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  <title>CyberPT Physical Therapy Forum : Hip, Buttock &amp; Groin Injuries/Conditions</title>
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   <title><![CDATA[Hip, Buttock &amp; Groin Injuries/Conditions : Groin pull not healing...it&#039;s been months!!!]]></title>
   <link>http://www.cyberpt.com/ptforum/forum_posts.asp?TID=1552&amp;PID=2617&amp;title=groin-pull-not-healingits-been-months#2617</link>
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    <![CDATA[<strong>Author:</strong> <a href="http://www.cyberpt.com/ptforum/member_profile.asp?PF=1724">eevverett</a><br /><strong>Subject:</strong> Groin pull not healing...it&#039;s been months!!!<br /><strong>Posted:</strong> Jun 10 2020 at 9:43pm<br /><br />Sorry to hear this news, sincerely hope that you have got rid of the pain now. I have been suffering from groin pain since last year. I exercise according to the doctor's guidance, which has helped me to a great extent. The groin and thigh compression support sleeves have effectively reduced my pain in daily life. If other people have the same pain, I recommend using this brace.<div><a href="https://www.gearhunder.com/best-thigh-compressi&#111;n-sleeve/" target="_blank" rel="nofollow">https://www.gearhunder.com/best-thigh-compression-sleeve/</a></div>]]>
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   <pubDate>Wed, 10 Jun 2020 21:43:06 +0000</pubDate>
   <guid isPermaLink="true">http://www.cyberpt.com/ptforum/forum_posts.asp?TID=1552&amp;PID=2617&amp;title=groin-pull-not-healingits-been-months#2617</guid>
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   <title><![CDATA[Hip, Buttock &amp; Groin Injuries/Conditions : Groin pull not healing...it&#039;s been months!!!]]></title>
   <link>http://www.cyberpt.com/ptforum/forum_posts.asp?TID=1552&amp;PID=2261&amp;title=groin-pull-not-healingits-been-months#2261</link>
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    <![CDATA[<strong>Author:</strong> <a href="http://www.cyberpt.com/ptforum/member_profile.asp?PF=1104">mihai2303</a><br /><strong>Subject:</strong> Groin pull not healing...it&#039;s been months!!!<br /><strong>Posted:</strong> Apr 06 2019 at 7:40pm<br /><br />Hi. How did it go? Did you fix it by now? What did you do? <br><br>I have the same damn thing, won't go away, tried almost everything short of surgery.<br>]]>
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   <pubDate>Sat, 06 Apr 2019 19:40:49 +0000</pubDate>
   <guid isPermaLink="true">http://www.cyberpt.com/ptforum/forum_posts.asp?TID=1552&amp;PID=2261&amp;title=groin-pull-not-healingits-been-months#2261</guid>
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   <title><![CDATA[Hip, Buttock &amp; Groin Injuries/Conditions : Groin pull not healing...it&#039;s been months!!!]]></title>
   <link>http://www.cyberpt.com/ptforum/forum_posts.asp?TID=1552&amp;PID=2139&amp;title=groin-pull-not-healingits-been-months#2139</link>
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    <![CDATA[<strong>Author:</strong> <a href="http://www.cyberpt.com/ptforum/member_profile.asp?PF=1036">faromic</a><br /><strong>Subject:</strong> Groin pull not healing...it&#039;s been months!!!<br /><strong>Posted:</strong> Nov 27 2017 at 10:06pm<br /><br />Hey everyone, I just joined the forum. I'm very frustrated with my current condition that's not healing. I remember running and feeling my hamstring tighten up back in May of 2017. It didn't hurt too much after that, it was a little tight so I laid off of it. Then I started exercising again about a week later after I didn't feel anything.&nbsp;<div><br></div><div>I am an active person and have been the last 15 years....I play basketball a lot in the mornings and haven't been able to really play since May. I ended up playing in mid June but the pain was so intense after playing that I stopped after a couple times. I went on vacation for 2 weeks and didn't do anything during this time except walk around. It wasn't too bad at that point and thought I could play. So in early July I tried to play again and the pain returned. That was back in mid July and I haven't really done anything since.