Hip Labral Tears & Comorbidities
Dear Ginger,
I have a question for you- I have a patient who has PF and OI issues, plus likely has labral tear at least at one hip, and perhaps two. Our new local hip specialist agrees probably the case, in addition to his noting impingement on her xray. (MRI results expected soon.) He has instructed her to not go past the 90 deg flexion and probably will need repair “someday.” To complicate things, she may have Chrones disease and being treated for Lyme.
She is very young and active, does personal training and loves yoga. She is now struggling with depression with feeling so badly.
Do you mind sharing which poses/ routines might be ok for her? Naturally she’d rather not wait for the course…
FYI- I am not up to speed with Yoga- I did it years and years ago, before a herniated disk and then shied away.Later I tried again, but had vertigo problems around the same time and backed off… I tend to do well with avoiding overstretching, but planning to review/ restart a bit of yoga before your course.
Lastly, I don’t do well with sitting on floor for long… but building up that endurance again (due to grandchildren…lol).
Looking forward to meeting you!
Pat
Hello Pat,
It sounds as if you have a very complex patient, as are most of the ones we get, eh? We always wish they could have seen us earlier! It would be very difficult, as you understand, for me to recommend postures without seeing her, never mind the legal aspects of it.
It sounds as though you are coming to the HLI course? If so, we can definitely address your case in the class format. One thing I can recommend though is to get started on some conscious awareness of breath as well as adapting her gait patterns to avoid early or excessive extension (anterior translation and thus, load) of the femoral head in the acetabulum. Work on the Pilates Reformer could help as well, it’s a great way to maximize GMAX inclusion while minimizing hip flexion/adduction
and iliopsoas over recruitment.
Hope this helps, Pat!
Best,
Ginger
