Hip osteoarthritis/coxarthrosis

Osteoarthritis is a common disease in western society today. On the one hand, pressure on the joints increases the more a person weighs and, on the other hand, strain is placed on the cartilage for much longer than just 50 years ago as life expectancy keeps increasing. Furthermore, civilised human beings spend most of their time walking on flat, hard everyday floors, and most shoe manufacturers follow the philosophy that a shoe has to support and guide the foot, and must have a small heel. However, our hips are not built for this type of stress. This results in massive improper strain and much faster wear (hip osteoarthritis).

Definition

Hip osteoarthritis is a degenerative disorder of the hip joint, especially with advanced age, which is caused by wear of the cartilage surface on the hip joint socket and femoral head. It is the most common form of osteoarthritis in humans.

Osteoarthritis is a degenerative joint disorder, caused primarily by discrepancies between the load and load capacity of various parts of the joints and tissue.

Load-dependent pain directly in the hip joint is characteristic of the disorder. This pain radiates to the groin. However, pain frequently originates in the area of the lumbar spine and sacroiliac joint as well.

Causes

Causes of osteoarthritis in the hip may include various (previous) diseases or (past) injuries involving the hip joint. However, no precise cause can be determined in about one quarter of all cases.

Osteoarthritis can be caused by excessive weight and excessive strain, such as occurs during extreme sports or when performing heavy physical labour. Causes also include changes in the cartilage metabolism with advanced age, metabolic disturbances, congenital malformations and acquired joint deformities, for example due to inflammatory joint diseases or after an injury.

Years of improper strain on the hip joint while walking is another possible cause (see Fig. 1 and 2) The greater the impact while walking and the less precise the movement, the faster the cartilage will wear. The main cause of improper strain on the hip joints is the long periods of time we in industrialised western nations spend sitting every day, something that nature did not intend. Sitting for hours leads to the progressive shortening of the hip flexors. As a result, the person is no longer able to achieve a physiologically correct gait with the upper body upright. This in turn leads to excessive strain on the neck and back musculature, incorrect knee and hip position and therefore increased cartilage wear.

Non-physiological walking

Fig. 1: Feet restricted by conventional shoes. Leads to hip gait and bent upper body --> severe knee and hip strain

Walking that is easy on the joints

Fig. 2: Walking with the kyBoot. Impulse comes from the feet.--> Upright gait with low knee and hip strain.

Long-term consequences – trapped in a vicious circle

Pain caused by osteoarthritis can lead to relieving postures, subsequently causing excessive strain on the joints and other body structures or leading to secondary disorders or secondary osteoarthritis. Furthermore, pain leads to a reduction in exercise and those who move less automatically put on more weight. This in turn has a negative effect on osteoarthritis complaints. Many affected by osteoarthritis are therefore caught in a downward spiral. The primary therapy objective is to escape this downward spiral.

Conventional therapy

Conservative treatment methods in case of hip osteoarthritis primarily consist of weight loss if necessary, and of movement exercises, which are put together and taught by a physiotherapist. The aim of such exercises is to strengthen the muscles surrounding the joint. Additional treatment approaches include massage, the application of heat and cold, orthopaedic devices, and surgery when conservative treatment is not successful. The objective of conservative therapy is to maintain joint function and reduce pain.

The kybun principle of operation – being proactive

The kyBounder and kyBoot are ideal for bringing more movement to everyday life and escaping the downward spiral of osteoarthritis – all without spending any additional time. Acute pain is relieved quickly and longer walking distances are possible again since strain on the hip joints is reduced.

The soft, elastic foam material acts as a ‘crumple zone’, effectively dampening impact on the joints during running and walking.

Exercise becomes more comfortable again, and hip complaints are reduced after just a few minutes in most cases. Those who like to exercise frequently find it much easier to shed extra pounds, which in turn reduces strain on the joints. Nearly all customers affected by osteoarthritis report a reduction in pain since they started wearing the kyBoot.

At the outset with conventional shoes

Fig. 3: Ankle joints restricted by shoes, folding in with virtually no dampening of impact, knee and hip highly flexed during heel strike, causing improper strain.

After 6 weeks with the kyBoot

Fig. 4: Ankle joints free, making a physiological rollover possible with the knee and hip extended. --> Strain and the risk of osteoarthritis are minimised

It’s not only the cushioning effect that helps alleviate pain. When standing the soft, elastic supporting underlay, one automatically keeps moving very slightly. When standing and walking on soft, elastic materials, the core stability musculature has to make a major contribution in order to stabilise the joints. Strong core stabilising musculature ensures an upright posture, resulting in more precise movements in the joints. Lack of exercise due to pain results in long-term muscle loss (amyotrophia). Signs of excessive strain in the hip joint can develop more quickly as a result. The ability to stabilise the joints under strain can be improved again through proprioceptive, sensorimotor and coordinative training on unstable surfaces. This counteracts the progression of osteoarthritis. Training the core stabilising musculature is easy to integrate into everyday life by wearing the kyBoot.

Attention! Short-term effects are often confused with lasting effects.

The adjustment processes in the body triggered by the kyBoot can take months or even years. Achieving lasting change is a protracted process.

Despite that, the effect of the soft, elastic material can also be felt quickly, for example in the relaxation of tense muscles and the alleviation of pressure points. These short-term effects must not be confused with the effects in the long run, since the long-term adjustment process cannot progress far enough in a week to be perceptible.

