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He first consulted an orthopedic doctor who ordered an X-ray, which showed the joint space was narrowing with bone spur and subchondral sclerosis.
There are different causes for hip osteoarthritis, however, the most common cause is secondary (i.e.
1.      Sports or other sports-related injuries such as Luke’s – who was a marathon runner, who spent much time running– gradually changed the alignment of the hip and eventually leads to wear and tear on the joint surfaces. 3.      There are other causes, such as obesity, trauma, surgery, gout, diabetes and high uric acid, all of which can cause osteoarthritis.
Treatment of osteoarthritis depends on the stages of the condition and the age of the patient. 2.      Anti-inflammatory medications such as aspirin, acetaminophen and naproxen, also anti-inflammatory lotions, dicolfenac and pain patch, Flector may help to decrease pain. Ultrasound machine may clearly identify the space of the hip joint and your physician can easily insert the needle into the hip joint and make an accurate injection at the hip joint under the guidance of ultrasound machine. Hip Flexion involves lying on your back with one knee bent and the working leg straight being lifted up to the height of the opposite knee than down slowly. Hip Extension involves lying on your stomach and lifting one leg up about 10-12” then down slowly. The first two pictures shown are Hip Flexion then Hip Extension.  The following two are Hip Abduction then lastly Hip Adduction Exercises.
With the Seated External Rotation Exercise keep the knees close as you move the foot away from the other foot to help work such muscles as the piriformis. Following the progress of osteoarthritis of the hip, when the patient has pain even at rest and difficulty walking upstairs, it is recommended that the patient use a cane and consult a surgeon about replacement of the hip joint.  Total hip replacement is now performed almost as a matter of routine, which can bring dramatic pain relief and improved function. The fractured femoral head is removed, a corresponding head implant is inserted into the remained femur bone canal, reamed to accommodate a prosthetic stem. Traditional total hip replacement surgery involves making a 10- to 12-inch incision on the side of the hip in order to dislocate the hip joint.
Once the joint has been opened up and the joint surfaces exposed, the ball at the top of the thigh bone, or femur is removed. Minimally invasive hip replacement surgery allows the surgeon to perform the hip replacement through one or two smaller incisions.
Hot stasis: the typical symptoms are swelling, hot and pain at the joints accompanied with low fever, red and painful touch at the joints, thirsty, annoy, depressed, constipated, hot urination, dry skin, wasted muscle, etc.
Specific points for Cold Stasis:  GB 20 Feng Chi, UB 18 Ge Shu, Sp 10 Xue Hai, Liv 3 Tai Chong,  UB 23 Sheng Shu, Ren 4 Guan Yuan.


Specific points for Hot Stasis: Ren 6 Qi Hai, Sp 6 San Ying Jiao, Ki 3 Tai Xi, Du 14 Da Zhui. Headache, vertigo, insomnia, pain and stiffness of the neck, blurred vision, glaucoma, red and painful eyes, tinnitus, convulsion, epilepsy, infantile convulsion, febrile diseases, common cold, nasal obstruction, rhinorrhea. On the dorsum of the foot, in the depression distal to the junction of the first and second metatarsal bones. Lower abdominal pain, indigestion, diarrhea, prolapse of the rectum, enuresis, nocturnal emission, frequency of  urination, retenstion of urine, hernia, irregular menstruation, dysmenorrheal, uterine bleeding, postpartum hemorrhage.
Sore throat, toothache, deafness, tinnitus, dizziness, spitting of the blood, asthma, thirst, irregular menstruation, insomnia, nocturnal emission, impotence, frequency of micturition, low back pain. Neck pain and rigidity, malaria, febrile diseases, epilepsy, afternoon fever, cough, asthma, common cold, back stiffness.
Luke underwent my treatment so his pain temporarily decreased and the goal for this patient was to delay the total hip replacement procedure as long as possible.  Therefore, Luke swims, rides his stationery bike and continues his weight loss, all of which put off the necessity of an operation for another two or three years. 3.      Weight loss, swimming and peddling a stationery bicycle are the keys for the patient to help yourself. 1.      There are many hip diseases that also cause pain, such as greater trochanteric bursitis, piriforms syndrome, iliopsoas bursitis and tendonitis, avascsualr necrosis of the femoral head and hip fractures, so it is important to properly differentiate among all the forms of hip pain. 2.      You must differentiate the cold type from the hot one, because the treatments are different. A holistic clinic providing support, monitoring and alternative treatments to cancer patients. His orthopedic doctor   told him that he probably needed a total hip replacement.  As Luke is only 45 years old, he is  reluctant to have the hip replacement, therefore, he consulted me. With aging, the water content of the cartilage increases, and the protein makeup of cartilage degenerates. Therefore, if you consider an injection of the hip joint, you should ask your physician if he or she uses the ultrasound guided technique. Arthroscopy of the hip is a minimally invasive, outpatient procedure that is relatively uncommon. Acupuncture, as other treatments, can not prevent the arthritis develop further, however, acupuncture can dramatically decrease arthritic pain, decrease the swelling and inflammation,  and effectively delay the surgical procedure.
The patients should not perform the sports with high impact on the hip, such as  running, jumping, etc. After a certain period, the water content might also “dry out” after the cartilage gradually disappears, eventually, cartilage begins to degenerate by flaking or forming bone spurs.


Loss of the cartilage cushion causes friction between the bones, leading to pain and limitation of joint mobility. The doctor may recommend it if the hip joint shows evidence of torn cartilage or loose fragments of bone or cartilage.
It is a very stable combination, and allows for early mobilization of the typical elderly patient to reduce the risks of other medical complications. The artificial implants used for the minimally invasive hip replacement procedures are the same as those used for traditional hip replacement.
This is because the patients’ defensive system is not strong enough, weather changes make skin and joints sensitive, therefore, the invasive pathogens will be easier to get into the joints and make the joints stiff and pain.
In advanced cases, there is a total loss of cartilage cushion between the bones of the joints.
Inflammation of the cartilage can also stimulate new bone outgrowths (bone spurs, also referred to as osteophytes) to form around the joints.
Candidates for osteotomy include younger patients with early arthritis, particularly those with an abnormally shallow hip socket (dysplasia). A smooth plastic bearing surface is then inserted into the implant so the joint can move freely. You should consult your orthopedic doctor for the possibility of this particular procedure. Osteoarthritis occasionally can develop in multiple members of the same family, implying a hereditary (genetic) basis for this condition.
The benefit of the procedure are less pain, shorter hospital stay and better cosmetic and faster rehabilitation.
I play a lot of competitive club tennis and in my mid-40s, began to sustain back injuries which Galina always fixed with the absolute highest level of professional medical massage.
When I came to Galina, she did not give me the bright hope that I will be cured, she said:” Let’s work on it”.




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