Emily is a 32 year old office worker and regular gym-goer. She had right anterior hip pain 10 months ago which was diagnosed as hip flexor strain and it responded favourably with previous physio. Her right hip pain has returned since she started cycling to work and she has been referred back to physio. Her recent pelvis X-ray has shown acetabular cross-over sign suggestive of pincer FAI in both her hips.
Like a lot of clinicians, you may see patients like Emily presenting with anterior hip and groin pain in private practice, sports medicine clinics or a primary care setting.
The hip and groin area is often viewed as a “black box” because of the complex anatomy and overlapping pain referral patterns. Whether it is the week-end warrior, yoga enthusiast or the competing triathlete, accurate diagnosis and management of hip and groin pain can be challenging.
Conditions like hip impingement syndromes, labral tears, chondral lesions and ligamentum teres injuries are being increasingly identified as cause of hip and groin pain in the physically active population between the ages of 18-45. Although, various treatment methods are reported there is a lack of consensus on the role of conservative management.
This hands on course will consider the evidence and how this has been integrated into practice. The active treatment section will look at manual techniques in the management of the adult hip patient and comprehensive rehabilitation of articular and extra-articular pathologies. It is designed to be highly practical and full of clinical tips that you can put into practice immediately.
Overview of the complex interaction of the groin and the hip joint including femoro-acetabular impingement, labral lesions, extra-articular pathologies and tendinopathy.
A detailed and a systematic physical examination will be covered using a novel and evidence based tool (The layering concept) for the assessment of the adult hip patient and a solid understanding of differential diagnosis
Practical application of manual therapy in the management of hip and groin pain
Overview of Rehab principles following Hip Arthroscopy and Conservative Management of Articular and Extra-articular Pathologies
Integration of the theory, current evidence and treatment tools with case studies
Day 1 - Registration (8.45 to 9.00)
Welcome and Introduction
The Adult Hip patient
(Overview of common pathologies and Diagnostic challenge)
Practical Assessment of the Hip
(The Layer Concept for hip assessment – neuromechanical layer, contractile(myogenic) layer, Inert layer and Osteochondral layer)
Acetabular Labral Tears
Ligament Teres
Snapping Hip
Lunch (12.30 to 1.30)
PM (1.30 to 4.30 pm)
Overview of Labral Tears and Implications
Practical – Evidence informed Manual therapy Techniques
Early Stage Rehab – FAI Syndrome
Case Studies
Q& A
Day 2- Registration (8.45 to 9.00)
AM (09.00 to 12.30)
Conservative Management of FAI & Labral Pathologies
Evidence informed exercise progression
Exercise Progression
(Motor Control, Hip Stabilisation and Dynamic Mobility)
Lunch (12.30 to 1.30pm)
PM (1 to 4.30 pm)
Lateral Hip Pain (GMed tendinopathy)
Adductor Related Groin Pain
Practical (Ex Progression)
Case Studies
Close
Note: Each activity will consist of theoretical and practical components. Please bring shorts to the course for the practical sessions. Pre-reading articles will be sent before the course.