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Hip & Pelvic Pain Expert

Gluteal tendinopathy is the most common local condition associated with lateral hip pain presentations. While previously misunderstood as an isolated condition of the trochanteric bursa (trochanteric bursitis), there is now a substantial and growing body of scientific literature outlining definitions, diagnosis and treatment of gluteal tendinopathy and Greater Trochanteric Pain Syndrome (GTPS). Despite the availability…

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What do your patients most look forward to once they have finally made the decision to take the leap into a surgical solution for end stage hip osteoarthritis? PAIN RELIEF! Of course, there are many functional and quality of life ambitions, but these are usually inextricably linked with relieving the pain of advanced arthritis. Failure…

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While ‘clicky hips’ are often associated with acetabular dysplasia in infants, there are many things that go ‘click’ in the adult hip. Most of these are innocuous, but sometimes they are painful or of concern to the owner of the noisy hip. Sources of snapping or clicking in the hip may include: the psoas or…

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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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