I'm going to clearly tell you where you are
in the four stages of hip posterior arthritis. Now, the staging system used by the medical
field at large tells us the severity of hip arthritis in an individual so that mainly
surgeons can know what to do as far as treatment goes. And so I've drawn some pictures here of the
stages. I'm going to walk you through it. I'm also going to show you on my skeleton
here what's going on with the hip joint so that you might understand where you are and
figure out what treatment you need. Now, there are some flaws to the staging system. Now, going to explain more about that in the
second half of this video. So let's watch through this part and then
I want you to pay attention to the flaws in a solution that I actually provide you with. So that you might have a better chance of
healing your hip arthritis naturally, so that you can avoid surgery. So the first stage is technically stage zero. There's really five stages if you count stage
zero. But this is never talked about because this
is a healthy hip. This is when you're younger and you never
even think about your hip. You can do whatever you want. You're a very happy person in regards to your
hip joint. There's plenty of space in the joints and
there's nothing wrong going on. Now, in stage one, here's where you begin
to have some sort of irritation, possibly even a little bit of damage to the cartilage
surfaces. And what I've drawn here, just to orient you. Here's the ball on this side and then here's
the socket and the redness might happen on the socket side or on the ball side. It just depends on which part breaks down
first, depending on how much over compression or how much or pressure you're putting through
the joints. Now, in stage one, what you'll feel is usually
a little bit of hip pain and it tends to be right in the front of the hip, like where
your thigh meets your body, where your leg folds against your body right here. That's where people get hit. Pain related to hip arthritis. That's the most common site. Now, if you have pain on the outer side of
your hip over here, that tends to be more related to hip bursitis or hip tendinitis
or eye t bone problems, TEFL issues. There's other conditions, but those are also
related because those other conditions share the same problem as hip. Also arthritis, but true hip arthritis pain
or hip joint pain technically is right here in the front of the hip. So if you're in stage one, like I said, you're
going to have pain about right here in the front of your hip joint where the ball starts
to move up against the edge of the socket. So it usually happens when you bend forward
or when you bring your knee towards your chest. It feels like it feels like there's some stiffness
there. You might begin to get a bit of stiffness
here and there if you've been sitting for a long time or if you wake up in the morning,
you have moved all night and you're going to get up, you might get some pain or discomfort
in that area. But now when it comes to stage one here, you're
usually not going to be bad enough that you need to go to the doctor. People in this stage usually can just deal
with it. Maybe they'll take a pain medication over
the counter pain medication and they'll be just fine. They're still generally happy because they
can do everything they want to do. They just do it at times. Now, if the root problem does not get addressed
and the problem persists over time, for some people, that's weeks. For some people it's months. For some it's years. They'll progress into stage two here. Now, in stage two usually begin to have even
more joint irritation, possibly damage to the cartilage, and usually begin to sit on
both sides of the hip joint. It could be on the ball side or on the socket
side. It may still just be on one side. It progresses differently in individuals differently. At this point, though, you're usually feeling
more consistent stiffness in the mornings, or if you've been sitting for a long time,
or you're also feeling more consistent pain in the front of the hip. And it may even bother you more as the day
goes on and hurts you at nights like when you're trying to fall asleep, it might hurt
then and not let you fall asleep, or it might wake you up in the middle of sleep because
of the position that you're in and because it's been irritated, it's it's going to throb
and hurt potentially. Now on an X-ray, finding they'll be able to
show some some changes on the surfaces of the ball and on the surface of the socket. And that's when the doctor will usually be
able to tell you, you have stage two hip arthritis, or they usually don't tell you the stage. They will speak in that language on the medical
side amongst doctors. They'll both communicate that way. The radiologist, the person that interprets
the X-ray will write that on the X-ray, just in case you're looking at your extra results
or MRI. But what the doctor will tell you in this
moment, because usually people in stage two, that's the first stage where they're actually
seeking medical attention or they're going to the doctor because the pain is getting
bad now. So what the doctor will tell you is you have
hip arthritis, but it's mild. It's not bad right now. That's what they usually say. And you're not a candidate for surgery yet
for any sort of of like hip replacement surgery, because that's the surgery. But what they'll say is, at this point, you
need to make sure that you're doing some sort of regular exercise. They might make weight loss recommendations. They'll probably prescribe you a pain medication
or even inject your hip with a pain medication to help you with the pain. And that the discomfort, the inflammation
that you're feeling from this injury at this point. Now, some people get better. Some people just delay the problem like they
they don't treat the root problem. So it progresses even more. Of course, you're you're not the happiest
here, but people are still usually very active at this point. But if it progresses into stage three now,
