Speaker 3
Brilliantly now, you've led us on really
Speaker 2
nicely to once we've got that diagnosis, what are their rehabilitation needs and how you've talked really well already on how we could have go around that diagnosis and how that diagnosis is going to lead into some rehab. And let's dive in a little bit more now on that, if we can, in terms of what you've got that diagnosis, how would you use that to inform your rehab needs and how do you tend to find that plays out with the sporting
Speaker 1
hip? Increasingly, my diagnosis tells me less and less about the individual athletes' needs. So rather than rehabbing hip, you're looking to ultimately rehab the athletes. And if you have four or five hip pain athletes in front of you, it'll all have very different strengths and weaknesses. And historically, when I look back at those that have got better and those that have got better slowly or maybe not got better at all, is it because their anatomy was the problem or is it because I was applying the one solution to them all rather than giving them their individual needs? And increasingly, it's all within the latter, right? I went to the program that worked for somebody else or my assessment was not comprehensive enough to identify all the factors that were contributing to their issues and or my rehab program, even though I did, I've identified all that it wasn't effective for getting change in those deficits. And that's for the biomechanics lab that has been really useful previously where I worked in Dublin and now currently in Aspiratire because you hear lots of people failing rehab, what does it mean to fail rehab? And the rehab failure. So ultimately, why does one person get better? Because obviously, there's a load management component to it. You need to progress that accordingly and make sure that your hip is responding. But ultimately, if you lack that motor control around the front of the hip just as an example, whether that's your hip, you're in your sewers, your obliques, just as a broad component, if whatever I'm doing is not effective, change, I could do it for six weeks or six months. It doesn't really make a difference. I'm highly unlikely to get the symptom released to that. I need is looking for time and again, you'll find that athletes with anti-inflammatories and rest, they feel better and then they go back to activities and they feel sore again and they go round and round and round and round and round. Eventually, the anatomy gets the blame and therefore we need to go in and do something with the anatomy rather than step back and see how do they address that. So to answer your question in a less round about way, how does my diagnosis, injury to as my rehab, my diagnosis really says, is this something for rehab or is it not? Or at least not immediately? Once it goes to rehab, I then need to start from scratch and say, look at this, how does this athlete move? Maybe they have a history of chronic anchors, brains, pre-issues and that's affecting the motor control, the entire way it's trying to connect chains. So if you have a hip problem and the only thing you look at is the hip joint, how much am I missing the opportunity approximately to address deficits that are contributing to why they become symptomatic in the area? So again, that's where you're sore and why you're sore, okay? We've identified where you're sore, we've decided you're for conservative management. Now we're going to look holistically at how you move, especially with the stories that you've told me, you've told me what your main pain propagating activities are. So if your pain is during running, surely I need to have a look at your running mechanics along with your strength along whatever the notes are getting about, well, this is where you are now, how can it help build you back up to that being a pain-free activity? Like most injuries, if you leave it long enough, the symptoms will settle, but ultimately you don't address the underlying reasons when the training load comes back up again, you may be susceptible to redeveloping symptoms.