Short-term effects, on the other hand, can disappear again just as quickly as they came, or can even turn into complaints if you do not take the necessary breaks in the beginning.

Therefore, it is important to understand that an initial reaction and a reduction of the positive feeling in the first few weeks with the kyBoot does not mean that the kyBoot is no longer working, but merely that the short-term sense of well-being is declining!

Prevention with kybun

Everyone knows that the body exhibits signs of wear over time , and that problems while walking and running are bound to occur sooner or later. Yet most people only start to consciously perceive their body as a fragile and transient structure once they experience problems. In most cases, however, it is already too late because irreversible damage such as cartilage wear has already occurred.

Therefore it is important to act before pain is felt or is increasing. The kyBounder and kyBoot help protect the joints and prevent osteoarthritis even in youth.

Initial reactions

Click here for the general initial reactions experienced by kyBounder and kyBoot beginners: Initial reactions

kybun exercises

For information about the special kyBoot exercises or the basic kyBounder exercises , please click here: kybun exercises

The following adaptations to the standard implementation of interval walking are important in case of hip osteoarthritis :

  1. Both exercises are important
  2. If you feel pain during the fast exercise, take small steps and walk with a higher stride frequency
  3. Slow exercises help rebuild the stabilising musculature around the hip joint
  4. Loosening movements help relieve tense hip muscles

Application tips

  • Upright body posture
  • Do not make your steps too long
  • Everyday/leisure: Walk with the kyBoot or use the kyBounder as much as possible. Take note of fatigue > perform the kybun exercises regularly and take a short break if needed.
  • Job: Sit as little as possible. Alternate sitting and standing in the beginning, and take along replacement shoes to change into
  • If you feel unsafe/too unstable in the kyBoot even after a test walk, we recommend a second generation kyBoot model. These have a somewhat wider sole in the area of the midfoot, providing added stability. Seek advice from your local kyBoot expert.
  • If you find the second generation kyBoot model too unstable for you as well, we recommend the kyBounder. You can choose the thickness you are comfortable with (the thicker, the less stable, the more intensive the training). You can also hold on to a fixed object. This can be helpful especially in the beginning after the operation, until you regain confidence in the hip.
  • Precise movements are essential with osteoarthritis of the hip. Pay attention to exact movements and be sure to take a break in case of fatigue or weakness. Lateral/medial rolling of the ankle joint on the soft, elastic material has to be corrected so that the load is applied to the foot, knee and hip with proper axial alignment. Read more under ‘Lateral/medial rolling of the ankle joint’.
  • Contact a kybun dealer you trust if you have further questions, feel insecure or if there is no alleviation of pain when using the kyBoot even though you are following the tips.

Opinions/customer testimonials

I never would have thought this much was possible from a shoe alone. Who would have thought that you could improve your entire quality of life thanks to a shoe alone and not have to do anything other than just put on your shoes like everyone else and start walking. As I said, it comes close to a miracle for me.
At 66 years old, I have had two hip replacements, a right knee replacement, and have undergone two major back operations. My knees had always been swollen, but once I tried kyBoot, they became normal again after two days. Now I can walk for hours without limping. I feel truly alive again.
Ein wunderbarer Schuh. Beim Bügeln bekomme ich keine Rückenschmerzen mehr. Möchte diesen Schuh nicht mehr missen und freue mich über die Neueröffnung des kyBoot Shop in Ahrensburg. Mein Mann hat eine künstliche Hüfte mit nunmehr einem verkürzten Bein und hat mit diesen Schuhe keinerlei Probleme, weil die Sohle den Körperdruck ausgleicht. Ich, besser wir, können diese Schuhe nur empfehlen.
Die ausführliche Untersuchung und der klinische Test zeigen: Durch die langgezogene Schnürung lässt sich der kyBoot sehr passgenau auf den Fuss fixieren, was auch die exakte Positionierung des Fusses über der Sohle ermöglicht. Das grosse Innenvolumen ermöglicht ein genügendes Spiel der Zehen ohne Druckstellen und ist somit auch für Personen mit vergrössertem Fussvolumen geeignet. Das Schaftmaterial ist sehr weich, was den Tragekomfort noch weiter verbessert. Die speziell konstruierte Sohle bereichert das Innenklima des Schuhes ganz erheblich, da die Belüftung bei jedem Schritt zu einer Ventilation des Fusses führt. Dies ist besonders bei mehrstündigem Tragen sehr angenehm. Die extreme Dämpfung ist vor allem für Menschen mit Arthroseproblemen in den Beinen sowie auch im Hüftbereich und auch im Wirbelsäulenbereich geeignet. Die hohe Deformations- Potenz der schock-absorbierenden Sohle wird nicht, wie bei andern handelsüblichen Gesundheitsschuhen, durch eine übertriebene Erhöhung der Sohle erreicht, sondern durch das ausgeklügelte Dämpfungssystem. Trotz des starken Federns des Fusses beim Abrollvorgang entsteht keine eigentliche Instabilität, da die Laufsohle breit gehalten wurde, was die seitliche Abstützung gewährleistet. Die hohe Dämpfung im Mittel- und Vorfussbereich predestiniert den kyBoot für Menschen mit Mittelfuss- und Vorfussbeschwerden oder Fehlstellung der Zehen und Arthrosen.

Experiences/further questions about hip osteoarthritis

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