Gibbons is a father of osteopathy , like him no one even near , about 14 years no one , until I started studying my self and of course the Gibbons courses which is help me and my patients now. Big hugs . You are the one!!!
These two videos explain what I have concluded about my hip situation after watching all I can AND interviewing folks about their issues. Now,what to do...hip REPLACEMENT is out!I would however get it opened up and refurbished and have interviewed one person only who had it done with great results. Thanks for the confidence builder. I hav VA disability and VA medical. Hoping (praying) there is someone who can put me right. I’m almost 62 and have been in excruciating pain for almost five years now. Can’t walk without a cane and life sucks!!Oh well thanks for lifting my hopes
Hopefully things will improve for you, maybe look at a steroid into the hip as that can help reduce some of your symptoms even though short term, regards JG
I’m scheduled for a hip replacement but was diagnosed with psoas syndrome something in me was telling me I needed a new hip though, and finally after 5 years of being in pain and seeing 5 different doctors and getting 4 cortisone shots I have a date to get it replaced. Hearing what you said about the psoas protecting the hip made me feel a lot better that I’m doing the right thing. My MRI showed moderate to severe osteoarthritis in my left hip that’s where the pain originated and it spread to psoas and other muscles down leg so happy I didn’t listen to the first doctor and listened to my gut and came across this video
You're very welcome and thanks for the comments - I think you are doing the right thing and I would do the same as typically the 'symptoms' you get are due to a referral from the OA of the hip! Regards JG
Will. Have you had the hip replacement yet? Wondering how you are doing? I've been in such severe pain for 4 years, too long. I want my life back and it looks as though I will need one. any info I so appreciate .
Thank you! This explains a lot about my condition. And makes sense. I'm a veteran and they only gave me like less than 10 physical therapies and didn't even explained anything at all. (Like 6 yrs ago, no follow up, I tried) Knowledge is key for recovery! Extra Note: it's hard to see and follow the red pointer while explaining. THANK YOU AGAIN REGARDS
Thank you - this is SO informative! I have had hip, groin, and low back pain for years, and very tight psoas and weak glutes. A Sports Medicine doc has suggested I might have a labral tear and/or FAI. I learned so much from your video!
That was an excellent presentation and I really enjoyed the diagrams. Our clinic likes to review and assess the hip with plantar fascia pain due to the exact same hip knee sequence of loss of stability. Thanks for the great video
Thanks a lot Dear John, Now it makes more sense why my FAI cause me all these problem around, everytime i stretch or strength muscles in the area something else is became painful or i got new luck of mobility. You are true hero for me. I would be more than happy if you will explain more about FAI and how it is affect HIP capsule, Hip flexors,abductors,adductors, hamstring etc.... Thanks a lot John i really wish you all the best in the world.
Thank you for the lecture John. It was very helpful. I do have a question though. If you had a client who was presenting this way (as a clinician who isnt capable of doing surgery), how would you treat someone if their primary problem is the hip joint? Do you take a manual therapy/joint mob approach and get them to do a bunch of general leg strengthening exercises? As a clinician myself I always want to make sure I can do more for a client than just telling them they need to get a labral surgery and sending them on their way
You are too good sir, INCREDIBLE the way u explain the things changes the perspectives of approach towards patients. Hope you come to India sometime for MET or any Manipulation workshop,will be grateful to learn lot many things from u. THANK YOU
Brilliant, i have had psoas problems in the past due to excessive driving. i also have a glute that keeps switching off. gives me some ideas to work on. thank you John.
Thank you very much. I have all that symptoms and i m going to surgery (hip) soon. What is your opinion about taking glucosamine? I think that i'm just getting fat and dont help much with the pain...Thank you again
Thanks for the message and good luck with the surgery - not sure about Glucosamine as by the time people take it the issue is already there and doubt it will truly help, regards JG
Very helpful content! Thank you very much for sharing in such detail. Has it ever happened that muscle tension in and around the hip developed without any prior pathology? Can it be that the muscles are tight by themselves due to excessive sitting/overweight/lack of exercise and they are the issue without any problems at the joint itself? If yes, what is in your opinion the right way to proceed?
