Our Team: Mark Greenfield
Our Team: Mark Greenfield
Recover From
Hip Pain and Injury
Post Injury Repair and Pain Relief for HIPS and PELVIS
Located in Manhattan - Midtown and Upper West Side
Overview
The hips and pelvis are kind of like the anatomical Grand Central station of the human body. The hips and pelvis form the center of gravity that helps maintain balance and are the connection structures where the lower body, spine and upper body intersect.
For example, the Latissimus Dorsi muscle runs from the upper part of the arm, underneath the armpit and creates a V shape that blends into the ThoracoLumbar Fascia of the low back. Tightness and dysfunction in the "Lats" can have a sizable impact on the shoulder, low back, pelvis and even lower body due to its specific anatomical connections. While this of course isn't always the case, the point is that issues in the hips and pelvis must be viewed as part of the entire human kinetic chain when evaluating someone for many injuries all over the body.
Tightness in both calves, a collapsed arch on one foot, a leg length discrepancy, a previous knee surgery or a lumbar spine injury could all be related to issues in the hips and pelvis, whether it is cause and affect or just correlation. Likewise, forward head posture and an excessive kyphosis in the thoracic spine can change the position of the low back and pelvis in significant ways. This change get alter the length-tension relationships of hip muscles and compromise pelvic alignment.
Mark integrates a wide range of treatment strategies and exercise interventions as part of a comprehensive plan. He connects the dots to what is going on lower and higher in the kinetic chain - at the at the foot and ankle, knee, spine and upper body - so that he understands how everything fits together.
Injuries and conditions that Mark can help you with include:
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ITB (Illiotibial Band) Pain
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Muscle Soreness and Trigger Points
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Sciatica
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Piriformis Syndrome
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Hamstring Strains
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Bursitis
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Hip Joint Impingement
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Hip Labrum Tears
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Groin Strains (Adductors)
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Hip Flexor Tightness and Pain
About Our Treatments
Mark's treatments for hip and pelvis injuries involve a methodical intake process that includes a detailed intake form, conversation and multi-faceted in-person assessment. Through this process, Mark can determine which direction to go with - treatments and exercises - to reduce symptoms and address underlying causes.
When it comes to Hip Impingements / Labrum Tears, for example, here is a snapshot of Mark's manual therapy treatments. It of course varies depending on the client but usually includes Active Release treatments for the hip adductors and hip flexors with his clients laying on their back (supine), the hip rotators and hip flexors with clients on their side, the ITB in any position and trigger point release and hip joint mobilization with clients laying prone. The treatment will also include other areas depending on what was discovered in the assessment and on how long the session is. Exercise prescription will also vary depending on assessment results, whether the clients are also in physical therapy somewhere else and on time.
Active Release Techniques is a vital tool in Mark's wheelhouse in treating a wide range of hip and pelvis dysfunction. So many of the muscles, ligaments, nerves, fascia and joints that make up that region respond particularly well to Active Release and Mark's other medical massage treatments. These treatments include Graston, trigger point therapy, myofascial release, deep tissue massage and stretching. These techniques collectively help to reduce muscle adhesions, eliminate scar tissue, decrease inflammation and restore range of motion. Combine this with targeted corrective exercises and you will be on your way to less pain and elevated performance.
This is what Mark offers in his sessions:
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Postural and Movement Assessments
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Range of Motion and Muscle Testing
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Active Release Tecnhniques
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Deep Tissue and Sports Massage
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Trigger Point Therapy
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Myofascial Release
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Activation Exercises for Glutes and Core Muscles
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Corrective Exercises
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Strength Training
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Balance and Functional Training
