Episode 86:
6 of 12 Top Hip Papers | Gluteus Minimus EMG in Gaita
This study by Adam Semciw and colleagues was the first study to collect fine wire EMG data from the gluteus minimus muscle in gait. Prior to the publication of this paper, the function of this muscle had largely been assumed from its anatomical structure. This research opened a window into dynamic function of this deep hip abductor muscle. Watch the video, and head to my blog to read more!
Want more? Gain access to the entire video library, ALL online hip courses, the entire ebook series + exclusive access to pdf resources, live meetings & lots more.
Intro Video:
A short video introducing the Talking Hips series, covering the main features of each video, and explaining how this series will run and the benefits you will gain by tuning-in each week.
Episode 1:
Make sure you listen when assessing a new patient with hip pain.
There is so much to be gained by digging deeper into factors that influence biological and psychological loads on the individual.
Watch the video and learn more about this topic by visiting This Blog.
Episode 2:
Use a test battery in the diagnosis of hip conditions.
Diagnostic utility studies often demonstrate that clinical tests are less accurate than thought. Using a test battery in hip condition diagnosis help improve diagnostic accuracy.
Watch the video and learn more about this topic by visiting This Blog.
Episode 3:
Take the time to explain the what, why and how of hip pain and its management
In the management of hip pain, the foundation of a shared-decision-making-model is that the patient understands their condition, the treatment choices and the advice provided.
Watch the video and learn more about this topic by visiting This Blog.
Episode 4:
Posture - Change the dialogue
How we position our body under gravitational load impacts MSK loads & muscle behaviour. It’s just physics! But take care in your patient education. Let’s change the dialogue
Watch the video and learn more about this topic by visiting This Blog.
Episode 5:
Watch that stride length to reduce hip pain during walking and running
Watch that stride length to reduce hip pain during walking and running. To reduce mechanical hip pain, load management strategies should always consider sustained and repetitive tasks - things that people do a lot. Addressing overstriding can have a rapid and potent effect on hip pain. Don't miss the low hanging fruit!
Watch the video and learn more about this topic by visiting This Blog.
Want more? Gain access to the entire video library, ALL online hip courses, the entire ebook series + exclusive access to pdf resources, live meetings & lots more.
Episode 6:
Try a cushion to reduce hip pain in sitting
Hip pain in sitting is common. Using various cushions depending on the presentation can provide rapid relief for many.
Watch the video and learn more about this topic by visiting This Blog.
Episode 7:
Reconsider the Clam for Hip Pain
Clams can irritate many hip pain conditions. If your patient is doing this exercise & not progressing, you might reconsider your prescription. There are so many other great exercise options.
Watch the video and learn more about this topic by visiting This Blog.
Episode 8:
Don't forget the hip flexors! Particularly for those with anterior hip pain
When prescribing exercise for hip pain, there is generally a strong focus on glute exercise. No problem there, but don't forget the hip flexors that are intimately linked with anterior hip loading.
Watch the video and learn more about this topic by visiting This Blog.
Episode 9:
Please stop stretching those hip flexors! At least for those with hip pain
Please stop stretching those hip flexors! The hip flexors are regularly demonised, with stretching seen as the cure-all for misbehaving hip flexors and anterior hip pain. In many cases this stretching may be be more of a hindrance than a help.
Watch the video and learn more about this topic by visiting This Blog.
Episode 10:
Set goals to optimise engagement, adherence and outcomes
Set goals to optimise engagement, adherence and outcomes of rehabilitation. Use a framework to ensure these goals are meaningful and measureable.
Watch the video and learn more about this topic by visiting This Blog.
Episode 11:
Measuring outcomes of hip pain interventions
There are so many possible outcomes that can be measured. Focus on core health domains, things that are modifiable and likely to impact on your shared goals.
Watch the video and learn more about this topic by visiting This Blog.
Want more? Gain access to the entire video library, ALL online hip courses, the entire ebook series + exclusive access to pdf resources, live meetings & lots more.
Episode 12:
Keep learning… Always keep learning!
I'm sorry to say ... no, actually I'm excited to say, that as a health or exercise professional your learning is never done. There is never a fullstop! Scientists & evidence-informed clinicians continue to push the envelope. Great for our patients & professional engagement. Gotta love learning!
Watch the video and learn more about this topic by visiting This Blog.
