The Adult Hip patient
Day One – Overview & Differential Diagnosis
Day Two - Rehab of Articular and Extra-articular Pathologies
Benoy Mathew, MSc, MCSP
Benoy is a highly specialist physiotherapist and Advance Practice Physiotherapist within the NHS. He works in private practice in Central London. Benoy has research papers, published in internationally peer-reviewed journals. He has a special interest in overuse lower limb injuries and chronic hip and groin pathologies. He is passionate about application of research in clinical practice and is involved in regular teaching on multiple courses, both in the UK and overseas. More than 2500 participants have attended his course in the last 8 years. He is also a trained MSK Sonographer and uses diagnostic ultrasound in his clinical practice.
Benoy is also one of the editors of an upcoming international book with more than 40 experts on management of hip and knee disorders. Further info on book below https://www.handspringpublishing.com/product/hip-and-knee-pain-disorders/
Do you find differential diagnosis with some hip and groin presentations difficult?
Want a clear understanding on how best to approach FAI Syndrome?
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?
“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.”
· 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.
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.
CONTENT:
- 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
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.