How to assess and rehab hip and groin injuries with Steve Short
Feb 1, 2024
auto_awesome
Steve Short, VP of Sports Medicine at the Denver Nuggets, shares valuable insights on assessing and rehabilitating hip and groin injuries in athletes. He discusses the challenges of these injuries in court-based sports, differences between males and females, and the importance of a thorough assessment process. He emphasizes individualized treatment plans, conservative approaches, continuous communication, and practical rehabilitation strategies for athletes.
Understanding the morphological and functional changes in athletes is crucial for assessing and rehabilitating hip and groin injuries.
Differentiating between males and females in terms of susceptibility to hip and groin injuries is important for diagnosis and rehabilitation strategies.
Rehabilitation for hip and groin injuries should involve a staged approach, individualized treatment plans, and ongoing communication and monitoring for optimal outcomes.
Deep dives
Understanding Hip and Groin Injuries
The podcast episode explores the topic of hip and groin injuries, featuring Steve Short, the Vice President of Sports Medicine for the Denver Nuggets. The episode discusses the prevention and diagnosis of hip and groin issues in athletes, the challenge of rehabilitating these injuries, and the importance of range of motion and strength testing. Steve emphasizes the need for detailed assessments, appropriate rest and protection of the affected tissues, and a gradual progression of rehabilitation exercises. He also highlights the significance of maintaining overall fitness, monitoring training loads, and addressing movement patterns during the rehab process.
The Complexity of Hip and Groin Injuries
Hip and groin injuries are common in sport due to the stress placed on the lumbo-pelvic region during running, jumping, and cutting movements. Retired NBA athletes have reported experiencing hip and groin injuries during their careers, indicating the prevalence of these issues. Various factors contribute to these injuries, including age, prior injury history, and changes in hip morphology and function. Steve emphasizes the need for an accurate diagnosis, appropriate rest and protection of the affected tissues, and specific rehabilitation exercises that target the individual's impairments. He also highlights the importance of monitoring and maintaining hip range of motion and strength throughout the rehabilitation process.
The Role of Rehabilitation in Hip and Groin Injuries
Rehabilitation plays a crucial role in the treatment of hip and groin injuries. The podcast episode emphasizes the need for a staged approach to rehabilitation, which begins with calming the affected tissues and protecting them to promote healing. Once the initial pain and inflammation subside, the focus shifts to gradually loading and strengthening the hip and groin muscles. Objective measures, such as range of motion testing, strength assessments, and functional movement patterns, are used to monitor progress and guide the rehabilitation process. The episode emphasizes the importance of individualized treatment plans, specific exercises, and ongoing communication between the medical and performance teams.
Managing Hip and Groin Injuries While Staying Active
Contrary to the traditional approach of complete rest, the podcast episode highlights the importance of keeping athletes active during the rehabilitation process for hip and groin injuries. While certain limitations may be necessary initially, maintaining movement and engagement in training can help preserve fitness levels and prevent deconditioning. By carefully managing training loads and scheduling, athletes can continue to participate in their sport while progressing through rehabilitation. The episode emphasizes the need for open communication between the athlete, coaches, medical practitioners, and strength and conditioning staff to ensure a coordinated approach to rehab and an appropriate balance between training and recovery.
Key Considerations in Hip and Groin Rehabilitation
During the rehabilitation process for hip and groin injuries, there are several key considerations highlighted in the podcast episode. These include the need for an accurate diagnosis to identify the specific impairments and tissues involved, a staged rehabilitation approach to gradually progress exercises and loads, and the importance of monitoring and addressing hip range of motion, strength imbalances, and movement patterns. Objective measures, such as pain scales, strength assessments, and functional tests, are used to track progress and guide the rehab process. Additionally, the podcast highlights the significance of individualized treatment plans, ongoing communication, and a well-rounded approach to rehabilitation that takes into account the athlete's overall fitness and specific sport demands.
In this episode of the Pacey Performance Podcast, Rob is joined by Steve Short, the VP of Sports Medicine at the Denver Nuggets. With a wealth of experience in sports medicine, Steve delves into the complex world of assessing and rehabilitating hip and groin injuries in athletes.
Steve begins by sharing his journey in sports medicine and the challenges he's faced, particularly in dealing with hip and groin injuries common in court-based sports like basketball. He emphasizes the importance of understanding the morphological and functional changes that occur in athletes and how these contribute to injury risks.
The discussion then explores the differences in susceptibility to hip and groin injuries between males and females, with Steve providing insights into the nuances of diagnosis and rehabilitation for positive long-term outcomes. He stresses the importance of a thorough assessment process, including understanding pain referral patterns and considering anatomical and training statuses.
Steve highlights the individualized approach needed in treating such injuries, focusing on a conservative treatment plan and the importance of continuous communication and monitoring. He shares valuable strategies on how to handle these injuries, from the initial examination to the final stages of rehabilitation, ensuring athletes return to their peak performance safely.
The episode also covers practical aspects of rehabilitation, such as the use of reliable measures and tools like handheld dynamometers for regular assessment, and the importance of understanding muscle balance and force generation.
Steve concludes by emphasizing the need for a holistic understanding of the athlete's needs, incorporating rest and various modalities into the rehab process, and maintaining objective measures and strength exercises. He advocates for a focus on what athletes can do, rather than what they can't, to facilitate effective recovery.
Main talking points:
• Challenges in diagnosing hip and groin pain
• Groin strength assessments
• A groin injury case study
• Surgical vs non-surgical routes
• Using reliable tools for injury assessment
Get the Snipd podcast app
Unlock the knowledge in podcasts with the podcast player of the future.
AI-powered podcast player
Listen to all your favourite podcasts with AI-powered features
Discover highlights
Listen to the best highlights from the podcasts you love and dive into the full episode
Save any moment
Hear something you like? Tap your headphones to save it with AI-generated key takeaways
Share & Export
Send highlights to Twitter, WhatsApp or export them to Notion, Readwise & more
AI-powered podcast player
Listen to all your favourite podcasts with AI-powered features
Discover highlights
Listen to the best highlights from the podcasts you love and dive into the full episode