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Primitive Therapy
22691 Lambert St #520
Lake Forest, CA, 92630
949-310-4276(phone)
888-391-4236 (fax)
info@primitivetherapy.com


The Hip Pain Solution

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Learn how to solve your pain by following simple exercises. These exercises are design for people who want to self-manage their pain from home and for those who are currently getting treatment and want to get better and longer lasting results.

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The Hip/Pelvic Pain Solution

The hips and pelvis are the center of the body. All strong, powerful, and efficient motion begins with stable and coordinated movement of the hips and pelvis. Martial Artists know that the pelvis is the key to their techniques that allow them to move themselves and others in ways that seem impossible to the untrained. The coccyx is the center of the pelvis. It is the base of the spine, the site of many muscle, fascia, and ligament attachments, the primary attachment point for the pelvic floor muscles, and the terminus of the dura.

Pelvic Obliquity

When the pelvis is misaligned it creates what's known as a Pelvic Obliquity. This means an unleveling of one side of the pelvis versus the other. Often times one crest of the pelvis will be higher than the other or one side will rotate forward or backward in relation to the other side. When any of these things happen, the center of the body cannot move efficiently and thus the entire body cannot move properly.

The SI Joint

The primary joint of the pelvis is the Sacro-Iliac Joint. This joint is often the most symptomatic joint in the body when low back or hip pain is present. Treatment of this joint is where we almost always start at Primitive Therapy.

The Hips

The hips come attach to the pelvis and are intimately related to the pelvis. Improper movement of the hips leads to improper movement of the pelvis and vice versa. The two regions are so closely connected that treatment to one region cannot but treat the other region also. Often times pain in the hips is caused by dysfunctional movement in the pelvis; and pain in the pelvis is due to dysfunctional movement in the hips.

The Coccyx

The coccyx (the small, pointy tail bone at the base of the spine) is one of the most important bones in the body. Pain at the coccyx itself is not very common (although it does happen, and this is called coccodynia). But pain and symptoms resulting from coccyx dysfuntion is very common.

The coccyx can be considered the center of the center of the body. The center of the body is the pelvis. All strong, powerful, and efficient motion begins with a stable and coordinated pelvis. Martial Artists know that the pelvis is the key to their techniques that allow them to move themselves and others in ways that seem impossible to the untrained. The coccyx is the center of the pelvis. It is the base of the spine, the site of many muscle, fascia, and ligament attachments, the primary attachment point for the pelvic floor muscles, and the terminus of the dura. We will explain these in more detail below.

The Coccyx: Base of the Spine

The coccyx is the base of the spine. Above it are the sacrum (pelvis), lumar vertebrae (low back), thoracic vertebrae (mid-back), cervical vertebrae (neck), and cranium (skull). Each of these areas can be significantly hindered by improper motion of the coccyx. Imagine trying to balance on a foot that is twisted sideways. That's what your spine is trying to do if your coccyx is not moving properly.

The Coccyx and 'Core' Stability

The pelvic floor muscles are the muscles that make up the bottom of our abdominal cavity. Among other things, they control the release of urine and feces. But they also act as primary stabilizers for the low back and pelvis during movement. Dysfucntion of these muscles is very common in those with low back pain and facilitation of their function is one of the primary goals for treatment of low back pain. These muscles have their primary attachment to the coccyx. Even slight dysfunctions in the coccyx can severely limit the strength, endurance, and coordination of these important muscles.

The Coccyx the Incontinence

Not only are the pelvic floor muscles keys to solving low back pain, but the pelvic floor muscles are the most important part of treating incontinence (the inability to control urine or feces). Incontinence is a silent epidemic in our culture and can often be treated with simple physical therapy treatments. Read more about incontinence. The coccyx is king of getting the pelvic floor muscles back to normal functioning.

The Coccyx: Terminus of the Dura

The dura is a continuous sheath of connective tissue surrounding the brain, spinal cord, and peripheral nerves (the nerves of the entire body). It has many attachment points, but none more important than the coccyx because the coccyx is the terminal end point of the dura. (Second only to the coccyx in importance to the dura is the sphenoid bone in the skull). Improper movement of the dura affects motion throughout the body - numbness and tingling in the legs and arms, headaches, low back pain, etc can all result from dural dysfunctions. The dura is of great importance in the treatment of neurovascular symptoms.

Treatment of the Coccyx

Sometimes treatment of the coccyx is simple: some gentle pressure to it from the outside can sometimes completely resolve its dysfunctions. Unfortunately, often times the coccyx is so dysfunctional that only an internal mobilization can effect the changes it will need. An internal coccyx mobilization involves mobilization of the coccyx through the rectum. Although this sounds terrible, it is not nearly as bad as it seems. The patient lies on his or her side and attempts to relax while the therapist inserts his or her finger into the rectum and applies gentle but firm pressure to the coccyx to enhance its movement.

You Must Be Actively Involved

The only way you will ever get better is if you are actively involved in your treatment. Although our magic hands can change your body, improve your movement, and reduce your pain, you are the only one who can learn to move better, change the way you treat your body, and keep up with your exercises. We are very successful and get excellent results for our patients, but that is only because our patients know they are more than 50% responsible for their recovery. We are not into failure, and neither should you be!

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