Evergreen Therapeutic Massge

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09/07/2025

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🔄 Snapping Hip Syndrome (SHS)

📖 Definition

Snapping Hip Syndrome (also called Coxa Saltans) is a condition where you feel or hear a snapping or popping sensation in the hip during movement—especially walking, rising from a chair, or swinging the leg.

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🧠 Name & History

🔹 Name Origin:

Coxa = Hip (Latin)

Saltans = Jumping or Snapping (Latin)
🔹 First documented in orthopedic texts in the early 20th century
🔹 Commonly seen in dancers, athletes, and gymnasts

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🎯 Causes

There are 3 main types of SHS:

1️⃣ External Type
➤ Iliotibial band or gluteus maximus tendon snapping over greater trochanter

2️⃣ Internal Type
➤ Iliopsoas tendon sliding over the iliopectineal eminence or femoral head

3️⃣ Intra-articular Type
➤ Labral tears, loose bodies, or hip impingement within the joint

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🚨 Signs & Symptoms

🔸 Audible snapping/popping during hip flexion-extension
🔸 May or may not be painful
🔸 Tightness or discomfort in the hip
🔸 Clicking when walking, running, or standing up
🔸 Weakness in hip abduction/flexion

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⚠️ Risk Factors

✅ Repetitive hip movements (e.g., sports 🏃‍♀️, ballet 🩰)
✅ Muscle imbalances (tight/weak hip muscles)
✅ Limb length discrepancy
✅ Joint laxity or instability
✅ Young age and female gender
✅ Poor biomechanics

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🔍 Pathomechanism

💥 Muscle or tendon rubs over a bony prominence, creating friction or tension. Repeated motion leads to thickening or inflammation, triggering snapping and discomfort.

External type ➝ IT band moves over greater trochanter

Internal type ➝ Iliopsoas moves over pelvic rim

Intra-articular ➝ Internal hip damage causes catching/snapping

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🦿 Biomechanics

⚙️ Snapping occurs when there is abnormal alignment, tightness, or repetitive motion causing tendons to "slip" over bone.
Common during:
✅ Hip flexion-extension
✅ Rotation or circumduction
✅ Load-bearing postures or transitions

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🔥 Differential Diagnosis
✅ Intra-articular hip disorders
✅ Trochanteric bursitis
✅ Iliopsoas bursitis
✅ Iliotibial band syndrome
✅ Iliopsoas syndrome[3]: A hip pathology characterized by internal snapping hip, iliopsoas tendonitis, and iliopsoas bursitis

🧴 Conservative Treatment

🔸 Rest 🛌
🔸 Ice packs 🧊
🔸 NSAIDs for pain/inflammation 💊
🔸 Activity modification 🚫
🔸 Proper stretching & warm-up 🧘

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🧑‍⚕️ Physiotherapy Rehabilitation

🌟 Goal: Reduce snapping, correct biomechanics, restore function.

✅ Stretching

Iliopsoas stretch

IT band stretch

Gluteal stretch

✅ Strengthening

Core & pelvic stabilizers

Hip abductors (e.g., clamshells, side-lying lifts)

Glutes and hamstrings

✅ Manual Therapy

Myofascial release

Trigger point release

Soft tissue mobilization

✅ Neuromuscular Re-education

⭐ Gait correction
⭐Proprioceptive training

✅ Modalities

⭐Ultrasound
⭐ TENS/IFT
⭐ Dry needling (if myofascial tightness exists)

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🈶 Acupuncture Points (for pain & muscle release)

📌 GB 29 (Juliao) – Hip joint pain
📌 GB 30 (Huantiao) – Sciatic & gluteal pain
📌 ST 31 (Biguan) – Hip flexor release
📌 LI 10 – Local point for soft tissue
📌 Ashi/Trigger points – Iliopsoas, TFL, ITB

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🏡 Home Advice

🧘 Gentle stretching twice daily
🪞 Postural correction exercises
🚶‍♂️ Avoid sudden changes in activity
🧴 Use foam roller to release tight muscles
🍽️ Stay hydrated and maintain healthy weight
🪑 Sit with hips at 90° to avoid shortening iliopsoas
👟 Use supportive footwear

-- ✅Physio Masud

09/07/2025

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09/07/2025

How tight should your hip flexors be? Here is what a leading PT has to say. Learn more: https://goto.lifelongwellness.org/uyhfpsoas_06_23_25

09/07/2025

10/06/2025

Catherine Dickens was more than just the wife of a literary icon—she was a woman with dreams, creativity, and deep emotional intelligence, who bore the weight of a difficult marriage in the public eye. She was a published author in her own right, penning a cookbook *What Shall We Have for Dinner?* that offered not only recipes but also a glimpse into Victorian domestic life from a woman's perspective. She managed a large household and gave birth to ten children, enduring not only the physical toll but also the emotional labor of keeping up appearances while her husband’s fame grew.

Behind closed doors, her marriage to Charles Dickens grew increasingly strained. As his career flourished, he began to resent the domestic life that once inspired him. Eventually, he accused her of being mentally unstable—a common tactic used in that era to discredit women—and forcibly separated from her, removing her from their home and children. The press, swayed by his celebrity, portrayed him sympathetically while Catherine suffered quietly, her voice largely erased.

Only years later did letters from her daughter and friends begin to surface, telling a different story: of a dignified, intelligent woman who had been mistreated and misrepresented. Catherine’s story is not just about life with a famous man—it’s a reflection of the countless women whose truth was buried beneath someone else’s narrative.

05/05/2025

Syanara Koalas. There's a fork in the road and Evergreen is on the move 🥰 Thankyou to all my beautiful clients, some of who have been with me for the whole journey. Thankyou for your support, the learning, the laughs and the love.
My phone # remains the same so if you're ever in the Port Adelaide area...well come say hi 😊

12/04/2023