Best way to assess and treat the Hip Joint for Labral tear / Impingements
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- Опубліковано 17 чер 2024
- www.johngibbonsbodymaster.co.uk
John Gibbons is a registered Osteopath, Lecturer and Author and is demonstrating how to assess and then treat the hip joint. He discusses acetabular labral tears and FAI - femoral acetabular impingements of a cam and pincer lesion. Shows the FABER, FAIR and scouer tests. Some of these techniques can be taught but only to skilled therapists and manipulations plus more is taught on the Hip & Groin course at the University of Oxford.
John is also the Author of the highly successful book and Amazon No 1 best seller called 'Muscle Energy Techniques, a practical guide for physical therapists'. John has also written 4 more books, one is called 'A Practical Guide to Kinesiology Taping' and comes with a complimentary DVD. The other books are called; 'Vital Glutes, connecting the gait cycle to pain and dysfunction' and 'Functional Anatomy of the Pelvis and SI joint' and 'The Vital Shoulder Complex', an illustrated guide to assessment, treatment and rehabilitation.
John is currently writing his 6th book on the Vital Nerves and will be published end of 2019.
All the books are available to buy now through his website www.johngibbonsbodymaster.co.uk... or from Amazon www.amazon.co.uk
John now offers Advanced Training in all aspects of Sports Medicine to already qualified therapists in manual therapy to 'Diploma' Level. You need to have attended all of his ten individual Therapy Courses before the diploma is awarded. His venue is based at the idylic venue of Oxford University, home of the first four-minute mile by Roger Bannister
this is great. i learnt alot of this back when i was in physio school. glad to see it in practice here.
Great to hear! Thanks, regards JG
your channels gold man, looking forward to attending another two of your courses this year
Awesome, thank you! Regards JG
You are very great man , thanks for sharing such precious knowledge and experience with us . I learnt a lot form this session even being a physiotherapist myself . You are good . You are at the stage where you just want to give and help other people , thanks a lot
Glad to be able to help, regards jG
Masterful techniques! This is what I need. I'm not formally trained but my own internal inspection and visualisations have told me this would help me.
Thanks for the comments, regards JG
Looking forward to the opportunity to learn from you in person. Graduating chiropractic school in February and I have been watching you for about 2 years. You have taught me a great deal and helped me to treat many patients successfully in clinic! Thanks for everything you are doing!
Thanks for the comments and good luck in your chosen career - regards JG
another excellent technique!! thank you, Dr. Gibbons!!
Glad you enjoyed it! Regards JG
Amazing video new LPTA with an anterior labral tear tomorrow will try out these techniques thank you.
Glad you like my video, regards JG
Just curious, are you having someone help you? I need to try these too but don't think I could do them effectively by myself. Thinking of asking my husband, but also considering a physical therapist.
U r great ..so basically u are doing gentle oscillation techniques which will inhibit the pain .....the head of the femur will be able to move freely.....
And where u r finding restriction in muscle u are giving muscle energy techniques ..
What a perfect treatment.
Salute u john
Thanks and pleased you like what i do, regards JG
Hello Dr. Gibbons, thank you for your very explanative video, very helpful. This past year I was struck by a car while running on a sidewalk - it struck my left side throwing me into a wall and then landing on concrete on my right side (pinball style) :) - of course LUCKY to be alive...I have been in therapy since, told all soft tissue injury. My right side back - QL and up started overdeveloping - I'm a 5'4" female - very athletic for my 47 years (triathlons, powerlifting, Olympic lifting) I kept telling drs something was wrong - as my left hip ached - could not sit for more than an hour - standing would be ok, walking and running were completely fine. Anytime I had pain if I worked out the pain would subside. They did EEG on my back and my right back was 'always on' and firing 100% of my left side. I kept telling Drs something was going on where my left side had turned off. I had little mobility in my left hip - and when I walked/ran my left side would actually 'kick out' a couple inches.
Fast forward, doing 2-4 hours a day of Qigong for back mobility and yoga type hip openers - and stretching - while stretching the left leg out laterally something POPPED..I ended up on the floor and could not move for 2 1/2 hours as I would have vomited from the pain - I was unable to move my leg at all - even my toes. I was told I most likely had a torn hamstring and just ice and time - My Dr finally ordered an MRI - and I did tear my adductor but only about a level 1 - the other thing that shows though is tendinosis and acetabular para labrum ganglia.(it says i will need another MRI to rule out a labrum tear- but I read if you do have a ganglia then you can infer you have a labrum tear - is this your experience? I was referred to a specialist - even though my Dr. is a D.O. - and the one specialist I could get into is August 3! Which I hope to be better by then.
