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Structural integration (including Rolfing)

Structural integration aligns, balances and lengthens the body by pressing into the connective tissues of the body and maneuvering them back into place.

What can I do for advanced arthritis in my left hip? Do I need a hip replacement? I am only 55.

Lynda Lippin (New York, NY) on Sep 21, 2012
1 user found this answer helpful
The question is, has your doctor recommended hip replacement? And what else have you tried - any exercise, physical therapy, massage, ice/heat, acupuncture? Only you know your body, and with the help of your medical team you will come to what works best for you. And surgery may very well be indicated, and may help a lot with pain relief and mobility, but it is important not to jump the gun. Please see your doctor first.
Brittyne Leonard (High Point, NC) on Sep 21, 2012
You may not necessarily need a hip replacement. A combination of suppements, diet, stretches and exercises can definitely improve bone and joint health. Massage helps stimulate healing, the body naturally knows how to heal itself...its up to us to help it get back on track. Incorporating calcium supplements, cherry juice, and flaxseed oil are just a few tweeks you can make in your diet to improve your overal health.
Richard Bartlett (Lansing, MI) on Sep 21, 2012
It depends on the severity of your condition, and if you can reduce your activity level and deal with the joint as it is. Discuss with an orthopedic surgeon whether a replacement or some sort of repair surgery is the best option. Multiple doctors' opinions are a good idea. Massage may be helpful if it can reduce muscle tension in the rotators and reduce inflammation in the area, but the hip won't repair itself on its own. I would suggest trying one appointment and see if there is any improvement in your pain or range of movement.
Johanna Wasen (Blue Ash, OH) on Oct 1, 2012
Hip replacement? I don't think so. I had a glenoid labral tear in my shoulder and had minimally invasive arthroscopic surgery. I would perform Arthrossage (joint massage) and ROM exercises to hip joint. Arthritis diagnosis/symptoms call(s) for movement to relieve pain. Passive stretching and some PT exercises could help too.
Christopher Serrell (Westminster, CO) on Oct 14, 2012
You should discuss this with your doctor. Acupuncture can help with the pain as well as some of the cell repair, however, if this is an advanced problem surgery may be the best solution.
Halle Clarke (New York, NY) on Oct 17, 2012
Osteoarthritis is an inflammation in the joint that is generally caused by an injury to the area, or wear and tear over time. The pain from arthritis can stem from bone against bone contact, muscle strain or the inflammation itself. Pilates session with a skilled instructor can help arthritis in the hip in a number of ways. The general prescription for arthritis is to keep the joint moving. Over protecting the joint by trying to avoid using it can actually make the pain worse. So any basic Pilates session would be helpful just by the fact that it would involve hip mobility. Because the pain can be stemming from faulty mechanics over time a talented Pilates instructor can help to teach and educate the client how to strengthen the hip in the most optimal position. By encouraging the femur bone to “sit” properly in the joint, the joint has less stress and the pain may lessen. And lastly, the focus that Pilates gives to strengthening and balancing the pelvic floor, the transverse abdominals and the multifidi muscles will help to take some of the compression out of the hip joint creating more space and more ease. It should also not be over looked that Pilates looks at the whole body. How one stands and sits and holds their upper body greatly influences how the forces travel down into the lower body. When these more global issues are addressed this too can bring relief from arthritis in the hip joint. Although Pilates can’t repair the joint or turn the clock back it can bring a lot of movement and joy back into one’s body and life. In your case you also have a labrum tear which means that strengthening the joint properly is going to be of utmost importance. We have worked with clients with labrum tears and have gotten them to a place where they pain levels were so low that they elected not to have surgery. It is always advisable to try movement education and strengthening before surgery. The option of surgery will always be there. Best of luck, Halle Clarke Owner, Mongoose Bodyworks Soho, NYC
Carlos Chapa (Mesquite, TX) on Jan 7, 2013
Have you considered Acupuncture? Not sure if you need a replacement, however most patients consider surgery ONLY as a last resort. Find a local acupuncturist and consider giving it a try. What do you have to lose? Give it a chance, some patients feel immediate results/relief while others take a few sessions. We do NOT simply focus on the pain. Your practitioner will want to treat the root cause. This can be a vitamin deficiency, a weak organ or nerve damage. Eastern Medicine has treated billions of patients for thousands of years. Pharmacological drugs and steroids are not the only option. Side effects, dependency and not treating the ROOT cause and only the symptoms is not the way to cure these problems. Don't be surprised if your Doctor brings up your diet and will probably recommend some diet changes. Make sure you go to a Licensed Acupuncturist (not certified) that has graduated from at least a Masters Degree program. Every state is different and some require little to no exams or training.
