There are many causes for hip pain, and loose bodies can be a culprit.  Loose bodies are fragments of detached cartilage or bone inside the hip joint. These fragments may be free floating (unstable) or embedded in the joint or tendon.

Loose bodies in the hip may appear as a lumbar (low back) spinal condition.  You will have a twinge like pain that may occur during walking.  Furthermore, the pain is felt on the anterior (front) thigh from the groin to the knee.  Your leg may weaken suddenly from the pain. You may have recurrences of this pain and weakness that comes and goes. 

Hip Pain from loose bodies and Chiropractic care is about what causes loose bodies and how chiropractic manipulation of the hip helps. However, x-rays are definitely needed for diagnosis before manipulation.


Causes of Loose Bodies:

There are many reasons for the loose bodies including: hydroxyapatite deposition disease, osteoarthritis (wear and tear arthritis), osteochondritis dissecans, labral tears, and trauma. 


Hydroxyapatite crystal deposition disease (HADD)

Calcium hydroxyapatite crystal deposition disease is characterized by the presence of basic calcium phosphate crystals (mostly hydroxyapatite).  And these crystals are deposited in the periarticular (around joint) soft tissues (e.g. tendons). So a common diagnosis of tendinitis or bursitis causing joint pain could be due to an underlying HADD. 

You will have pain, tenderness, localized swelling and reduced range of motion. And  You may be 40-70 year old.This is especially in the shoulder, elbow, wrist, fingers, hip, ankle, foot and spine.  


Labral Tear

The labrum of the hip is a dense fibrocartilaginous ring.  It is attached to the bony margin of the circumference of the acetabulum (socket for hip bone where femur fits).

You may have intermittent twinge like pain, catching and giving way of the hip.  Sometimes, a painful pop or click within the hip joint may occur.

Chiropractic manipulation and manual treatment for a loose body in the hip due to a labral tear may be helpful.  A MRI for a positive diagnosis is necessary. 


Osteochondritis Dissecans

A disorder of adolescence in which a small segment of subchondral bone (bone plate supporting the articular cartilage) undergoes ischemic necrosis ( loss of blood flow to bone tissue, which causes the bone to die). 

First, this usually occurs following trauma or a vascular occlusion (blood flow blockage). Second, it may heal spontaneously or form a loose body. Third, the segment of bone will separate and become displaced into the joint cavity.  Fourth, this forms an intraarticular (within joint) loose body.  Fifth, the separated loose body has various possibilities: reattachment, displacement and embedding into synovium (joint tissue), remaining free in the joint cavity, or resorption.

Osteochondritis Dissecans occurs mostly in 11-20 year old boys.  The knee is most commonly affected followed by the ankle, elbow and hip. Symptoms include joint effusion, painful joint motion, clicking, locking and localized tenderness. Also, it may have come on after trauma. 


Chiropractic Care of the Spine and Extremities (Hip) at Meiri Chiropractic:

Firstly, the treatment plan includes Chiropractic Manipulative Therapy to the spine and extremity (e.g. hip) joint.

Secondly, manipulation of muscle contractures with soft tissue techniques (e.g. post isometric relaxation and/or myofascial release techniques).

Thirdly, therapeutic exercises for strengthening of the joint will help for active care at home. 

Fourthly, recommendations on anti-inflammatory diet will be of benefit for patients.


Research on How Chiropractic Adjustments Can Help

A 2013 study published in Osteoarthritis and Cartilage found that patient education combined with 12 chiropractic treatments (twice a week for six weeks) were more effective for hip Osteoarthritis than a daily stretching program or patient education alone.


Getting regular chiropractic treatment at a West Palm Beach chiropractic center can help naturally relieve hip pain and dysfunction. Chiropractic is a holistic and natural way to not only treat existing conditions, but to keep your body in its best working condition.

Contact Meiri Chiropractic today at 561-253-8984 to make an appointment or to learn more about Hip Pain from Loose Bodies and Chiropractic Care.


References: Warren Hammer, Functional Soft Tissue Examination and Treatment by Manual Methods, 3rd edition