Femoroacetabular impingement (FAI) is not a new idea but hip arthroscopy has allowed identification and surgical treatment of a greater number of patients. This increase is also partly the result of the confusion use of terminology which has resulted in ‘morphology’ being mistaken for ‘pathology’. This article clearly describes the difference between these two states, with a clear definition for the pathological state of FAI syndrome (FAIS), as well as the battery of tests needed to exclude or include a diagnosis of FAIS. This allows you to be confident about deciding whether FAIS is the cause of your patient’s hip/groin pain or not, enabling them to potentially avoid unnecessary and invasive surgery. Additionally, the article explains how the cam morphology is thought to occur, allowing you to advise children and adolescents on their activity levels during the crucial ‘growth spurt’ stage and so reduce the risk of cam development. Register free below (or log in if you already have an account) and you can access the article key points and other related resources.
This advice leaflet outlines how hip pain can occur in cycling, the injury, management, rehabilitation and prevention. It has been written specifically for patients. You can purchase it individually using the Purchase button below, or... Read More
This advice leaflet outlines how groin pain can occur in football/soccer, what's going on inside, what can be done, and how physical therapy can help. It has been written specifically for patients. You can purchase... Read More
Manual therapy (MT) encompasses hands-on techniques for both joints and soft tissues. In this article we will focus on joint procedures and look briefly at how clinical effects may be achieved. Using the hip as... Read More
These leaflets offer advice on sacroiliac joint pain along with three phases of sacroiliac joint rehabilitation. The leaflets have been written specifically for patients and are designed as a printable/downloadable A4 PDF. You can purchase it individually using the Purchase button below, or as part of any of the main Co-Kinetic subscriptions.
‘Sacroiliac Joint Dysfunction (SIJ): A Structured Assessment Strategy’ has been developed from an extract of Clayton’s book Sacroiliac Joint Dysfunction and Piriformis Syndrome. It includes step-by-step guidelines for more than 10 sacroiliac joint assessment tests giving therapists an ideal structure within which to perform a sacroiliac joint (SIJ) dysfunction assessment. Additional supporting resources include two assessment algorithms, an elearning quiz and a patient advice leaflet. Access the patient leaflet for free by registering or signing in below.
This is the third article in the series on the management of femoroacetabular impingement (FAI) using Postural Restoration techniques. In this article I propose a method of managing FAI using Postural Restoration Techniques. In the first article in this series I explained the biomechanics of lumbo-pelvic-femoral dysfunction as it relates to femoroacetabular impingement (FAI) and as understood by the Postural Restoration Institute and in the second article I propose biomechanical mechanisms and rationale for both CAM and pincer types of FAI.
This short 3 minute 'Hip Impingement Redefined' introduction video outlines the content available within our 3 part series "Management of femoroacetabular impingement (FAI) using Postural Restoration techniques" by Jason Masek. This module answers questions regarding the best practice diagnosis, treatment and the mechanisms of femoroacetabular impingement and moves onto a detailed description of rehabilitating FAI using Postural Restoration techniques. Parts 1 and 2 were published in 2015, with the latest in the series being published in the April 2016 Co-Kinetic print journal and online.
This article is the fifth in a series from our Manual Therapy Student Handbook (see the class 'Contents panel’ for further details) and it describes how to assess and treat common hip complaints. As well as listing a comprehensive assessment procedure, the treatments are described in full and have accompanying videos, which provides a great practical resource for the clinician.
This content consists of a 12 minute video presentation professionally produced and presented at the Fisic Conference 2015.
Dr Adam Mitchell specialises in musculoskeletal imaging, with particular expertise in sports injury. He is radiologist to several Premier League football teams, professional cricket clubs and numerous rugby union teams, including England. He also provided radiological imaging services for individual athletes at the Beijing 2008 Olympics and was an on-site radiologist at the London 2012 Olympics.
In addition to his role at Chelsea and Westminster Hospital, Dr Mitchell is also an Honorary Senior Lecturer at Imperial College in London. He is also an international lecturer and teacher in radiology related to sports and exercise medicine, orthopaedics and rheumatology.
Dr Mitchell is an author of Gray's Anatomy for Students 1st and 2nd editions, Gray's Pocket Atlas of Anatomy and Gray's Anatomy for Students flash cards, as well as the editor of multiple books, including Applied Radiological Anatomy and Applied Radiological Anatomy for Medical Students and has published over 50 peer-reviewed papers.
Dr Mark Wotherspoon qualified from St George's Hospital in 1985. Having worked in Orthopaedics, Rheumatology and A&E, he completed his GP vocational training in 1991. He was a Principal in General Practice till 2010. He completed his diploma in Sport and Exercise Medicine in 1992 and has worked in Sport and Exercise Medicine since then.
