Faqs

Symptoms

If you are experiencing any of the symptoms of arthritis of the hip and they do not clear after two weeks rest you need to visit your GP or manual therapist for a medical assessment.

Locking or clicking in the hip, pain in your hip or groin particularly while bending as if you were putting on a pair of socks. Stiffness or tightness in hip and noticeable loss in range of motion of the hip. Sometimes pain may refer to the knee, the buttocks or lower back.

Treatment

HipTrac can be used to treat the following conditions of the hip: Osteoarthritis, Femoral Acetabular Impingement (FAI), Labral Pathology, Joint Stiffness, Muscle Tightness, Pre-Surgical conditions, Compression conditions, Any condition where a manual therapist would perform long axis traction.

Never use traction to treat the following conditions: Fractures, Infectious or Inflammatory Diseases, Malignancy, Rheumatoid Arthritis, Lumbar Spinal Cord Compression, Lumbar Spinal Instability, Traumatic or Acute Injury.

Exactly how an individual feels will be very personal and related to their particular condition. There are some general points to note. When under traction on HipTrac you will feel a significant pulling sensation at the hip joint. This can create a mild tingling feeling but there should be no pain over and above any pain you feel prior to traction. On release of the traction force a sense of relief and relaxation can be felt at the hip.

A manual therapist (physiotherapist, chiropractor or osteopath) work with you to work out the best protocol for your particular condition. They can provide you with soft tissue work and joint mobilisations that complement the long axis hip traction from HipTrac. Finally they can advise you on a range of exercises to help improve your strength and mobility.

The treatment protocol should be based on an individuals own particular condition. Another factor that needs to be taken into consideration is the age, strength and physical conditioning of the patient. A degree of experimentation is required and a progression path can be worked out with a manual therapist. A typical progression path is described in the link.

Pain in the hip is caused by the tightening of structures around your hip joint. This tightening places more pressure on the arthritic parts in the joint. HipTrac works to decrease the tightness of these structures and decrease the pressure within the joint. Decreased pressure leads to decreased pain.

You should always follow the medical advice of your Doctor when it comes to taking medication. Many people will notice that they can reduce their medication or even stop because of the pain relief they feel after using HipTrac. In most cases, the more consistently you use HipTrac as instructed, the longer the pain relief lasts. You should discuss your pain relief needs with your health care provider as you continue to use the HipTrac.

Consult with your health care provider to discuss your personal situation. It is known that hip OA is progressive and will worsen with age. The side effects of hip OA, including tightening and pain around the joint, are treated by the HipTrac. We recommend that you begin treatment with a manual therapist, learn appropriate exercises and use the HipTrac to maintain as much mobility as early as possible. Studies show that positive treatment effects are greatest when beginning early in the disease cycle, with a mild to moderate diagnosis.

The HipTrac will not cure hip osteoarthritis. There is no known cure for osteoarthritis. The HipTrac treats the secondary effects of osteoarthritis including pain, tightness and immobility. The HipTrac works to minimise these secondary effects so that you can be more active with less pain and slow the rate of degeneration. The HipTrac aims to improve the quality of life, delay hip surgery and prevent other problems that can occur with inactivity.

You can use the HipTrac any time of day for relief of hip pain and to stretch the tight structures around your hip. Some individuals have found it helpful to use prior to sport such as golf, running and gentle walking. HipTrac can be used before and/or after any activity or event where you want pain relief and/or increased mobility. Many individuals have discovered that using it before bedtime allows for much more comfortable sleep. You can use it 1-3 times per day and over time, you will discover the best times of day for you.

HipTrac was designed to replicate the specific technique of Long Axis Traction as performed by a manual therapist. The HipTrac is able to perform this technique at 0, 10, 20, and 30 degrees of flexion like a therapist. With a HipTrac at home, you can use it as many times as you want to and for up to 15-30 minutes. In a clinic, your therapist will usually perform the hip traction for 15 minutes or less perhaps once a week.

Yes. Discuss this with your manual therapist as starting to use HipTrac sooner rather than later will help maintain and promote the positive treatment effects from your therapist. You can direct them to HipTrac UK website for further information. The HipTrac does not replace your therapist; it serves as a supplement and an extension of treatment after discharge. It is important to receive proper evaluation and treatment from a manual therapist or Doctor.

We recommend that you seek professional treatment from the appropriate health care provider following your diagnosis and evaluation. Some individuals need specific manual therapy for a certain period of time from a provider. The best outcomes are achieved when you learn and combine a specific home exercise program with use of HipTrac. The HipTrac offers positive effects when used by itself as well. We always encourage total comprehensive treatment as the combination offers the greatest possible benefits.

