. An x-ray would be a better indication than your age, but you know how the studies will correlate age with deterioration and that's just what the studies show.