I am doing a ton of PT, massage and Chiro - iced in the beginning, completely rock taped - then now heat, infrared sauna, microcurrent, TENS unit, and EMS along w/massage and light resistance stretches multiple times a day. I am two weeks on crutches, unable to put weight on the leg, but am able to stretch it passively.
My main question, I'm thinking the labrum tore in the accident and that was what was causing all the pain in my left hip, and why my right side took over to compensate. Does that sound logical? If that is the case, should I be able to 'wake' my left side back up so my right side stops overcompensating? And if the labrum is tore, does it sound like it will most likely need surgery to get my right side to stop overcompensating? And how long do things like this typically take to heal - I went from 4-6 mile days and an hour workout - to NOTHING...it is painful to be this inactive :(
I realize this is very long - and its ok to not comment as I know you are a Dr. and can't make a diagnosis or anything - I was just hoping for some words of wisdom and if you have seen this type of thing happen before and if I am on the right track for healing - I plan on running into my 100's!!
Thanks so much and thanks again for your lovely videos, they are inspiring. Take Care, MR
Thanks for the message and yes its pretty long - sounds like the Labrum is involved and if thats the case then the opposite side will more than likely compensate. An MRA is better for diagnosis of hip labral tear rather than MRI. Good luck, regards JG
As always... you are the King! Mostly see older adults in our office (large retirement community in Arizona), with occasional surprises. Most recent a younger female pops up with hx of right FAI.. Oh sh*t!.. quick, lets see what John Gibbons has to say about it! Thank you for being the go-to virtual mentor for the PT masses!
D Johnson PT, AZ USA
Thats brilliant and thanks for message, regards JG
Love to see some helpful tips and clinical pearls for TMJ. just a brutal problem ! Love the videos
I am not so good on the TMJ so not really my area....regards JG
That was a lot of info in a short time. Thanks
Very welcome and i do tend to cover a lot in a short time, regards JG
thank you so much Dr Gibbons I learned a lot from you God bless your soul
Thats very kind and thanks for the message, regards JG
Gibbons really super Physio and Osteopath.... lucky to got a chance of attending your work shop
Hassan Sports Physio @India
Thats good to know - regards JG
hello Dr.John,
My name is Costi, I am a physiotherapist, specialized in HVLA and craniosacral therapy and a resident doctor in orthopedics. I am delighted to see your posts, because some techniques are new to me and help me perfect certain aspects.
Practical and concrete explanations.
Let's hear each other! Good luck.
Thank you very much
Thanks for the comments Costi - pleased I am able to help you, regards JG
Just amazing. Learning everything.
Thats very kind of you to say, regards JG
Thanks for your hard work really appreciate
It's my pleasure, regards JG
Hi Mr John Gibbons, with your professional help (I have also read your books) I was able to prevent a 20years old soccer player woman to make a greater injury with her left hip joint. I made all of examination. Actually she is a key player at the NB1 team and they will play the last match the season of 2023. Staying in NB1 competition in is at stake. 3 day before the last match came to me with Impingements and labral tear symptoms. (First time I have seen like that, but I have remembered the symptoms from your book)
The present is 1 day before the match.. As a PT, we got great responsibility for the players.
Annamaria from Hungary
Thats wonderful to hear - regards JG
Always an educational experience - TY
So nice of you to say and thanks again, regards JG
Amazing technique thanks Jhon
Glad it was helpful! Regards JG
You are great sir , nice information
Thanks, regards JG
Sir, you are teaching very good, I practice in indian rular areas, these technics help me.. Thank you so much.
Glad to hear it - I am in Delhi soon, regards JG
Thank you, Dr Gibbons, for such an informative video so concisely described. This may be the most helpful vid I've seen on the subject. It sounds like I'd want to visit a physical therapist to get the treatments you show. Do you know if I would need a doctor's referral in order for my insurance to cover physical therapy?