&nbsp;</div><div><br></div><div>I ended up going to an orthopedic and he had me first get a back MRI and then subsequently a hip/groin MRI. The conclusions were that there was a strain in the hamstring and groin. I was told to go to physical therapy and it would go away soon. So I went to a physical therapy center here near me. I started in mid August and went for about 4/5 weeks. To make a long story short, the physical therapist had me do a lot of strengthening exercises, like clamshells, adductor holds with bands, some core exercises, isometric hamstring holds...then we progressed into some jumping. They also placed ice on my back and had me lay there for 15 min. I was very frustrated with this process because I was not getting better. I kept going back and they just had me doing the same thing over and over, adding some exercises as we went on. They never touched the muscle or massaged it at all. He just kept saying if you strengthen it it will get better. After the 4th week I bought a book on trigger point therapy (<a href="https://www.amaz&#111;n.com/gp/product/1608824942/ref=oh_aui_detailpage_o00_s01?ie=UTF8&amp;psc=1" target="_blank" rel="nofollow">The Trigger Point Therapy Workbook: Your Self-Treatment Guide for Pain Relief (A New Harbinger Self-Help Workbook)</a>.&nbsp; It talked about the micro conractions within the muscle and how massages are required. Tom Brady's new book talked about "pliability" the same concept with deep stroking massages to elongate the muscles.&nbsp;</div><div><br></div><div>I have a foam roller, lacrosse ball, and I began using them on the hamstring and groin..the adductor magnus and brevis I think. I still had pain following a couple weeks. This injury is not going away and it's really frustrating because I love to play sports and do activities and second I need it to de-stress.&nbsp;</div><div><br></div><div>My job involves walking around in the field some and at times climbing a ladder which is not a big deal. I haven't done any cardio since mid July and I still have a significant tug in the hamstring and more so in the groin. It's not going away...</div><div><br></div><div>so the next step I took was try acupuncture. I've been going for the last 3 weeks and I'm not sure I'm feeling a significant improvement. I will say that he definitely cares and is trying to solve the problem. He does acupuncture, electrostim in the hamstring and groin, and lastly deep massages that are very aggressive at times. I'm not expecting a miracle but I don't understand why this is not going away. I still feel hip, groin stiffness and pain when I move around.</div><div><br></div><div>I read an article on a forum where the original poster was talking about a doctor therapist he went to that did ultrasound therapy and some other stuff. I included his post below for info in italics.</div><div><br></div><div><i><span style="color: rgb53, 53, 53; font-family: Arial, Helvetica, Verdana, sans-serif;">Saw a very qualified Sports Medicine doctor yesterday. The Doc said it's a Type II pull and that 3-6 weeks of therapy should fix it right up. He referred me to a physicaly therapy center.</span><br style="color: rgb53, 53, 53; font-family: Arial, Helvetica, Verdana, sans-serif;"><br style="color: rgb53, 53, 53; font-family: Arial, Helvetica, Verdana, sans-serif;"><span style="color: rgb53, 53, 53; font-family: Arial, Helvetica, Verdana, sans-serif;">Today, I went to the physical therapy center. The therapist himself is a doctor and a former wrestler (the dude is big and he's now interested in Krav after I told him about it).</span><br style="color: rgb53, 53, 53; font-family: Arial, Helvetica, Verdana, sans-serif;"><br style="color: rgb53, 53, 53; font-family: Arial, Helvetica, Verdana, sans-serif;"><span style="color: rgb53, 53, 53; font-family: Arial, Helvetica, Verdana, sans-serif;">I'm amazed at the advanced techniques and tools they now have. There is an electrical device that manages to apply an anti-inflammatory medicine directly through the skin onto the tendons without needles. They also did deep heating ultrasound therapy followed by a 20 minute manual massage. After this came the fun part. He threw my leg around like a toothpick and twisted it into positions I didn't think possible. No pain involved. The purpose was to re-align a bunch of muscles, tendons and ligaments. Finally, there was 20 minutes of teaching me how (and why) to do various stretches. Some of them were familiar, some not.