The lateral axis hip distraction technique is one of our favorites for increasing space and movement in the hip joint. This technique is particularly beneficial for those experiencing a pinchy hip or demonstrating on objective testing limited range of motion.

However, a common mistake is applying too much force and/or maintaining that pressure for too long. Take it from a seasoned professional - applying too much force is uncomfortable and counterproductive. The technique's essence lies in gentle execution.

It's crucial to position the belt as close to the joint line as possible. The specific placement and angle of force may vary, but what matters most is moving the direction of force around to identify where you can best facilitate hip joint movement for the patient. If the patient is showing signs of discomfort, or 'guarding', either you’re pulling too hard, or you can try keeping their foot on the table so they can relax more.

Balancing the right amount of pressure is the crux of successful lateral axis hip traction. Applying excessive pressure can cause patients to tense up, thereby negating the therapeutic effect of the technique.

Additionally… It's important to understand that this technique is not meant to obstruct blood vessels - we're not aiming for blood flow restriction (BFR) but rather aiming to create a gentle and beneficial distraction at the hip joint. Remember, the goal isn't to exert maximum force but to apply controlled, gentle traction.

As you master this technique, always remember: it's not about 'ripping their hip out of the socket,' but about offering therapeutic and subtle traction for improved mobility and/or pain relief.

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