The Adult Hip Patient - Level 1 - London

Saturday, 18 November 2017 08:45 - 17:00 (GMT)


Chelsea & Westminster Hospital
Physiotherapy Gym
Outpatient Physiotherapy Dept. (Ground Floor)
369 Fulham Road
London
SW10 9NH

Completed

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

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.
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

Chelsea & Westminster Hospital

Physiotherapy Gym

Outpatient Physiotherapy Dept. (Ground Floor)
369 Fulham Road
London
SW10 9NH

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.