the irritation is taking up a significant portion of the joint surface. And notice I said irritation because there's
other things happening, like you might get bone spurs, which is just thickening of the
bone around usually the ends of the socket right here, you might get lumps developing
or holes developing like like divots developing on the ball side of the joint. Also on the socket side of the joints, it
begins to change the joints slightly. If it goes on long enough, it worsens and
you get this happened. But notice the other thing that I drew here,
there's less joint space between the ball in the socket compared to these in these drawings
in stage two, one and zero over here. So because of that less joint space, you're
getting compression in the joints. But with the doctors will tell you is that
you have a loss of cartilage or they'll also say that your hip joint is becoming bone on
bone or that it already is bone on bone. And there's usually a point where it's worse
and where the X-ray can show that there's more problems happening. Now, at this point, people are very unhappy. They're not comfortable, they're not sleeping
well. They're not able to be on their feet as long
as you want. Walking is becoming painful. They may even begin to limp when they're walking
around and feel like they need a cane or a walker in order to get around now, in stage three at the hip joint, you
begin to get some stiffness, especially going upwards in this direction as you come up,
because the the ball is compressed into the socket more. It's just a little more grinding in the hip. Some people actually do report grinding in
the hip and the motion itself just feels more difficult to do than your other hip, which
might come up a lot easier. And it's not just bringing the knee up that
happens in the hip. You also can go backwards, outwards and there's
rotation that happens at the hip joint. All of those motions become affected as far
as like the quality of motion. But you might even begin to get some range
of motion limitations, like you can't bring your knee up as high as the other side, or
you can move your leg outwards as much as the other side. There's little limitations that begin to happen,
and it's because that ball is being shoved up into the socket harder because of muscle
imbalances. The problem and it needs to be uncompressed. More on that in just a minute in stage four. This is where it's the most severe. The entire surfaces of the ball are compressed
into the socket. There's no more joint space. There's lots of bone spurs. There's lots of irritation happening. This person is in severe pain. They're usually desperate and they cannot
walk very far. If they can walk at all, they're usually using
a cane or a walker to get around. And at this point, the doctor is just saying,
you need surgery. We need to replace the hip joint. If we can cut off the ball and replace the
socket side as well and replace the ball, then we can take the arthritis away instantly
and replace it with artificial parts and you'll no longer have hip arthritis. That sounds great. And for somebody in phase in stage four, that's
an appropriate treatment because it's probably a little too far beyond helping. It's too far gone now. That's the staging system. And like I said, just to review, because I'm
not sure I made this point clearly in stage two is where people go to the doctor. It's usually in stage three. The doctors start making their recommendation
to have a hip replacement surgery, and if you make it to stage four before having the
replacement surgery, because many people have to here, you're going to almost certainly
have a hip replacement if you get this far. Now, let's talk about some flaws of the staging
system. The first floor is that the assumption underlying
this staging system is that you can only move in this direction and that once you have a
little bit of arthritis in your joints, that you're only going to get more and more and
more as time goes on because you get arthritis as you age. That's the underlying thinking and there's
no turning back that once you start going this way, it's just going to get worse and
worse over time. This is what leads doctors to say things like,
Well, you know, you're here in stage two right now, maybe a year, maybe five years, if you're
lucky, ten, but you're going to have insulin. You need a hip replacement. They'll say things like that because that's
the thinking that they have, the belief that they have, that it just gets worse over time. The second underlying assumption here that
I think is a huge flaw that is in the staging system here that's used to figure out the
severity of hip arthritis, is that once you have decreased joint space in the hip joint,
the assumption is that the cartilage is gone and this is fed into even more because doctors will say
things like your hip joint is bone on bone, which gives you the assumption that there's
no cartilage left. Some might even tell you there is no cartilage
left. And they're making that assumption based on
the X-ray image of the ball and socket joint being compressed like that, being there being
no space. They're assuming that there's no cartilage
there. But what you need to know is that there is
growing research showing that even though you have changes on an X-ray or an MRI, they've
done this in knee joints. They did this in rotator cuff, in the shoulder
and in discs in the spine. We've yet to research it in hips for hip arthritis. There just isn't research out there, which
doesn't mean that's not possible. Just we don't know yet. But I can tell you from experience in patients
that treated who are at this stage because when they're here, I'm usually telling them
you need to go to the doctor and probably get a hip joint replacement. But when they're here or in these stages here,
it's possible to uncompressed to decompress the hip joint. There's ways to do that allow the cartilage
to heal and move in this direction and allow you to get back to being healthy, active,
