The Adult Hip patient

Differential Diagnosis & Manual Therapy & Rehab of Articular and Extra-articular Pathologies

The Adult Hip patient

Do you find differential diagnosis with some hip and groin presentations difficult?

Want a clear understanding on how best to approach FAI, Cam or Pincer Hip Impingements?

Are you frustrated with hip pain patients, who fail to progress, keep coming back with recurring problems? Are you up to date on the current management of FAI and Labral pathology?

This two day workshop is designed for all therapists who work with physically active patients with anterior hip and groin pain. The aim of the course is to provide a clear, honest and evidence based look, combined with more than 25 years of joint clinical experience at what does and does not work in the assessment and management of the active hip patient. A key goal would be for you to leave with things that both simplify the hip for you and help differential diagnoses what is going on, both articular and extra-articular pathologies of the hip.

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.

“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 pincher FAI in both her hips.”

  • How do you clinically determine if the X-ray results are the true source of her symptoms and not an incidental finding?

  • What are her treatment options? What is the best rehab strategy?

  • Would you consider a surgical referral?

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.

What will you gain by attending the course?

  • 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

  • Understanding of the biomechanical and developmental factors leading to symptomatic FAI and clinical insights on managing complex presentation

  • 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

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

  • Biomechanical and Development Factors leading to Symptomatic FAI

  • Practical – Evidence informed Manual therapy Techniques

  • Rehab following Hip Arthroscopy

  • Conservative Management of FAI & Labral Pathologies

  • Adductor Related & Ilio-psoas Related Groin Pain

  • Evidence informed exercise progression

  • Exercise Progression

    • Motor Control, Hip Stabilisation and Dynamic Mobility

  • Posterior Hip Pain – Differential Diagnosis (Proximal Hamstring tendinopathy)

  • Lateral Hip Pain (GMed tendinopathy)

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.


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