Stage Ii: Second Questionnaire On Knee/hip
Participants reporting knee and/or hip problems in the TOF pilot study survey received a second questionnaire that included questions about the most symptomatic joint , knee alignment, foot rotation, and physical occupational exposures. This second survey consisted of single item questions used in different questionnaires regarding the risk of osteoarthritis and was sent out in two mailings. The first mailing was distributed to the early responders to the first survey 6 weeks after the first survey was sent out. The second mailing was distributed to the late responders 14 weeks after the first survey was distributed.
Knee alignment and foot rotation
Patients were asked to grade knee alignment and foot rotation by using a diagram that illustrated the direction and severity of each alignment grade. This was done separately for both knees and feet. For knee alignment, both answer options for varus alignment were combined, and the same was done for valgus alignment . For foot rotation, answer options for feet rotated out and feet rotated in were also combined. These questions have demonstrated good reproducibility and excellent validity , and have been used in epidemiological studies .
Occupational physical exposures
What Foot Problems Affect The Back Hip Knee And How
All in all, poor foot posture or issues like ankle twisting can affect your back, hip, and knees. Conditions that lead to poor foot posture are described below:
1. Low Arches And High Arches
If the posture of your foot is not correct, it can twist inward or outward. The rolling of your foot inward is called low arches, and the rolling of your foot outward is known as high arches. This is also called foot supination and foot pronation .
When the arches of the foot move excessively downward or inward, it is called overpronation. And when the foot rolls excessively outward as you lift it off the ground, it is called hyper supination or over supination.
Hence, when your foot rotates inward, it also causes your knee to twist inward, affecting the knee and leading to knee pain.
As a result of the foot twisting in, the hip also drops and rotates inward, causing hip pain.
With time, these mechanical problems lead to various injuries of the foot, ankle, or heels, like plantar fasciitis, and affect your knees, hip, and lower back.
Signs That Your Spine Is The Source Of Your Pain
Whereas groin pain is a telltale sign that the pain is linked to the hip, pain above the waistline that travels down the body typically indicates a low back issue. A low back problem may also be responsible for other types of lower body pain, including thigh, buttock, and below-the-knee pain.
Among the most common degenerative conditions that affect the lumbar spine are herniated discs, spinal stenosis, and spondylolisthesis. These conditions cause pain by irritating your low back nerves, resulting in pain that shoots down your legs , weakness, numbness, and reducing your range of motion.
The pattern of pain coming from the lumbar spine can be variable, depending of the specific issue causing the pain. Commonly, pain from arthritis of the spine occurs during transitions such as getting out of bed in the morning or raising up from sitting. It can often then improve after getting moving. In contrast, pain from spinal stenosis or nerve pressure is often worse with prolonged standing or walking and relieved with sitting.
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How Your Hip Works
Your hip is a very stable and strong joint.
Its known as a ball-and-socket joint. This is because the top of the thigh bone is shaped like a ball. This ball sits inside a hollow socket in your pelvis.
Ball-and-socket joints give the most movement of all the different types of joints in the body.
The hip joint is held together by a covering of muscles which are secured to the bones by strong cords called tendons.
These muscles and tendons form a capsule around the joint and support its movements. They help move the joint, supporting your leg and upper body movement.
Inside the capsule is the synovium, which lubricates the joint with synovial fluid and keeps the cartilage healthy. The cartilage sits between the bones of your hip joint to stop them rubbing together and reduces any impact when you walk or move your hip.
With all this support, it is unusual for the hip to become dislocated, even after a high-impact injury.
Potential Causes Of Pain Radiating From Hip To Knee
Most hip pain is caused from overworking the muscles either by repetitive stress or overdoing exercises. The pain is caused by inflammation of the soft tissues and tendons of the hip. Usually this pain is relieved in a few days. Prolonged hip pain can be the cause of a specific condition. When the hip joint is injured, pain can be felt in the groin all the way down to the knee. Sometimes knee pain is the only sign that the hip is injured – this is called referred pain.
A slipped lumbar disc in your lower back can also cause pain that is felt in your hip. With a lumbar disc injury, your knee and leg may also feel weak. Spinal stenosis is the narrowing of your spinal cord and nerves, which can cause isolated hip pain felt along with a numb feeling in the knees and legs. A sprain in your lower back, or a lumbosacral sprain, is an injury to the ligaments in your lower back. Pain from this injury accumulates to one side of the spine around the hip, making it difficult to bend or twist.
All these hip pain causes can be treated with conservative, therapeutic treatments.
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Tdiu For Hip Pain Secondary To Knee Pain
TDIU, or total disability based on individual unemployability, is a monthly VA benefit that compensates veterans at the 100 percent level if they are prevented from working because of their conditions.