</span><br style="color: rgb53, 53, 53; font-family: Arial, Helvetica, Verdana, sans-serif;"><br style="color: rgb53, 53, 53; font-family: Arial, Helvetica, Verdana, sans-serif;"><span style="color: rgb53, 53, 53; font-family: Arial, Helvetica, Verdana, sans-serif;">I'm supposed to do the exercises 3x a day. Each routine is about 15 minutes. Need to go back there 2-3x a week for 30 minute treatments with all the electrical stuff. At the end of the 2nd week (assuming all goes well) they will start doing resistive exercises for about a week and then plyometric exercises.</span><br style="color: rgb53, 53, 53; font-family: Arial, Helvetica, Verdana, sans-serif;"><br style="color: rgb53, 53, 53; font-family: Arial, Helvetica, Verdana, sans-serif;"><span style="color: rgb53, 53, 53; font-family: Arial, Helvetica, Verdana, sans-serif;">Somewhere around week 3-4, I should be able to do some Krav but, kicking and grappling will have to be slowly introduced. I'm advised to do only very light jogging and moderate elliptical. Body building is OK -provided I don't repeatedly put power or stress through the adductors.</span></i></div><div><i><span style="color: rgb53, 53, 53; font-family: Arial, Helvetica, Verdana, sans-serif;"><br></span></i></div><div><font color="#353535" face="Arial, Helvetica, Verdana, sans-serif">I'm going on a ski trip in mid January and am trying to heal this before that. I'm not even sure how to find a good therapist. There are a bunch of ATI and Athletico's by mean but I don't know who to trust especially after my experience. Or should I stick to the acupuncture?&nbsp; I'd like a PT that is an athlete type that can relate. anything I can do on my own? Can I stretch it hard or just lightly?</font></div><div><font color="#353535" face="Arial, Helvetica, Verdana, sans-serif"><i><br></i></font></div><div><font color="#353535" face="Arial, Helvetica, Verdana, sans-serif"><i>Thanks</i></font></div><div><br></div><div><br></div><span style="font-size:10px"><br /><br />Edited by faromic - Nov 27 2017 at 10:12pm</span>]]>
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   <pubDate>Mon, 27 Nov 2017 22:06:27 +0000</pubDate>
   <guid isPermaLink="true">http://www.cyberpt.com/ptforum/forum_posts.asp?TID=1552&amp;PID=2139&amp;title=groin-pull-not-healingits-been-months#2139</guid>
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   <title><![CDATA[Hip, Buttock &amp; Groin Injuries/Conditions : Old sprain pains debilitating my life]]></title>
   <link>http://www.cyberpt.com/ptforum/forum_posts.asp?TID=1544&amp;PID=2125&amp;title=old-sprain-pains-debilitating-my-life#2125</link>
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    <![CDATA[<strong>Author:</strong> <a href="http://www.cyberpt.com/ptforum/member_profile.asp?PF=4">Ask a PT</a><br /><strong>Subject:</strong> Old sprain pains debilitating my life<br /><strong>Posted:</strong> Apr 05 2016 at 8:47am<br /><br /><b>Our user asked:</b> "Hi 10 years ago I sprained my L SI joint and I have had popping and pain in that area now for 10 years and it's gotten worse. Since trying a si joint belt (and then stopping) pain travels around to the front and the side of my hip and down the back and side of my leg. Also 6 years ago I sprained a few of my right toraco vertebral joints and now those ribs back there pop out in the front and the back and they hurt very badly and shoot pain down my arm into my ring finger and I help it with chiropractic care and a foam roller. I help my hip/si joint with stretching and gentle exercise. But it seems like the more exercise I do on my upper back the worse the pain gets is there any hope for my sprained ligaments ? Will they ever tighten back up somehow and let me a live life without pain and constant therapy ?"<div><br></div><div><b>Ask a PT Response:</b>&nbsp;Often times after an injury which you have described an imbalance can occur as a result of sustaining the injury and your body compensating for it. Chiropractic care can be beneficial for facilitation of more normal alignment but other steps should be taken to ensure the alignment is sustained. Often times strengthening of weak muscles, stretching of tight muscles and postural reeducation is required as well. It may be beneficial for you to consult with a PT so that an evaluation can be conducted and an individualized plan of care and be developed for you based on the findings from the exam. Best of luck to you."</div>]]>
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   <pubDate>Tue, 05 Apr 2016 08:47:04 +0000</pubDate>
