dancer hip pain

[Guest guest]

Hi all: I need a magic bullet STAT!

19 yo female dancer (17 years of dance), presented with left sided thoracocervical pain after wrestling with brother. Treated with massage and osseous adjusting - resulting in complete resolution of pain and restoration of ranges of motion after one treatment. She has had a history of "popping" her right hip in and out ("it grosses people out.....") which apparently started with a minor dislocation a few years ago resulting in occasional flareups of pain. She was having minimal pain until after treating her TC problems. Now, she has pain ("pinching") at anterior hip/ inguinal area, increased with ext rot, flex, abduct; right iliopsoas tests weak; PI ilium (short 1/2") right. Tried adjusting pelvis, side lying psoas massage and stretch, AP low thoracics, C2 adjust same side and the only thing that would strengthen psoas even temporarily was AK neurolymphatic stimulation (brisk rubbing) which I tried as a last resort (since I am not adequately trained in AK).

She has to dance in three days at a fair.

What's a doctor to do?

Thanks!

Rod DC

PS I also need a referral for an MD who can adequately diagnose a closed head trauma (auto accident).

[Guest guest]

What's her films look like

Carl Bonofiglio

-- dancer hip pain

Hi all: I need a magic bullet STAT!

19 yo female dancer (17 years of dance), presented with left sided thoracocervical pain after wrestling with brother. Treated with massage and osseous adjusting - resulting in complete resolution of pain and restoration of ranges of motion after one treatment. She has had a history of "popping" her right hip in and out ("it grosses people out.....") which apparently started with a minor dislocation a few years ago resulting in occasional flareups of pain. She was having minimal pain until after treating her TC problems. Now, she has pain ("pinching") at anterior hip/ inguinal area, increased with ext rot, flex, abduct; right iliopsoas tests weak; PI ilium (short 1/2") right. Tried adjusting pelvis, side lying psoas massage and stretch, AP low thoracics, C2 adjust same side and the only thing that would strengthen psoas even temporarily was AK neurolymphatic stimulation (brisk rubbing) which I tried as a last resort (since I am not adequately trained in AK).

She has to dance in three days at a fair.

What's a doctor to do?

Thanks!

Rod DC

PS I also need a referral for an MD who can adequately diagnose a closed head trauma (auto accident).OregonDCs rules:1. Keep correspondence professional; the purpose of the listserve is to foster communication and collegiality. No personal attacks on listserve members will be tolerated.2. Always sign your e-mails with your first and last name.3. The listserve is not secure; your e-mail could end up anywhere. However, it is against the rules of the listserve to copy, print, forward, or otherwise distribute correspondence written by another member without his or her consent, unless all personal identifiers have been removed.

[Guest guest]

Rod,

What type of dancing is she involved with? Anterior hip pain is common among dancer's, skater's and golfer's. When there is popping involved that emanates from the inguinal region you most differentiate from psoas tendon snapping over the pelvic brim or a hip labral tear. However, pinching pain is more commonly associated with a positive capsular pattern test (Cyriax) of flexion, adduction and internal rotation. This can be a labral tear, psoas bursitis, or hip dysfunction. External rotation coupled with abduction would tend to indicate more of a muscular component, ex. adductor brevis, pectinius, iliopsoas... Some are treatable in 3 days. The labrum is more like 6 months.

Ted

Ted Forcum, DC, DACBSP, FICC, CSCSMedical Director, 2005 Portland US Figure Skating ChampionshipsBack In Motion Sports Injuries Clinic, LLC11385 SW Scholls Ferry RoadBeaverton, Oregon 97008

On Wed, 11 Aug 2004 13:11:45 -0700 "rod jackson" <rjacksondc@...> writes:

Hi all: I need a magic bullet STAT!

