HIP INJURY REHAB CASE STUDY
My buddy @datgregtho injured his hip catching a (very heavy) power clean. He felt the knee cave and the hip collapse. When he came to see me, he had some pinching and pain at end range of full flexion and even more in FADIR (flexion/adduction/internal rotaion). I suggested he consult and get some diagnostic tests. .
In the meantime, Greg wants to keep moving, a concept with which I agree. Early mobilization is key. Especially for a CrossFit athlete like Greg. Our objectives for Phase 1 are:
1. Protection via activity modification: Maintain mobility work while avoiding painful end ranges of motion (FADIR) and continue training but avoid activities resembling MOI: dynamic landings and catches, wall ball, deep squats (esp. with rapid eccentric), decrease training intensity, avoid repetitive hip solicitation (rower, running) .
2. Isolated activation of surrounding musculature: Upon assessing Greg, I noted arthrogenic inhibition of the left gluteus medius and even more so the left gluteus maximus when compared to the right (non-injured) side. He also indicated that he had started to get some lower back pain, particularly on the left side, which is typical of low back compensation when the glute max isn't working at full potential. Note that he has never had low back pain before. His activation exercises target the glute max, glute med and adductors in order to treat this and prevent further inhibition. .
3. Dissociation work: When the glutes become inhibited following injury, compensation occurs quite quickly. I've also included some dissociation exercises to make sure Greg can both a) move the pelvis on stable hips and b) move the hips on stable pelvis.
We'll share some of our exercises as we work through Greg's rehab.
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