   <guid isPermaLink="true">http://www.cyberpt.com/ptforum/forum_posts.asp?TID=1544&amp;PID=2125&amp;title=old-sprain-pains-debilitating-my-life#2125</guid>
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   <title><![CDATA[Hip, Buttock &amp; Groin Injuries/Conditions : Anterior Hip Replacement]]></title>
   <link>http://www.cyberpt.com/ptforum/forum_posts.asp?TID=1537&amp;PID=2117&amp;title=anterior-hip-replacement#2117</link>
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    <![CDATA[<strong>Author:</strong> <a href="http://www.cyberpt.com/ptforum/member_profile.asp?PF=4">Ask a PT</a><br /><strong>Subject:</strong> Anterior Hip Replacement<br /><strong>Posted:</strong> Oct 19 2015 at 3:43pm<br /><br /><strong>Our user asked</strong>: "I had my hip replaced on October 8th , I have a few exercises given by PT in the hospital to do at home. They also said walking is my PT. I am 100% weight bearing. I have been pushing myself pretty hard and in tern swell pretty bad. My daughters tell me I am walking too much and I was hoping to get some kind of recommended guidelines for total hours I should shoot for each day. I am a 70 year old woman who is otherwise very healthy and am taking Tylenol every 6 hours for pain."<div>&nbsp;</div><div><strong>Ask a PT Response:</strong> "It sounds like you may be doing too much if you are experiencing increase swelling at your hip. My guidelines for my patients who are out of surgery for&nbsp; under two weeks is to let pain/discomfort be their guide. When they begin to experience some symptoms they should rest. Being just under two weeks out after surgery, I would not have my patients walk "hours" a day. Perhaps break it up 10-15 minute walks 3-4 times a day or to tolerance and progress from there. Perhaps you could contact the PT who worked with you in the hospital to obtain further guidance as he or she would know you best."</div>]]>
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   <pubDate>Mon, 19 Oct 2015 15:43:47 +0000</pubDate>
   <guid isPermaLink="true">http://www.cyberpt.com/ptforum/forum_posts.asp?TID=1537&amp;PID=2117&amp;title=anterior-hip-replacement#2117</guid>
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   <title><![CDATA[Hip, Buttock &amp; Groin Injuries/Conditions : fall]]></title>
   <link>http://www.cyberpt.com/ptforum/forum_posts.asp?TID=1530&amp;PID=2110&amp;title=fall#2110</link>
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    <![CDATA[<strong>Author:</strong> <a href="http://www.cyberpt.com/ptforum/member_profile.asp?PF=4">Ask a PT</a><br /><strong>Subject:</strong> fall<br /><strong>Posted:</strong> Aug 01 2015 at 7:49am<br /><br /><b>Our user asked</b>: "<span style="color: rgb34, 34, 34; font-family: Arial, Helvetica, sans-serif; line-height: 18px;">I fell Wed. backward off a chair. was not drinking:) Landed very hard on my behind and it hurt instantly. I don't think I hit anything else. The backs of my thighs are bruised so I guess we'll throw those in. Went to nurse practitioner next day and she took xray of tailbone. Read it and said no fractures. Radiologist will read within the week as a precaution, I imagine. It is Sunday. The pain is getting better. I have little tingles of areas in my back letting me know that there has been trauma. Problem. I suffer anxiety and panic attacks. Have had huge ones. Can't relax and come to grips that I think I'm okay. Keep reliving accident and worried I am going to have a big spine problem. Am I nuts?"</span><div><span style="color: rgb34, 34, 34; font-family: Arial, Helvetica, sans-serif; line-height: 18px;"><br></span></div><div><span style="color: rgb34, 34, 34; font-family: Arial, Helvetica, sans-serif; line-height: 18px;"><b>Ask a PT Response</b>: "</span><span style="color: rgb34, 34, 34; font-family: Arial, Helvetica, sans-serif; line-height: 18px;">You aren't nuts :) . Since you are getting better I would not be too concerned. The bruising is most likely the result of trauma to the region. I can relate to&nbsp;you and experienced a similar situation as yours as a result of sliding into home plate and landing on my tailbone. It took awhile but I was fine. Pain in the back, pain shooting into the legs, numbness/tingling of the leg(s), loss of control of bowel/bladder etc... are symptoms that would suggest a more severe injury. If your condition is not improving, I'd recommend you see your&nbsp;MD when possible. Best of luck to you."</span></div>]]>
