158. Hip dysplasia treatment. Physio Edge Track record: Running repairs podcast with Tom Goom
Aug 21, 2023
auto_awesome
Running Physio, Tom Goom, discusses successful treatment for hip dysplasia including understanding hip joint anatomy, thorough assessments, investigations, psychosocial factors, patient goals, muscle strength, and reducing loading. Different treatment methods are explored, emphasizing joint position sense, control, and overall health improvement.
Understanding the signs and symptoms of hip dysplasia is crucial for effectively managing the condition through patient education and modifying aggravating positions and movements.
In addition to strengthening muscles and improving control, managing coexisting pathologies and addressing general health factors are essential in the treatment of hip dysplasia.
Deep dives
Understanding Hip Dysplasia
Hip dysplasia is a commonly missed cause of hip and groin pain. In this podcast, the speaker explains how to identify patients with hip dysplasia by recognizing certain signs and symptoms. Understanding the anatomy of the hip is crucial for successful management. It is recommended to assess the patient's needs, identify aggravating and easing factors, and assess the role of muscle and tendon involvement. Education and patient understanding play a vital role in managing hip dysplasia. This includes explaining the condition, discussing contributing factors to pain, and addressing fears and concerns. Referrals for multidisciplinary team involvement may be necessary in more severe cases.
Managing Hip Dysplasia
Managing hip dysplasia involves modifying aggravating positions and movements. By reducing loading into unstable positions and identifying aggravating factors, symptoms can be managed. Strengthening muscles around the hip, such as the quads, glutes, and hamstrings, can be beneficial. Developing control and proprioception helps improve joint position sense and control. It is also important to manage coexisting pathologies, such as muscle tendon pain or gluteal tendinopathy, which often accompany hip dysplasia. Furthermore, improving general health, including weight loss if applicable, encouraging activity without exacerbating symptoms, addressing sleep and recovery, and considering mental health support are all important in managing hip dysplasia.
Treatment Options and Considerations
Treatment options for hip dysplasia vary depending on the individual case. Early appropriate investigations, such as x-rays, CT scans, or MRIs, can help diagnose the severity and nature of the dysplasia. Patient education and understanding are essential for managing the condition effectively. Treatment may include modifying aggravating positions, strengthening muscles, improving control and proprioception, managing coexisting pathologies, addressing general health factors, and potentially considering surgery in severe cases. It is important to recognize that evidence in this area is limited, and individual progress may vary. Seeking collaboration with an orthopedic surgeon and a multidisciplinary team can provide patients with comprehensive options for managing hip dysplasia.
How can you successfully treat hip pain and instability associated with your patients’ hip dysplasia? Find out the eight critical steps to excellent results with hip dysplasia in this podcast, which is part 3 in this three-part podcast series with Tom Goom (Running Physio).
Free running injury assessment & treatment video series available now