Myofascial based pain (soft tissue/connective tissue) remains a strong possible source of either or both of your hip and upper back/shoulder pain.
The ileotibial band is a dense, fibrous connective tissue that runs from the hip to the upper tibia/knee. Tightness of the ileotibial band is
common as people age and become less active. It is not just inactivity but decreased excursion of joint movement as one ages that is at the crux of myofascial shortening and pain. Think of a once flexible rubber band that becomes stiffened and less pliable with age.
Do you have difficulty in sitting with crossing one thigh/upper leg over the other? Difficulty with putting on shoes or socks? Adhesive capsulitis of the hips and tightened ileotibial band are both suspect.
The shoulders are a suspension joint, like a clothing hanger, with little muscular support. Muscles that lie beneath the scapula are a common source of tightened muscle nodules/.trigger points that radiate pain to the upper back and shoulders. As people age, people are more likely to keep their arms in close proximity to the body and less likely to routinely bring the arms up and over the core body. Take a small stick or pole. Are you able to bring both arms to shoulder level? Up above shoulder level? Do your scapula/wing bones feel stuck or immobile? Scaplular immobility plays a large role in shoulder pain. The scapula glide in a 3:1 ration to the shoulder. A scapula that is less mobile will be reflected as shoulder limitation and pain.
The song. . . “the hip bone is connected to the thigh bone . . . Is true.” The body’s muscles, connective tissues, and joints are interconnected and interrelated. Each affect the other. A local soft tissue/connective tissue restriction localized or limitation can have distant joint effects.
I am an advocate of suggesting the Silver Sneakers program to people who are in need of refunding a sense of safe movement and exercise as they age. Silver Sneakers is available in almost every community, usually affiliated with the YMCA or local community/county funded community center. It is low cost. There is a good sense of commaraderie and good will to be found in the class sessions. Silver Sneakers is a good way to make initial steps toward gradual/graduated exercise.
If your physician has not provided a physical therapy referral or consultation that would be a valid area of discussion. Find a PT Clinic that focuses on functional medicine and rehabilitation.
Keep in mind: Gentle, low stress movement with Intermittent rest. Use of local ice or moist heat. Keep in mind proper posture and body mechanics to support joint alignment. Drink plenty of clear fluids to flush away normal metabolites and toxins. Read up on principles of anti-inflammatory diet/nutrition, incorporate areas as able. Consider natural supplements such as currie and magnesium.
Sometimes it is a mixture of conventional medicine and holistic approaches and self-care that provide relief to musculoskeletal issues that evade a clear diagnosis.
Pituitary failure, wide-spread endocrine dysfunction
Mixed connective tissue disorder
Extensive intestinal perforation with sepsis, permanent ileostomy
Avascular necrosis of both hips and jaw
Receiving Palliative Care (care and comfort)
Post Edited ((Seashell)) : 10/24/2018 5:08:02 PM (GMT-6)