Episode 13:
Effects of exercise and CSI on tendon structure!
Corticosteroid injection is unfortunately still the most common first line medical treatment for tendinopathy. However, the biological and psychological effects of CSI may be more of a hindrance than a help. Find out why in this episode of Talking Hips with Dr Ali.
Watch the video and learn more about this topic by visiting This Blog.
Episode 14:
Development of a successful program for painful gluteal tendinopathy
Have you heard of the LEAP trial? This randomised clinical trial produced high quality evidence that a specific education and exercise program is superior to corticosteroid injection and wait-and-see. Great evidence to share with your referring Drs or with your rehab team.
Watch the video and learn more about this topic by visiting This Blog.
Episode 15:
Labral tear and the relevance to joint health.
How relevant is a labral tear? Should we be sending everyone with a tear off to a surgeon for repair? Let’s talk a little about prevalence of labral tear, the important of the labrum and common surgical approaches to labral tears.
Watch the video and learn more about this topic by visiting This Blog.
Episode 16:
The influence of sway posture on hip joint loads in standing.
The influence of sway posture on hip joint loads in standing. Femoropelvic and trunk position during standing & walking can have a marked impact on hip joint loads. Don’t be too quick to remove ‘posture & movement assessment’ from your clinical toolbag.
Watch the video and learn more about this topic by visiting This Blog.
Episode 17:
A blended approach to non-surgical management of Hip OA.
Optimal non-surgical management for hip osteoarthritis often involves some combination of advice, exercise, manual therapy and pharmaceuticals. Have you got the right mix for your patient?
Watch the video and learn more about this topic by visiting This Blog.
Want more? Gain access to the entire video library, ALL online hip courses, the entire ebook series + exclusive access to pdf resources, live meetings & lots more.
Episode 21:
The sacroiliac joint – can we disregard it?
Some appear to believe that pelvic malalignment or instability is a widespread phenomenon, while others have decided that a joint that moves this little is irrelevant. Can we disregard the sacroiliac joint?
Watch the video and learn more about this topic by visiting This Blog.
Episode 22:
Acetabular dysplasia – are you seeing the whole picture?
Acetabular dysplasia is a leading cause of hip instability and OA. Awareness and early detection are of high importance. What imaging parameters do you rely on? You may be aware of dysplasia, but are you seeing the whole picture?
Watch the video and learn more about this topic by visiting This Blog.
Episode 23:
Anterior instability and anterior acetabular deficiency
You have a patient with clinical signs of anterior hip instability. Her lateral centre edge angle is >25° indicating adequate lateral coverage of the HOF. Can you rule out acetabular dysplasia?
Watch the video and learn more about this topic by visiting This Blog.
Want more? Gain access to the entire video library, ALL online hip courses, the entire ebook series + exclusive access to pdf resources, live meetings & lots more.
Episode 24:
Posterior Instability and Posterior Acetabular Deficiency
Posterior instability is much less recognised than anterior instability. However, there is rising awareness of low-energy posterior dislocation and the role of posterior acetabular deficiency, despite a normal lateral centre-edge angle.
Watch the video and learn more about this topic by visiting This Blog.
Episode 25:
Hip Instability and Global Acetabular Deficiency
To identify cases of hip instability in clinical practice 1. Listen to the symptoms, 2. Perform physical tests for instability & 3. don’t rely on Lateral Centre Edge Angle for a diagnosis of acetabular dysplasia.
Watch the video and learn more about this topic by visiting This Blog.
Episode 26:
The quest for goldilocks glutes - INTRO
Patients may report they’ve been told their glutes don’t work, which can be understandably concerning & others are afraid of ever turning on their glutes due to ed about harmful ‘butt gripping.’ So, what’s the secret to achieving Goldilocks Glutes!
Watch the video and learn more about this topic by visiting This Blog.
Episode 27:
A note about muscle excitation, activation, force and effects
Optimal gluteal function is often seen as the holy grail of hip rehabilitation, with ‘level of activation’ of the gluteals referred to commonly in clinic & research. But what exactly are we talking about when we say muscle activation?
Watch the video and learn more about this topic by visiting This Blog.
Episode 28:
Differential Diagnosis of Anterior Hip Pain - INTRO
Anterior hip pain is one of the most common presentations of hip pain we see in clinical practice. For a relatively small area, there is a lot going on here! It helps to have a framework to step through your differential diagnosis.