Thanks for the message and pleased you the video, yes you normally would need a referral from GP if insurance is paying, regards JG
Hello Dr. John, I just started watching all you videos and they are very informative and helpful. My last hips X-Ray from 9/2022 shows progressive severe OA of left hip with severe superior joint space narrowing and marginal spurring. Cortical convexity of the superolateral head-neck junction of the left femur suggesting cam-type femoral acetabular impingement. Mild spurring on right hip without narrowing and mild degenerative changes of SI joints. Lower lumbar hardware partially imaged. I'm positive on most of the tests you performed in this video. I walk with a limp and both hips hurt if walk without a cane. But it doesn't hurt while siting or sleeping. I'm 61yo and my hip surgeon said I should have total hip replacement. However I've nerve damages on tibial nerve, peroneal nerve, saphenous nerve, and femoral nerve of left leg from lumbar fusion and ORIF left ankle. I'm afraid that the hip replacement surgery will worsen the nerve damages(CRPS/RSD) on the existing nerves. Please advise. Thanks for your time.
Sounds like you will need a THR of the left hip with what's going on and not sure how it will cause an issue with the existing nerve issue and not sure how all the nerves you mentioned are involved from lumbar fusion as pretty rare...regards JG
Thank you for the video. With the lateral glide i personally use a bed sheet very low and actualy i wrap the thigh close to the groin and around my self as well. I pull the thigh towards me while i push the the knee area away from me. its a very affective strech. This kind of tra tion allows me to do a very affective technique with out toucing the groin area and without using my power.i simlpy lean backwards.with deep respect malka segal (osteopath).
Thanks for the message and tip, regards JG
I'm so glad to have found your video, great information. What ype of Dr would I have to see to get help with this. I've been suffering with this since 2012. Went to an orthopedic dr,and two rounds of physical therapy, even went to a chiropractor. Still in a great deal of pain.
Try an osteopath but if you have a labral tear then in reality you need to see a hip specialist as physical therapy wont fix it but surgery will, regards JG
Super helpful. Thank you.
Glad it was helpful! Regards JG
Those look like it feels amazing. I have AVN in both hips and waiting to see if I have labral tear in my right. Pain is so sharp disabiling :/
The techniques are great, just be careful is someone tries them on you, regards JG
Mr. Gibbons, my daughter has been dealing with pain in her hip for the last year. The MRI with dye showed a tear of 7mm on her hip labral. She is 16, sports all year round, since 4th grade. She's a very competitive physical player. She's a major defensive player in Soccer. We have been to numerous sports meds dr and specialists. Unless children's hospitals will do it we are finding out they don't want the liability being under 18. 1 Dr last week just offered 1 time cortisone shot as he's more I to hip replacements and knee replacements.... we have cut basketball and now this season softball out... but we are keeping soccer. Being in high school she lifts 3 times a week and the conditioning will start in June then season starts in August. Also in xrays and mri they say her pelvis is a bit tilted but nothing to worry about. Research I have seen on average women's hip labral are usually 14mm, her registering at a 7mm what is ur opinion? She is up for captain this year, and sports atm are her world, she's already given up so much. Thanks so much have a great day!
Sounds like she will need an arthroscopy unless she has no symptoms, a steroid Injection into the hip can help as first line. Also at her age it sounds like she is overtraining and that is probably part of the bigger picture of why she sustained a Labral tear in the first place. Hope that helps, regards JG
@@JohnGibbons yes sir that has been recommended by the Drs. But will prob have to be done at the children's hospitals. Yes sadly we had some not so good coaches and trainers who have not let her body rest. We thought they knew what they were doing...so I take fault in that. We figured she needed arthoscopy to fix the tear. But she can't go another 2 years so hopefully someone at children's will do it since she's under 18. Thanks so much for your time, I have researched and watched so many videos but you are the only 1 I've posted a question too because you are very precise and technical but I can tell you love your job and helping and informing people! Thanks so much, best regards!
Fantastic!
