How does it hurt to hit your hips and do weight-bearing squats?
When snapping your fingers without pain, you generally don't need treatment. When there is a click sound accompanied by pain or mental burden, rest, physical therapy, braking and corticosteroid local blocking can be used.
1. Treatment principle: relax tendons and activate collaterals, relieve spasm and dredge collaterals.
2. Commonly used acupoints and positions are located in the middle of the lower jaw, Huantiao, Shi Feng, Yangling and Weizhong, as well as the lower waist, buttocks and outer thighs.
3. Common techniques are kneading, pulling, holding, kneading and hot compress.
4. Operation method The patient is in prone position, and the doctor is standing on the affected side. Massage the sacrospinous muscles on both sides of the lumbosacral segment with the palm root, focusing on the affected side and gradually transitioning to the affected hip. From lumbosacral to hip, it takes about 3 ~ 5 minutes to do the back-and-forth manipulation, rubbing Weizhong point 1 minute.
The patient takes a lateral position, with the affected side on the top, starting from the hip, passing through the lateral part of fascia lata and iliotibial tract downwards, rubbing the palm root to the lateral side of the knee joint, and going back and forth for about 5-8 minutes, in coordination with the passive movement of hip flexion and extension. Then do a back-and-forth stroke along the iliotibial tract from top to bottom. According to the acupoints, there are Orange Show, Huantiao, Shi Feng and Yanglingquan.
In supine position, the patient rubs the palmar root up and down for 5-8 minutes from the anterior superior iliac spine and tensor fascia lata, through the anterior and proximal femur, from the lateral thigh to the lateral knee joint, and cooperates with the passive movement of hip joint internal and external rotation. Then the tensor fascia lata of the anterior superior iliac spine and the tense fascia at the greater trochanter were removed. Finally, apply the rubbing method to the affected area, with heat as the degree. And can be hot compress at that big rotor.
Surgical therapy
If the symptoms are severe and the umbilical cord is obviously thickened, surgery should be performed when conservative treatment fails. There are four methods: ① it is a common operation to cut or cut the thick umbilical cord until the bounce and friction are completely eliminated; ② The umbilical cord was cut, and the distal end was shifted and sutured. If there is bursitis, the greater trochanter capsule is removed at the same time. ③ The lengthening of iliotibial tract can maintain the stability of pelvis when standing or walking. (4) If the local bony process is too large, it can also be chiseled for early postoperative functional exercise.