The Adult Hip Patient

08 (Sat) and 09 (Sun) June 2019 09:00 - 17:00 (GMT)


University College Hospital
Musculoskeletal Outpatient Therapy Service (Sport Gym)
Therapy and Rehabilitation Department, Lower Ground Floor
235 Euston Road
London
NW1 28U

Completed

Adult Hip Patient - Level 1

Do you find differential diagnosis with some hip and groin presentations difficult?

Want a clear understanding on how best to approach FAI, Cam or Pincer Hip Impingements?

“Emily is a 32 year old office worker and regular gym-goer. She had right anterior hip pain 10 months ago which was diagnosed as hip flexor strain and it responded favourably with previous physio. Her right hip pain has returned since she started cycling to work and she has been referred back to physio. Her recent pelvis X-ray has shown acetabular cross-over sign suggestive of pincher FAI in both her hips.”

  • How do you clinically determine if the X-ray results are the true source of her symptoms and not an incidental finding?

  • What are her treatment options? What is the best rehab strategy?

  • Would you consider a surgical referral?

Like a lot of clinicians, you may see patients like Emily presenting with anterior hip and groin pain in private practice, sports medicine clinics or a primary care setting. The hip and groin area is often viewed as a “black box” because of the complex anatomy and overlapping pain referral patterns. Whether it is the week-end warrior, yoga enthusiast or the competing triathlete, accurate diagnosis and management of hip and groin pain can be challenging.

Conditions like hip impingement syndromes, labral tears, chondral lesions and ligamentum teres injuries are being increasingly identified as cause of hip and groin pain in the physically active population between the ages of 18-45. Although, various treatment methods are reported there is a lack of consensus on the role of conservative management.

CONTENT

This one day workshop is designed for all therapists who work with physically active patients with anterior hip and groin pain. The aim of the course is to provide a clear, honest and evidence based look, combined with more than 25 years of joint clinical experience at what does and does not work in the assessment and management of the active hip patient. A key goal would be for you to leave with things that both simplify the hip for you and help differential diagnoses what is going on, both articular and extra-articular pathologies of the hip.

This hands on course will consider the evidence and how this has been integrated into practice. The active treatment section will look at manual techniques in the management of the adult hip patient. It is designed to be highly practical and full of clinical tips that you can put into practice immediately.

  • Overview of the complex interaction of the groin and the hip joint including femoro-acetabular impingement, labral lesions, extra-articular pathologies and tendinopathy.

  • A detailed and a systematic physical examination will be covered using a novel and evidence based tool (The layering concept) for the assessment of the adult hip patient and a solid understanding of differential diagnosis

  • Understanding of the biomechanical and developmental factors leading to symptomatic FAI and clinical insights on managing complex presentation

  • Practical application of manual therapy in the management of hip and groin pain

  • Overview of Rehab principles following Hip Arthroscopy

  • Integration of the theory, current evidence and treatment tools with case studies

Adult Hip Patient - Level 2

Are you frustrated with hip pain patients, who fail to progress, keep coming back with recurring problems?

Are you up to date on the current management of FAI and Labral pathology?

Want a clear understanding on how best to approach extra-articular hip conditions such as adductor & iliopsoas related groin pain?

The hip and groin area is often viewed as a “black box” because of the complex anatomy and overlapping pain referral patterns. Whether it is the week-end warrior, yoga enthusiast or the competing triathlete, accurate diagnosis and management of hip and groin pain can be challenging.

This one-day course will help you break down common patterns seen in clinic and to treat the primary causes of hip dysfunction. Successful rehabilitation of the painful hip requires a sound understanding of the intrinsic factors that influence how the hip transfers load and also the biomechanical stress from the lower limb, SIJ and the lumbar spine.

Giving isolated strengthening and stretching exercises often do not directly relate to how the hip and groin is used in daily and sporting activities. A combination of strength, movement patterns and muscle recruitment strategies will have a favourable influence on optimal load transfer and dynamic stability of the hip and groin complex. Effective clinical management of extra-articular pathologies (adductor & hip flexor) and tendinopathies of the hip and pelvis will also be addressed in the practical section of the course.

CONTENT

This one day workshop is designed for all therapists who work with physically active patients with anterior hip and groin pain. The aim of the course is to provide a clear, honest and evidence based approach, combined with more than 25 years of joint clinical experience at what does and does not work in the conservative management of the active hip patient.

The active treatment section will look at evidence based rehab strategies in the conservative management of the hip patient and develop effective programmes for tendinopathies of the hip and pelvis. It is designed to be highly practical and full of clinical tips that you can put into practice immediately.

What will you gain by attending the course?

  • Current conservative management of hip pain including hip impingement syndromes and extra-articular pathologies (Adductor & Hip Flexor Related Groin Pain)

  • Evidence based re-training of deep hip stabilisers, movement re-training and progression to strength based training and functional tasks.

  • Practical skills involved in the assessment and management of tendinopathies of the hip and pelvis (Gluteus Medius and Proximal Hamstring)

  • Practical application of rehab exercises including progression of hip stabilisation exercises, dynamic mobility and strength and conditioning for the hip patient.