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   <pubDate>Sat, 01 Aug 2015 07:49:59 +0000</pubDate>
   <guid isPermaLink="true">http://www.cyberpt.com/ptforum/forum_posts.asp?TID=1530&amp;PID=2110&amp;title=fall#2110</guid>
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   <title><![CDATA[Hip, Buttock &amp; Groin Injuries/Conditions : rehabilitation after femoral intramedullary nailin]]></title>
   <link>http://www.cyberpt.com/ptforum/forum_posts.asp?TID=1502&amp;PID=2082&amp;title=rehabilitation-after-femoral-intramedullary-nailin#2082</link>
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    <![CDATA[<strong>Author:</strong> <a href="http://www.cyberpt.com/ptforum/member_profile.asp?PF=4">Ask a PT</a><br /><strong>Subject:</strong> rehabilitation after femoral intramedullary nailin<br /><strong>Posted:</strong> Dec 09 2013 at 9:41am<br /><br /><strong>Our user asked:</strong> "I tried searching the site but did not find anything. Is there PT you can recommend after femoral intramedullary nailing. This happened Sept 13, 2013. Thank you"<DIV>&nbsp;</DIV><DIV><strong>Ask a PT Response:</strong> "It is going to vary among patients. Here is a great article that has a case study pertaining to your condition. It contains a sample rehab program for a patient that was cleared for weight bearing (PO = post op in the article). Definitley consult with your surgeon or PT prior to performing any new exercise or activity. Best of luck with your rehab. <a href="http://ptjournal.apta.org/c&#111;ntent/86/4/558.full.pdf+html" target="_blank">http://ptjournal.apta.org/content/86/4/558.full.pdf+html</A>&nbsp;"</DIV><DIV>&nbsp;</DIV>]]>
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   <pubDate>Mon, 09 Dec 2013 09:41:44 +0000</pubDate>
   <guid isPermaLink="true">http://www.cyberpt.com/ptforum/forum_posts.asp?TID=1502&amp;PID=2082&amp;title=rehabilitation-after-femoral-intramedullary-nailin#2082</guid>
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   <title><![CDATA[Hip, Buttock &amp; Groin Injuries/Conditions : limping - gluteus medius release]]></title>
   <link>http://www.cyberpt.com/ptforum/forum_posts.asp?TID=1499&amp;PID=2079&amp;title=limping-gluteus-medius-release#2079</link>
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    <![CDATA[<strong>Author:</strong> <a href="http://www.cyberpt.com/ptforum/member_profile.asp?PF=4">Ask a PT</a><br /><strong>Subject:</strong> limping - gluteus medius release<br /><strong>Posted:</strong> Dec 04 2013 at 9:01am<br /><br /><P>Our user asked: "Hi, 10 years ago I realized that my legs were twisted out and had a contracted muscle mass in the lateral and posterior part of the pelvis ( gluteus medius I believe) and little development of the gluteus maximus , all bilateral , my pelvis looked different of others, widened, and the greater trochanter of the femurs not sticking out , instead what protruded on both sides was the top of the ilium or iliac crest , but was not evident, just on palpation was obvious . I intuitively began exercising after warm up a bit, what I did was compress with my hand in the form of pin the contracted muscle while doing leg lateral abduction , when I felt that muscle ceded i increased compression and I did several repetitions for a time and the day that completely ceded my leg changed its alignment . Walking and moving straight, iliac crest was attenuated while the trochanter is pronounced , taking a normal shape . These exercises were very intense and I was exhausted , also felt a little afraid because I did not know if what I had done was right or not so I decided not to continue with the other leg . This created a disparity in my legs and so I have a slight limp . Searching the internet I read something about the tension of the gluteus medius and what this can cause as well as different techniques to release this tension, I am not sure but maybe the exercise i did released the tension of the gluteus medius and aligned my right leg properly, I wish someone can tell me if what i did was exactly the release of the gluteus medius or not, what should i do with my other leg to align it and correct the limp, maybe some exercises less traumatic than what i did, therapy or device that can help, thank you"</P><DIV><strong>Ask a PT Response:</strong> "It sounds like you have some medical background. The primary function of gluteus