Brittany Mitchell (Springfield, IL) on Sep 21, 2012
I can't say if you need a hip replacement, of course. But I can give you some suggestions on what you can do right now. Massage can help loosen your joints and ease pain you may be having from muscle spasms. Massage can also help increase your body's ability to produce endorphins, which reduce pain. Prolotherapy uses a dextrose (sugar water) solution, which is injected into the ligament or tendon where it attaches to the bone. This causes a localized inflammation in those areas, which increases the blood supply and flow of nutrients and stimulates the tissue to repair itself. PRP or platelet rich plasma is still being studied, but may be worth asking about, as it has been shown to reduce knee arthritis. Stem cell therapy is another regenerative treatment. These are some things to look into and discuss with your physician. Good luck, and I hope you find relief.
Fabian Soto (Hollywood, FL) on Sep 21, 2012
Hi, why don't you try applying a tennis ball directly to the area? Press it against the wall or on a yoga mat.
Fabian Soto (Hollywood, FL) on Sep 21, 2012
Hi, why don't you try applying a tennis ball directly to the area? Press it against the wall or on a yoga mat.
Beryl Winston (Bronx, NY) on Sep 21, 2012
Advanced arthritis is usually the reason behind hip replacement. Talk to your doctor about your options.
Robbin Phelps (Takoma Park, MD) on Sep 21, 2012
Only a physician can tell you whether you need a hip replacement. However, gentle bodywork can help ease pain, improve circulation, and speed healing. Lymphatic drainage work can also boost circulation and ease pain. I hope you can find a good doctor and sensitive bodyworker to be on your health care team.
Kexin Bao (Rosemead, CA) on Sep 21, 2012
It's generally best to avoid surgery if there are other, less dangerous options. Acupuncture combined with herbal medicine may be a better alternative. The herbal medicine will boost your metabolism and help heal your arthritis. Acupuncture will stimulate your nerves and quicken the repair process. It will take several months before a cure, but you won't have to worry about surgical complications.
Luis Rivera (Marietta, IL) on Sep 21, 2012
You would need medical test to make that assessment. An orthopedic specialist would be able to check to see what option would be right for you. If you want to go the natural route find a naprapathic or chiropractic physician to help with musculoskeletal abnormalities to reduce the pain you feel. Thank you.
David TJ Lin (Bellevue, WA) on Sep 21, 2012
Arthritic pain is indeed a big health problem that affects people at all ages. If you have time please come by my office, I am offering a free Chinese examination (usually $85) to all Zeel members.
Ryan Chapman (Los Angeles, CA) on Sep 21, 2012
Something I would suggest before surgery is to have your diet analyzed by a professional. Some people (most actually) have allergic responses to some foods and don't realize it. T he acupuncturist I work with sends blood to a special lab that tests your blood antibodies. Every one of my clients who has done this tests and changed their diets has seen improvement. Arthritis can often be caused by a autoimmune response, and removing foods that cause inflammation from your diet might be just what you need. A $200 test is a lot better than a new artificial hip and a surgery bill.
Danielle Buyea (Saint Petersburg, FL) on Sep 21, 2012
Because this has to do with bone and the possibility of surgery, it would be irresponsible for me to not refer you to your doctor. Only a doctor can answer these questions with any degree of certainty.
Paula Reeder (Katy, TX) on Sep 21, 2012
You need diagnostics and medical opinions on this. Your age is insignificant, it is the cause that is important.
