APEX Managing Modern Athletic Hip Injuries-Online Didactic (September 2021)-The Posterior Hip: Rehab Strategy & Defining When Surgery May be Indicated

Video Transcription

Video Summary

In this video presentation, the speaker discusses rehabilitation strategies and potential indications for surgery in patients with posterior hip pain. They emphasize the use of a classification-based treatment approach, which involves identifying impairments such as range of motion and strength deficits, as well as correcting movement dysfunctions. The speaker highlights the importance of conducting a thorough history and examination to ensure that the patient's musculoskeletal issues can be addressed through physical therapy. They provide a list of potential causes and symptom presentations of posterior hip pain. The speaker also discusses the relationship between the hip and spine, and the possible impact on dynamic movement. They outline various tests and evaluation techniques for differentiating between hip and lumbosacral problems and determining whether the issue is intraarticular or extraarticular. The speaker mentions specific diagnoses such as sciatic nerve entrapment, pudendal nerve entrapment, hamstring strains, and ischiofemoral impingement, and describes special tests to assess these conditions. Treatment options include lumbar mobilization, strengthening exercises, stretching, soft tissue mobilization, and addressing muscle imbalances. The speaker recommends functional assessments and exercises to improve neuromuscular control and movement. They also discuss indications for surgery, such as non-musculoskeletal disorders, uncorrectable impairments or movement dysfunctions, and lack of improvement with conservative treatment. The speaker concludes by thanking the audience and wishing them a pleasant conference.

Asset Caption

RobRoy Martin, PhD, PT

Keywords

rehabilitation strategies

indications for surgery

classification-based treatment approach

posterior hip pain

range of motion