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Physical and
occupational therapy
Physical therapy and occupational therapy are two complementary types
of physical medicine and rehabilitation that allow patients to recover.
Physical therapy helps a patient to regain strength and balance after
an injury. Once a person has recovered, they may want an occupational
therapist to teach them how to function normally amidst their disability.
Simple tasks like going to the store or making dinner can be done,
but the way to go about doing those tasks may need to be modified.
An occupational therapist can help with that.
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Treatments you can
administer at home
Anti-inflammatories
Non-steroidal anti-inflammatory medication, or NSAIDs,
such as ibuprofen (Advil, Nuprin and Motrin IB) help reduce swelling
and inflammation and can be quite helpful to a torn ligament. The ibuprofen
also helps mask the pain of a knee injury. Use NSAIDs cautiously, however,
as taking them regularly over a long period of time can cause ulcers
or other gastro-intestinal problems.
Just remember that while using NSAIDs, you should also be taking other
precautions to heal your pain. COX-2 inhibitors can help lessen the
stiffness brought on by arthritis pain. Vioxx can help manage both
osteoarthritis and rheumatoid arthritis pain. While they are able to
help with the pain, they also might make it difficult for the body
to heal ulcers, so be sure to consult with your doctor to make sure
this is the right treatment for you.
Another anti-inflammatory that can be
useful is enzymes. The FDA has labeled them "GRAS" (or generally
regarded as safe), which means they can be used to treat hip pain with
little to no side effects.
RICE: Rest, Ice,
Compression, Elevation
This is an easy-to-remember four-step formula for treating a hip injury that's
incurred from activity.
- Rest: keep the hip away from any stressful
activity, preferably immobile initially.
- Ice: apply ice to the hip to control
swelling and inflammation. Wrap ice in a towel so that it doesn't
agitate the skin.
- Compression will help prevent hemorrhaging
or internal bleeding.
- Elevate the leg above the heart to reduce
internal bleeding.
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Vitamins & Supplements
Glucosamine & chondroitin sulfate
Jane E. Brody, "Personal Health" columnist for The New York
Times, says that European researchers have shown that glucosamine
and chondroitin taken orally find their way to articular cartilage,
and biopsies of some treated patients have shown structural improvements
in damaged cartilage. Those who suffer from arthritis pain can find
this particularly encouraging. These compounds are already found
in the human body, and they protect cartilage like a cushion at the
ends of the bones. They can structurally improve damaged cartilage.
Glucosamine is able to repair joints
by providing the elements the joints need to repair the damage caused
by injury or arthritis. The joint cartilage absorbs glucosamine, and
it helps to form cartilage by capping the ends of bones. Glucosamine
also keeps the mechanisms that build and deteriorate cartilage balanced,
thereby preventing unnecessary or untimely tissue loss.
Chondroitin keeps the enzymes in the
hip from eating away at cartilage and helps other enzymes in moving
the flow of nutrients to the cartilage in the hip. In test tube studies,
chondroitin has been proven to stop certain enzymes from breaking down
cartilage further.
MSM
Methyl-sulfonyl-methane (MSM) is a sulfide that the body naturally
produces. Those suffering from hip pain may find that it helps lessen
their pain. MSM is, for the most part, safe. It increases the flow
of harmful substances out of the cells and prevents pressure buildup
in the cells, which causes inflammation in the joints. MSM is most
widely used as an anti-inflammatory for joint and hip pain associated
with arthritis.
Although the body produces MSM, additional
MSM is found in other foods such as milk, meat, vegetables, fruit and
seafood. However, due to the abundance of processed foods, it can be
hard to get the recommended dosage. Steamed foods, washing foods
and aging can also reduce MSM levels.
Shark cartilage
Shark cartilage has been shown to lessen the pain and stiffness in
hips. This is because it contains mucopolysaccharides, powerful anti-inflammatory
molecules. Shark cartilage is available in capsule form that can
be taken as a dietary supplement. While it may not completely eliminate
the pain, it might help.
Shark cartilage is a nontoxic, natural
supplement that contains calcium, phosphorous and complex carbohydrates.
The calcium and phosphorous is easily absorbed into the body, and the
complex carbohydrates have been shown to reduce inflammation.
Using shark cartilage, Dr. Joseph Orcasity,
a consultant at the University of Miami Medical School, treated a dozen
elderly arthritis patients with severe hip pain. He reported that after
taking shark cartilage for four weeks, most patients exhibited reduced
pain and swelling and increased mobility.
Gelatin
In a recent study, gelatin capsules have been shown to help reduce
pain and stiffness in athletes at Ball State University. The concentration
of gelatin must be much greater than what is found in a bowl full
of Jell-O, but it is essentially the same thing. This supplement
is classified by the Food and Drug Administration as GRAS (or generally
regarded as safe).
