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Talking Hips-2

TALKING HIPS WITH DR ALI

TALKING HIPS WITH DR ALI

A weekly video series, that will cover a wide scope of topics relating to the Hip. These videos will contain info-bytes and top hip tips, and will aim to direct you towards where you can find further information on these topics within my free blog series.

A weekly video series, where will cover a wide scope of topics relating to the Hip. These videos will contain info-bytes and top hip tips, and will aim to direct you towards where you can find further information on these topics within my free blog series.

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.

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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.

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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.

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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.

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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 18:

Surgical Options for Total Hip Replacement.

Join me in exploring the surgical options for Total Hip Replacement as discussed with Dr Patrick Weinrauch, orthopaedic specialist. Total hip arthroplasty vs hip resurfacing, cemented vs uncemented and a multitude of prosthetic options.

Watch the video and learn more about this topic by visiting This Blog.

Episode 19:

Anterior hip pain & the rearfoot elevated split squat.

The rearfoot elevated split squat, aka Bulgarian split squat, can be great for strengthening around the hip & pelvis, but for those with anterior hip pain & impaired strength or control, this exercise can be very provocative. Check & optimise technique & monitor response..

Watch the video and learn more about this topic by visiting This Blog.

Episode 20:

How many syndromes can a buttock have?

Talking Hips #20 The buttock appears to have been assigned more syndromes than any other region of the body. So, what exactly is a syndrome? And how helpful is a 'syndrome' diagnosis to patient understanding and clinician treatment planning?

Watch the video and learn more about this topic by visiting This Blog.

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.

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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.

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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.

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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.

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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.

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