While mobilizing a patient’s hip joint in 2011, I had the thought that the hip felt like adhesive capsulitis of the shoulder. I researched it in the literature and found 11 articles describing adhesive capsulitis of the hip (ACH), plus several cases involving other joints. I am also aware of several studies being done currently, and a book chapter being devoted to this diagnosis.
I would like to highlight two things about the experience of co-writing the literature review with Looney, MD and Raynor, MD.
- The first is that I/we propose biomechanical dysfunction in the lumbar spine, pelvis, and hips as a possible etiology in idiopathic adhesive capsulitis of the hip, as well as the shoulder. One of the orthopaedists said that most of his colleagues are still not aware of biomechanical dysfunction and the specialty of orthopaedic manual physical therapy. A discussion of neurophysiology and recent pain science are probably even more distant from their knowledge base, which is why coordination can benefit patients.
- The second issue is that co-writing with a profession outside of mine brought challenges. It takes effort to coordinate with other professions, and not everyone is willing to go outside their circles. But, multi-disciplinary research and coordinating is worth the challenge for our patients. It is valuable and able to provide more perspectives.
-Rebecca Lowe, PT, COMT, FAAOMPT
Rebecca Lowe received her advanced certification in OMT in 1999, is a 2006 fellowship graduate from The North American Institute of Orthopaedic Manual Therapy and a Fellow of AAOMPT. She is grateful for the training and mentorship that she has had and continues to have. Listening to her patients, being involved AFTER fellowship with peers and mentors, and beginning to teach has continued to deepen and broaden her knowledge and skills.
Rebecca has started the Society of Inter-disciplinary Research to gather clinicians, educators, and researchers in different professions who enjoy thinking outside their boxes. We have a lot to learn from each other and we will learn faster if we work together.
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