Hip Pain Explained: FAI w/ DPT Coleman

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Doc Coleman, a physical therapist specializing in athletic rehabilitation, takes us deep into the misunderstood world of hip pain—specifically femoral acetabular impingement (FAI). This condition affects countless young athletes but is frequently misdiagnosed as simple IT band tightness or dismissed because of the misconception that hip problems only affect older adults.

With surgical precision, Doc Coleman breaks down the anatomy of hip impingement, explaining how bony buildups on either the femur (cam) or pelvis (pincer) create friction that can damage the labrum. The telltale signs are unmistakable once you know what to look for: C-shaped pain wrapping around the hip, pinching sensations during deep flexion, catching feelings during normal activities like walking, and discomfort with prolonged sitting.

For fitness professionals, this episode serves as an essential field guide to navigating hip pain in clients. Doc Coleman offers clear guidance on which movements to modify, which mobility exercises actually help, and most importantly—when to refer out to a physical therapist. His approach emphasizes that conservative management through targeted mobility work and glute strengthening can be effective, but only if you're seeing improvement within 6-8 weeks.

Perhaps the most valuable takeaway is Doc's passionate plea for greater collaboration between trainers and physical therapists. "We're not trying to take clients from you," he emphasizes. "I want to get them better and back to you as quickly as possible." This partnership approach benefits everyone, especially clients who receive comprehensive care tailored to their specific needs.

Whether you're a fitness professional working with clients experiencing hip pain or someone dealing with that mysterious catching sensation yourself, this episode provides clarity on a condition that's frequently misunderstood and mismanaged. Connect with Doc Coleman on Instagram at Coleman PT Performance to learn more about his approach to treating athletic injuries.

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