Watch the video and learn more about this topic by visiting This Blog.
Episode 29:
Bone Related Anterior Hip Pain
While cartilage is aneural, bone is well innervated and can be a source of anterior hip pain for a variety of reasons. Do you consider bone-related pain in your different diagnosis of anterior hip pain?
Watch the video and learn more about this topic by visiting This Blog.
Want more? Gain access to the entire video library, ALL online hip courses, the entire ebook series + exclusive access to pdf resources, live meetings & lots more.
Episode 30:
Soft Tissue Related Anterior Hip Pain
There are plenty of potential soft tissue sources of nociception in anterior hip pain presentations. Knowing your functional anatomy helps in Ax & treatment. Read more in my blog on this topic.
Watch the video and learn more about this topic by visiting This Blog.
Episode 31:
Nerve related anterior hip pain
While radicular & sciatic nerve-related pain are well recognised in the DDx of buttock & thigh pain, nerves are often overlooked for anterior hip & thigh pain.
Watch the video and learn more about this topic by visiting This Blog.
Episode 32:
The clam - what is it good for?
You likely already know my answer to that question, but pop on over to the blog if you'd like to review the evidence around the clam & glute function.
Watch the video and learn more about this topic by visiting the below linked blog.
Episode 33:
Extra-articular things that go click around the hip
There are many things that go ‘click’ in the hip. The most common extra-articular causes include the psoas tendon, ITB, hamstring tendon or the QF in ischiofemoral impingement. Read more about clicky hips in my blog
Watch the video and learn more about this topic by visiting the below linked blog.
Episode 34:
Intra-articular things that go click in the hip
While hip clicks in adults are often extra-articular, deeper clicks and clunks can emanate from the joint, related to pathology, or simply cavitation or normal synovial folds. Read more about clicky hips in my blog.
Watch the video and learn more about this topic by visiting the below linked blog.
Episode 35:
Persistent pain after total hip replacement
While hip replacement is overall very successful, the incidence of persistent pain post-op has been reported to be as high as 40%. Common causes are wrong Indication, postoperative Infection, Instability & Impingement of soft tissues.
Watch the video and learn more about this topic by visiting the below linked blog.
Want more? Gain access to the entire video library, ALL online hip courses, the entire ebook series + exclusive access to pdf resources, live meetings & lots more.
Episode 36:
What is Greater Trochanteric Pain Syndrome?
What does GTPS mean to you? In a recent UK survey, > 1 in 3 in physio’s understood GTPS to be an ‘overarching term used to describe lateral hip pain of unknown origin’. Might be better to call it what it is – gluteal tendinopathy.
Watch the video and learn more about this topic by visiting the below linked blog.
Episode 37:
Getting to the bottom of buttock pain
Getting to the bottom of buttock pain can sometimes prove a diagnostic dilemma, due to the number of potential local sources of nociception and the relative complexity of posterior hip anatomy. A framework can help.
Watch the video and learn more about this topic by visiting the below linked blog.
Episode 38:
Yoga injury rates and influencing factors
Yoga is a non-contact, low-impact physical, but it is certainly not benign. Injuries occur regularly, usually due to forcing extremes of ROM. Working within natural limits is critical for best risk-benefit balance.
Watch the video and learn more about this topic by visiting the below linked blog.
Episode 39:
Modifying Warrior Pose for Hip Pain
Warrior pose worrying your patients with hip pain? While there are plenty of benefits to yoga, some poses just annoy those hips! Good news - here are some simple modifications for those with hip pain.
Watch the video and learn more about this topic by visiting the below linked blog.
Episode 40:
Is it time yet? Key criteria for eligibility for Total Hip Replacement
The decision around when to undergo Total Hip Replacement surgery is an agonising one for many. How many times have you been asked 'Is it time yet?' Join me as I interview Dr Patrick Weinrauch, a highly experienced hip surgeon, about his key criteria.
Watch the video and learn more about this topic by visiting the below linked blog.
Episode 41:
Top Hip Paper - The Warwick Consensus
One of my 12 top hip papers that have contributed strongly to the hip literature - The Warwick Consensus. This paper was an important catalyst to a shift in terminology and more importantly, provided expert consensus on what constituted a clinically relevant presentation of FAI - Femoroacetabular Impingement Syndrome.
