I’ve been shoulders deep in studying/researching groin pain since I graduated PT school In the past 6 months, I've made some discoveries that have completely changed my perspective on how to assess and treat groin pain Here are the top 4 things I’ve learned:

Preparing for hip surgery should look the same as performance training...just modified movements Glute bridge for end range glute max strength Pin squats to avoid impingement positions Battle rope intervals for cardio Pre-op is not a good time to get weak

Hot take... 9/10 times Copenhagens are not the solution to groin pain The idea that strengthening a structure to resolve pain is flawed All groin pain has a cause Most times groin pain is the symptom, not the cause Find the cause, find the solution

Building glute strength after hip surgery can be as simple as: 1) Restore lumbopelvic stability 2) Groove and strengthen motor patterns 3) Develop explosive ability Check out this paper for more ⬇️

Coaches just wanna coach😅

New study: 89% of NHL players who undergo hip surgery return the following season with no difference in on-ice performance The success equation of hip arthroscopy is simple: Success = good surgery + good rehab + good training

Loss of hip internal rotation can be a precursor to groin pain Players lose hip rotation over the course of sport seasons from the demands of sport Measure➡️ Monitor➡️ Intervene

Unpopular opinion: Copenhagen holds will not solve your groin pain because most groin pain is not caused by weak groins It's an oversimplification of a more complex problem The best groin rehab starts with good movement quality

Elevating the heels in a squat to reduce symptoms of hip impingement is not cheating It's smart training

I've been a PT for almost a decade A big mistake I made early on is thinking that there was a right answer I've learned that nobody has the right answer Find what you believe in and what works for your clients Challenge yourself with different opinions Ignore the rest

Chronic or reoccuring groin tweaks that I see are often not a groin muscle problem. Unless there is clear evidence of a groin pull (MOI, bruising, etc.) turn your focus to the hip joint. More often than not, you'll discover something everyone else has missed

Most hip rehab does a poor job at building glute strength. 2 mistakes I often see are: 1) Not enough volume 2) Not enough intensity (load) 3x10 banded abductions for 6 months just isn't gonna cut it

How to improve hip flexion after hip surgery - Posterior hip mobilization - Quadruped rock backs - Kickstand RDL Restore, Retrain, Reinforce

My favourite conditioning tools early post hip arthroscopy - Battle ropes - Assault bike - Ski erg There are ways to stay fit after hip surgery

@ibnsolo For sure. I would say in most cases, at the bottom of the squat the lack of hip extension moment puts more stress on the front of the hip. In hip extension, you're an increase in co-contraction would likely reduce the stress on the front of the hip

@ibnsolo Coming out of the squat should be more hip extensor than flexor. There would be higher stress on the front of the hip with greater hip flexor

@ibnsolo To me, it seems like the lateral hip muscles play a role in controlling pelvic drop in SL stance/squat. Adduction in DL squat would be more ADD Mag and glute relationship That would be regardless of the condition they're dealing with

I've always struggled to find ways to strengthening the hip flexors in athletes who complained of "popping" in their hip Until now "Clinical experience has demonstrated it to be most effective to re-educate psoas from the trunk down versus the leg up."

Hip pain changes how people move - less hip flexion - less pelvic mobility - changes in muscle activity We can't forget to look at movement quality when we're often focused on movement quantity

I think of the hip in 5 layers to create a simple model of the joint: 1- Bone 2- Static tissue 3- Muscle 4- Neuromechanical 5- Kinetic chain The key is to figure out how these are all related in someone dealing with hip & groin pain