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Hip Pain Treatment Study

To book your two free hip study appointments please click the link below!


Hip Pain?

PARTICIPANTS NEEDED FOR A RESEARCH STUDY EVALUATING MANUAL THERAPY FOR HIP PAIN

Gail Molloy

Gail Molloy

We are looking for volunteers to take part in a study for treatment of
Hip pain, groin, or buttocks region in adults’ ages 20-40 years old.

 

 

 

The research evaluation and treatment sessions will include:

  • 2 One hour evaluation and treatment sessions two days in a row(Saturday the 29th and Sunday of August)

    Movement: Functional Movement Systems—Screening, Assessment, Corrective Strategies Copyright © 2010 Gray Cook.

    Movement: Functional Movement Systems—Screening, Assessment, Corrective Strategies
    Copyright © 2010 Gray Cook.

  • Evaluation by a Physical Therapist
  • Receive a hip treatment
  • Filling out medical/health and functional questionnaires
  • Perform simple functional movement tests
  • Followup visit the next day and be re-evaluated for response to treatment

Two sessions are required to complete the study.

For more information about this study, or to volunteer for this study,
please contact:

Gail Molloy gail@denverptis.com

303-757-1554

Dave@IMPACT-Fellowship.com

443-213-0395

IRB approval through Andrews University Research Ethics Board.

Inclusions: 20-40 year old, intermittent or constant pain in groin, lateral hip or buttocks, present in the previous three weeks but of any duration.
Exclusions: Surgery to lumbar, hip or knee, signs of nerve root involvement, previous fractures of hip,  frank instabilities of lumbar, SIJ or hip, previous hip manipulation in the previous 12 weeks.

 

 

Split Squat Progressions

Anyone who performs the split squat will experience a number of benefits. Key benefits include injury prevention through the strengthening of ligamentous tissue, core and stability strength, improved running and jumping performance. The following videos are some basic examples of how the split squat can be progressed.  All exercises should be performed for 3 sets and 8-10 repetitions.


The Static Lunge

The static lunge involves a traditional lunging motion. You begin the movement from the ground with back knee resting on a balancing saucer. Slowly raise up approximately six inches from the ground and hold the position for 5 seconds Use this as a warmup and focus on knee control tracking the knee in line with the 2nd toe. The knee should not move toward the middle inside the big toe.


Goblet Reverse Lunge

The goblet lunge is performed similarly to the traditional lunge, however the only difference is that you will be holding a dumbbell perpendicular to the ground at chest level. A balancing saucer should be placed on the ground directly under the back knee. Weight is loaded on the front and not the shin stays relative perpendicular to the ground.


Split Squat

This exercise is performed with the back foot placed on a bench or some sort of platform so that it is at about the same level as your front knee. Hands can be tucked behind the head as seen in the video. Bend the front leg until the back knee barely touches the ground.


Dumbbell Split Squat

The dumbbell split lunge is performed exactly like the traditional split (previous video), but you now will have two dumbbells hanging at your sides.


Plyometric Split Squat

The plyometric split lunge begins in the same position as a regular split lunge, but now you will be exploding from the front leg and being sure to come down softly on the landing.


For more effective exercises and information on split squat progressions schedule an appointment with us: CALL: (443)-213-0395 or E-mail us at: DAVE@IMPACT-Fellowship.com

Observing Proper Knee Mechanics: Dynamic Lower Body Exercise

IG Lateral Jump Tracking

Tracking Myles’ hip and knee angles during the lateral jump using Dartfish Software.

Proper knee mechanics are critical when performing dynamic exercises. Practicing proper knee mechanics can benefit anyone from the casual exerciser to the elite athlete. It not only prevents possibility of injury during everyday exercise but also promotes efficient technique for those participating in competitive sports. In order to add an additional challenge to these exercises, we included a Sports Cord for added resistance. If you do not have access to a Sports Cord, these exercises can easily be done without one. The following video clips are just a few examples of proper and poor knee mechanics during dynamic exercise.


Lateral Runs

Below is an example of proper knee position when performing Lateral Runs. Notice how the athlete’s knees are in line with his knees as he comes in and out of the brief squatting position.