Thanks for the message and comments, regards JG
Very useful info🙏🙏
So nice of you, regards JG
Good Job... Greetings from Valencia (Spain). I'm Osteopath, Fhisio and Graduate a Sports Sciences. Please in a future, try to speek a little bit slowly, becasuse some time our English it's not a high level. Normally I understand almost that you say, but sometimes I have problems to understand... Congrats for your Job, and Didactic Videos.. Here, there is a super fan. In the future I will travel to EEUU to take some seminary... I send you a great hug
Thanks for the comments and I am sure you will understand me easier when your English improves....hopefully will see you on my courses, regards JG
For a quick solution turn on subtitles and you can slowdown (or speed up) video in you tube settings
@@crni1000 Thanks but not always the translate system it's exactly that John Tell us.. all solutions it's on top... but sometimes is not easy... but thanks to all anyway
@@angelchaparrovargas I meant English subtitles. Sometimes I find it easier to read than to hear, especially if there is a strong accent or mumbling :). I also am not a native english speaker.
@@crni1000 the suggestion I made, I did it even though I was able to visualize the subtitles ... !!!! It's clear, but I think you have not understood me. Thank you anyway
John, your videos are amazing. Do you still take new patients in your clinic in Oxford? Many thanks
Thanks and clinic in Oxford closed last year, regards JG
Thank you for this wonderful video. I’m an avid lifter. I’m having some groin pains but nothing that debilitating. When I’m laying down on my back and lift my leg (straight)20 degrees it hurts but no pain beyond 20 degrees. If also hurts if I pan left to right at the same angle. It hurts doing adductor workouts. I haven’t lifted in a month but I’m still having the small pain. The pain feels like it’s deep in my upper groin. Maybe Pectineus... any ideas on what it could be? Anything would be appreciated
I guess it can be from the one of the adductor muscles, however I reckon it could be directly from the hip joint, I would try and see someone like me to rule out an acetabular labral tear or an impingement called an FAI (femoroacetabular impingement)...good luck, regards JG
Thanks for sharing Sir :)
Thanks for the message and comments, regards JG
Gratidão Mestre
Thanks for the message, regards JG
Awesome video thank you!
I have a 7mm labrum tear with 3 cysts too
My foot is rotated 45 degrees after the injury , now my adductor muscle feels pulled near my groin for over 2 months now.
If I continue to put off surgery do you think I risk future damage to my hip?
More than likely it will get worse but not for a while, regards JG
Thank you doctor. What happens if the patient cannot have her leg straight and there is pain from ilium to the knee... What sort of treatment would you apply? Patient is 85
Hello John, after you mobilize this hip joint, what is the next step? which exercise you recommend to do?
Thanks you are awesome!
Thanks and potentially Gmax and Gmed exercises - as long the glutes are able to contract as the labral tear can cause inhibition, regards jG
@@JohnGibbons thanks man!!! i really really appreciate your comment.
Thanks for all the helpful videos.
Best
Aviv
Respect
Thanks, regards JG
Very informative video but one question: Could the traction techniques cause the tear to get worse by pulling on the leg and placing more stress on the labrum?
Very rare for that to happen, regard jG
John do u recon..hip distal distraction which chiropractors usually do to get a cavitation of hip. Please let me kown if it's safe or not ...thanks
It depends on what they are trying to achieve, you dont tend to get a true cavitation from the hip joint even though it might feel like...regards JG
Hi, very informative video. I hope i manage to find a doctor like you. I've visited few for the past 2 years and only thing they did was say i need a rehab, where they just made me do stretching exercises, which i was already doing before. I did ultrasound and now i will do MRI, i have all the symptoms of the tear. I don't want a surgery tho.
I still lift weights, recently gave up squats, since my groin feels bad when i do them. Do you think I can still do weighted Hip Thrusts ? they cause no pain not discomfort in my hips.
Thanks for the message and comments, regards JG
Hi, thank you for the helpful video. Do you know when patients would need surgery rather than PT? I was told I have an anterior labral tear. Right now it is causing me a lot of pain with standing/walking/sitting for a long time. I actually had lower sacral area back pain first & then after PT ( for my back), my right hip started having symptoms. So I'm not sure if PT would aggravate my hip again :(. I'm 28.
Sounds like you are a possible candidate for hip surgery - try a steroid injection first (guided under ultrasound) and see if this takes away the initial symptoms as a few of my patients have been pain free since the injection. It doesn't fix the labral tear - it just calms it down allowing you to be relatively normal for your daily activities etc. Regards JG
@@JohnGibbons hi, thanks so much for the reply. My Dr thought my pain was bursitis so I actually did get a cortisone injection for that a month ago; however, actually it created a problem of not being able to bear weight on my leg& trouble walking. It has not gotten better; I can't even walk well in my home. So I'm leery of another injection :(.
