Screening for Femoroacetabular Impingement Syndrome: What Are Our Options?

Femoroacetabular impingement syndrome (FAIS) was described as early as 1936. As this condition has become more recognized among the medical community, the number of patients identified with FAIS has significantly increased. With this increased recognition, there has also been a marked rise in hip arthroscopy surgeries being performed. Literature has demonstrated an 18-fold increase from 1999…

Invited Commentary: 3 Reasons Why Hockey Players have “Tight Hips”

The following article was written by Matt Kelly, MScPT who is a physiotherapist and former Canadian junior hockey player.  Matt has worked with athletes of all levels including high school, collegiate and professional. He is also one of the main contributors for Be Elite Rehab and Performance.  One common complaint I hear from athletes in general, but…

Femoroacetabular Impingement: Morphology Does Not Equal Pathology

Femoroacetabular Impingement Syndrome (FAIS) was described as early as 19361 and has been drastically increasing in popularity over the past two decades2. As this condition has become more respected amongst the medical community, the number of patients identified with FAIS was significantly increased3. With this increased recognition, there has also been a markedly rising number…

Lateral Hip Pain? Time to Stop Blaming the Poor Bursa…

Lateral hip pain is a very common occurrence amongst the general population and even more-so for middle-aged women, who demonstrate a 4x higher prevalence then men. In fact, literature has found that 23.5% of women over the age of 50 indicate having persistent lateral hip pain (15% unilateral and 8.5% bilateral)1. Pain in this region…

Femoral Stress Fractures: Identification and Management

The following is an article written for the online, video-based physical therapy continuing education company MedBridge… Stress fractures are a common occurrence amongst the military, cross country, and endurance athlete population patient populations. With the prospective studies indicating an incidence of 31% in military personnel and 21% in track and field athletes, this is an area that…

Ice Hockey Injuries: Who Gets Hurt and Why Does it Matter?

Ice hockey is an inherently physical sport and as such creates situations where injury is possible and often likely. With the influence that injuries can have on a team's success, research has started to focus on our ability to assess injury risk and prevent injuries before they occur. However, these strategies cannot be effectively laid…

Hip Pain: Return to Sport Considerations

Pre-arthritic hip pain is a common occurrence among athletes, especially those competing in ice hockey1 and field-based team sports (soccer, rugby, and football).2 While this area receives less attention than knee or shoulder injuries, current research is beginning to improve diagnosis and treatment of both intra-articular and extra-articular hip pathology. But, what about return to sport? What the Literature Says Determining…

Evidence-Based Strength Training: Gluteus Maximus

To build upon my previous post regarding Evidence-based Strength Training of the Gluteus Medius, I wrote the following article for MedBridge Education... Pain and Gluteal Strength The gluteal musculature has been implicated in many different pathologies due to its potential impact on lower extremity biomechanics. During weight bearing, the femur moves about a fixed patella and therefore excessive…

Conservative Management of Femoroacetabular Impingement

The following is an article written for the online, video-based physical therapy continuing education company MedBridge… FAI Prevalence As mentioned in my previous post on differential diagnosis of femoroacetabular impingement (FAI), hip pain is an all too common occurrence among older adults and adolescents.1 Older adults. According to a survey and subsequent study of 2,221 German respondents…

Differential Diagnosis: Athletic Pubalgia

In the next installment of the Differential Diagnosis Series for MedBridge Education, we are going to take a look at the difficult and complex diagnosis of Athletic Pubalgia... Pathophysiology and Anatomy Athletic pubalgia is a catch-all term for soft-tissue pathology in the groin, lower abdominal, pubic, and medial thigh regions. This pathology can be secondary to tendinopathies,…