16 hours in total (8 Hours online + 8 Hours face to face)

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

Want a clear understanding on how best to approach Hip Impingement?

“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 dysplasia 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 30 years of joint clinical experience at what does and does not work in the assessment and conservative 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.

What will you gain by attending the course?

• 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

• Current conservative management of hip pain including hip impingement syndromes and clinical insights on managing complex presentation

• Practical application of rehab exercises including progression of hip stabilisation exercises and dynamic mobility exercises for the hip

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

TIME TABLE

08:45 Registration

09:00

• 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

12:15pmLunch

13:00pm

• Conservative Management of FAI
• Practical – Evidence informed Manual therapy and Integrated Approaches
• Rehabilitation - Motor control, hip stabilisation and dynamic mobility exercises.
• Case Studies
• Q& A

Tutor:

Benoy Mathew (MSc MAACP MCSP HPC)

Benoy is a highly specialist physiotherapist and Advance Practice Physiotherapist. He works in private practice in Central London. Benoy has research papers, published in internationally peer-reviewed journals.

He has a special interest in overuse lower limb injuries and Running Injuries. He is passionate about application of research in clinical practice and is involved in regular teaching on multiple courses, both in the UK and overseas. More than 2500 participants have attended his course in the last 8 years. He is a Master Trainer in Shockwave therapy and is the UK head of education for Venn Health Care. He is a trained MSK Sonographer and uses diagnostic ultrasound in his clinical 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

Tutor:

Lizzie Marlow MCSP

Lizzie is a specialist lower limb physiotherapist based in London and she has extensive experience working in professional sport as well as the NHS and private sector.

She has a particular interest in complex hip and groin conditions, running related injuries, knee injuries, patellofemoral pain syndrome and lower limb tendinopathy.

She has completed advance clinical practice modules at King’s College University and The University of Hertfordshire. These courses have helped her to develop advanced skills in the assessment and management of patients with complex lower limb conditions.

She also enjoys her role as a lecturer and course tutor on various lower limb and running courses, evening lectures and international symposiums.

The course venue

How to get there

Public transport

Tube

All stations are a 15–20 minute walk.

Fulham Broadway—District Line Earls Court—Piccadilly and District Lines South Kensington—Piccadilly, District and Circle Lines Gloucester Road—Piccadilly, District and Circle Lines Rail

Imperial Wharf (15 minutes walk) West Brompton (15 minutes walk)

Bus

Local bus routes

Fulham Road:

• 14—from South Kensington or Fulham Broadway
• 414—from South Kensington or Fulham Broadway
• 211—from Hammersmith, Fulham Broadway or King’s Road

King’s Road:

• 11—from Fulham Broadway
• 22—from Putney Common Redcliffe Gardens (southbound)/Finborough Road (northbound):
• 328—from Earls Court
• C3—from Earls Court or Clapham Junction

Personal Transport

Car

The hospital has an underground car park which is accessed via Nightingale Place—spaces are limited. The car park is not run as a commercial operation and all the money goes directly to support the work of the hospital and the care of its patients.

Please note height restriction of 1.9m.

On arrival at the entrance to the car park, take a ticket at the barrier. Before returning to the car park when leaving the hospital please pay by cash or card (not American Express or Diner’s Club) at the machines located on the ground floor of the hospital by main reception. Cash payments can also be made at the main reception desk.

The car park becomes very busy during the day and spaces are not guaranteed. Therefore, please allow additional time if you intend to drive. There are also Pay and Display spaces on the streets near the hospital.

Car parking charges

The minimum charge of £3.00 for up to 1 hour applies daily from 8am–7pm. This charge is reduced to £1.00 for up to 1 hour from 7pm–8am. There is also a maximum stay of 24 hours which incurs a charge of £40. Lost tickets will incur a charge of £40. The Trust cannot accept liability for loss or damage caused to vehicles or contents while parked within the car park.

8am–6pm (Sun–Fri):

• up to 1 hour—£3.00
  
• 1–2 hours—£7.00
• 2–3 hours—£9.00
• 3–4 hours—£12.00
• 4–5 hours—£15.00
• 5–6 hours—£18.00
• 6–7 hours—£21.00
• 7–8 hours—£24.00
• 8–9 hours—£26.00
• 9–10 hours—£28.00
• 10–24 hours—£40.00

8am–6pm (Saturdays):

• up to 1 hour—£3.00
  
• 1–2 hours—£7.00
• 2–3 hours—£12.00
• 3–4 hours—£15.00
• 4–5 hours—£18.00
• 5–6 hours—£21.00
• 6–7 hours—£24.00
• 7–8 hours—£27.00
• 8–9 hours—£30.00
• 9–10 hours—£33.00
• 10–24 hours—£40.00

From 6pm–8am the car park rate is £1 per hour (daily).

Motorbike

Free parking available in a designated area of the hospital car park for motorbikes and scooters which can fit past the barriers (ie not those with sidecars).

Bicycle

Free parking in designated areas and in the hospital car park.