@@JohnGibbons Mr. Gibbons, one more question: what happens if this issue is untreated for a long time? For example, in my case I have this muscle compensation pattern that involves the lats and the intercostalis as well. And of the lats are tight, because of their cervial inervation, they upset my neck and trapezius on the same side. Is this chain reaction something normal? Can a human being revert this through therapy,exercise, massage?
So informative!! Question i had surgeory on both hips for labrum tear. Now after 9 years back in pain now for 7 months left hip. Arthro mri shows nothing major (no new labrum tear) pain i have is mainly hamstring and inside thigh under groin. And sometimes click in groin (painless click) Cortisone shot did nothing to relieve pain. Could pain come from lower back prblm (two disc bulges l4 l5- l5 s1) or is it most probably hip joint related?
Probably still from the hip the joint if honest, a normal MRI might not see the labrum if torn, maybe look at a MR Arthrogram as the Gold standard. The lower 2 discs can also refer pain but I think it is more than likely the hip joint that is responsible, hope that helps, regards JG
PLEASE advise - 4 years now of constant, persistent pain in left glute and around hip joint. Tried PT for one year before labral tear w/ FAI diagnosis and surgery in 2019. Post surgical rehab of 9 months, and now nearly 2 years post-surgery still have constant deep pain in the entire gluteal/hip region as well as lower back. I'm 34 years old now, otherwise in good physical condition, and very disciplined. Walking is the only activity that gives some relative pain relief (sitting, lying, standing, weight bearing cause pain). Do you know why the injury may be so resistant? What do you suggest? (PS - I had a top rated surgeon from USC, Dr. Weber, and have tried 3 different PT clinics). Thank you!
If honest, sounds like the original issue of the FAI/ Labral tear is still giving you symptoms, I would look at having another MRI / MRA to check, regards JG
My brother had a problems lifting the right leg, was limping and had pain the right hip area for which doctors performed a surgery of psoas muscle abscess which was diagnosed to spinal tuberculosis on April 2022, since few days back his pain recurred. Why would the pain might occur if their is no abscess present in the spine Or in the psoas muscle. And the mri also shows no presence of abscess.
So I’ve been suffering from piriformis syndrome/sciatica for over 6 months now. Prior to getting this I used to get pain in the lower back often during/after activities. I suspect now it’s my symptoms have developed due to weak gluteal muscles and tight hipflexors (like you presented in this video). I would like to ask for your recommendations to solve this problem apart from stretching the piriformis itself which ive done for 6 months without any long lasting results. Thank you!
Dont sound like piriformis syndrome as potentially the hip joint will be the causative factor - see a therapists like me where you live as sure they can help, regards JG
I'm no specialist, but I have worked my way back from an ankle surgery and a limp that I had for 20 yrs pre-surgery. The best general advice that I can share from my own experience is. While you are learning what you can and can't do right not with the femur area. Take the time to do alot of mobility and strength exercises to the areas lower then the femur, to give yourself a good healthy foundation for the femur to grow healthy to. Get the soft tissue in these areas in good health (stretching and rubber band type work outs). Think of the femur like it's the epicenter of an earthquake and slowly work your way throw the body parts that surround the femur until you get to the femur. I find this to be best for long term injury prevention due to the adjustments your body will have to make to compensate for the femur injury.. The limp will destroy other areas of the body if you don't correct it over time. Allowing my ankle to cause a limp for so long has created muscle imbalances throughout my body and its been a long process to balance the body and thus prevent further injuries to the joints and areas that were forced to take on unhealthy daily movement patterns. Your hip will be the first to change. So keep your hips healthy and mobile. Good luck.
