Feb 25, 2021
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The gluteus medius and low back pain
We see this one ALL the time. We are sure you do as well. “Gluteus medius weakness and gluteal muscle tenderness are common symptoms in people with chronic non-specific LBP.” It is often more on the side of pelvic frontal plane drift. The abdominals and spinal stabilizers also often test weak on this same side.
We often see compromise of hip rotation stability as well because , since the hip is relatively adducting (because the pelvis is undergoing repeated frontal plane drift, hence no hip abduction) there is often a component of cross over gait phenomenon which can threaten rotation stability of the lower limb (type “cross over gait” into the search box of our tumblr blog for an sample of work we have written on that phenomenon). Eur Spine J. 2015 May 26. [Epub ahead of print]
Prevalence of gluteus medius weakness in people with chronic low back pain compared to healthy controls. Cooper NA1, Scavo KM, Strickland KJ, Tipayamongkol N, Nicholson JD, Bewyer DC, Sluka KA. http://www.ncbi.nlm.nih.gov/pubmed/26006705 #
Day 33/365
Learning how to live pain free is so strange. It's like my body got used to not being able to do anything. Relearning how to walk normal is so bizarre to me.
AVN of the Hip: The Silent Condition That Can Lead to Hip Replacement If Ignored
Many people ignore hip pain until it starts affecting their daily life. What begins as mild discomfort while walking can gradually progress to severe pain, limping, and difficulty performing simple activities. In some cases, the underlying cause is a condition called Avascular Necrosis (AVN) of the Hip.
AVN occurs when the blood supply to the femoral head (the ball of the hip joint) becomes reduced or interrupted. Without adequate blood flow, the bone tissue starts to weaken and may eventually collapse, leading to arthritis and significant joint damage.
Why Early Diagnosis Matters
One of the biggest challenges with AVN is that the condition often develops silently. During the early stages, patients may experience occasional groin pain, stiffness, or discomfort while walking. Because these symptoms can appear minor, many people delay seeking medical attention.
Unfortunately, AVN does not usually improve on its own. As the disease progresses, the chances of preserving the natural hip joint become lower.
This is why early diagnosis through clinical evaluation and MRI imaging is extremely important.
Can AVN Be Treated Without Hip Replacement?
The answer depends on the stage of the disease.
When AVN is diagnosed early, joint-preserving procedures may help slow disease progression and support bone healing. Various advanced treatment options are available depending on the patient's age, bone condition, and severity of damage.
However, if the femoral head has already collapsed and the joint surface is significantly damaged, Hip Replacement Surgery may become the most effective solution for restoring mobility and eliminating pain.
Advanced AVN Treatment in Indore
Patients from Indore and surrounding regions are increasingly seeking specialized treatment for AVN before the condition reaches an advanced stage.
Dr. Anupam Khandelwal has extensive experience in evaluating and treating AVN of the hip using a stage-based treatment approach. Every patient undergoes a detailed assessment to determine whether the natural hip joint can be preserved or whether surgical intervention is required.
The goal is always to identify the most suitable treatment option while helping patients maintain mobility and quality of life.
Common Symptoms That Should Not Be Ignored
If you are experiencing any of the following symptoms, an orthopedic evaluation may be necessary:
Persistent hip or groin pain
Pain while walking or climbing stairs
Stiffness in the hip joint
Difficulty sitting cross-legged
Limping during walking
Reduced range of motion
These symptoms may indicate AVN or another serious hip condition that requires timely treatment.
Don't Wait Until the Damage Becomes Permanent
Many AVN patients regret delaying treatment until daily activities become extremely difficult. The earlier the condition is diagnosed, the greater the opportunity to explore treatment options that may help preserve the joint and prevent further deterioration.
If you have been diagnosed with AVN or are experiencing unexplained hip pain, seeking expert evaluation can make a significant difference in long-term outcomes.
Your hip joint works hard every day. Giving it timely attention today may help protect your mobility for years to come.
Read More
6 likes, 1 comments - drdivyanshsingh on May 11, 2026: "🚨 Don’t Ignore Hip Pain! 🚨 If you feel pain in your hip while: ✔️ Walking ✔️ Joggin
First time in india Laser Hip Replacement Innovation by Dr. Anupam Khandelwal .
🚶♂️ Still Living with Hip Pain?
Hip replacement surgery has evolved significantly with modern technologies designed to improve precision, reduce tissue damage, and support faster recovery.
Laser-assisted hip replacement is emerging as an advanced option for patients suffering from: ✔ Hip Arthritis ✔ AVN (Avascular Necrosis) ✔ Chronic Hip Pain ✔ Difficulty Walking ✔ Joint Degeneration
If hip pain is affecting your mobility, independence, or quality of life, understanding your treatment options is the first step toward recovery.
Read more about Laser Hip Replacement in India and how advanced orthopedic innovations are helping patients regain movement and confidence.
To Know More : Laser Hip Replacement in India
Hip pain during daily activities isn’t something to “wait out.” Early evaluation can prevent joint damage, improve mobility, and help you stay active without constant discomfort or stiffness.
Struggling with Severe Hip Pain? Get Advanced Hip Replacement Treatment in Indore
Living with constant hip pain can make simple daily activities difficult — walking, climbing stairs, sitting comfortably, or even sleeping peacefully. If your hip pain is affecting your lifestyle, mobility, or independence, it may be time to consider advanced hip replacement treatment.
At Dr Anupam Khandelwal, patients receive expert orthopedic care with advanced techniques focused on pain relief, improved movement, and faster recovery.
Common Symptoms That Should Not Be Ignored
Persistent hip or groin pain
Difficulty walking or standing for long periods
Stiffness in the hip joint
Trouble sitting cross-legged
Limping while walking
Pain during movement or at night
Reduced flexibility and mobility
These symptoms are commonly seen in conditions like:
Hip Arthritis
AVN (Avascular Necrosis)
Severe Joint Damage
Injury-related Hip Problems
Degenerative Hip Conditions
Advanced Hip Replacement Can Help You Move Freely Again
Modern hip replacement surgery is designed to replace damaged joints and help patients regain comfortable movement and a better quality of life.
Benefits of Hip Replacement:
✔ Long-term pain relief ✔ Improved walking ability ✔ Better joint movement ✔ Enhanced daily comfort ✔ Improved mobility and independence ✔ Faster rehabilitation with modern techniques
If medicines, injections, or physiotherapy are no longer giving relief, expert orthopedic evaluation becomes important.
Book Your Hip Replacement Consultation Today
Take the first step toward a pain-free and active life.
👉 Book Hip Replacement Appointment Here
Trusted Orthopedic Care in Indore
Dr. Anupam Khandelwal focuses on advanced orthopedic and joint replacement treatments with patient-centered care and modern surgical approaches.
Early consultation and proper treatment planning can help prevent worsening joint damage and improve long-term mobility outcomes.