SS: L Chronic Hip Pain Telehealth Patient (4-17-20)

  • 4-17-20
    • Initial Evaluation with significant groin, thigh, and posterior hip pain
    • Pain in standing with single leg stance, standing back extension, and sidebending to the right
    • Limitation in ability to lift leg up infront and singificant limitation in ability to lift leg into extension
    • Initial Program
      • 96.3) Hip Extension Pump More Detail VIDEO
        • This is a motion at the counter or dresser that can be done lightly but often
        • Ideally you would do this 10-15x every hour
        • It is might to be a gentle way to move the hip in a direction that is opposite of sitting
        • The goal is to do it lightly and short of any pain initially, you can progress further into the motion as long as that does not come with any negative reprocussions
        • Try this movement only for 1-2 days to establish that you are able to do it without increasing pain
      • 33.11) Supine Edge of Couch Heelraise VIDEO
        • This is the stretch at the edge of the couch
        • We talked about keeping the right knee up to your chest to protect your back
        • This is also somewhat low risk as there is no weight on the hip but it is a stronger stretch on an area that is already painful and sensitive so you have to make sure not to stretch too hard too fast
        • Start with a prop or pillow under the foot if needed
        • up and down 10-15x
        • I also like doing this one throughout the day maybe not quite as much 3-5x/day
        • This can be aded on day 3 in addition to the first movement
      • Goal is to feel pulling but no increasing of pain
      • The last option is something to work on some of the sensitivity of the muslce by hitting some pressure points
        • Many patient get alot of relief from this one, but if you push too hard on a sensitive area it will make it worse. If an area is really sensitive start by working around it. Hit 3-4 spots and hold pressure for 30-60sec on each. This can be done lying down or sitting
        • 25) Supine Hooklying Quad/Psoas VIDEO