In order to be eligible for Schedular TDIU, veterans must have one condition rated at 60 percent minimum OR two conditions that can be combined to reach 70 percent, where one condition is at minimum 40 percent. The criteria for schedular TDIU is outlined under 38 CFR § 4.16a.
Secondary conditions can be very beneficial to help boost a veterans overall combined rating, which can help a veteran achieve TDIU. If a veteran is secondarily service connected for their hip pain, both ratings given for hip pain and knee pain can contribute to their TDIU eligibility.
If a veteran does not qualify for schedular TDIU, they may qualify extraschedular TDIU. For this form of TDIU, veterans must prove that their condition uniquely hinder their ability to maintain substantially gainful employment. Extraschedular TDIU is rated under 38 CFR § 4.16b.
Knee And Hip Pain At Night
Arthritis causes joint pain and inflammation. While sleeping, you may experience pain in your hip due to a variety of arthritis conditions. You may have osteoarthritis, rheumatoid arthritis, or psoriatic arthritis if you have pain in your groin, thighs, and knees during rainy weather, or if you have pain in your knees.
If you are having hip pain at night, you may have a few issues. Arthritis, pregnancy, and other conditions can cause pain while sleeping, as can obesity. The pain you feel in your hip is nothing new, and inflammation can affect anything. Hip tendonitis, which can occur if you have joint inflammation or severe groin pain, is sometimes caused by a strained hip joint. It may be possible to use anti-inflammatory drugs as well as ice and heat. It is best to consult with The orthopaedic Center for more efficient ways of pain relief.
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Common Causes Of Hip And Knee Pain
Many times, the hips and knees suffer the same diseases, disorders, and injuries. For example, overuse injuries such as tendinitis and chronic muscle strain are common in both the hips and knees because both joints are constantly in use. They are also both subject to acute injuries, such as sprains, strains, and dislocation.
Hip and knee pain can also be affected by referred pain from a pinched sciatic nerve, as the nerve travels through both areas. Imbalances in your stance or gait may cause abnormal stresses and premature wear-and-tear in your hips and knees, resulting in painful symptoms of arthritis.
Some painful conditions may be specific to one joint or the other. Cartilage injuries known as labral tears are specific to hip pain, while inflammation of the bursa sacs known as bursitis is a specific condition affecting the knee joint.
However, painful injuries that cause instability in the hips can also affect the knees. Tight hip flexor muscles and weak gluteus medius muscles can cause the hip to rotate inward without you realizing it. This can cause painful problems such as iliotibial band friction syndrome or patellofemoral stress syndrome, as stress is put on the knee or kneecap.
What Is The Relationship Between Hip Strength For Knee Pain
If you are referred to physical therapy for knee pain, you will undoubtedly do a lot of exercises focused on your hips because there is a strong relationship between hip strength and knee pain. More specifically, your physical therapist will give you exercises that will strengthen your hip abductors and hip extensors .
But why? Why would you focus on muscles that are so far from your knee? The answer is simply knee position during the heel strike and stance phase of the gait cycle. During gait, gluteus maximus and medius help prevent the pelvis from dropping during the stance phase of gait. If these muscles are weak, there is a momentary hip/pelvis drop that leads to the knee diving in towards the other knee, which in turn leads to compression of the kneecap. Therefore, the chronic stress placed on the knee cap from these altered mechanics lead to knee pain.
So what will you do during physical therapy to strengthen these muscles? Your physical therapist will give you exercise to strengthen your hip abduction and extension and will isolate your gluteus medius and gluteus maximus.
For more information on knee pain, please go to Knee Pain and for the hip, go to: Hip Pain.
Image of Patient Doing T-Band Exercises
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Pain On The Outside Of The Hip Upper Thigh Or Outer Buttock
Joints and nerves are not the only things in the hip area. If you have pain in the upper thigh or on the outside of the hip or buttock, it could indicate that muscles, ligaments, or tendons in the area are strained.
As the muscles or tendons extend and contract, you will most likely feel the pain when you walk or do an activity.
You can treat this using the RICE principle, heat therapy, massage, or acupuncture.
You should rest from activity until the pain has been gone for a few days.
Sudden Hip Pain Cant Walk
If you have severe hip pain as a result of a fall or other injury, go to a hospital or seek emergency treatment. There is a deformed or badly bruised leg. As a result, your hip or leg are unable to support any weight.
In addition to muscles, tendons, and joints, hip pain is typically caused by problems with the bones. When walking, arthritis is a major contributor to hip pain. Arthritis that affects joints is referred to as osteoarthritis or rheumatoid arthritis . Hip dysplasia patients who have labral tears are more likely to experience pain. It is possible to strain the hip flexor muscles when they are injured or strained. The majority of children are affected by toxic synovitis, which is an inflammatory condition of the hip joint. In the case of this condition, the pain in the hip may spread to the groin area.