medius is hip abduction while gluteus maximus is hip extension. In therapy when we usually utilize deep compression as an inhibition technique or light compression as a facilitation technique. I would also utilize compression with exercise as a muscle pump for some of my patients. It may be very well possible you affected the gluteus medius somehow and altered the length tension relationship or you could have just fatigued the muscle which require a period of time for recovery. The best thing to do would probably be to see a PT so that he or she can determine what is actually going on especailly now that your are limping. Sorry I could not be of more help, but without physically examining you I would not be able to give you the most accurate response."</DIV>]]>
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   <pubDate>Wed, 04 Dec 2013 09:01:53 +0000</pubDate>
   <guid isPermaLink="true">http://www.cyberpt.com/ptforum/forum_posts.asp?TID=1499&amp;PID=2079&amp;title=limping-gluteus-medius-release#2079</guid>
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   <title><![CDATA[Hip, Buttock &amp; Groin Injuries/Conditions : ITB]]></title>
   <link>http://www.cyberpt.com/ptforum/forum_posts.asp?TID=1495&amp;PID=2075&amp;title=itb#2075</link>
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    <![CDATA[<strong>Author:</strong> <a href="http://www.cyberpt.com/ptforum/member_profile.asp?PF=4">Ask a PT</a><br /><strong>Subject:</strong> ITB<br /><strong>Posted:</strong> Nov 18 2013 at 2:59pm<br /><br /><P><strong>Our user asked:</strong> "I have had itb chronic pain for a year. Getting better. Does using aBductor weight maching where knees move outside from center against weight help or hurt my ITB issues? I have heard confusing info about which machine should be used."</P><DIV><strong>Ask a PT Response:</strong> "Since you are having chronic issues with your ITB, you would want to avoid inflamming this area, especially if you are getting better. For my patients that may have this issue, if I were to have them utilize the hip abductor machine it would be with very light weight. If they were to c/o of any increase symptoms, I would not have them utilize this machine. Having my patients incorporate a stretching and light resistance traning seems to help them the most."</DIV>]]>
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   <pubDate>Mon, 18 Nov 2013 14:59:04 +0000</pubDate>
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   <title><![CDATA[Hip, Buttock &amp; Groin Injuries/Conditions : right leg rotates towards the outside]]></title>
   <link>http://www.cyberpt.com/ptforum/forum_posts.asp?TID=1182&amp;PID=1651&amp;title=right-leg-rotates-towards-the-outside#1651</link>
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    <![CDATA[<strong>Author:</strong> <a href="http://www.cyberpt.com/ptforum/member_profile.asp?PF=4">Ask a PT</a><br /><strong>Subject:</strong> right leg rotates towards the outside<br /><strong>Posted:</strong> Feb 01 2013 at 4:06pm<br /><br /><strong>Our user asked:</strong> "been having right hip and persistent right si joint pain.(bad strain there for about 4 months now) been to 4 chiros. I notice the pelvis is anteriorly rotated on the right side and the right leg wants to rotate outward. I do bridges, pelvic tilts. Would it not make sense to perform adduction exercises to counteract the muscles rotating my leg outwards (duck foot)?"<DIV>&nbsp;</DIV><DIV><strong>Ask a PT Response:</strong> "Yes, it would make sense to work not only the adductors but the hip internal rotators as well. Chiropractors are great at getting an individual back into alignment. However, if the underlying cause of the misalignment is not corrected (ie. weakness, flexibility, posture, etc), one will continue to experience a recurrence of the condition. In your case, you might have an imbalance as well which will require stretching the tighter/stronger muscles. Attached are some sample exercises which I give my patients for strengthening. I would recommend you see a PT if your condition continues to persist."</DIV>]]>
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   <pubDate>Fri, 01 Feb 2013 16:06:10 +0000</pubDate>
   <guid isPermaLink="true">http://www.cyberpt.com/ptforum/forum_posts.asp?TID=1182&amp;PID=1651&amp;title=right-leg-rotates-towards-the-outside#1651</guid>
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