♪ Bob and Brad ♪
♪ the two most famous ♪
♪ physical therapists ♪
♪ on the internet ♪
- Hi folks, I'm Bob Schrupp, physical therapist.
- Brad Heineck, physical therapist.
- We are the most famous physical therapists
on the internet.
- In our own opinion, of course Bob.
- Today we're talking hip pain.
15 signs that you need to see a doctor immediately.
Let's get started Brad.
- There you go, Bob.
Number one, you're unable to weight on it.
This is certainly true
if you went through some trauma or injury.
- Exactly.
- Like if you went through an athletic injury
and you just can't take weight on it,
I mean, that's of concern.
- Right, yeah you've got to get in
see if it's fractured or something.
- You don't have x-ray vision I'm sure
so you're gonna need someone to take a look at it.
Number two, kind of along the same vein,
you can't even move the leg or hip.
It's so painful.
You're body is gonna naturally brace a limb
if it's really injured.
- Right, exactly Bob.
- That's why nice about the body,
it's smarter than we are.
- You gotta get it checked out.
Doesn't mean that it's necessarily injured seriously
but you need to get it checked and find out.
- You need to get it ruled out.
Number three, the joint appears deformed or is bleeding.
Yeah, if you look at a joint and it looks angulated
I think people mostly know
that you're gonna go in to see the doctor.
- And when you're saying bleeding
you don't mean necessarily like the skin is ripped open,
but internal bleeding?
- Well, yeah.
I have to be honest with you,
this was a off a list or different lists
that I pulled off,
so I wasn't sure where they were headed with the bleeding.
'Cause you can see some bruising
and bleeding and I wouldn't go in necessarily.
It does mean a more serious injury by the way
when there is bruising.
- I had a friend, he fell on his,
it was very dark and purple,
so it was bleeding inside.
Not the skin.
- So did he go in?
- Actually he did, and I advised him to.
But then he actually, I take that back.
He did, but it took a little bit of
- Coercion?
- Yeah, a littler persuasion
and he did and everything was fine.
But yeah, that was that was definitely internal bleeding.
- It's one of those things I'm kind of on the fence.
But look at other factors. - Sure.
- Like if someone's really young,
you know what I mean? - Right.
- There's some bruising there.
Yeah, maybe not.
- Especially if there's an obvious cause.
They fell on it.
If it just comes without any apparent reason.
- Yeah, if they fell on it
and they're still able to walk on it
and they're still, you know what I mean?
They're still able to move it,
I probably won't go in.
Number four, if you have severe back pain
in addition to hip or leg,
I would probably go in.
'Cause that means it's,
especially after an injury, it's probably pretty severe.
- Right, right.
And there's too many things that it could be related to.
- You might have also have numbness
or tingling or pins and needles.
And then we're thinking,
of course that you might have a herniated disc in your back.
Something from your back is pushing on the sciatic nerve.
- So he's talking about pins and needles pain
going down the leg.
That's a red flag, too.
- Previous history of cancer or tumor.
Boy, we just got some bad news.
Former girlfriend of mine.
I don't wanna obviously say her name.
But one of the first girls I ever dated,
I just found out she's got osteosarcoma.
Which is really weird
because I don't know if you remember this Brad,
that's a cancer in the bone.
Usually young people get it.
Usually like 14, 15.
So anyways, she broke her hip, not knowing what it was.
- Oh I see.
And they found out that it was cancer.
- That's terrible.
- Number six,
if hip pain came on suddenly for no apparent reason.
That's always a red flag.
And when we say a red flag,
that means it's a warning signal to you
that you probably should go in and see the doctor.
- Go in and get it ruled out one way or another.
- Sudden swelling in the leg.
Kind of the same issue.
- Either around the hip or down the leg
'cause the hip could be causing the swelling
and gravity pulls that fluid downward.
- Number eight, anytime pain in the hip is really intense.
Again, your body's gonna warn you.
If something's really going on bad
it tends to really give you intense pain.
So you're gonna go and check it.
Number nine, signs of infection,
fever, chills, redness, warmth.
That's where often you can get really pretty
severe pain too, if there's an infection.
- So I guess maybe we should clarify this.
You have hip pain
and then along with that, not just,
I mean it might be warm to the touch around the hip,
but your body may have a fever as a result of the,
if it is an infection in the hip.
So, you know the body really reacts to infections,
not just locally but throughout the whole system.
- Still amazed at my mother-in-law
had an infection in her knee
and she went to the hospital three times
and they still didn't pick it up.
And she went to another hospital
and they picked it up within 10 seconds.
- So the second opinion or a different doctor.
- I don't know, it's just strange
Number 10, if you've had a fall or another injury
that initiated the pain.
Especially again, as you get older.
That I'm always concerned of course.
It's pretty easy to break a hip
as you get up in our neck of the woods, right Brad?
(chuckling)
Number 11, if you had to hip surgery in the past six months
and you're having a lot of pain.
You probably should have it checked.
- Yep, absolutely.
- Number 12, if you're a child
and you have hip, groin, thigh pain without an injury.
- Yep, we did a video on that actually.
- I remember you did that, Brad.
- I'm trying to think of the name of it.
Hip pain.
- You're trying to remember the actual name of the video.
- Yeah, but my memory not there.
- It was fairly rare occurrence.
- Yeah, it's not common.
- But when it happens, it happens.
- And it's easy to rule out.
Just a simple x-ray and that's all.
- If you're feeling unwell in addition to the hip pain.
Again, we're worried about something more ominous.
If you've been feeling kinda crappy
and all of a sudden you get hip pain along with it.
You may wanna go in.
- The two may be related and just check it out.
- Number 14, if you start hearing popping noise
when you have injured it
and you didn't hear popping noise before.
- Particular if there's pain associated with noise,
then it's even more so of a red flag.
- It's funny it's not necessarily true with a hip
as much as you might do with a knee or even an ankle.
But like athletic injuries, you'll hear a pop.
Quite often they say it,
I heard a pop and they tore ACL
or MCL or something like that.
- Number 15,
if you developed unexplained weakness in your leg.
That would be another reason to go in.
- Exactly.
- No, I guess overall I would say,
if you just don't feel comfortable with it
go and see your doctor.
It's so much easier to move forward
and if you know that other things have been ruled out.
- Exactly, it's just that peace of mind
is gonna help you sleep.
And then that's gonna help your hip get better
and your nerves and all those things.
- By the way, this video is a series of videos,
part of a series of videos on hip pain.
If you wanna see the entire series go to bobandbrad.com.
Go to the program section.
- Right.
- And under the program section
you'll see the hip series and check it out.
You'll see all different titles.
Watch the ones that seem to apply to you.
- You don't have to watch them all, that's for sure.
That's the beauty of it.
We don't take your email,
it's completely completely free.
- Nope, it's completely free.
- And this is gonna be a podcast too, it's own way.
- This one's gonna be a podcast.
- So you can listen to us
and watch us at the same time. - Watch our faces.
- There you go.
- Then people will double jeopardy.
(laughing) - Thanks for watching.
(rhythmic guitar music)