Barbell Medicine Podcast Episode #345: Hip Pain, What Do? (Assessment, Plan, and Monitoring)
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Apr 25, 2025 Dr. Derek Miles, a pain and rehabilitation physician at Barbell Medicine, shares insights into managing hip pain, drawing from Dr. Feigenbaum’s personal injury experience. They discuss tailored rehabilitation approaches specifically for powerlifting, the importance of progressive overload, and alternative exercises to aid recovery. The conversation emphasizes the need for structured training adjustments to prevent re-injury and the crucial role of empathy in rehabilitation. Strategies for maintaining motivation and the mental aspects of healing are also explored, making for a comprehensive guide on hip injury management.
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Jordan's Hip Injury Story
- Jordan Feigenbaum experienced on and off hip pain for six months before a sharp injury during a heavy squat warmup.
- He lost strength and stability on the left side, leading to withdrawal from a powerlifting meet and starting rehab.
Diagnosis vs Treatment Priority
- Precise diagnosis may not always change treatment for hip pain if it's a muscle strain versus tendinopathy.
- Measuring strength deficits side to side helps guide rehab and track recovery.
Start Rehab With Tolerable Loads
- Find tolerable entry-level exercises before progressive overload in rehab.
- Use accessible movements like lateral lunges if gym equipment is limited to build strength gradually.