It could indeed as the psoas is antagonist and if the hamstrings are short and tight the motion of hip flexion is more difficult because you have a resistance posteriorly - especially running etc, regards JG
5 months ago in Oct of 2022, I was involved in an auto accident that caused trauma to my right hip and lower back. I was driving and the other vehicle pulled out in front of me and my left front fender struck the right front of the other car. I was thrown abruptly into the console of my car. Within a short time I felt tightness and pain in my lower right back and hip. Later that day I could not stand or walk. Tightness and pain began to subside as days went by. So I never received treatment other than a few chiropractic sessions. I've been performing various stretches and exercises on my own. After walking on my treadmill yesterday for 35 minutes I was fine. However, today I'm experiencing a little tightness and the heel and ball of the right foot is sore. I've experienced this foot and heel pain many times since the accident. My lower leg feels a little tight. Any ideas as to a plan to completely recover on my own?
Thanks for the message and you have to realistic in what i can advise - mainly from a text message and i am not physically looking at you so its unrealistic for me to decide on a plan of action....I suggest you see a local therapists a few times as sure they can help, regards JG
exerlent, ive tried to explain this to my consultant but they insist on a hip replacement. my gut instinks agrees with your explanation as the two match, ive defintly a labrum tear ache in the groin and muscle imbalence. how can i get my consultant to beleive me ?
Thank you Doctor for the valuable info. I have been sufering from low back pain for years now. My xray said i have lumbar ostheophytosis and have my medication regularly but of no avail. I still have groin pain on the liver channel and medial side knee pain. The pain is intense when i get up from a sitting position and also i noticed i got leg length discrepancy right side. Kindly advice me what to do. Many Thanks for your time Doctor.
Well explained. Thanks John Gibbons. Can I check with you as one of my client complaint neck pain while doing neck extension. I did soft tissue release on muscles around the neck. He didn’t experience any whiplash episode. Your advice. Thanks 🙏
Utilise the skill set of a decent soft tissue therapist is the best option - if he is a teenager then wouldn't stretch him much as he will be going through growth spurts so the long bones grow (femur etc) and the muscles play 'catch up' like the hamstrings so they feel 'tight' but are not short they are on 'stretch' so not much stretching even though they feel like its needed. regards JG
Excellent presentation… I’ve been unfortunate enough to fracture both hips in my younger years. Fast forward to 52 and my right psoas is killing - it started after Murph 2 yrs ago and I just can’t heal it. I’ve done acupuncture, PT several times and chiropractic. It’s gotten so “tight”- a high pitched pain like it will “pop”- that I have trouble even sitting Indian style. I did pull that hamstring about 5 yrs ago and now this. I just am not sure what in the world it could be. I’ve seen an orthopedic and he says I have an impingement but did seem overly concerned…. Any thoughts?🤔 thank you!
I have FAI. Discovered it after 15 years of leg and back pain. The root cause is 20 years of prolonged sitting. After watching this video, I now know I am lost. My FAI is too severe to the point I cannot sit more than 30 minutes. My left knee started to spontaneously slide and my psoas tendon is extremely inflammed. My left glutes arent firing at all. I thought strengthening the glutes was the solution, yet I am totally depressed now.
John your explanation of anatomy is amazing! This is exactly what seems its happening to me. I just had a microdiscectomy on my L5/S1 but my psoas is alway tight. My glutes feel like there not firing along with tighten hamstrings. What do i do to fix this????
Im 2 years late but.....ive been to a few orthos and im still not sure which came 1st, the chicken or the egg. im very familiar with everything you mentioned but how do i determined the root source cause of it all. how can u tell which issue started your problem?
Great information! it gets confusing out there. I recently had a left side lying hip induction where the the leg was lifted and held in place in three different positions then pressed down by the osteopathic MD. The left leg showed quite a bit of weakness compared to the right leg.The chronic pain seems focused in the hip and radiates into the groin as well the SI joint. SI joint injection proved more diagnostic than **therapeutic as was **hoped in order to bring relief. An xray and MRI may be in order to sort this out although neither of those are totally conclusive. Needless to say he "thinks?" it may be more spine related?!? I have no numbness, tingling, etc...Where would L5 fit into all this and or some narrowing of a nerve. Had an MRI in 2018 and nothing showed up. NOT looking for a diagnosis or medical advice. Any help or suggestions appreciated. Hoping and praying to avoid and type of invasive treatments like surgery THANK YOU!!!