Watch the video and learn more about this topic by visiting the below linked blog.
Want more? Gain access to the entire video library, ALL online hip courses, the entire ebook series + exclusive access to pdf resources, live meetings & lots more.
Episode 42:
Anterior hip pain related to leg press
Anterior hip pain during or after the gym? Chances are that some form of deep flexion may be contributing to that aggravation. One of the most likely culprits is the leg press. Here's why & how we can modify this exercise for hip pain.
Watch the video and learn more about this topic by visiting the below linked blog.
Episode 43:
Anterior hip pain related to deadlift
Deadlifts create great stimulus for trunk & hip extensors, but technique & challenge needs to suit the individual. Anterior hip pain may be provoked at peak hip flexion or extension. Modify 2 optimise.
Watch the video and learn more about this topic by visiting the below linked blog.
Episode 44:
Patient features indicating potential eligibility for total hip replacement
Today we dive deeper into patient features indicating suitability for Total Hip Replacement. Join me as I interview Dr Patrick Weinrauch, a highly experienced hip surgeon, about key patient interview & physical exam features
Watch the video and learn more about this topic by visiting the below linked blog.
Episode 45:
Injection Therapies for hip OA
Injection therapies are commonly used as part of a blended approach to hip OA management. Join me as I interview Dr Patrick Weinrauch, orthopaedic surgeon, about indications, advantages, disadvantages & risks.
Watch the video and learn more about this topic by visiting the below linked blog.
Episode 46:
Type of hip prostheses – what are they & does it matter?
Hip replacement is not a one-size-fits-all. Join me as I interview Dr Patrick Weinrauch, orthopaedic surgeon, about different prostheses & considerations when selecting a bearing surface to suit the individual.
Watch the video and learn more about this topic by visiting the below linked blog.
Episode 47:
Causes of Iliopsoas Impingement after Total Hip Replacement
Chances are you’ve treated patients with persistent anterior hip pain after hip replacement. One likely reason is impingement of the iliopsoas tendon against the underlying prosthesis. Listen in to find out why.
Watch the video and learn more about this topic by visiting the below linked blog.
Episode 48:
How confident are you in diagnosing GTPS?
Two-thirds of surveyed physiotherapists in Australia, New Zealand and Ireland reported that they are very confident in diagnosing GTPS. However, these studies suggested that sometimes there is a mismatch between confidence & EBP.
Watch the video and learn more about this topic by visiting the below linked blog.
Episode 49:
Lumbar- related buttock pain
The lumbar spine is a frequent source of buttock pain & should always be in the starting mix of diagnostic possibilities in DDX of buttock pain. Here are some key features of lumbar related buttock pain.
Watch the video and learn more about this topic by visiting the below linked blog.
Episode 50:
Forces that load the sacroiliac joint
Whether you believe the SIJ moves a little, a lot, or not at all, it needs to transfer large loads between the pelvis & lower limbs. So, what type of forces load the SIJ & its highly innervated ligaments?
Watch the video and learn more about this topic by visiting the below linked blog.
Episode 51:
Top Hip Paper - The Clinical Relevance of FAI
Here’s a top hip paper by van Klij and colleagues, who brought together important evidence regarding the prevalence of cam & pincer morphology & its association with development of hip OA. Join me for some key messages.
Watch the video and learn more about this topic by visiting the below linked blog.
Episode 52:
Gluteal underactivity - denervation or detachment
Often there is just a little too much concern about paralysed gluteals or gluteal amnesia, however there are reasons for gluteal underactivity. Denervation & tendon detachments are relatively rare but have a major impact & should not be missed.
Watch the video and learn more about this topic by visiting the below linked blog.
Episode 53:
Gluteal overactivity - mechanical inefficiency
Have you ever wondered why some people's glutes just never seem to take a break? One of the most common reasons for increased levels of muscle activation is mechanical inefficiency, but what causes inefficiency? Listen in.
Watch the video and learn more about this topic by visiting the below linked blog.
Episode 54:
Morphology & joint related anterior hip pain
Whether you consider biological mechanisms in pain Mx or not, the impact of bony morphology on function & health of the hip joint cannot be denied. Considering morphology in load management & hip exercise can be helpful.
Watch the video and learn more about this topic by visiting the below linked blog.
Episode 55:
Features of bone related anterior hip pain
When a patient presents with anterior hip pain, what features of the patient interview make you think about bone? Join me as I discuss key features of bone related anterior hip pain.
