Journal of Orthopaedic Science

, Volume 17, Issue 3, pp 328–330 | Cite as

A pilot feasibility study for immediate relief of referred knee pain by hip traction in hip osteoarthritis

  • Tomohiko NishigamiEmail author
  • Masahiko Ikeuchi
  • Yusuke Okanoue
  • Shiho Wakamatsu
  • Ayako Matsuya
  • Kenji Ishida
  • Toshikazu Tani
  • Takahiro Ushida
Rapid Short Communication


It is generally accepted that osteoarthritis of the hip is a common cause of pain and disability. In clinical practice, a variety of conservative and surgical methods are available for patients with hip osteoarthritis. Nonsurgical interventions are recommended as the first-line treatment for hip osteoarthritis [1]. As one of the conservative therapies used in nonsurgical interventions, physical therapy, including hip traction and stretching, has been shown to reduce pain and improve hip function in patients with hip osteoarthritis [2]. Pain originating from the hip joint is distributed not only in the groin area but also in the buttocks, anterior thighs, and knees [3, 4]. Knee pain arising from the hip joint is one of the characteristics of referred pain in hip osteoarthritis. However, the effects of physical therapy on referred pain have not been well documented. We developed an original hip traction technique using a lumbar traction machine. Of note, patients treated...


Knee Pain Traction Force Groin Pain Intraarticular Injection Lidocaine Hydrochloride 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Conflict of interest

The authors report and confirm that there are no conflicts of interest. We alone are responsible for the contents and writing up of our study.


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Copyright information

© The Japanese Orthopaedic Association 2012

Authors and Affiliations

  • Tomohiko Nishigami
    • 1
    • 2
    Email author
  • Masahiko Ikeuchi
    • 3
  • Yusuke Okanoue
    • 3
  • Shiho Wakamatsu
    • 4
  • Ayako Matsuya
    • 1
  • Kenji Ishida
    • 4
  • Toshikazu Tani
    • 3
  • Takahiro Ushida
    • 2
  1. 1.Department of Physical TherapyKonan Woman’s UniversityKobeJapan
  2. 2.Multidisciplinary Pain CenterAichi Medical UniversityNagakuteJapan
  3. 3.Department of Orthopedic SurgeryKochi Medical SchoolNankokuJapan
  4. 4.Rehabilitation CenterKochi Medical School HospitalNankokuJapan

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