Thank you for this lecture. I’m a runner with low back pathology. I have two herniations at L4-S1 for over 25 years with little problems. I’m trying to understand what’s happening with my left glute and sacrum now, as running always causes me discomfort here. I do feel that psoas is affected as well. I’ve done PT, acupuncture and chiropractic, however, I’m wondering if I should have this surgically corrected, as it literally causes my running stride to shorten at longer distances. This lecture did help me realize what the problem can be and it seems as though I’ve got several things happening at once. Originally thought to be either “runner’s butt” and/or high hamstring tendonopathy, perhaps it’s just a misfiring problem that’s causing all surrounding muscles to overload.
Thank you so much John for the useful information. I have a question regarding the hip joint. If I were to go into the front splits where my right leg is stretched in front and my back leg is stretched 90 degrees backwards is this bad for the ligaments or tendons connecting the femor with the hip capsule? Is it possible to only stretch the muscles to extend the hip back without it affecting the ligaments and tendons? I'm not sure if it's bad for my body to learn the front splits idk if its hyperextending the ligaments?
Thanks for the message, that movement you mention for a lot of people can be normal (not for me though as so inflexible) and its not a problem, the movement will naturally stretch the ligaments and tendons etc so personally wouldn't worry to much about it, unless it becomes painful, then i would stop doing that motion....regards JG
@@JohnGibbons Thank you for the reply. Would it weaken the ligaments and tendons over time though? It sounds possible but doesnt seem healthy. Just because one can do it doesnt make it a good thing. Is it possible to only stretch the muscle without the ligaments being stretched. It sounds like the illiofemoral ligaments are only made to go back 45 degrees for normal range of motion but I could be wrong.
Thank you John. Very thought provoking and useful for clinical reasoning. How do you treat those with mis-firing pattern? Obviously if tight psoas is the cause, releasing it will be a crucial part of the treatment but also if the movement pattern has been adapted for long enough, there will be maladaptive biomechanics for which I assume you will have to re-educate the patient's brain to the correct muscle recruitment / firing pattern? Correct? TL
Excellent- now is to test to see if hips are involved and how each muscle is working. ..how would you gage on a person how strong to weak a certain muscle is. Definatley good to look at the whole picture of a client- there daily activity or inactivity- habits, patterns and to obviously consider other systems in the body the nervous system, age of client, past. Yes agree overuse tight muscles etc main factors. Myofascial release. I am a massage therapist. If it was say weak glutes & tight hams - would you recommened strength for glutes and releasing hamstrings- movement would have to be relearnt to develop correct patterns. As a therapist in this case, I'd loosen off the hams- would it mean the psoas would function better if glutes worked- Bridges be a good exercise- cow cat in yoga.. Very good lecture. Thank you
And if all the problems are caused by a FAI, what are you suggesting to do? Strengthen hip flexors? Because a surgery to take off FAI isn't an option (the impingement can grow again; the surgery is pretty invasive/risky, etc.). Or something else?
Really enjoyed this presentation.. THANK YOU. So how would we measure the weakness of the glutes... Would we ask the patient to abduct their hip and measure using Oxford grading scale, or possibly palpate to feel muscle bulk.
I've been living with hip pain for the past 6 years. I saw a doctor once but he did nothing to help. Same with the chiropractor. I've been managing myself by stretching, but recently, I've been getting worse lower back pain and my left glute is very weak now. Just hearing you go through this is bringing a tear to my eye. I feel like I finally found someone that might understand the pain that I'm going through. Please, how do I get treatment for this? Can it be fixed? It's completely destroying my quality of life.
See a sport physical therapist. I would also recommend doing yoga twice a week. And get on a total body workout regimen with glutes emphasis at-least twice a week.