Minerals
Not only can minerals such as boron, copper, manganese, silicon and
zinc help treat osteoarthritis, they can also be beneficial to
your overall health. Although many of the foods we eat contain
these minerals, they can also be taken as a supplement. Some of
these minerals act as anti-inflammatories, while others act as
antioxidants.
Vitamins
Vitamins can be helpful in alleviating pains associated with rheumatoid
arthritis, an autoimmune disorder that attacks tissues in the body.
The tissue degeneration causes pain in the joints. Vitamins can
help the immune system eliminate these toxins in the body, preventing
cartilage from breaking down so rapidly.
Herbs
Taking herbs is sometimes considered archaic or analogous. However,
herbs actually are good for your health. Certain herbs such as
licorice, ginseng, cat's claw and echinacea can help the immune
system by reducing inflammation as they bolster cell membranes.
Other herbs that can help alleviate pains associated with osteoarthritis
or rheumatoid arthritis are Chinese skullcap, devil's claw, curcumin,
yucca, ginger and witch hazel.
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Alternative
Medicine
In some cases, the treatments listed here do not change the structure
of the hip, but they can be a great way to manage pain — with
virtually no side effects, if done correctly. Some of these treatments
may be more effective on some people than others. If you would like
to seek alternative treatment, try to find something that works best
for you.
Acupressure
Acupressure is an ancient Chinese form of therapy where pressure
is applied to the body in order to increase blood circulation
and relieve pain. This unique form of massage can relax muscles
and compress nerve fibers that cause pain. If you are interested
in experimenting with this form of therapy, you can either find
a professional acupressure therapist, or simply go to the bookstore
and find a book that will show you how to try the techniques
at home by yourself or with a partner.
Acupuncture
Those suffering from hip pain may find relief from visiting an
acupuncture specialist. During acupuncture, hair-thin needles are inserted
into various parts of the body and are stimulated to alleviate pain in many
forms including, but not limited to, nausea, dental pain, muscle pain, menstrual
cramps and pain from osteoarthritis. This 3,000-year-old Chinese art gained
credibility in the Western world in 1997 when the National Institutes of
Health declared it efficacious.
The Chinese believed that
by balancing the positive and negative energy in the body, pain relief can be
achieved. They found acupuncture to be an effective resource to achieve
that balance. Other modern-day doctors believe that acupuncture stimulates
pressure points, thus releasing relaxing endorphins. Whatever the
case may be, acupuncture provides relief to many people suffering
from pain.
If you decide to try acupuncture, be
sure to have a licensed professional administer the treatment. Also,
get a physician's referral for an acupuncturist close to you. An
acupuncturist should be certified by the National Commission for
the Certification of Acupuncturists. You can obtain a list of certified
specialists in your area by calling the American Association of Acupuncture
and Oriental Medicine.
Bee Venom
Bee venom therapy (BVT) is a toxin that is put into a certain part
of the body. The toxin is attacked by the immune system, making
it stronger and more prepared to deal with future toxins. The body,
in a way, creates its own antibody against the bee venom in that
area. This therapy should be administered only by a licensed practitioner.
Hydrotherapy
Spas and whirlpools are sometimes used to improve circulation and
relieve chronic pain in the back and joints. Different therapy
uses different temperatures of water. Cold water reduces inflammation,
while cold and warm water improves circulation.
Dr. Nooshin K. Darvish, a specialist in hydrotherapy,
recommends that patients apply moist heat to the hip for three minutes
followed by cool water for one minute. This should bring relief and
stimulate circulation.
Massage
Therapy massage not only feels good, it is an effective way of relieving
pain. A masseuse will increase the circulation of the body through
rhythmic hand motion. In sports, massage therapy can be used to
prevent strain by warming up athletes prior to a workout. The muscles
can also be massaged after a workout to bring blood and oxygen
into the muscles to flush out metabolic waste and increase circulation
to the muscles to bring them the nutrients they need to heal after
strenuous activity.
For those suffering from arthritis, massage can also
be very helpful. Massage will help blood circulate into the painful
area, bringing essential nutrients to the muscles and joints, which
will help reduce inflammation and break up scar tissue and adhesion
that is causing pain.
Reflexology
Reflexology has been used as a method to relieve pain for thousands
of years beginning in ancient Egyptian culture. The premise is
that by massaging the feet or hands, you can help ease pain in
another part of your body. By massaging a certain part of your
foot, for instance, you may be able to soothe hip pain.
Zen
Over the past few years, a scientific affirmation
has verified the idea of "mind over matter." Zen is a method
employed by some to shape mental state and, in some ways, actually
control pain. The thought process helps patients achieve focus and
discipline.
Yoga and Tai Chi
Ancient Oriental exercises have become increasingly popular in the
United States over the past few decades. These exercises stress
the importance not only of physical agility but of joining the
mind and body to have mental control over the physical state. These
exercises are not only trendy, they are useful in increasing flexibility
and gaining strength, which can help prevent and alleviate
pain.
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