In episode 129 of The Physical Performance Show Brad Beer has a conversation with Benoy Mathew, MSc, MCSP, MAACP, UK Physiotherapist ‘Hip & Groin’.
Benoy Mathew is a UK based Extended Scope Physiotherapist, who has a special interest in Hip and Groin Pain.
During this episode Benoy shares key learnings around how to prolong the health of your hips, what can go wrong with the hip and groin, the role Imaging plays in diagnosing hip and groin pain. Why is it important to act on your hip and grin pain quickly as well as the best treatment approach to getting on top of hip and groin pain including the best exercises and very practical advice for the running community experiencing hip and groin pain.
This is an Expert Edition with Benoy Matthew Extended Scope Physiotherapist with a special interest in all things Hip and Groin Pain.
Click the icon to listen to the interview on iTunes or listen using the soundcloud player below
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“I feel like I can make a better difference.”
“If I keep my running to less than 10km and less than 3 days a week, I’m happy and my knees are happy.”
“I pretty much know my limits and threshold where I keep it good.”
“Just because the imaging report is normal doesn’t mean it’s always normal.”
“It’s good to get a second or third opinion which can make a big change.”
“Control the symptoms, get the strength around, get that hip extension.”
“Hip Osteoarthritis pain is the most mildest, with just a little stiffness.”
“Be mindful of the symptoms.”
“The hardest is getting the patients onboard within the timelines.”
“You have to prepare your body through load as well as to speed because you need both for any form of training.”
“You have an anatomical limit, you can’t stretch your anatomy.”
“Seek help in the initial phase: ache after training.”
“Hip injection for hip inflammation is both diagnostic and therapeutic just to reduce inflammation and get back on track.”
“Your chance on being successful depends on seeking treatment early.”
“For me Surgery is based on pain functions and what level.”
“Simple Rule: The hips should always be 2 inches higher than the knees.”
“All of us should be getting up every 20-30 minutes.”
“I always ask my patient: How long can you sit without pain?”
“If you can catch it earlier, you can prevent extreme procedures.”
Best Advice:
“If you have chronic hip and groin pain for more than 6 weeks, seek treatment earlier.”
Practical Tips for Sitting:
• Hips should be higher than the knees.
• Avoid inflection based training in excess.
• Get up every 20-30 minutes.
0:00 Start
1:45 Introduction to Benoy Mathew
3:48 Benoy Mathew’s Professional Background and Clinical Activities
5:00 Clinic Location and Consultation
9:04 Benoy’s after recovery and Routine Knee Exercises
12:08 Approach with Patients with Hip pain and Osteoarthritis
17:05 Journey of patients with hip pain
20:33 What could go wrong in the part of the hip and timeline of hip pains
26:57 Key Reason of mis-diagnosis of hip pain and Osteoarthritis
34:30 Best Exercises for Hip pain
42:20 Recap of Exercises
43:29 Advise for Patients with Osteoarthritis and hip pain
45:50 Advice for younger patients or athletes for impingement and treatments of hip joint related pathology
53:20 Roles of Medication
57:10 Tendon pain treatment suggestion
57:50 Non functional Mat-Based exercise
1:01:00 FAI Impingement Awareness
1:09:00 Rehabilitation after Surgery
1:10:00 Practical Tips to reduce symptoms
1:22:00 Physical Challenge – Really push your hips to the limit by adding hill sprints.
1:24:54 Finish
Send to the show host @Brad_Beer (Twitter)