Watch the video and learn more about this topic by visiting the below linked blog.
Episode 56:
How physiotherapists treat gluteal tendinopathy pain
More than 97% of physios surveyed across 2 studies in the UK, Ireland, Australia & NZ provide education & exercise for GTPS. A great start! But there is still much to be learnt & translated into clinical practice.
Watch the video and learn more about this topic by visiting the below linked blog.
Episode 57:
Modifying the Tree Pose for Hip Pain
Do you have patients with hip pain who practice yoga? Some may experience lateral or anterior hip pain with the Tree Pose. But there are some simple modifications to help people practise without pain.
Watch the video and learn more about this topic by visiting the below linked blog.
Episode 58:
Top Hip Paper - Defining Acetabular Dysplasia
Too often focal acetabular dysplasia and instability is overlooked in those with a normal lateral centre-edge angle. This important paper helped redefine acetabular dysplasia as a 3D bony deficiency.
Watch the video and visit the blog for an infographic, key learnings & a free ebook.
Episode 59:
Posterior Hip Pain Related to Leg Press
Is leg press in the gym worrying your patient's hip pain? Anterior hip pain with leg press is common, but it can also exacerbate posterior joint pain. This may be due to anterior impingement acting as a fulcrum for posterior overload.
Watch the video and visit the blog for infographic, key learnings and videos!
Episode 60:
Anterior hip pain related to acute overload of the hip flexors
When a patient presents with an acute onset of anterior hip pain, clearly related to an event, questions about area of pain and mechanism of injury can help with your differential diagnosis.
Watch the video to find out, and visit the blog for infographics, key learnings and more!
Episode 61:
The influence of pelvic position on hip joint loads in walking
A bit of a theme for the month: Pelvic Position Matters when it comes to hip joint loads and for many with hip pain.
Watch the video to find out, and visit the blog for infographics, key learnings and more!
Episode 62:
Possible mechanisms for entrapment or injury of nerves supplying the anterior hip
Understanding possible mechanisms for entrapment or injury of nerves supplying the anterior hip, may help in both the detection and management of nerve related anterior hip pain.
Watch the video to find out, and visit the blog for infographics, key learnings and more!
Episode 63:
How physiotherapists provide load management advice for gluteal tendinopathy or GTPS
Load management advice for gluteal tendinopathy or GTPS is provided by almost 100% of physios surveyed in UK, Ireland, Australia & NZ. But exactly what advice is being provided?
Watch the video to find out more, and visit the blog for infographics, key learnings and more!
Episode 64:
Exacerbation of posterior hip pain in deadlift
Those with reduced posterior hip joint stability will often struggle with deadlifts & may be at risk of injury if inappropriate loads are applied.
Watch the video to find out more, and visit the blog for infographics, key learnings and more!
Episode 65:
Gluteal underactivity related to fear & beliefs
What a person fears or believes about gluteal activation, movement or injury can contribute to gluteal underactivity.
Watch the video to find out more, and visit the blog for infographics, key learnings and more!
Episode 66:
Gluteal overactivity related to fear & beliefs
Just as our patients fears and beliefs can be drivers for gluteal underactivity, other fears and beliefs can contribute to gluteal overactivity.
Watch the video to find out more, and visit the blog for infographics, key learnings and more!
Episode 67:
Exacerbation of lateral hip pain during the rearfoot elevated split squat
The aggravation or development of lateral hip pain in the rear foot elevated split squat is almost always due to inadequate femoropelvic control.
Watch the video to find out more, and visit the blog for infographics, key learnings and more!
Episode 68:
Exacerbation of proximal hamstring tendinopathy in deadlift
Deadlifts are a common gym exercise and have plenty of benefits, but for some people, the load on the hamstring tendons can be provocative.
Watch the video to find out more, and visit the blog for infographics, key learnings and more!
Episode 69:
How physiotherapists provide functional movement training for gluteal tendinopathy
Almost 100% of physios surveyed in the UK give strengthening exercises for GTPS, yet only around 50% regularly provide movement training. Is this consistent with the evidence base?
Watch the video to find out more, and visit the blog for infographics, key learnings and more!
Episode 70:
SIJ Related Buttock Pain
Getting to the bottom of buttock pain can be challenging. Believe it or not, 1 potential source is the SIJ.