Hi sir , patient came to OPD who has 0 degree hip extension, can't do knee to chest. He has Pain at groin anteriorly and posteriorly, is this sign of hip arthritis? History of imbalance ,while carrying some load.
Will thankful to you if you answer sir.
It could be OA of the hip, especially if he is older, the internal rotation is one of the key signs to look for as will be a hard end feel and limited internal rotation. if the patient cannot flex the knee to the chest and pain in the groin then could be a acetabular labral tear or an FAI. Hope that helps, JG
I had massive amount of pain on the right side near the ileocecal valve for about 3 days, then after I felt a mild pain/discomfort that goes along the groin area on the right side. If I internally rotate right leg I feel a pinching sensation at the location of the valve, but external rotation causes pain roughly under the pubic ramus and sometimes the adductors. I also get tighting or spasm along the inguinal ligament. I was being treated by a chiropractor for left lateral pelvic tilt and after about 2 months of treatment, I developed this, not sure if it's from the twists they were performing or progression of the tilt itself ( I did feel more unstable and would quite often get stuck in right position almost as If I was going to tip over lol). Have you had anyone with symptoms similar to these for a labral tear?
Sounds like a pathology of the hip to me, regards JG
Hello Dr. Gibbons! Can mothers struggle with postpartum acetabulum issues? I've been dealing with groin pain and dull hip socket pain since my son was born nearly 2 years ago. Labor was short but intense because I had back labor, and my son was born face up with the back of his skull rubbing against my sacram, (that's what doctor told me). Labor was a blur, but I do remember feeling like my pelvis was being pulled apart. I thought this was normal, but I know the pain I'm still feeling isn't. I exercise, but I notice long distance walking, jogging, or even short sprints aggravate the pain, so I've had to stay away from these workouts. We do want more children, but this hip socket/groin pain makes me question if having more children will make it worse. Right now the pain is manageable with good and bad days, but I don't want this to worsen, especially if I have young children to care for. What do you suggest I do?
Sounds like you need to see someone like me who can assess our pelvis and hips to make sure nothing is responsible for causing you the symptoms. regards JG
Hello doctor .. I'm from Algeria and I can't visit you unfortunately.. I used to be a regular karate practitioner and I stopped due to sharp hip pain .. now I can't do either of the movements shown but no doctor had given me the right diagnosis yet .. your video about hip labral tear is the nearest explanation to my condition.. advise me please.. thank you in advance sir
If its a labral tear then you need to have a MRI scan to confirm the pathology and then you need to see a consultant to see what can be done about it, a guided steroid injection can help reduce symptoms short term, regards JG
@@JohnGibbons thanks a lot for replying .. have a nice weekend sir
Im in Aust, your treatment makes me jealous, my physio just gives me glut strengthen exercises
Most people like this type of treatment as can help lots of issues, regards JG
I hear you, after having Left and right total knee replacements coming upto 1.5 years my lower back as well as my right hip/groin and knee still ache was hoping physio therapist(s) would do hands on to help mobilize and feel better .... but no such luck
Do your glute exercises!! You are the fixer osteopaths help you along the way
Hi Mr. Gibbons,
Thank you for sharing the video. I have a few questions if I can ask. I’m an Osteopath in Israel now. If the patient with a Labral tear, sup/ant most likely, has a lot of pain after the treatment especially with the technique of a Lateral glide or having an irritation of the labrum during the treatment, that causing a lot of pain after the treatment,
what would you recommend for her/him to do to reduce the pain afterwards?
Do you combine this treatment with Physiotherapy for strengthening certain muscles?
And, if we are helping hip to be more balanced , and then the patient goes and do sports activity that will cause the hip to aggravate the impingement again, do we need to plan a rehab for the patient and they need to reduce sport for a couple of months?
Thank you!!
If they have a labral tear they might have a FAI Cam lesion as well and in reality they will always have some issue within that hip - especially if they participate in sport - no doubt some days can feel better but the underlying pathology is always there and needs an MR Arthrogram to confirm with a view for an Arthroscopy - I use a Hip consultant in the UK for my referral port - he typically might inject a corticosteroid into hip as first protocol prior to considering surgery. Regards JG
Hi. Thank you for the response. The treatment can reduce the pain and of course not repair the cartilage, but still, a few Osteopathic treatments similar to what you’ve showed in the video above, can reduce the pain and will be beneficial for the patient?
