♪ 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 therapist
on the internet.
- In our opinion, of course, Bob.
- Right.
- And don't forget Sam.
- Right Sam, we're gonna introduce Sam.
Sam is skeleton.
Today we're gonna talk about
what is causing pain on the side of your hip.
There's two common possibilities.
So yeah,
first we got to let you know what we consider the side.
- Yeah
And because a lot of people
when they get hip pain, they think it's back here.
- Right.
- And, but the side is right on the side.
Brad's gonna show on the skeleton here.
- It's right...
You know, a lot of people think
the hip is up here at the Belt Line, but that's your pelvis.
The hip is low it's down here, right
with this, right here.
- Right.
- And it is a little bit lower.
- So on the side
And this is where the problem area is right here
over the quarry greater trochanter.
So we're gonna discuss what the two issues are now.
The first one is a trochanteric bursitis.
Now this is the one that is usually diagnosed.
- Yep.
- But according to the people I've been reading now
they think it's not as common as the second one
which I'll talk about also.
- Sure.
So with bursitis, you actually, with over a lot
of joints and a lot of bony areas, you actually
have like a fluid filled SAC and that's called a bursa.
- Right.
They're all over the body
they're under knees, hips, shoulders.
- Yeah, I think there's a number in the hip.
Isn't there?
- Right. Well, number of the knees to it but
- Right.
- Regardless, they're there
and they're good source for pain.
Cause they can irritate a lot of nerve endings there.
- Yep, and so that's what happens with bursitis.
You got inflammation of the bursa.
So bursitis
and you know, it hurts when you do a lot
of things and we're talking about what those symptoms are.
- Sure.
- The second one that they think is actually
more common now, but it's misdiagnosed
because they're both present exactly the same
- Same symptoms.
- Same pain, location.
- Even the, everything.
So this is a mouthful,
gluteal tendinopathy.
So this is the gluteus glues, gluteus muscles.
So Brutus Maximus, a lot of people have heard of that.
That's your butt muscle there?
- Big butt but large muscle.
- The two smaller muscles, the glute gluteus minimus
and the gluteus medius are more on the side here.
- Right.
So yeah, they're more up above the top of the hip.
And then they kinda fan out across the pelvis right here.
- Right.
- Connecting down.
- So the muscles come down, they narrow up into a tendon
and that tendon is degenerated or it's, it's wore out a bit.
- Right.
- So, and that's why you're getting pain.
So all three of those muscles by the way, Brad
they stabilize the hip, they move the hip.
But they also hold that ball into the socket.
- Yeah right here.
- Yep, it's just like the rotator cuff holds
the humerus into the socket.
This, those muscles all, if you're not walking right.
If you're hurting, you're gonna get that sloshing
around, (coughs) excuse me.
So one of the symptoms, again, they're
both the same and luckily the treatment's the same too.
- Right.
- And we'll talk about it the next video.
Number one, you're gonna to have pain
on the side of your hip.
Now it also may refer down a bit.
- Sure.
- It may go down into the side.
- Yep.
So where the stripe is, you know
right there as a side right there.
I can feel that bone right there.
And if I go like that, I can feel it very distinctly.
And Bob says the pain will refer or go down this way.
- I don't think it would go any further in need you'll be
- Probably not.
- Unlikely zone down to the knee.
You have pain when you lie on the hip,
directly on the hip.
And a lot of people keep doing that even if(laughs)
- Well, if you have a habit
of sleeping on your side, it's, you know, you fall asleep
on your back and you wake up and your side with a sore hip.
- Right, do you mind Brad?
I'm gonna show something real quick here too.
- Oh, I'm sorry, I'm in your way.
- So you don't wanna lie on the hip,
but it's also a problem.
If you don't lie at hip, let's say the hip is like this.
Look how it's down
- It's the road to femur he's talking about.
Angle down.
- So you wanna put a pillow between the legs.
- Oh, I'll get one for you Bad.
- And that's gonna be,
I sleep this way, Brad.
So I know, I actually I'm of the age now 60
where things like start aching just
when you don't sleep right.
So I was sleeping like this,
yep. and I was getting hip pain.
- Yeah, stretching it out.
- So this is a very simple.
- You just gotta buy more pillows when you get older.
- Well, I use a, a special pillow.
- Oh, you do?
- Yeah a smaller one, that's not warm you know,
Cause it gets too hot.
- We don't have, we don't have to know your issues.
- All right, number three, you have pain when getting
up from a low surface, like
or trying to get it out of the car.
- Right.
- And it puts a lot of stress on the hips especially
- Well, yeah if you were gonna sit
on this little stool or even down here would really be up.
- Right, right.
(chuckles) - You can see how much hip,
hip stress stress there is.
You have pain when pressing on the side of the hip.
So, you know, and that's
that's the tricky one because you think, Oh, it's bursitis.
But when you push out,
you're also pushing on some of those tendons.
- Well, yeah, the location
is very close to all this, but yeah
every time I have a patient
I'll go over here and I'll find that greater trochanter
and I'll press on there and (screams)
they say, it's right there.
That's the spot.
- Yeah pain with going upstairs, running, jogging.
Obviously that makes sense.
Sometimes people may have it with standing.
Cause you know you're putting stress on this while walking.
- Right when the weight goes through there.
Things tighten up.
- Sometimes a lot of people have pain
with just even prolonged sitting too.
- True.
- Just, and you know there's no movement
going on and joints don't like that.
So you end up having pain.
- Particularly when you get up and your
things are tightened up and they stretch a little and
- Number seven is a waddle type gait.
Brad's gonna demonstrate that.
- Trendelenburg?
- Yeah trendelenburg that's the clinical version.
- That's where you see that person kinda walking
like this and that's on one side.
So my, my right hip right now,
- Is the problem.
- Is the problem I'm trying
- To protect it
Yeah.
- Some people have both hips back on like that.
Both hips, either they're weak muscles or issues like this.
There's a number of things that could cause it.
- So we, we gave you the symptoms in the next video.
We're actually gonna show you the treatment.
This video, these videos, this one and
the next one are part of a series of videos on hip pain.
So you just go to BOBANDBRAD.COM go to the hip pain videos
and you'll see all these titles listed.
And along with it,
- PDF printouts, right on paper.
Just print it out.
You'll have the video summary right there
with exercises on there
- And follow us and watch
- and there's, it's all free.
- Yeah it's a whole kitten caboodle.
Do they still say that?
- Oh yeah.
That's a very common one,
but I'm thinking, you know
just remember BOBANDBRAD.COM and go to the program section
and then these will come up back shoulder,
a number of things.
- A whole bunch of programs free, no email.
We don't ask for anything.
Right, yeah this is a,
- We give.
- This just doesn't come up Bad.
- Very often.
- It doesn't.
- Thanks for watching.
(Upbeat music)