Dr Wotherspoon has a specialist interest in chronic groin pain, underperformance syndrome and tendon injuries. He is the SEM clinic founder and Consultant in Sport, Exercise & Musculoskeletal Medicine at The Hampshire Clinic, at The Wessex Nuffield Hospital in Southampton, at Wimbledon Clinics in Parkside Hospital in Wimbledon, and for Bupa Wellness, Reading. In addition to this, Dr Wotherspoon is the Medical Lead Southampton Football Club, the Medical Officer for England Cricket, the Medical Officer for the Ladies European Golf Tour, an Honorary Consultant in SEM at the North Hampshire Hospital in Basingstoke, and the Regional Representative in Wessex for the Faculty of Sport and Exercise Medicine.
Dr Wotherspoon has written an article in BJSM (the journal of Sport and Exercise Medicine), he is a regular speaker at lectures nationally, and he does regular CPD presentations at The Hampshire Clinic, Wimbledon Clinics, Sarum Road, Wessex Nuffield and Circle Reading hospitals.
This content consists of a 11 minute video presentation professionally produced and presented at the Fisic Conference 2015.
Mr Patrick Carton is a full time Orthopaedic Consultant at the Hip and Groin Clinic, based at the Whitfield Medical Centre, in Waterford, Ireland. He is a specialist in surgery of the Hip and Groin; the majority of his practice involves managing sports related injuries.
Mr Carton graduated from Queen's University in Belfast, completed his specialist training in Trauma and Orthopaedics and was awarded an MD for his research into Computed Radiographic Analysis of Fracture Healing.
Prior to his move to Waterford in 2008, he worked as the Clinical Director in Trauma and Orthopaedics at the Southern Health NHS trust, in Northern Ireland. He was recently awarded an honorary research associate for the department of health, sports and exercise science, in Waterford Institute of Technology.
He is an active member of a number of international teaching faculties and regularly presents his original work both nationally and internationally. Although Mr Carton's specialist interest is in arthroscopic hip surgery, his professional practice includes total hip replacement, arthroscopic knee surgery; the surgical management of inguinal disruption (Gilmore's groin), adductor pathology and chronic groin pain.
This content consists of a 17 minute video presentation professionally produced and presented at the Fisic Conference 2015.
Dr Ulrike Muschaweck received her academic and medical training in the University of Göttingen. From 1986 until 1993 she was Head of the Outpatient Department of the University Hospital Rechts der Isar, Munich.
Dr Muschaweck's extraordinary career started in 1989, when entering new territory in the field of Hernia Surgery at the University Hospital Rechts der Isar in Munich, Germany. Under the project "Day Care Surgery" she visited the Shouldice Clinic in Toronto, Canada to intensively study the suture repair under local anaesthesia enabling the patients to arrive in the clinic in the morning and return home in the evening after surgery.
She took up residence in her own medical practice as surgical specialist in 1993 and since then has worked exclusively in the field of hernia surgery. The Hernia Centre Dr Muschaweck – Dr Conze is now the largest European centre specialising in hernias of the abdominal wall and groin region. She has developed the "Minimal Repair" Technique especially for the Sportsman's Groin of the athlete.
Dr Muschaweck is Founding Member of the German Hernia Society (DHG), and Member of the European and American Hernia Societies (EHS /AHS). Since 2012 she performs surgery at the Platinum Medical Centre of The Wellington Hospital in St. John' s Wood, London, and since 2014 she also operates in Spire Little Aston Hospital and cooperates with the FA's St. George's Park.
This content consists of a 10 minute video presentation professionally produced and presented at the Fisic Conference 2015.
Professor Cathy Speed is a Consultant in Rheumatology, Sport and Exercise Medicine. She is also a Senior Physician for the English Institute of Sport, Chief Medical Officer to GB Badminton and to Middlesex County Cricket Club and the Academy at the Lords Ground, London. She is Professor of Sports Medicine at the University of St Mark & St John. Professor Speed trained at Nottingham, Newcastle, Durham and Cambridge and has done fellowships in the USA and Budapest.
Professor Speed's clinical practice blends both her specialities of Rheumatology and Sport & Exercise Medicine in the delivery of care. She has a particular clinical expertise in the diagnosis and management of complex musculoskeletal injuries, arthritis and recalcitrant tendinopathies in sport and in bone health in young athletes. Her academic interests include regenerative medicine in joint and tendon pathologies. She is active in teaching at undergraduate and postgraduate level and has published widely.
This content consists of a 13 minute video presentation professionally produced and presented at the Fisic Conference 2015.
Professor Damian Griffin gained a First Class degree in Physiology in Cambridge, and then studied Medicine in Oxford. He trained as an orthopaedic surgeon in Oxford and the United States, returning to Cambridge to study and research the clinical epidemiology of musculoskeletal disease. He worked as a Consultant in Oxford before taking up the Foundation Chair in Warwick in 2002 and helping to establish Warwick Medical School.
His clinical interest is in the diagnosis and treatment of hip pain in young adults. Joint-preserving surgery for early arthritis, the development of hip arthroscopy, and the management of femoro-acetabular impingement, sporting injury and acetabular fractures are particular passions of his as well. Professor Griffin runs a national referral service for young and active people with hip pain, based at the University Hospital of Coventry and Warwickshire NHS Trust and at the BMI Meriden Hospital.