With mobilization, glide and traction. It would also be good to consult a hip consultant /orthopedic if possible.
Thank you.
my pain started getting real bad on a long bike ride involving also my right knee .
Try and see a therapist where you live if you can as sure they can help, regards JG
I know you can’t give a definitive answer but what does it mean if when performing the 90/90 test it hurts going both ways but significantly more to the inside? (Bringing the foot towards the other leg). I am an athlete and recently took a hard fall where twisting and all sorts of motions were involved. Immediately I felt pain but I was able to get up after a moment it just hurt very badly and I could not perform the same. Like I said this was recent however the pain is still present and it so far does not seem to be going away. Thank you for your videos!
Might indicate some issue directly with your hip joint - best to get someone like me where you live to have a look at you - regards JG
Training, gradual loading, load management, graded exposure?
Thanks for the message and hope you liked the video, regards JG
Hi, a few weeks ago after a 3 mile run I noticed and extreme cramp in my lower right abdomen, not so much in the groin but near the hip closer to the oblique. This cramp lasted for about a week before it started to reduce to just the front of the hip over the joint. I might add the pain was so intense the first few days I was afraid it was something like appendicitis or some other serious medical problem. As of now, 3 weeks later I still have some stiffness and popping in the hip joint and it feels like all the muscles around it are tight and pulling. I was able to go back to running a week after the initial injury and it doesn't seem to hurt while running but everything is still noticeably tight. The hamstrings especially seem very tight and will cramp like a charlie horse when I bend my leg tightly in, it runs right down to the inside of my knee at times. Does this sound like I may have a labral tear in the hip?
Possibly, try and see someone like me if you can to assess the hip joint, regards JG
@@JohnGibbons I sent an appointment request to see someone from the Concord Orthopedic clinic in Concord, NH. Thank you for your advice.
Hi John. My groin has been giving me problems for a year now and it feels like its deep in the groin. My left hip catches sometimes, I can play sports but my groin ( deep in the hip) hurts really bad the next day. No matter how long I rest, this problem always arises when i start being active. and now my right groin is acting up. Could it be a tear?
Sounds like a tear, try and see someone like me where you live and they will probably need to refer you for an MRI scan. regards JG
So is this manly accessed by the ortho Dr. Or the Physical Therapist?
Mainly yes as it needs to be done by a skilled therapist, regards JG
I hope you can reply. I suffered tendonitis in both my knees. I was walking weirdly because of the pain in my knees. It went away after a month and a half and been having hip problems immediately after that. It’s been a month. My right hip is the most affected although sometimes I feel something in my left one too. I noticed that the muscles in my left leg are so much more developed than in my right. I don’t bend my right hip to walk because I feel discomfort in my groin. Pain happens only with certain movements but there is a constant discomfort like stiffness and if I walk normally I will feel like a slight burn in my groin, hip flexor and buttock, sometimes outer hip. It clicks quite a bit both in the inside and outside of my hip. I feel like I can feel my hip joint. It doesn’t hurt often but it feels like I can feel the ball/socket joint existing I don’t know if it makes sense. I suffer from really bad anxiety and hypochondria so it could be worsening my symptoms because im so tense all the time due to this now. If I relax it gets better like soon as I wake up I feel great but by the end of the day if im active I’ll even have some shooting pain. I’m scared.
Dear armored girl, did you try visiting a therapist ?
I wish you all the best. Meditation can work for anxiety.
Hi Sir, Thanks for such a useful video. My MRI has shown "A SMALL LINEAR UNDISPLACED TEAR IN RIGHT ACETABULAR LABRUM". So asked my doctor is it serious? & can i play my sport(cricket) again? He said yes you can play, & it's just a small tear.
I just feel a very very little pain at the side of my hip and not anywhere else. Not all the time i feel pain, it's just when i move from one position to another.(sometimes i don't feel pain even after walking or moving from one position to another) In short, pain is not a big issue!
So currently i'm resting my hip for 3 weeks. Medicines are working well too.
So will physiotherapy be enough for me to go back to my sport? Without surgery can anyone return to sports?
& suppose if i have to go through surgery, can i play cricket again?
Sir, Just tell me that Cricket is not over for me...
