Iliopsoas Syndrome: impingement, snapping & tendinopathy

Iliopsoas tendinopathy, iliopsoas bursitis, coxa saltans (“Internal Snapping Hip”) and iliopsoas impingement (IPI) are collectively described as iliopsoas syndrome because of the likelihood they coexist and the difficulty of discriminating one from another.  Iliopsoas syndrome is also very difficult to discern from femoroacetabular impingment (FAI) and acetabular labral tears (ALT), and is a frequent complication... Continue Reading →

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Femoroacetabular Impingement: interpretation of radiographs for the physical therapist

Radiographs are used to diagnose femoroacetabular impingement (FAI) in addition to clinical exam and history.  Three different views are generally used: AP Pelvis, Dunn Lateral, and False Profile.  Proper interpretation is essential as it is necessary for accurate diagnosis, treatment planning, and surgical decision-making.  Physical therapists do not typically have access to radiographs, let alone... Continue Reading →

Microinstability of the Hip: recognition & management

Microinstability of the hip is a recently recognized source of hip pain in young patients and athletes. The etiology of hip microinstability includes bony abnormalities, residual laxity after traumatic dislocation, connective tissue disorders resulting in ligamentous laxity, repetitive microtrauma associated with athletic activities, iatrogenic injuries to the hip capsule and idiopathic.1  The pathomechanism begins with... Continue Reading →

The Growing Athlete: recognition and management of apophysitis

An estimated 30 to 35 million children aged 5 to 18 years participate in organized sports annually.1 Sports are the leading cause of injury among school-aged children and there has been an overall increase in both acute and overuse injuries in young athletes over the past three decades.2,5 The increase in injuries may be explained... Continue Reading →

Ischiofemoral Impingement: another source of hip pain

Ischiofemoral Impingement (IFI) was first described in 1977 by Johnson1 in reference to patients with persistent pain in the medial thigh and groin following total hip arthroplasty. Patients had temporary relief following injection of anesthetic near the lesser trochanter, and long term relief following excision of the lesser trochanter. Ischiofemoral impingement has not been well... Continue Reading →

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