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Barbell Medicine Podcast

Pain and Rehab Episode #5: These Hips Don't Lie...or Do They?

Barbell Medicine Podcast

Barbell Medicine

Health & Fitness

4.81.3K Ratings

🗓️ 20 August 2019

⏱️ 74 minutes

🧾️ Download transcript

Summary

On this episode, our hosts Michael Ray, Michael Amato and Derek Miles discuss hip femoroacetabular impingement syndrome concerning it’s diagnosis, prognosis and treatment. Papers: Griffin DR, et al. The Warwick Agreement on femoroacetabular impingement syndrome (FAI syndrome): an international consensus statement. Br J Sports Med. 2016 Oct;50(19):1169-76. Doi: 10.1136/bjsports-2016-096743. Frank JM, et al. Prevalence of Femoroacetabular Impingement Imaging Findings in Asymptomatic Volunteers: A Systematic Review. Arthroscopy. 2015 Jun;31(6):1199-204. Doi: 10.1016/j.arthro.2014.11.042. Griffin DR, et al. Hip arthroscopy versus best conservative care for the treatment of femoroacetabular impingement syndrome (UK FASHIoN): a multicentre randomised controlled trial. Lancet. 2018 Jun 2;391(10136):2225-2235. Doi: 10.1016/S0140-6736(18)31202-9 Time Stamps 0:00 Intro and Book Talk 9:00 FAI and clinical presentation 14:00 Diagnosis of FAI Syndrome 29:30 Conservative treatment for FAI Syndrome 39:00 When do we consider imaging and surgery consults? 46:00 Diagnostic language and patient education 53:30 Asymptomatic management and risk factors for developing FAI Syndrome 56:30 FASHIoN Trial 1:04:00 Q&A Our Sponsors: * Check out Chilipad and use my code sleep.me/BBM for a great deal: https://sleep.me * Check out FIGS and use my code FIGSRX for a great deal: https://wearfigs.com * Check out Factor and use my code factormeals.com/bbm50off for a great deal: https://www.factor75.com * Check out Quince and use my code quince.com/bbm for a great deal: https://www.quince.com Advertising Inquiries: https://redcircle.com/brands

Transcript

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0:25.1

Welcome back to the Barbell Medicine Pain and Rehab Podcast. This is episode 5 where everything we're going to talk about today is dealing with hip impingement, also known as for moral acet Impingement, or FAI. I am your co-host, Dr. Michael Ray.

0:27.4

I am a chiropractor in Harrisonburg, Virginia.

0:30.3

I'm joined by my two co-host Dr Derek Miles who is a physical therapist out at

0:35.2

Stanford Children's Hospital and Dr Michael Amato who is a physical therapist out

0:39.3

at Boston PT and wellness. How's it going today guys?

0:42.0

Good morning, Mike.

0:44.0

Doing well.

0:46.0

You guys have a good weekend.

0:48.0

Got to spend some time with the family, cooked a brisket yesterday.

0:52.0

Overall, a very productive

0:54.6

relaxing weekend. Yeah we got to go outside I feel like and not die in the

1:00.7

sweltering heat for one of the first weekends in this beautiful New England summer.

1:04.5

So yeah, that's awesome. I feel like it's getting cooler in the valley as well.

1:10.0

And my favorite time of year is certainly fall in spring. I don't like extremes like summer and winter.

1:16.0

Yeah, yeah, we get the extremes out here.

1:20.1

A motto, go ahead there.

1:22.3

I was just say it doesn't deviate temperature out here at all, so it's, I don't know what the seasons that you speak of are.

1:28.1

It's just always warm.

1:30.8

It's just always temperate.

1:33.0

Yeah.

1:34.0

Because you guys don't really have a ton of humidity out there, right?

1:38.0

No, none at all.

...

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