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Subscribe to HipNotes This newsletter discusses all things hip intra-articular pathology, manual therapy, exercise and education.
September, 2019 |
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Manual Therapy Spotlight: Joint Mobilization in Modified FABERs |
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As expected with the progression of hip OA, the hip begins to lose mobility in all directions along a capsular pattern of restriction. During a FABERs test, the patient typically demonstrates a loss of mobility with the knee not being able to fall out as much, sticking up a lot more than normal.
One way to improve hip multiplanar mobility is to perform a mobilization technique in what I call a Modified FABERs. Place the patient prone with pillow under their waist for unloading lumbar spine and place the involved hip into a relative upside-down FABERs ... continue reading |
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1 in 3 veterans will develop significant hip OA (Arthritis Foundation Spring 2016). | |
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Home Mobility Exercise Spotlight: Hip Opening/Butterfly |
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To improve hip capsular mobility as quickly as possible, It is important for the patient to put small doses of “stress” on to the capsule at home between visits and after discharge. If the patient does not assist the provider by |
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performing some exercises or
self-mobilization at home, the manual therapy will likely be less effective in its accumulation of benefit and oftentimes not effective at all.
All of us healthcare providers will recognize this adductor stretch position commonly called the butterfly stretch, but what a lot of us don’t recognize is the value in this movement for “stressing” the hip joint capsule in a positive way. I teach this movement/position on the first day of treatment in the clinic for all my patients with hip osteoarthritis (OA). Unlike the adductor stretch, have the patient lean back against a wall or some other surface and place their hands hands on top of their knees. Instruct the patient...continue reading |
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91% of veterans are men and 9% are women. By 2045 female veterans will double to 18%. |
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Using HipTrac for Unilateral Lumbar Traction |
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Last month I was able to travel to the VA Sierra Nevada Health Care System at the Main Hospital Campus in Reno, Nevada. I provided an educational-service to the rehabilitation team regarding how HipTrac can help with the care of their veterans in clinic and at home. During this visit, we discussed how HipTrac can be used to provide unilateral lumbar traction to the |
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patient. HipTrac was created to be able to provide isolated traction to the hip joint in cases where the patient had a sensitive lumbar spine that did not tolerate traction well. For example, a case in which the veteran has hip osteoarthritis which likes traction, but a grade III spondylolisthesis at L4/5 that definitely does not ... continue reading |
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Today, Gulf War Veterans now make up the largest population of veterans. |
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Home Manual Therapy Spotlight: Self-Mobilization with Movement(SMWM) with SuperBand in Extension |
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Joint Capsule mobilization is essential in helping patients with joint restrictions improve their mobility.The more consistently the patient can work on capsular mobilization between visits and after discharge, the sooner they can obtain good results. Here is an example of a Self-Mulligan Mobilization with Movement (SMWM) for improving extension using a SuperBand.
Typically, for self-hip mobilizations, most individuals over 140 lbs. of body weight will likely want to use a SuperBand with a 100 lb rating, whereas individuals less than 140 lbs may prefer a ... continue reading |
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Did you know there are about 22 million veterans living in the US today? |
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HipTrac Helps Nevada Veteran's Pain Level Go from a 10/10 to a 2/10! |
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James, a veteran in Nevada, has been using HipTrac for more than a year. "When I started my therapy, my pain level on "bad days" was above 10. Now, I have a pain level of 0-2. Used in conjunction with a 20 minute stretching program, it (HipTrac) has been 100% effective. I normally use it twice per week. And that seems to keep the problem in check."
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