Chiropractic care of a 70-year-old female patient with hip osteoarthritis

Abstract

This case illustrates a patient who had increased range of motion, improved balance and gait speed, and decreased disability after a 12-week course of chiropractic care.

Immediate Effects of Manual Traction on Radiographically Determined Joint Space Width in the Hip Joint

“…23,24,[29][30][31] Treatments including manual traction of the hip joint are effective in reducing pain and improving function. [10][11][12][13][14] Furthermore, self-reported pain is significantly associated with narrowing of JSW. [20][21][22]32 Therefore, we hypothesize that the mechanical effects of manual traction of the hip joint can decrease pain observed in clinical practice.…”

“…Previous studies reported that long-axis mobilization or manipulation of the hip joint results in favorable outcomes. [10][11][12][13][14][15] In long-axis mobilization or manipulation, the leg is pulled caudally to separate opposing joint surfaces; this may widen the joint space width (JSW) and may help unload the joint cartilage.…”

Clinical relevance of the hip joint: Part II–Importance of joint distraction

“…[57][58][59][60][61] However, there are only a few reports that have studied whether joint distraction can occur as a result of manual traction. [57][58][59][60][61] However, there are only a few reports that have studied whether joint distraction can occur as a result of manual traction.…”

Clinical relevance of the hip joint: Part I – Review of the anatomy of the hip joint

“…4,5 Although many studies regarding treatments for knee OA have been reported, only a few studies investigating treatments for OA of the hip have been published. [6][7][8][9][10][11][12][13][14][15] There is no consensus regarding a preferred conservative treatment for hip OA, which is incurable. 16 Furthermore, the results of the research investigating knee OA are not practically applicable to hip OA given the differences in anatomy and biomechanics.…”