Kristen Tammaro (Taunton, MA) on Sep 21, 2012
I often refer my clients to a doctor for a diagnosis for this condition first. I will typically see a client before, during and after medical treatments. I have many clients that have this problem, so I will give you a suggestion or two. You have two medical options and two holistic options for arthritis in a joint that is causing your discomfort. Medical option #1 - The first thing doctors always suggest are cortisone shots. Now while these sometimes help with the pain, I have only seen about 40% of clients that are happy with this method. Cortisone is a steroid and typically is limited as to how many shots you can get per year due to side effects. I caution my clients to seek out other options before accepting the diagnosis of cortisone shots. In a rare side effect, cortisone will eat away at the muscle and connective tissue around the muscle. Medical option #2 - A gel/fill like substances (it has many names but can be found under Hyaluronic acid) is injected in between the joints to act as a cushion and mimic the knee's natural lubrication. I have heard a better ROI (return on investment) with this method and personally think it is the better of the two medical options. Holistic option #1 - Physical therapy and massage work hand in hand to strengthen and support the muscles around the arthritic joint. Many doctors will prescribe both treatments simultaneously. Holistic option #2 - Taking supplements that help with joint discomfort, like Vitamin E and fish oil. Try eating foods rich in omegas like avocados, salmon (wild, not farm raised) and nuts. I also suggest both eating and applying therapeutic grade essential oils that are for pain relief. Typically, safe essential oils are not found in the health food stores but rather online. Try Young Living Essential Oils. ( I have seen great results over time with this holistic approach and it seems to be working for my clients that choose it. I hope that helps, tweet me with more questions @relaxationworks
Florian Boschi (Beverly Hills, CA) on Sep 21, 2012
I have found that in many cases one of the major causes for joint pain is systemic inflammation. Inflammation is nothing else but an up-regulation of the immune response, often caused by life style, diet, and other mechanisms in the body like dental inflammation, food sensitivities etc... The good news is that by identifying the causes and by starting an inflammatory wind down process, pain and symptoms of joint discomfort often disappear completely or get a lot better. An additional factor is proper hydration. There are studies that show that just by drinking enough water joint pain can be greatly decreased within a short period of time. And last but not least i recommend acupuncture as a means to treat stasis and to increase circulation. Another great way of helping the cause is to use different herbs. To just name one mechanism, ginko and garlic for example have the ability to increase microcirculation which is especially useful because the arteries that nourish the joints are embedded into the bone and they are very small, so just by opening those and increasing nourishment in the area it can make all the difference. another useful herb is gotu kola since it is known to restore tissue, or boswellia an anti-inflammatory that has been shown to actually have joint restorative properties. All in all there are tons of ways to help this condition. Inflammation destroys the joint surfaces on an ongoing basis so one of the first things to do is to bring that process to a halt. The idea of a hip replacement can easily become obsolete or delayed by many years. hope that helps
Yolie Amezcua (Phoenix, AZ) on Sep 21, 2012
you are a young person with massage and streatching epsom hot baths and some hot packs should help alot with the pain. i would never ever have a hip replacemaent in my life im so agains that pluse all of my clients that have had hip replacements get worse after a while.
Tony Ruggiero (Greenville, SC) on Sep 21, 2012
Whether or not you should have your hip replaced is a decision best made between you and your doctor. I can speak from experience having had my hip replace in February of 2012. Three things that will benefit you regardless of your decision on surgery: 1. Make sure you keep your weight down within reasonable levels. This will take the stress off your hip. If you are overweight, plan on losing the weight responsibly. 2. Get regular massages. This will keep that joint pliable and maintain or increase your Range of Motion within the joint itself. 3. Exercise! Even with the pain you need to keep moving. I am not talking about hardcore punishing exercising. No running or jogging. Walking or in pool exercises are really best. If you decide to get surgery, follow your doctor's recommendations on rehab. Physical therapy is key here. Once you get cleared from your surgery - restart your massage therapy with a qualified therapist.
Rachel Tan (San Rafael, CA) on Sep 21, 2012
It's very complicated. If you visite a experienced acupuncturist, you might get more help.
Katherine Turner (Schertz, TX) on Sep 28, 2012
this needs to be addressed and answered by your dr. we cannot diagnose or prescribe anything for any condition.