The pain associated with joint effusion can range from mild to severe. When the femoral vein becomes detached from its socket, the hip is torn. Grammer microorganisms infecting the bone of the hip joint are typically the cause of osteomyelitis. Hip pain while walking is a common complaint, but it can also be caused by a variety of other factors. Rest, exercise, pain reliever medication, physical therapy, or surgery can all be used to relieve hip pain. The cause of hip pain cannot be avoided by treating it with medications or by becoming aware of chronic illnesses such as arthritis or osteoporosis.
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Muscle Injury Or Inflammation
You can also experience knee and hip pain if youve sprained or torn a muscle in your lower back, pelvis, or thighs.
But you could also develop painful conditions like tendonitis or bursitis if you participate in activities that overwork or irritate the hip and knee joint.
Tendonitis will occur when the muscles, tendons, and ligaments that support the hips and knees become irritated and inflamed.
Bursitis of the knee or hip also occurs when you overwork or irritate the hip or knee joint, leading to inflammation or irritation of the bursathe fluid-filled sac that cushions joints.
How Common Is Iliotibial Band Syndrome
Experts note that iliotibial band syndrome often affects U.S. Marines during training. More than 20% get iliotibial band syndrome. Frequent runners, especially long-distance runners, are also prone. Iliotibial band syndrome accounts for about 12% of running injuries. More females than males have iliotibial band syndrome.
Knee pain of which iliotibial band syndrome is one of many causes affects as many as 25% of adults.
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Can Hip And Knee Pain Be Connected
If you have a hip joint problem, you may experience pain in your groin, front leg, or knee. In some cases, knee pain alone is enough to diagnose a hip problem referred pain or radiated pain is also common.
The Special Health Report, Knees and Hips: A troubleshooting guide to knee and hip pain covers a wide range of conditions and describes the treatments, prevention strategies, and surgeries available. This report includes a special section on knee and hip replacement, which may help you decide if this is the right procedure for you. Approximately half of Americans over the age of 65 are affected by knee arthritis, and one in every five Americans is affected by hip arthritis. Injuries to your knees and hips are common even at a young age. Joint pain can often be treated with physical therapy, medication, or minor surgery. It is sometimes possible to replace a worn-out knee or hip with a mechanical joint. Artificial joints are estimated to be used by approximately 7 million people in the United States.
The speed and recovery time of these procedures have improved dramatically in recent years. It is common for surgeons to make smaller incisions and deliver pain relief directly to the surgical site. The proper treatment and lifestyle changes you require can ensure the long-term survival of your life.
The Connection Between Hip And Knee Pain
As people age, they may start to experience pain in their hips and knees. This pain may be the result of osteoarthritis, a condition that causes the cartilage in the joints to break down. Although hip and knee pain can both be caused by osteoarthritis, there is no evidence to suggest that the two conditions are connected.
Because the knee is a weight-bearing joint, it allows for the leg to move normally and is essential for walking normally. The hip joint contains the bones of the femoral and paracelinos . Because of its massive size, you will be able to walk, run, and climb while wearing it. Arthritis causes joint pain and swelling in the joints of the body such as the knees or hips. The ball and socket of the hip are both cartilage coverings that wear out over time, resulting in hip osteoarthritis. The most common cause of knee injury is a tear of the cartilage in the knee joint. Hip bursitis is a common cause of pain in the upper thigh caused by an irritated area of the hip.
Dashboard injuries are the most common type of PCL injury. When you bend your knee and an object strikes your shin forcefully, its referred to as a shin contusion. Rest, ice, elevation, and compression are used in the first treatment.
Because hip strength and knee pain are strongly linked, runners with chronic knee conditions, such as patellofemoral pain syndrome , are frequently advised to strengthen their hip abductors and hip extensors.
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Are Low Back Pain Knee Pain And Hip Pain Related
Man at the Doctor with low back pain, knee pain, and hip pain
The quick answer to this question is yes they can all be related. There are numerous muscles, tendons, and nerves that cross all of these areas. When one of these areas has a problem, it can affect other areas.
The truths about low back pain, knee pain, and hip pain are:
- Knee pain can cause back pain.
- Knee problems can cause back pain.
- Back and knee pain can be related.
- Hip or groin pain and knee pain can be connected.
- There can be a connection between back pain and knee pain.
Burning Or Tingling Sensation In The Legs
Burning, tingling, or a pins-and-needles sensation in your legs and hip can be indicators of peripheral neuropathynerve damage.
It occurs more often in the lower legs and feet, but it can happen higher up the legs.
Rather than being a pain caused by an external stimulus, neuropathy pain occurs because the damaged nerves misfire and send pain or strange sensation signals to the brain.
There is no way to cure neuropathy. You can take certain measures to ease the pain at home, like heat or cold treatment, massage, or TENS stimulation.
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