mobile again and skip having hip joint replacements. Let me explain more about what I mean here
with decompressing the hip joints. If you have hip arthritis, chances are you
have a muscle imbalance where the muscles on the front side of the hip joint, the hip
flexors and even the thigh muscles down the front of the thigh are over dominant or too
strong, relatively too strong to the muscles in the back of the hip, usually the muscles
of the butt muscles because of that, those hip flexors in the front, they're in a great
position to pull the ball up into the socket and even forward a bit. And that's where you get that extra compression
in the hip joints. And over time, with every step you take in
all those activities that you're doing, exercising, yard work, chores, everything, you're just
rubbing the ball and socket joint excessively. But if you can decompress that joint by creating
a balance between the muscles in the front and the back of the hip, then you can move
the ball into the proper position in the socket and normalize the pressures in the hip joints,
which will allow the cartilage to heal and allow you to be normal again eventually, as
long as it's not too far gone like we talked about for stage four. Now, I've developed a system of phases here,
not stages for get stages for a second phase. This is what I'm talking about. And here we have phase one, two, three and
four. And let me just explain this a little differently. Phase one is when you're very irritated because
it is possible for you to be in stage two where you're barely getting some mild hip
arthritis, but it hurts a lot and you can't walk very well. But the doctor's telling you your hip looks
okay. It's not a surgical case. You just need to do some treatments to get
it to calm down and you'll be all right. But you might be thinking this is severe. Cut me open. Let's replace the joint. I want to live more happy about my hip. I want this to not hurt. But if you're very irritated like that and
your hip actually looks okay on the X-rays, then you're in phase one and it just needs
to not be so irritated. You can do a treatment that gets the pressure
off the joint and get it to calm down. Then your cartilage can begin to heal that. When you're in phase two, you usually have
full range of motion again, and you're able to get the muscle imbalance you're starting
to address. Are you able to get the muscles stronger in
the back? Then you can begin to get the ball into the
right position and decompress the joint. In stage three, you're really getting the
muscles even stronger and you're able to tolerate a lot more and feeling tremendously better. Normal. Even now, Stage four, you're getting the muscles
all stronger together so that you can do whatever the heck you want, lift weights, run even
in some cases, be able to jog, be able to go hiking, going through these phases rather
than stages is important so that you can calm your hip down regardless of what your doctor
told you the stage that you're in. But if you think about the phase that you're
in, which is now research is something that I'm that I have here that I've developed and
I have available for you, that you can have a better idea of what you should be doing
treatment wise and what you can expect as far as improvement. These phases that I've developed here are
available in our Hip Arthritis Recovery Program, which you can learn more about through a link
in the description below. Here, our Hip Arthritis Recovery Program is
a comprehensive program that has my treatment approach that I use to help our patients here
in the clinic, all comprehensively put into the program in over 30 videos that can help
you solve your hip arthritis problem to the point where you can get back to being active
and then you can get back to feeling normal again as long as you're not in stage four,
which I talk about in the program. If you're there, it's it's usually that you
have hip joint locking your hip can move very well and it has been like that for a long
time. I tell you all the details in the program. But if you're here in stage three, you may
have had an X-ray that shows that you're in stage two or stage three. Then you have an excellent chance at healing
through the right phases despite being in one of these stages. I want to be clear about this, there's no
research for this yet. If there is any out there that maybe I don't
know about, it's not much research. It's tiny. And that that does not mean that this doesn't
work yet. One of the objections that I get from other
health care professionals about how we heal hip arthritis is that there's no medical evidence,
medical research. But just because there's none out there doesn't
mean that this doesn't work. I have tons of patient testimonials of patients
that have gotten better and skipped surgery. They were on the schedule to have surgery
and they canceled the surgery because they've been improving so much. Going through our treatment approach. Now we just are in the in the Stone Age really
when it comes to medical research. Most of the medical research out there is
focused on surgical procedures and the implants that are used, artificial parts that are used
to do the replacement, the the the medications, the way that they're doing the surgery, all
the tools that they use. That's what's being researched and not preventing
the surgery to begin with. So if you're out there wondering if you can
heal your hip arthritis, naturally, chances are you can go check out that hip arthritis
recovery program to learn more. If you want to see more videos about hip arthritis
that we have here at our YouTube channel, I've also put a link down there for our Hip
Arthritis Help playlist. Go check that out too. Hey, thanks so much for watching. If this helped you out, give us a thumbs up. Please share. This was somebody you think needs to see this. And don't forget to subscribe and drop a comment
on here so that we can know how you're doing. Thanks so much. I'll see you in the next video. Bye!
