Extra-Articular Pelvic and Hip Labrum Injury: Differential Diagnosis and Integrative Management-HLI
Description
Acetabular labral tears are reported to be a major cause of hip dysfunction in young to middle-age patients and a primary precursor to hip osteoarthritis. The management of hip injuries in the athletic population “…has rapidly evolved over the past decade with our improved understanding of mechanical hip pathology.” (Lynch et al., 2013) Medical and rehabilitation differential diagnosis of the hip involves many options such as labral tear, femoroactebular impingement (FAI), hip capsular laxity/instability, chondral lesions, septic joint or loose body in the joint.
New technology allows improved identification of tears and arthroscopic surgical repairs, yet time of injury to diagnosis is still often delayed, making long-term prognosis for hip preservation poor. The risks of arthroscopic surgery, which, according to the American Academy of Orthopedic Surgeons, are equal to complication rates of open hip surgeries (Arthroscopy, 2013), coupled with the lack of long term follow up studies for arthroscopic procedures, makes conservative therapy a valuable tool. This 2-day continuing education course presents a holistic methodology for the recommended trials of conservative therapy covered in current literature.
This course will give special attention to identification of differential diagnosis of specific tissues of the hip joint for identification of intra-articular damage or premature joint degeneration. The participant will be able to recognize high-risk populations, common musculoskeletal presentation of patients with hip dysfunction, and how to instruct in optimal recruitment patterns for prevention of long-range debility. Secondary and differential diagnoses of the hip and pelvis will be addressed in order to help the clinician understand how conventional and integrative therapies can be used in combination to provide better outcomes. Hip labrum injury will be addressed in the following clinical categories: injury prevention and wellness, clinical evaluation and diagnosis, treatment and rehabilitation, and organizational and professional health and well-being.
Current surgical methods will also be addressed in this continuing education course in order to provide the clinician with a well-rounded background in the management of labral injuries and related secondary lesions. Therapists in increasing numbers are working with patients who have hip labral injuries prior to and following hip arthroscopic and open surgeries. Utilizing a case study framework, this course will provide you with the opportunity to analyze the evaluation and intervention of the most current methods.
References
Arthroscopy. (2013) Retrieved April 20, 2014 from http://www.aaos.org/news/aaosnow/aug13/clinical4.asp.
Lynch, T. S., Terry, M. A., Bedi, A., & Kelly, B. T. (2013). Hip Arthroscopic Surgery Patient Evaluation, Current Indications, and Outcomes. The American journal of sports medicine, 41(5), 1174-1189.
Objectives
- Identify methods for differential diagnosis of the hip and the evidence-based risk factors for intra-articular hip injury.
- Describe the morphological classification system of labral tears.
- Practice the provocative tests used in diagnosis of hip joint injury.
- Discuss current evidence based medical management, including surgical intervention, for labral tears and related injuries of the hip in order to identify critical factors for intervention.
- In a case study format, critically analyze the biopsychosocial model of assessment and its indications and contraindications in order to prescribe subacute through chronic phase functional intervention and activity modification for hip joint preservation and rehabilitation in a multi-disciplinary team approach.
- Identify conventional and integrative methods, including but not limited to yoga, Pilates, muscle energy technique, and manual therapies, for hip and related pelvic intervention.
Audience
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner’s license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.
Level
Beginner
Prerequisites
None
Contact Hours
16 (CEUs vary by state)
Price
$495 (Early Registrant Price $450)
What to Bring
1 yoga mat
2 yoga blankets (Mexican blankets are fine)
1 yoga strap (quick release buckle)
2 yoga blocks
Participants should wear comfortable exercise clothes for this course
Special Considerations
As this continuing education course includes lab work, all course attendees should come prepared to participate as both clinician and patient.
Schedule
Day One:
7:30 Registration
8:00 Introductions, goals, manual orientation, pre-test
8:30 Hip & Pelvis: Intra-articular and Extra-articular Anatomy & Biomechanics
9:30 Hip & Pelvis: Guidelines to Conventional & Integrative Therapy Practice
10:00 Break
10:15 Hip & Pelvis: Assessment Lab
12:00 Lunch on your own
1:00 Hip & Pelvis: Movement Patterns Lab
3:00 Break
3:15 Hip & Pelvis: Integrative Techniques Lab
5:00 Case Study
5:30 Q&A and post-test
6:00 Adjourn
Day Two:
8:00 Q&A/pre-test/Lab Review
9:00 Integrative Techniques Lecture/Lab
10:00 Break
10:15 Biomechanics of Movement & Muscle Energy Therapies
12:00 Lunch on your own
12:45 Case Studies & Prescription
2:00 Break
2:15 Prescription Discussion & Assessment Review
3:00 Q&A/wrap-up, post-test
3:45 Adjourn
Instructor
Ginger Garner PT, DPT, ATC/LAT, PYT
Ginger Garner is a longtime physical therapist, athletic trainer, and professional yoga therapist. She received her Doctor of Physical Therapy from The University of North Carolina at Chapel Hill and is the founder and executive director of Professional Yoga Therapy Institute, an international post-graduate program for licensed medical professionals, which celebrates its 16th anniversary in 2016. Ginger serves as a consultant to, and adjunct faculty for, medical schools in the US and Canada who use her yoga curriculum and methodology. She is a faculty instructor at Herman and Wallace Pelvic Rehabilitation Institute and Medbridge Education. Ginger maintains an international teaching and lecture schedule.
Ginger’s multimedia platform textbook, Medical Therapeutic Yoga, will be published in the summer of 2016. She is currently pursuing research at UNC Chapel Hill on mTBI, PTSD, and yoga methodology. Ginger’s clinical practice, Crystal Coast Integrative Medicine, focuses on pelvic, orthopaedic, and women’s healthcare. Ginger is a mother of three, which drives her advocacy work for partnership-based education, integrated medical care, and egalitarian economics.
The HLI course was transformative not only as a practitioner, but as a former hip labral repair patient. It was the perfect balance of absorbing new information and applying it for immediate use in the clinic. I changed the way I treated many of my patients with hip dysfunction the Monday I returned home. I’ve taken many continuing ed classes, and I don’t say this lightly- thank you Ginger for this life-changing course!
-Dr. Tamra Wroblesky, PT, DPT
Pelvic PT, Inner Dynamics Physical Therapy
Ocean, New Jersey
