Hip issues have become very common. Again, unless trauma or infection is involved, most hip problems originate in the mechanical stress that is placed on this joint complex. The most common source of hip and, for that matter, other joints in the lower extremity is changes in the contour, shape and integrity of the arches of the feet.
Our feet are the foundation of our physical frame. Any change in this foundation impacts the entire chain of muscle and joints above them. Because we wear shoes too early in life and our feet do not experience adequate stimulation and exercise by not having a bare contact with the ground, we do not develop adequate joint and muscle memory to ambulate efficiently. With arches not being able to strengthen sufficiently, over-pronation, or flattening of the arches, takes place. Normally, one arch flattens more and this is akin to a tilted foundation of a building; a building in this situation would eventually fall over. Our body, however, is a living, dynamic structure that makes compensations to keep us centered. These structural compensations lead to some muscles working harder than others and causing uneven loading of the joints at various points of our frame. Eventually, excessive mechanical load, muscle imbalance and abnormal wear and tear predispose us to injuries such as ankle sprains, meniscus tears in the knees and promote degenerative changes in the hips and other joints in the lower extremity.
Proper corrective and restorative care requires adequate assessment of the integrity of the arches of feet and their association with the mechanical stresses placed on the whole body. Ultimately, customized orthotics are essential to correct over-pronation and unbalancing of pelvis in order to eliminate biomechanical faults. There are three ways to cast for orthotics, two of which are not as effective as the third method we employ in our office. Please contact us to speak to Dr. Bina for further clarification.