Backward and Forward Pedaling

With the backward and forward pedaling while using the sport cord, there is a great deal of hip control involved. Not only are you improving hip control by  performing these exercises, but you are also working on foot speed.


Lateral Jumps: Good vs. Bad Knee Mechanics

In the comparison of these two clips of the Lateral Jump, we can observe the amount of knee valgus (knee collapse) as the athlete lands and prepares for the jump. In the clip on the right you will observe the improper knee strategy being utilized by the athlete. As he begins to take off you can observe how both knees collapse inwards prior to take off. This inefficient knee mechanic will lead to added load on the, which could potentially lead to injury down the road.


Ski Jumps

The left example of the ski jump below shows an ideal knee position in relation to the foot. Notice that the athlete is under control and balanced due to the foot and knee relationship. The clip on the left is an example of what not to do when performing the ski jump. As the athlete swings the back leg behind the stance leg it causes unwanted rotation of the torso, hip and knee. Not only does it cause the rotation but also a pushing out of the hip which is not ideal.


Single Leg Squat with PVC Pipe

A single leg squat using a PVC pipe is another great exercise to incorporate into your workout regimen that will promote strong knee mechanics. The additional stability of the PVC pipe provides you with a better opportunity to control the knee throughout the movement.


Additional Lower Body Exercises

The following exercises are some additional exercises that you can incorporate into your workout regimen. These exercises were provided and demonstrated by one of the Bare Hills personal trainers, Truet Purnell.


Poliquin Step Up


Calf Press


45 Degree Trunk Extension


Prone Unilateral Leg Curl


Trap Bar Deadlift


 

For more effective exercises, schedule an appointment with us: CALL: (443)-213-0395 or E-mail us at: DAVE@IMPACT-Fellowship.com

Research into Practice: Eccentric Exercises for Rehabbing Tennis Elbow

Matt Tennis Snip Tool

One of our tennis coaches, Matthew Lennox of the Bare Hills Tennis Institute, demonstrating proper forehand mechanics. To get into contact with Matt for exceptional one on one coaching: Email him at: matthewlennox@icloud.com

Tennis Elbow can be a very tricky injury to deal with and we want you to be able to get back out there on the courts just as quickly as you do. Here we have provided three effective eccentric exercises that have been proven to benefit those suffering from the injury.

WHY ECCENTRIC EXERCISES? Eccentric exercises have been shown to promote to improve the tendon collagen alignment and repair, decrease pain and improved functional activity. Eccentric exercises place a high degree of strain in the tendon stimulating remodeling. Good results typically seen in 8-12 weeks.

 


Eccentric Wrist Extension

The first exercise is the eccentric wrist extension. You first want to find a flat surface where you can securely and comfortably rest your forearm while your wrist hangs just off of the edge (as seen in the video). Then find a dumbbell or some form of resistance ranging between 2-3 pounds. While holding the dumbbell with your palm facing down, slowly extend your wrist as far as possible and slowly lower your wrist into flexion. Perform this exercise for 2 to 3 sets and 8-10 reps. After 2-3 weeks progress weight


Eccentric Wrist Flexion

Another great exercise would  be eccentric wrist flexion. As you would with the previous exercise, find a flat surface to rest your forearm allowing the wrist to freely hang from the edge. Utilize the same form of resistance/weight that you did in the previous exercise.  Start by holding the dumbbell/resistance so that your palm is facing upwards. Slowly flex your wrist to maximum range of motion and then slowly extend your wrist to max range of motion. Perform this exercise for 2 to 3 set and 8-10 reps.


Wrist Deviation

Lastly we have wrist deviation. This exercise would require a flat surface to rest the forearm, while the wrist hangs just off of the edge. A 2-3 pound dumbbell is preferred for this particular exercise. Instead of holding the dumbbell by the center handle, you will want to hold the dumbbell at one of the ends as seen in the video. To start the exercise begin with your wrist rotated so that your palm is facing upwards and the dumbbell is parallel to the ground. Slowly rotate your wrist so that your palm is facing downwards and slowly return back to the starting position. Perform this exercise for 2-3 sets and 8-10 reps.

 


Progressions to improve shoulder strength and contributions:

Thrower’s Ten Exercises for Tennis Elbow

The Throwers 10 exercises will benefit  tennis players for general strengthening purposes. The following exercises are great for prevention of injuries, especially tennis elbow.

