Current Concepts of Hip Tendinopathies: An Exercise & Manual Therapy Approach

Course Description

The hip is an area that is highly susceptible to tendon-related pain and injury.  Given the compressive demands during sitting and repetitive loading during walking/running gait, tendinopathy at the hip can be a difficult condition to manage conservatively.  The glute, hamstrings, and psoas tendons are common sources of pain generation. Characterized by painful mechanical loading of an involved tendon, tendinopathy is a common clinical condition associated with significant limitations in daily activities.  Recent research has improved the understanding and management of tendinopathy; however, clinical management of this condition continues to be variable in both type and theory of intervention.  Current standard of physical therapy practice has yet to leverage the latest literature for effective treatment of tendinopathy.

Progressive mechanical loading has been found to be an effective management strategy, but the research is variable between the upper and lower extremities.  Different modes of strength training, including isometric, isotonic, isolated eccentric, and isokinetic, can be used to control pain, improve motor control, and enhance function in pathological tissue.

Tendinopathy of the lower extremities can have profound negative effects on an individual’s ability to participate in and return to their previous level of functional activities.  This presentation will highlight current available evidence related to hip tendinopathy and provide simple, effective, and easy-to-implement clinical management strategies for pain, progression of functional activities, and treatment of the entire kinetic chain.  The emphasis of this course will be on exercise and manual therapy strategies.

Course Objectives

At the end of this course, the participant will be able to:

• Summarize the most current research related to common hip tendinopathies
• Describe examination components in the evaluation of tendinopathy
• Utilize exercise and manual therapy strategies for pain management and treatment of the entire kinetic chain
• Develop a rehabilitation program that incorporates guidelines for tissue loading progression and return to activity

• Educational Level

  Intermediate

• Other

  Satisfactory completion of this course will require the participant to respond to various polling questions asked throughout the webinar.