Most athletes can still compete with a small labral tear and I am sure you will be the same, good luck and thanks for the message, regards JG
John Gibbons Thank you so much!!
i am in terrible pain in my right side with inner right thigh pain going down leg , and groin area and outside hip , buttock and lower back . If I try to reach down from standing position , the pain is my back then deep inside groin and inner thigh . I cant lay down in any position that does not hurt . Any suggestions? thank you
I would see a therapist near you as sure they can help as hard to comment without looking at you, regards JG
I was diagnosed with hip impigment and I had it for a long time how do I tell the difference between this and labral tear help plz
Generally speaking most labral tears can be caused by a 'cam' type impingement - so most patients will have both conditions at the same time, regards JG
Can FAI lead to sciatica,or hamstring pain or pain in calf muscle?
FAI will cause a referral to the buttock, hamstring, groin, thigh and knee but not directly affect the sciatic nerve, regards JG
Could you show this with knee replacements patient? That looks terribly painful to me because my hip is causing mid glut max pain, horrible groin pain, hip pain and now knee pain like before my knee replacement surgery a year and a 1/2 ago. It is painful always, especially when I try to sit or stand. I’m 70 and get no sleep. Please help!!! 🇨🇦😢🙏🏾🙏🏻🙏🏼🕎✝️☝🏻thank you!
love your videos, just a bit difficult to folllow your speed of delivery. It's hard to digest when you're a student trying to go thru the steps you're mentioning!
Thanks for the message and comments and yes I do talk and demonstrate fast, regards JG
UA-cam offers the ability to replay videos at 1/2 and 1/4 speed, so consider that.
I was diagnosed with hip impingement in my right hip now my left is acting up is that normal?
Quite normal as the opposite hip can compensate - however, for some people they can have hip impingement in both hips - one side doesn't show the signs & symptoms until later. regards jG
I got FAI but the Doctor doesn’t tell me which one. But the pain is front, side, buttocks and sometimes on my lower back. I don’t like to get surgery. Who’s the best I can go to get help with my FAI? Physical Therapist, Chiropractor or others?
Sorry to hear that - most therapists can help but they will never 'fix' the problem - only make the symptoms reduce a little so you might end up having surgery, especially if the condition gets worse, good luck, regards JG
@@JohnGibbons thanks
I'm in agony thinking about a visit to him...i think i have a labrum tear from football many years ago, i have pain in groin, hip, and down my leg that gives way when walking.
Have an MRI scan to confirm the hip pathology then take it from there as typically surgery is required for that, regards JG
@@JohnGibbons Thanks John, time for a trip to the GP.
I am getting a MRI soon on my hip, I’m a runner and have had glute and hip pain for a while . Running and sitting or standing for a long time aggravates it. I also have weakness in my right leg where I can’t pick up my leg. The doctor did those motions you explained in the video and there was pain. Tried chiropractor and PT for my hip (thinking it was siatic) , and nothing gave me relief. It’s quite mysterious lol. Could I have a labral tear? (Also my back and hamstrings are tight sometimes so I’m not sure if it is or not).
Potentially sounds like a labral tear to me and pretty easy for me to confirm in reality as not difficult to assess the hip if you know what your are doing, regards JG
I would have been screaming with pain at the aggressive pressure applied by this therapist. Twenty years ago, I appear to have destroyed something in the r hipjoint, having been using weights and two to three ballet classes daily (wih one day off per week). I'm male , having been a professional.
Also having extremely high pain tolerance (I have had several knee and too many ankle injuries to count, some of which required reconstruction. Once,, running in a desert night , I fell into an arroyo, having to crawl near half mile to auto. Having also had torn knee ligaments, one requiring reconstructive surgery, others needing meniscus trimming), I mention this to emphasize the level of pain tolerances I've been used to, so there is no mistake concerning the overaggressiveness of this therapist in the video (I skied over a mile following one of my jumping injuries, with the knee moving completely out of socket on every left turn. I have also broken several bones, and been forced to walk holding onto them or limp - even as I would hear once or twice the fracture increase. I do not brag, but merely desire to warn against such aggressive presssure in this video)
I am not at all sure why the therapist attacked the patient so aggressively - I have attempted some recovery for these two decades,but managed only subsidiary pain relief and no real increase in range of motion.