ITY’s


Diagonal Pattern D2 Flexion


Diagonal Pattern D2 Extension


External Rotation at 0 Degrees Abduction


Internal Rotation at 0 Degrees Abduction


Internal Rotation at 90 Degrees Abduction


External Rotation at 90 Degrees Abduction


 Press Ups

Avoid if you have current shoulder pain or impingement.


 Pushups

Avoid if you have current pain from shoulder impingement.


Elbow Flexion


Elbow Extension


For more effective exercises and more information to assist in your recovery from tennis elbow, schedule an appointment with us: CALL: (443)-213-0395 or E-mail us at: DAVE@IMPACT-Fellowship.com

Squash Assessment with Dartfish

laz backhand(1) - patrick backhand (1)

An example of how we can utilize Dartfish Software to track knee angles and compare racquet placement.

We provide advanced squash assessments utilizing the professional version of Dartfish motion analysis software. With the cooperative efforts between our PT staff and our elite level squash coaches on site, we will have the ability to clearly and effectively walk you through a video analysis of your desired stroke/strokes, allowing coach and client to closely analyze any inefficiency in technique. A dual view of your pre-correction and post-correction video will provide you with biomechanical insight, which will be used to compare noticeable improvement in technique and form.


Along with improving performance, we also use this assessment as a preventative and corrective measure in regards to injury. The more efficient your technique, the less you prone you are to sport related injury. This could potentially alleviate any existing injury or discomfort due to squash play. To schedule an appointment with us: CALL: (443)-213-0395 or email us at: DAVE@IMPACT-Fellowship.com

Running Assessment with Dartfish


We offer advanced running and movement assessment by Physical Therapist. Assessments are performed using the professional version Dartfish motion analysis software. Dual views are used to assess and review running mechanics and adjustments based on your running style. jen Running angles

Forefoot, midfoot or rearfoot? We can help you assess if you are running the pattern you desire.  With video assessment we will determine when it is best to move between styles based on personal needs or running distance. Running assessments  are $100 and includes a 75minute video assessment and coaching session.

Based on injury and indications the assessment may be covered by insurance. Run training sessions and training programs are also offered. We focus on the working and busy participant looking to improved efficiency through mechanics,  prevent injury and those recovering from injury. To setup an appointment: Call: 443-213-0395                  Email: Dave@IMPACT-Fellowship.com

Physical Therapy at Bare Hills

Dave Bender, PT FAAOMPT

Fellowship Trained in Manual TherapyPhysical Therapy at Bare Hills_Logo_RGB

Dave Bender is one of the founding partners of the Institute of Manipulative Physiotherapy and Clinical Training(IMPACT). Through IMPACT, Dave trains with Jim Meadows and some of the other prominent Manual Therapist in North America. Dave teaches advanced clinical reasoning and intervention selection online throughout North America.  Physical Therapy at Bare Hills was founded to provide physical therapy services at the high standards of IMPACT.  He is a fellow with the American Academy of Manual Physical Therapists and is Fellowship program director for IMPACT’s Manual Therapy Fellowship Program.

For over 20 years Dave has raced in numerous road races and triathlons. Experiences range from the speedwork of short distance racing, Ironman distance and ultramarathons provides Dave with a unique perspective to the needs of all athletes. Working with the tennis and squash professionals inside Bare Hills Racquet and Fitness Club allows us to provide specialized treatment plans for club and recreational players.

Heather Bennett PT OCS

Heather graduated from the University of Maryland Eastern Shore with a Doctorate in Physical Therapy. She completed her post professional residency in orthopeadic physical therapy. She is a certified manual therapist with focus in gentle mobilization and joint manipulation. Her practice also includes trigger point dry needling for myofascial pain syndromes.

Dipal Patel PTIMPACT-Logo

Dipal has trained with Jim Meadows and Dave Bender for his entire career. Dipal teaches manual therapy and advanced clinical reasoning in clinical practice to physical therapy students. Working with the  tennis professionals and personal trainers at Bare Hills to provide proper treatment plans and strategies for junior athletes, professionals, and club players. Dipal provides kinesiotaping for patients and athletes as well as those interested in learning how to kinesiotape their own injuries.