19 yo female dancer (17 years of dance), presented with left sided thoracocervical pain after wrestling with brother. Treated with massage and osseous adjusting - resulting in complete resolution of pain and restoration of ranges of motion after one treatment. She has had a history of "popping" her right hip in and out ("it grosses people out.....") which apparently started with a minor dislocation a few years ago resulting in occasional flareups of pain. She was having minimal pain until after treating her TC problems. Now, she has pain ("pinching") at anterior hip/ inguinal area, increased with ext rot, flex, abduct; right iliopsoas tests weak; PI ilium (short 1/2") right. Tried adjusting pelvis, side lying psoas massage and stretch, AP low thoracics, C2 adjust same side and the only thing that would strengthen psoas even temporarily was AK neurolymphatic stimulation (brisk rubbing) which I tried as a last resort (since I am not adequately trained in AK).

She has to dance in three days at a fair.

What's a doctor to do?

Thanks!

Rod DC

PS I also need a referral for an MD who can adequately diagnose a closed head trauma (auto accident).OregonDCs rules:1. Keep correspondence professional; the purpose of the listserve is to foster communication and collegiality. No personal attacks on listserve members will be tolerated.2. Always sign your e-mails with your first and last name.3. The listserve is not secure; your e-mail could end up anywhere. However, it is against the rules of the listserve to copy, print, forward, or otherwise distribute correspondence written by another member without his or her consent, unless all personal identifiers have been removed.

[Guest guest]

It sounds like Ted is right on.

I have great luck with the drop table adjustment:

pt. supine;

test joint play with thigh and hip at 90 degrees;

also do Fabre test (named after Green Bay Packer's great, Brett Fabre);

both hands reinforcing one another around anterior upper thigh;

pt's calf can be over your shoulder or mashed down like a chicken leg against their thigh;

internally rotate usually to pre-stress hip joint;

thrust down long axis of femur while pulling inferior;

yelling something karate-like often helps:

(i.e. hee-yaw-huh! as opposed to Arkansas-like, " Hee-Haw " );

adjustment usually shows vast improvement in pain level and ROM;

Stony used to suggest ultrasound for everything hip- related;

It is feasible to apply ultrasound to the hip joint from the anterior aspect; just have the pt. don some shorts and tuck a towel under the south edge and hold it with her hand to allow her to feel comfortable with the delicacy of the area;

E. Abrahamson, D.C.

Chiropractic physician

Lake Oswego Chiropractic Clinic

315 Second Street

Lake Oswego, OR 97034

503-635-6246

drscott@...

or

info@...

From: " rod jackson " <rjacksondc@...>

Date: Wed, 11 Aug 2004 13:11:45 -0700

< >

Subject: dancer hip pain

Hi all: I need a magic bullet STAT!

19 yo female dancer (17 years of dance), presented with left sided thoracocervical pain after wrestling with brother. Treated with massage and osseous adjusting - resulting in complete resolution of pain and restoration of ranges of motion after one treatment. She has had a history of " popping " her right hip in and out ( " it grosses people out..... " ) which apparently started with a minor dislocation a few years ago resulting in occasional flareups of pain. She was having minimal pain until after treating her TC problems. Now, she has pain ( " pinching " ) at anterior hip/ inguinal area, increased with ext rot, flex, abduct; right iliopsoas tests weak; PI ilium (short 1/2 " ) right. Tried adjusting pelvis, side lying psoas massage and stretch, AP low thoracics, C2 adjust same side and the only thing that would strengthen psoas even temporarily was AK neurolymphatic stimulation (brisk rubbing) which I tried as a last resort (since I am not adequately trained in AK).

She has to dance in three days at a fair.

What's a doctor to do?

Thanks!

Rod DC

PS I also need a referral for an MD who can adequately diagnose a closed head trauma (auto accident).

OregonDCs rules:

1. Keep correspondence professional; the purpose of the listserve is to foster communication and collegiality. No personal attacks on listserve members will be tolerated.

2. Always sign your e-mails with your first and last name.

3. The listserve is not secure; your e-mail could end up anywhere. However, it is against the rules of the listserve to copy, print, forward, or otherwise distribute correspondence written by another member without his or her consent, unless all personal identifiers have been removed.