The Athletic Hip Series: The Various Hamstring Injuries

 

The Athletic Hip Series: The Various Hamstring Injuries

By: Maggie Gebhardt PT, DPT, OCS Adjunct Clinical Professor- Mercer University, Division of Physical Therapy Anyone who has had, or knows someone who has had, a hamstring tear knows it can look pretty bad. Typically people will report pain, hearing a pop, and a deep, ugly bruise that shows up a couple of days later that can extend past the knee. Even though this sounds really dramatic those are the kinds of injuries you actually want to have, because after the initial inflammation they tend to heal fairly quickly. Then there are the more common and much less talked about tendiopathies. These are the injuries that come on slowly and you do not notice until it’s almost too late. They are…

Read More

The Athletic Hip Series: Ischiofemoral Impingement and Tendinopathies

Post by Maggie Gebhardt, PT, DPT, OCS In the clinic, therapists tend to see injuries happen in waves. One month its shoulders and the next it’s a completely different body part. Recently, I have had a rash of patients coming in with the diagnosis of ischiofemoral impingement. As the time for my monthly blog approached, I thought it would be the perfect opportunity to delve into this diagnosis a little bit more. What is it you ask? Ischiofemoral impingement is the result of contact between the lesser trochanter of the femur and the ischium (or lower part of the pelvis.) Patients usually report buttocks or groin pain and this can often mimic symptoms of a hip flexor or hamstring tendinopathy….

Read More

The Athletic Hip Series: Piriformis Syndrome

Post by Maggie Gebhardt, PT, DPT, OCS To a runner, the word “Piriformis” is a dreaded, scary, and frustrating word. However, the diagnosis for Piriformis Syndrome is commonly overused and misdiagnosed. I would venture to say that in the years I have been working, I have never actually seen a true case of Pirifomis Syndrome. Many people assume that  hip tightness must be their ‘Piriformis.’ Well I am here to spread the word…that is just not true! Actual Piriformis Syndrome is when the piriformis muscle becomes so tight that it causes numbness, tingling and/or pain down into the respective leg. The piriformis muscle spans the backside of your hip, sits amongst your gluteal muscles, and runs from your tailbone to the outside of…

Read More

The Athletic Hip Series: Hip Surgery FAQs

Post by Maggie Gebhardt PT, DPT, OCS So you’re contemplating having surgery to repair your torn labrum or you’ve already had it done. I am sure a number of questions are running through your head. The first thing to remember is to be flexible. Oftentimes, surgeons do not know how your hip truly looks or the extent of the injury until surgery. Surgeons do their best to warn you of this, but it oftentimes does not become a reality until you wake up after the procedure. Remember that they are doing their absolute best to start you on the road to complete recovery. The most common unexpected outcomes after surgery is prolonged bracing, crutches, ambulation, driving, and return to sport. This…

Read More

The Athletic Hip Series: Labral Tears

Post by Maggie Gebhardt, PT, DPT, OCS For all of you clinicians out there who participated in our journal club in June you were able to hear from one of Atlanta’s preeminent hip surgeons, Dr. Cliff Willimon. He addressed the assessment and treatment of hip pathologies primarily related to labral tears. So, it is only natural that I follow my last blog on hip impingement with a discussion on hip labral tears. For the layperson out there, you may be asking, “What is a labral tear and could I have this tear?” Well, the labrum of your hip is a cartilaginous ring that runs around the perimeter of your hip socket. This allows the ball to sit deeper in the…

Read More

The Athletic Hip Series: Impingement

Post by Maggie Gebhardt, PT, DPT, OCS “Runner’s take your mark!” It’s that time of year again when hundreds and thousands of runners line Peachtree to run Atlanta’s annual July 4th Peachtree Roadrace. It is a day of celebration and festivities that culminate with the highly coveted and secretive t-shirt. From a physical therapy perspective it is the time of year that runners flood your clinic trying to get a couple of appointments in to get themselves bandaged up and to the Peachtree Road starting line. Sometimes the stars align and a little TLC from your favorite therapist gets you back out on the road, but unfortunately that is not always the case. One of those instances is the elusive…

Read More

The Athletic Hip Series: Trochanteric Bursitis

Post by Maggie Gebhardt, PT, DPT, OCS Do you have lateral hip pain that is painful to lay on? If so, then you may have trochanteric bursitis. “What is bursitis,” you ask? Well bursitis is inflammation of the bursa that lies between the IT band and greater trochanter. When the IT band it too tight, it can rub on the bursa causing inflammation and irritation. As we discussed in my previous post, the IT band can get tight from a number of factors but most primarily from decreased strength of the hip abductors/glutes. When the bursa is inflammed it can get swollen and be painful to the touch or even to lie on it. Some people will experience pain when…

Read More

The Athletic Hip Series: What is IT Band Syndrome?

Post by Maggie Gebhardt, PT, DPT, OCS IT, otherwise known as the Iliotibial Band, is a common source of lateral knee pain in runners. However, most people do not realize that this is an issue oftentimes stemming from the hip. Pain generated from disorders of the IT band can be present at its origination along the lateral pelvis all the way to the lateral knee. The IT band is usually over-utilized due to poor lower extremity mechanics. Weak hip musculature, primarily the glutes, cause increased reliance on the IT band to stabilize the knee. This scenario can cause the IT band to get caught in a “catch-22”: overuse of the IT band causes increased tightness of the TFL (Tensor Fascia…

Read More

What exercises can help relieve hip pain?

Brian Yee PT, MPhty, OCS, FAAOMPT Typically hip pain patients have restricted hip motion. We usually find the gluteal muscles are restricted with trigger points and fascial tightness. 1. Use of foam rolls or trigger point balls along the back and side of the hip can release the muscles around the hip. 2. Lunge stretches to the anterior hip can also help – but please consult with a Physical Therapist to see if this is indicated. 3. Long axis traction: have a friend hold your ankle and pull the leg – length wise – to distract the hip. This can give relief to the hip especially in acute sitatuion. 4. Nerve: something to consider is that the pain in your…

Read More

Besides squats, are there other hip exercises to help my knee pain?

Brian Yee PT, MPhty, OCS, FAAOMPT If you’re experiencing knee pain, especially with weightbearing exercises, its best to train the hip in non-weightbearing. This would include bridges to strengthen the gluteus maximus, and side leg raises/clam shells to stabilize the gluteus medius. Focus on improving the gluteus medius without overcompensating with the lateral quadriceps or tensor fascia latae muscles. Once pain decreases in the knee, weightbearing exercises to improve hip stability can then be applied. _________________________ Medical Disclaimer: Motion Stability has created and compiled the content on its websites for your information and use. This information is not intended to replace or modify the medical advice of your doctor or health care provider. Please consult your health care provider for…

Read More

Motion Stability