In Warwick Orthopaedics, he has built a new academic department with a clear focus on the assessment of clinical effectiveness of orthopaedic surgery, developing new methods for clinical research, scientifically robust but more suited to surgery, as well as performing primary and secondary research on clinical effectiveness. He is an internationally recognised expert, regularly teaching and lecturing all over the world, and drawing patients for specialist opinions and surgery from the UK, Europe and elsewhere.
Mr Johan Witt's Orthopaedic training was in London and Boston, USA, with fellowships in Sydney and Bern.
Mr Witt specialises in hip disorders and a large part of his practice relates to hip problems that occur in young adults, particularly those involved in a wide variety of sports. His special interests relate to joint preservation surgery techniques including arthroscopic hip surgery and minimally invasive techniques for acetabular osteotomies, as well as total hip replacements.
Mr Witt has published a variety of peer-reviewed papers, has written many reviews for The Journal of Bone and Joint Surgery and International Orthopaedics, runs annual courses on techniques of hip joint preservation surgery, and is an invited faculty member for national and international meetings.
Dr Justin Lee qualified from the University of London in 1995 after winning several undergraduate medical school prizes. After completing basic surgical training in London and becoming a Member of the Royal College of Surgeons in 1999, he pursued a career in diagnostic radiology.
Dr Justin Lee was appointed to the Consultant Staff at the Chelsea and Westminster in February 2005 after completing his training there. He developed his musculoskeletal interest at the Chelsea and took up Honorary Fellowships in Musculoskeletal Imaging at the Royal National Orthopaedic Hospital in Stanmore and the Nuffield Orthopaedic Centre in Oxford in his final year of training.
Dr Justin Lee has a particular interest in musculoskeletal ultrasound and sports imaging. He provides radiology services for the Artois ATP tennis tournament and works with various Premiership football and rugby clubs as well as working with the British Olympic medical team. Dr Justin Lee has also worked as a radiologist for the NFL International Series UK and the British and Irish Lions rugby squad.
Dr Justin Lee is the author of three book chapters and has written for 35 PubMed publications in musculoskeletal imaging. He has also contributed to Gray's Anatomy. Dr Justin Lee has presented at national and international science research meetings on numerous occasions and is a tutor on BMUS, UKRC MSK Ultrasound and Oxford Skills courses, and is also Lead Organiser for the London course in Clinic Radiology.
Mr Marcus J K Bankes trained at University College Hospital, qualifying in 1991. He completed his Postgraduate clinical training at the Royal National Orthopaedic Hospital, Stanmore, Middlesex additional clinical training with Fellowships in Boston, Toronto, and Vancouver. Mr Bankes was appointed Consultant Orthopaedic Surgeon at Guy's and St Thomas' Foundation NHS Trust in 2002.
Mr Bankes' practice is exclusively confined to problems in and around the hip joint, and he specializes in the arthroscopic treatment of hip impingement and other sporting hip disorders, minimally invasive PAO (peri-acetabular osteotomy) and total hip replacement in young adults.
He has pioneered the use of ceramic on ceramic bearings for total hip replacements for all ages and introduced the technique of minimally-invasive peri-acetabular osteotomy (MIS PAO) to the UK from Denmark for treatment of symptomatic hip dysplasia.
Recognised as an opinion leader in hip surgery, Mr Bankes gives between 15 and 20 talks a year to national and international meetings and is a regular contributor at the British Hip Society and London Hip Meetings, as well as being a reviewer for a number of orthopaedic journals. He leads the Steering group for the British Non-Arthroplasty Hip Registry.
This patient information leaflet covers exercises and advice for groin strains. The leaflet includes an overview of the injury, along with specific strengthening and stretching exercises and repetition guidelines (which can be changed by practitioners where appropriate). Each exercise includes an image and description.
The double sided A4 (prints as a 4pp folded A5) full colour leaflet in PDF format is designed to be printed out and handed to your clients and can also be used on your website as part of a "call to action" document download (for more information read our article "Physical therapy website design: 10 homepage essentials for getting new clients"). You can purchase the leaflet individually, as part of the patient information section or as part of a full site subscription. To see a sample of the leaflet please click on the image icon in the media contents box.
Our Co-Kinetic patient advice leaflets are written and reviewed by a multi-disciplinary team of medical and fitness professionals. Every leaflet is peer-reviewed at the very minimum by a professional in each of the following disciplines: physical therapy, manual therapy and exercise/fitness. Where appropriate we may also ask a recognised national charity to review and approve the content.
Femoroacetabular impingement (FAI) is recognised as an anatomical discrepancy between the proximal femur and the acetabulum, which may increase the risk of intra-articular hip pathology, including labral tears and contribute to the development of groin pain. In the first article in this series I explained the biomechanics of lumbo-pelvic-femoral dysfunction as it relates to femoroacetabular impingement (FAI) and as understood by the Postural Restoration Institute. In this second article I propose biomechanical mechanisms and rationale for both CAM and pincer types of FAI. In the third article I propose a method of managing FAI using Postural Restoration Techniques.
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