Everyone these days seems to have hip pain - and it's usually one-sided. To demystify this right from the start, most chronic, one-sided hip pain is due to habituation of a very common reflex: the Trauma Reflex. This is a reflex that is invoked involuntarily in response to accidents, injuries, surgeries, or falls. It can also become habituated due to using a computer mouse, holding a baby on one's hip, or holding a heavy bag on one shoulder. The muscles of one side of the waist and trunk become tighter than the other side. This changes the way you walk and can lead to plantar fasciitis, achilles tendonitis, and sciatica.
You must change the sensory motor nervous system in order to relieve muscle pain.
Think about it: if you could relax the muscles you would, right? But you can't. This is because you have learned so well to adapt and adjust to the stresses of your life (physical, mental, emotional, and occupational) that you don't even notice your movement or posture until pain sets in. The key to long-term pain relief is to learn to "reboot" your brain and nervous system so your muscles learn to fully relax. You are the only one who can do this; in Hanna Somatics we teach you how.
The first step is know what to look for. I like to ask clients to pay attention to specific things as they walk: Do both arms swing gently? Does one hip move more than the other? Do you land more heavily on one foot or the other? Do you notice a difference from one side to the other? Invariably even clients who say, "I've never paid attention to how I walk," will tell me that they notice one side moving while the other side feels stiff.
"Dorothy" came to me with pain in one hip, and discomfort when walking. She was very active, and loved to garden. Notice in the photo at right how the right hip is higher up than the left hip. Notice the hem of her shirt; it curves up and to the right. Her right arm and hip are touching. Notice the difference on the left side; her back is more relaxed and there is space between her arm and hip. Her right shoulder slumps down while her left shoulder is level. This is a typical Trauma Reflex posture.
It wasn't surprising that Dorothy had discomfort when she walked. She was literally out of balance, with one foot and leg moving differently from the other, like a car with a flat tire. This kind of muscular imbalance creates hip pain on one side of the body; if it is not addressed it can also contribute to structural damage.
Dorothy didn't notice these imbalances until I pointed them out. She initially said that she felt balanced and even! Why? Because this "out of balance" posture had become an unconscious - therefore, uncontrollable - habit. In order to release the muscles around the hip joints and pelvis and relieve her hip pain, she needed to learn to regain conscious awareness and voluntary control of the muscles of side bending and twisting - the very ones that were hitching her pelvis up and tightening around her hip joint.
After only one session, she was able to relax her right hip so that it was even and level with her left hip. Notice the difference in the level of her hips in the photo to the right. The hem of her shirt is even as are her shoulders.
After a hands-on clinical Somatics session that addressed the muscles of the Trauma Reflex, I asked her to walk down the hall one more time. She noticed that her gait was smooth and effortless, and her hip pain was greatly relieved. I sent Dorothy home with several easy Somatic Exercises (arch and flatten, the side bend, and the washrag) - to do at home to reinforce the improvement she had made. I saw her her a few more times to help her release the muscles of the back and front of her body, and she reports that she continues to feel looser and more comfortable both in her hips and in her walk. It's amazing what a little awareness and movement can do!