Always discuss your specific situation with your health care provider prior to using the HipTrac. The HipTrac was designed to perform the hip traction with the person’s knee in full extension (straight). This allows the pulling force to move through the knee with the least amount of stress to the knee as would be performed by the provider’s hands in the clinic. It is safe to perform this in most situations, but consult your provider and do not use if there is any pain or sensitivity at the knee. Some individuals find comfort in placing a small towel roll under their knee during HipTrac use. This is acceptable as well if approved by your health care provider. In the majority of cases it is completely safe.

There is a one year parts warranty from date of issuance. When you receive your HipTrac, make sure you fill out the registration card and return it.

There is a 1 year warranty on your HipTrac from date of issuance. If something breaks or is not working, please inform us immediately. If necessary replacement parts will be forwarded so that there is no delay in your home treatment.

It is never too late to consider using HipTrac. The device is designed to help reduce pain and improve mobility so that you are able to have a reasonable quality of life. The degree of pain you feel is not directly linked to the extent of your hip pathology. Every individual with hip pain will determine whether the improvement they are able to achieve with HipTrac as part of their conservative management of the condition is good enough or not. At a time when conservative management of hip pain is not enough then surgical intervention is usually the only option available. There may be reasons why you are not a suitable candidate for hip replacement and under theses circumstances conservative management of your condition will be the only option.

Most individuals if they could do without a hip replacement would choose not to have one. For some individuals there is not always a choice. The primary reason for not being a good candidate for hip replacement is age. Hip replacements currently last between 12 – 15 years. If you have a hip replacement at too early an age this could mean a number of replacements (revisions), which carry more risks than the original operation. This is why surgeons like to leave this procedure as late as possible. The other reason is for some individuals surgery of any kind may present too great a risk because of other medical conditions for example heart disease or obesity.

There is no evidence to suggest that the protocols prescribed with HipTrac would lead to extensive creep of ligaments of the hip joint causing it move beyond its physiological limitations. The ligaments around the hip joint are the strongest joint in the body. The forces required to cause extensive creep in these ligaments would have to be many times higher than HipTrac is able to deliver and applied for many hours a day for many years. Consider the creep forces applied to joints that have less strength. For example the cervical joints of the neck from a typical anteriorly shifted head. Or a thoracic spine that is slumped all day placing significant creep loads on the ligaments around the spine for many years. Joint instability is not the usual outcome in these examples. On the contrary muscle tightness and reduced mobility is the a more typical outcome here.

It is possible to laterally and medially rotate the foot position before long axis traction force is applied and it is also possible to do traction in a side lying position. We are also developing devices that can be used in conjunction with the HipTrac to perform lateral traction.

HipTrac can deliver over 800N of force during traction, which is approximately 92PSI. Studies indicate that traction forces of 400 – 600N (46-69PSI) are required to deform the joint capsule.

Rehabilitation

Following arthroscopic surgery there is significant damage to soft tissue caused by the keyhole surgery implements. This soft tissue needs to heal. HipTrac works to decrease the tightness and stretch these structures decreasing the pressure within and around the joint. Released tissue helps the healing process.

48-72 hours is most commonly advised by surgeons after injections for returning to normal activities in terms of treatment, manual therapy or exercise. You should seek advice from your health care provider.

This will be patient specific and advice should be sought from your health care provider. Typically manual therapy begins 3 – 4 weeks following a procedure.

Technical

HipTrac is cleared for use as a class I medical device in the United States by the FDA. The device is CE marked and registered with the MHRA in the UK.

As this is a brand new medical device, there have not been any formal studies completed to date. The device has been cleared by the FDA in the US and the first two studies have been designed and are in process. Updates on current and future studies will be made available on this web site.

The team at MedRock are currently working on additions to the HipTrac to allow lateral hip distraction as well as long axis traction.

Brackett stated in 1890 that “the value of traction in the treatment of the acute condition of hip disease has abundant evidence, both in its relief of the symptoms and in its influence on the course of the disease.” Brackett credits Drs. Brackett concluded that in “ordinary cases” when continual traction is used, distraction occurs and “this may happen even after disease has existed for some time.” In addition, Brackett stated that continual traction is beneficial for alleviating pain and for prevention of the mechanical sequel associated with excessive muscular irritability. Since then many studies have been conducted on the efficacy of traction in the treatment of arthritis. HipTrac offers a far wider scope of study for the treatment of hip disease based on its sustainable traction force and degree of force that can be applied.