Watch the video to find out more, and visit the blog for infographics, key learnings and more!
Episode 71:
Hip Joint Related Buttock Pain
Buttock pain has many potential sources, with one of the most common presentations being hip joint related pain.
Watch the video to find out more, and visit the blog for infographics, key learnings and more!
Episode 72:
Modifying the Twisted Lunge Pose for Hip Pain
Yoga can be challenging for those with hip pain. One pose that can be provocative is the Twisted Lunge Pose or Revolved Lunge Pose.
Watch the video to find out more, and visit the blog for infographics, key learnings and more!
Episode 73:
Modifying leg press to avoid exacerbation of hip pain
Leg press may overload the hip, provoking those with hip pain
Watch the video to find out more, and visit the blog for infographics, key learnings and more!
Episode 74:
4 of 12 Top Hip Papers | Instability after hip arthroscopy
No. 4 of 12 Top Hip Papers Are you aware that hip instability may occur after hip arthroscopy? This paper reports on the evidence on instability after hip arthroscopy.
Watch the video to find out more, and visit the blog for infographics, key learnings and more!
Episode 75:
5 of 12 Top Hip Papers |Anatomy of the Iliocapsularis muscle
This paper reintroduced us to the #iliocapsularis muscle, which was lost from anatomical texts & scientific literature for decades.
Watch the video to find out more, and visit the blog for infographics, key learnings and more!
Episode 76:
Features of joint related anterior hip pain
Watch the video to find out more about recognising joint related anterior hip pain, and visit the blog for infographics, key learnings and for a free download!
Episode 77:
Posterior acetabular edge loading in hip dysplasia
This paper reported posterior acetabular edge during a double leg squat. It was significantly higher in those with acetabular dysplasia. Watch the video to find out more, and visit the blog for infographics, key learnings and more!
Episode 78:
Soft Tissue Related Buttock Pain
Soft tissues should be in the DDx for those presenting with buttock pain. Learn more about key features patient interview that may indicate a soft tissue source of buttock pain. Watch the video to find out more, and visit the blog for infographics, key learnings and more!
Episode 79:
Anterior hip pain related to cumulative overload of the soft tissues
While hip flexor-related pain is often overdiagnosed, soft tissues need to be considered as potential sources of anterior hip pain, esp. if there is a mechanism of acute or cumulative overload. Watch the video to find out more, and visit the blog for infographics, key learnings and more about DDx of anterior hip pain.
Episode 80:
Features of nerve related anterior hip pain
Do you consider nerve related pain in your differential diagnosis of anterior hip pain? Neuralgic symptoms & a history of trauma or surgery to the region increase suspicion. Watch the video to find out more, and visit the blog for infographics, key learnings and to read more about DDx of anterior hip pain & to grab your free download!
Episode 81:
Radiographic features impacting on decision to progress to THR
Is it time yet for hip replacement? How often have your patients asked you that question? Watch the video, and head to my blog to listen to my interview with Dr Patrick Weinrauch, ortho surgeon, on radiological features indicators eligibility for hip replacement & more!
Episode 82:
The role of pharmaceuticals in managing pain related to hip OA
For pts with Hip OA, load Mx & Ex therapy are foundational Mx strategies. Adding pharmaceutical strategies may be helpful for some. Watch the video, and head to my blog to listen to my interview with Dr Patrick Weinrauch, ortho surgeon, re a polypharmacy approach to pain Mx for hip OA.
Episode 83:
What is hip resurfacing and when is it offered?
What is hip resurfacing and when is it offered? Hip resurfacing is often thought to be a ‘lesser’ procedure, but in fact, it is still a prosthetic replacement with the same recovery periods. The advantage is in easier revision, something to consider in younger pts. Watch the video, and head to my blog to listen to my interview with Dr Patrick Weinrauch, for further information.
Episode 84:
Non-operative treatment of Iliopsoas Impingement after THR
Is your patient suffering with ongoing anterior hip pain after total hip replacement? It might be due to iliopsoas impingement. Watch the video, and head to my blog to learn more about why this occurs and what the treatment options are.
Episode 85:
Exacerbation of pelvic pain during the rearfoot elevated split squat
The RFESS or Bulgarian Split Squat can be provocative for those with pelvic or pubic pain. Watch the video, and head to my blog to find out why, and what you can do about it.