Dynamic Hip Retraining

When you present with hip pain your physio will ask many questions and from this make a hypothesis of the cause of your problem. They will then assess any number of joints and muscles that they think could be the driver. In this blog, I won’t go through every assessment that may be chosen.

This blog is about assessing and treating the dynamic hip stability i.e. the muscle system which is responsible for this stability. We call this dynamic hip retraining. There are specific tests we use for this, for all muscle groups that surround the hip. One example is to look at the body position, movement pattern and time how long you can hold your hip in inner range and compare both sides. Please see this example of hip flexion.

Once we determine where the deficits are in your hip, we direct treatment to address it. When managing your hip pain, the first step is to re-educate the deep layer of hip muscle i.e. iliocapsularis and iliacus for hip flexors, gluteus minimus for abduction and the 5 deep external rotators (superior & inferior gemelli, obturator internus & externus and quadratus femoris), and the intermediate layers i.e. gluteus medius, Psoas major, short adductors and piriformis.

The aim of this is to achieve good stability within the pelvis, of the pelvis on the femur in weight bearing and also of femoral head control within the socket when the foot is off the ground (e.g. running, kicking) to minimise shear & translation.

With dynamic hip retraining, the first exercises will be really boring until the pattern of activation is correct, i.e. iliocapsularis before flex hip, glut med before TFL, quadratus femoris before glute med etc and also until the activation of those deep muscles becomes automatic.

dynamic hip retrainingdynamic hip retraining

Once you have nailed it in lying with no weight on limb, we gradually add weight in bilateral stance, then split stance, then once you are ready, we move to single leg.

Once you can do single leg exercises well, we add more load- weights, more speed, more complex movements eg arm movements, unstable base and functional exercises related to your sport or work. So, you can see it is a clear process of progression to get you back to full pain-free complex function.

The good news is that we need only meet to progress your exercises and then you can do them independently until you are ready for the next instalment. So, work hard, & I’ll be here to guide you along the track to recovery!

Ceridwen Way – Senior Physiotherapist

If you’re experiencing pain or limited movement in the hip – please book with one of our physios, call 5535 5218 or Book Online now


Our Response to Covid-19

This page is up to date to our best knowledge, however, this is a rapidly evolving situation so we apologise for any potential delay in updating this information.

We want to reassure all our patients that we are following stringent infection control procedures in our clinic, and screen all people coming into the clinic, to exclude any patients that have any signs or symptoms consistent with Covid-19, as well as screening any patients that should be in isolation ie recently returned from overseas, or have been advised to isolate due to recent exposure with a known Covid-19 patient.

All our staff have now completed the Department of Health Covid-19 Infection Control Training.

What are we doing to minimise risk?

  • Screening patients for risk factors over the phone or through text messages before they attend appointments. Those with risk factors or symptoms are advised not to attend & to seek medical advice.
  • Hand sanitiser station at the front of the building must be used before you enter.
  • Following stringent infection control measures within the clinic. This includes
    • Disinfecting all beds, door handles, EFTPOS machine before and after each patient use.
    • Linen changed between each patient and commonly touched surfaces through the practice are cleaned regularly throughout the day.
    • Minimising the distances between clients in the waiting room- some chairs are outside undercover.
  • We have advised our team members not to come to work if they have cold or flu-like symptoms.
  • We are following all Department of Health recommendations for our type of business.

On the 30th March 2020 – the Australian government issued a statement that “People aged over 70, aged over 60 with pre-existing conditions, or Indigenous people aged over 50 should stay home wherever possible for their own protection.”

The decision to come in for physiotherapy treatment really is an individual one – if you feel that your treatment is medically necessary, and are comfortable with the risks of leaving your home and coming to physiotherapy, then rest assured that when you attend our physiotherapy clinic, we are following our strict infection control processes and doing everything we can to minimise your risk whilst in our care. However, we completely understand if you are not comfortable with coming in for treatment.

TELEHealth Consultations

We are offering telehealth consults and home visits (where suitable) for patients who cannot attend our clinic.

Read more about TELEhealth Consultations here.

Staying Healthy

  • Wash your hands often (and for 20 seconds) with soap and water
  • Cough into your elbow or use a tissue to cover your mouth when you cough or sneeze
  • Social distancing practices – Avoiding close contact with others, such as touching, including shaking hands
  • Limit contact with people who are sick, and stay home if you are sick and encourage employees to stay home when sick
  • Get 7-8 hours’ sleep a night to help your immune system stay strong
Please stay safe and take care of each other!

We are monitoring the situation very closely and will make adjustments to our business as we are further informed. Our priority is the health & well being of our patients and our staff. Thanks for your understanding.

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