  • Integration of the theory, current evidence and treatment tools with case studies

Level 1

Registration (8.45 to 9.00)

AM (09.00 to 12.15)

  • Welcome and Introduction

  • The Adult Hip patient (Overview of common pathologies and Diagnostic challenge)

  • Practical Assessment of the Hip (The Layer Concept for hip assessment – neuromechanical layer, contractile(myogenic) layer, Inert layer and Osteochondral layer)

  • Acetabular Labral Tears

  • Ligament Teres

  • Snapping Hip

Lunch (12.15 to 1pm)

PM (1pm to 5pm)

  • Biomechanical and Development Factors leading to Symptomatic FAI

  • Practical – Evidence informed Manual therapy Techniques

  • Rehab following Hip Arthroscopy

  • Case Studies

  • Q& A

Note:

  • Each activity will consist of theoretical and practical components.
  • Please bring shorts to the course for the practical sessions.
  • Pre-reading articles will be sent before the course.

Level 2

Registration (8.45 to 9.00)

AM (09.00 to 12.15)

  • Conservative Management of FAI & Labral Pathologies

  • Adductor Related & Ilio-psoas Related Groin Pain

  • Evidence informed exercise progression

  • Exercise Progression (Motor Control, Hip Stabilisation and Dynamic Mobility)

Lunch (12.15 to 1pm)

PM (1pm to 5pm)

  • Posterior Hip Pain – Differential Diagnosis (Proximal Hamstring tendinopathy)

  • Lateral Hip Pain (GMed tendinopathy)

  • Practical (Ex Progression and S&C)

  • Case Studies

  • Close

Note:

  • Each activity will consist of theoretical and practical components.
  • Please bring shorts to the course for the practical sessions.
  • Pre-reading articles will be sent before the course.
  • Handbook will be provided on the day.
  • Tea/Coffee and refreshments will be provided.
Glen robbins

Tutor:

Glen Robbins (MSc MMACP MCSP HPC)


Prior to training as a Physiotherapist Glen worked in the fitness industry as a trainer for gyms and sports teams. He qualified as a Physiotherapist from the University of Keele in 2005. He spent his first 2 years working for a busy MSK private clinic in Iceland, before returning to the NHS and completing his MSc in Neuromusculoskeletal Physiotherapy at the University of Hertfordshire.

Since then he has worked primarily in private clinics and sports injury clinics in and around the London area and opened his own clinic, Hemel Physio, based in Hertfordshire in 2013. At his Clinic he has treated Olympic level athletes and professional sportsmen but he also still maintains an NHS caseload 1 day per week. A large percentage of his private caseload is made up of recreational and club level endurance runners, particularly marathon runners.

Glen's main passions are manual therapy, functional movement screening, injury prevention and exercise prescription. He has mentored and trained many therapists in manual therapy and is involved in the creation and development of strengthphysio.com, an online CPD training portal for physiotherapists, personal trainers and health professionals.

Glen has a particular interest in the lower limb and started teaching on evidence based injury prevention in runners, integrating strength and conditioning with the rehab of runners and Assessment and treatment of the Hip in 2012.

Further information on Glen can be found at: www.hemelphysio.co.uk

Follow Glen on Twitter on @HemelPhysio


Mathew benoy small

Tutor:

Benoy Mathew (MSc MAACP MCSP HPC)


Ben qualified as a physiotherapist in 1998 and has worked extensively in hospital, private practice and sporting settings within Asia, Middle East and the UK. Having specialised in musculoskeletal care, he works as an MSK Extended Scope Practitioner in the NHS and also in private practice.

He has developed special interest in treating complex lower limb pathologies, running injuries and chronic hip and groin patients. Majority of his private caseload is made up of recreational runners and overuse lower limb injuries. He is also involved in training and designing screening programmes for various client groups in private practice.

Ben has completed his masters in advanced physiotherapy from the University of Hertfordshire in 2014 and was the national winner for the highest scoring candidate of the society of orthopaedic medicine registration examination and was the recipient of Saunders prize for 2011.

Clinically, he deals with complex patients referred by GPs and for a second opinion on failed patients by other therapists. Ben loves a challenge, and enjoys treating hip and groin patients and overuse running injuries. He is passionate about application of research in clinical practice and is involved in regular teaching nationwide on multiple lower limb courses.

Further information on Ben can be found at: www.function2fitness.co.uk

Follow Ben on Twitter on @function2fitnes


The course venue

University College Hospital

Musculoskeletal Outpatient Therapy Service (Sport Gym)

Therapy and Rehabilitation Department, Lower Ground Floor
235 Euston Road
London
NW1 28U

How to get there

By BUS:

Tottenham Court Road - Northbound (Warren Street station) - no's 10, 73, 24, 29, 134 Gower Street - Southbound (University Street) - no's 10, 24, 29, 73, 134 Euston Road - no's 18, 27, 30, 88

Click here to view a local map of bus stops

By Tube:

Nearest tube stations are:

Warren Street (Northern / Victoria Lines) Euston Square (Circle / Hammersmith & City / Metropolitan Lines)

Euston ( Northern/ Victoria Lines )

Click here to view a local map of bus stops

By Car:

Car Parking at University College Hospital (UCH)

Please note: No car parking (other than disabled/blue badge holders) is available at University College Hospital (UCH).

For information on parking in the areas surrounding UCH please visit Parking local to UCLH