Not having had "insurance" (in the USA where medical care is beyond the pale for a supposedly civiized nation), I still search for the etiology of the injury, which does appear to involve something similar to labral tearing. however I have nowhere near the mobility on the injured hip as is illustrated by youtube videos.
I write at length to prospective patients, in order that they may warn overaggressive therapists before suffering several days following such extreme attack - I still gently approach the problem a few days each week, and must recover for one or more days even after careful motion approaches.
Thanks for the long comments and appreciate what you say, I am sure I have the skill set to know how much pressure to use as seen every musculoskeletal injury there is to see over 20 years as an Osteopath, Lecturer and Author of 7 medical books. regards JG
Thanks I have tear but don't need surgery...doing therapy
Hopefully things will improve for you, good luck, regards JG
Tolong ada teks bahasa indonesia , karna aku tidak bisà bahasa negàra lain. Terimakasih ya...
If you have a Labrador tear the doctor should make sure you don’t have hip dysplasia. If hip dysplasia isn’t fixed you will have multiple hip labrum tears.
YOU FORGOT TO MENTION "IF THEY ARE IN PAIN AND CANNOT GET KNEE TO CHEST, THEN....." :(
It is a positive test....regards JG
Great info! HOWEVER, it's not correct (or beneficial to patients) to say that "cartilage is not really going to repair". (1:02min). Cartilage CAN repair. It takes some time, but as with all cells of the body, it can regenerate.
It's not because mainstream medicine doesn't know how to repair cartilage that it can't be done otherwise.
Thanks for the message and there is no way a labral tear will repair itself and i have seen lots of them, regards JG
@@JohnGibbons Well, I had labral tear. The doctor said that only surgery would fix it. But I asked for PT. I did 10 PT sessions, plus 6 sessions of deep-tissue massage. Furthermore, I practice QiGong on a daily basis. In two months I got rid of my hip and adductors pain that was with me for more than four years. My hip cartilage has been totally renewed! I am a living proof, no matter what your experience is! I can attest that cartilage regeneration is possible -- but we have to KNOW it's possible. Then our minds send the message to our body.
I understand you have seen lots of cases that didn't fix itself, but that doesn't mean that other cases wouldn't, right? Everybody is different, so we can't just state some variable facts as absolute truth. For some people it doesn't work; for others, it works. So, it would be more helpful to plant a seed of hope in your patients' mind, than a seed of "there is no cure". By nurturing good thoughts and emotions we all can heal better and faster. And I wish all doctors would start understanding this approach, and using it.
If doctors really want to help people, I believe they should be open to all methods! Anything that helps is welcome, isn't it? It's time to open our minds, Doc! And try new thinking patterns! Everything is possible when we put our minds into it. Including repairing cartilage! I know it because I repaired mine with my firm intentions!
I like your videos! Very well explained! Just missing some focus on the natural human power to self-regenerate.
An individual can follow your clear explanations and add to them self-confidence and a strong knowingness that he or she "can fix" whatever needs fixing. That's what I did! Practicing QiGong and other modalities of meditation, plus sound therapy have all been of great help to me! When patients harmonize their own energy and believe they can heal, they heal.
When they are imbalanced, frustrated, fearful, and believe they can't heal, they can't. That's simply how the human mind works!
So, encouraging words would have a much better effect on people than discouraging words, don't you think? Even if in your experience it's impossible, that is YOUR experience! Can't your patients have a different experience? A better one, even? Even if it contradicts your beliefs, wouldn't you be happy for your patients when they tell you that their cartilage got repaired after following your medical guidance AND your positive and constructive way of thinking?
Peace & Love
@@believe2c589 Thats a long message and enjoyed reading it as I can see what you mean as patients naturally will want to believe in the medical person they are seeing and if they say your cartilage can heal with treatment, exercise, nutrition etc then no doubt they will believe it and i am sure for some patients, depending on the damage and where the tear is located it can repair for sure, so yes you are right about the mindset so will bear that in mind when i see my next patient with hip pain that i believe is coming from a torn labrum....thanks again for the positivity! Regards JG
@@JohnGibbons ❤️
Good ideas but speaks to quickly and diction is often slurred
thanks for the message, regards JG
What about labral tears in someone with HSD? 🫣 I’m still completely hypermobile in my hips and sacrum etc, the pain in them just increases all day with moment ( squaring or bending especially increases aggregation)
The labral tear would need to be dealt with - regards JG