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Hip & Pelvic Pain Expert

June is Hip Dysplasia Awareness month. You may be aware of dysplasia, but are you seeing the whole picture? Acetabular dysplasia is one of the leading causes of hip instability and painful hip osteoarthritis and therefore awareness and early detection are of high importance. Dysplasia refers to abnormal growth, in this case of the bones…

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Getting to the bottom of buttock pain often presents a diagnostic dilemma, which is perhaps why the buttock appears to have been assigned more syndromes than any other region of the body. So, what exactly is a syndrome? While a disease is usually defined as a specific process that occurs within the body, the term…

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Includes videocast, podcast, infographic & video/podcast notes. When the time does come for surgery for advanced hip osteoarthritis, it’s not one size fits all in terms of surgical and prosthetic options. There are choices around conventional Total Hip Replacement or Hip Resurfacing, cemented or uncemented prostheses, bearing surfaces and surgical approaches to the hip. This…

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Includes podcast, infographic & podcast notes. Hip Osteoarthritis can be well managed through a blended approach of activity and load modification, exercise therapy and strength and conditioning, manual therapy and a polypharmacy approach of short acting, usually oral pharmaceuticals and long acting, usually injectable pharmaceuticals. Prior to being considered as a candidate for total hip…

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Guidelines from Dr Patrick Weinrauch, Orthopaedic Surgeon. Includes podcast, infographic & podcast notes. Making the decision to undergo Total Hip Replacement (Total Hip Arthroplasty) is something that patients with hip osteoarthritis (OA) may agonise over – understandably so. Although this is generally a remarkably successful procedure with the potential to substantially improve function and quality…

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In recent years, particularly in the social media sphere, there has been a lot of negative publicity directed towards management approaches for musculoskeletal pain that address posture and/or incorporate movement training. The criticisms usually hang on two main assertions: 1. Postural and/or movement training will induce hypervigilance and fear avoidant behaviour & 2. That the…

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In Part 2 of this blog on intraarticular pathology, we explore the relevance of ligamentum teres tears, and effusion-synovitis. In Part 1, we discussed the relevance of labral tears, chondral pathology and bone marrow lesions with respect to hip pain and joint health. If you haven’t read Part 1 yet, you might like to go…

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With ever-increasing resolution of imaging modalities, pathology within the hip joint is easier to identify and locate. There is however, a well-accepted mismatch between pathology and pain. So, is all pathology irrelevant? How do we sort out what might be meaningfully associated with pain and relevant to future joint health? Some pathologic features are common…

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Today I have some exciting news about a new initiative to connect those in the community suffering with hip and pelvic pain, and health professionals with a special interest in this field. Chances are, that if you’re visiting this site, you fall into one of those two groups, so this is great news for all…

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In my clinical practice I noticed that we were treating many with lateral hip pain, most commonly post-menopausal women. These patients reported pain levels and impacts on their lives as marked as those with hip osteoarthritis. Their sleep and physical activity levels were substantially affected and together with the psychological distress caused by more severe…

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