Based on this video and some other similar ones you've released, I was able to advise and patient to get a long misdiagnosed hip issue investigated. They're seeing their GPS armed with information on FAI now and there's light at the end of the tunnel. Thank you again.
Can you please do a presentation like this on the shoulder joint, Palpation landmarks, differential diagnosis, knee, ankle. I would also love a video explaining Palpation in spine and mobes
Hi, could a lazy glute cause chronic low back pain one sided, shooting pains in SI joint on the same side , tigh psoas again on the same side.. Pain in groin and snapping hip, snapping knee.. and intermittent ache under front ribs again.. On the same side. These are all the symptoms I have and chiropractor mentioned a dysfunction in the SI joint and tight psoas..was hyperlordosis but this has been manipulated now but still muscle issues imbalances... I know my glutes are lazy.. I have a desk job.. Xrays look ok apart from mild scoliosis. Advice would be much appreciated, I've become so tired of pain. Thank you
Sounds like the gluteals are involved, however you have to find the underlying cause of the problem first as the inactive glutei might just be a symptom. The video looks at the hip which is a major cause of the symptoms you are saying, regards JG
Thank you for providing this video! I’ve had hip/knee/groin/buttock/abdominal pain for 10 months. From watching this video, im sure it’s related to a weak glut muscle as well as my psoas. What type of doctor would you recommend to address this issue? I am looking for ways to fix the problem. Wondering if squats will help. The burning in my hip, groin and abdomen is so frustrating.
What about having flat feet. Been trying to do hip flexor strength exercises and glute exercises, psoas has been tight for a while. I'm a cleaner and been naughty lately not wearing the best shoes. Never had this tight posas and glute for this long.
Question! Ugh I wish I could see you. Scenario for you. Had to lower back injury. Going to physio for a year they could only do so much. Going to a chiropractor you can only do so much. Last week horrible pain in the the glutes feels like piriformis syndrome. Sensation goes from the back of the leg to the glute Maximus possibly the Medias then to the lower back. When I find is when I press into the S1 facet joint when sitting it relieves a sensation down my leg. Causing more mobility now in my lower back. what do you think I should do to fix it do you think I should get an injection?
Not fair for me to comment without looking at you, the L5/S1 facet can refer pain - however, could be a multitude of things so having the injection might help, as long as it is involved with your symptoms, regards JG
can't pull left leg over right leg but can put right leg goes over left had knee replacement one spot on outside left hip nerve hurts all way down into knee and in front of FEMA bottom ley muscle in front of the top of leg can hip spurs cause large nerve shoot down I worked in cotton mill pulling one way with the left arm used one side for 30 years 12 hours a day had a knee replacement but at night before bone on bone on knee had spurs on knee all right sides of both knee and hip on the right side good hip wore down with spurs nerve pain and knee joint wore out same time knee hurts with muscles to tight all from hip to leg hurt and nerve pain do I need hip tested in all ways what test do I take the bottom of back vertebrates touching on one side.it is the hip I had problems before could not sleep hip jerking had to rub have 65 degrees curves in the backbone do I have all test made of hip and see my knee replacment in middle of new knee bouncing component to lose.
Well. I don't know what to say. Been looking what's wrong with me for the last 15 years. Buttock, groin, leg, knee, penis, balls. Walking like a duck. Bum is out and it feels like pelvis is just in wrong position. What's the fix?
Gibbons is a father of osteopathy , like him no one even near , about 14 years no one , until I started studying my self and of course the Gibbons courses which is help me and my patients now. Big hugs . You are the one!!!
Thanks for lovely comments....! Regards JG
These two videos explain what I have concluded about my hip situation after watching all I can AND interviewing folks about their issues. Now,what to do...hip REPLACEMENT is out!I would however get it opened up and refurbished and have interviewed one person only who had it done with great results. Thanks for the confidence builder. I hav VA disability and VA medical. Hoping (praying) there is someone who can put me right. I’m almost 62 and have been in excruciating pain for almost five years now. Can’t walk without a cane and life sucks!!Oh well thanks for lifting my hopes
Hopefully things will improve for you, maybe look at a steroid into the hip as that can help reduce some of your symptoms even though short term, regards JG
So as I’m watching this I am massaging my psoas muscle and the tension and pain I’ve had in my back all month is now relieved.
Thats great, regards JG
Think global while trying to treat local is the key message here. Really admire your insights Mr Gibbons. Goodluck to all therapists!
Thanks for the comments, regards JG
I’m scheduled for a hip replacement but was diagnosed with psoas syndrome something in me was telling me I needed a new hip though, and finally after 5 years of being in pain and seeing 5 different doctors and getting 4 cortisone shots I have a date to get it replaced. Hearing what you said about the psoas protecting the hip made me feel a lot better that I’m doing the right thing. My MRI showed moderate to severe osteoarthritis in my left hip that’s where the pain originated and it spread to psoas and other muscles down leg so happy I didn’t listen to the first doctor and listened to my gut and came across this video
You're very welcome and thanks for the comments - I think you are doing the right thing and I would do the same as typically the 'symptoms' you get are due to a referral from the OA of the hip! Regards JG
Will. Have you had the hip replacement yet? Wondering how you are doing? I've been in such severe pain for 4 years, too long. I want my life back and it looks as though I will need one. any info I so appreciate .
Thank you! This explains a lot about my condition. And makes sense. I'm a veteran and they only gave me like less than 10 physical therapies and didn't even explained anything at all. (Like 6 yrs ago, no follow up, I tried)
Knowledge is key for recovery!
Extra Note: it's hard to see and follow the red pointer while explaining.
THANK YOU AGAIN
REGARDS
Thanks for the comments and yes you are right the laser pointer is not that easy to follow, regards JG
Thank you - this is SO informative! I have had hip, groin, and low back pain for years, and very tight psoas and weak glutes. A Sports Medicine doc has suggested I might have a labral tear and/or FAI. I learned so much from your video!
Glad it was helpful! Regards JG
That was an excellent presentation and I really enjoyed the diagrams. Our clinic likes to review and assess the hip with plantar fascia pain due to the exact same hip knee sequence of loss of stability. Thanks for the great video
Thanks for the comments, regards jG
Nice to know the pattern of muscle activation. Thanks!
You're welcome!
I have hip problems and I have been watching your videos. Excellent explanation. Me encanta ver sus videos. Son muy informativos.
Glad you like them! Regards JG
Thank you for this explanation. Wish I'd known 20 years ago
Thanks for the comments, regards JG
Thanks a lot Dear John,
Now it makes more sense why my FAI cause me all these problem around, everytime i stretch or strength muscles in the area something else is became painful or i got new luck of mobility. You are true hero for me.
I would be more than happy if you will explain more about FAI and how it is affect HIP capsule, Hip flexors,abductors,adductors, hamstring etc....
Thanks a lot John i really wish you all the best in the world.
I explain it in another video, regards JG
@@JohnGibbons Thanks a lot Dear John, God bless you.
Thank you for the lecture John. It was very helpful. I do have a question though. If you had a client who was presenting this way (as a clinician who isnt capable of doing surgery), how would you treat someone if their primary problem is the hip joint? Do you take a manual therapy/joint mob approach and get them to do a bunch of general leg strengthening exercises? As a clinician myself I always want to make sure I can do more for a client than just telling them they need to get a labral surgery and sending them on their way
You are too good sir, INCREDIBLE the way u explain the things changes the perspectives of approach towards patients. Hope you come to India sometime for MET or any Manipulation workshop,will be grateful to learn lot many things from u. THANK YOU
kavita singh that’s very kind and will be in India soon for sure...regards JG
Brilliant, i have had psoas problems in the past due to excessive driving. i also have a glute that keeps switching off. gives me some ideas to work on. thank you John.
Pleased I am able to help, thanks JG
Great content and explanation, keep the videos coming please. Thanks John
Thanks and will do, regards JG
The best explanation I have ever had the pleasure of hearing ! Thank you kindly John
This is an amazing lecture, thank you.
Glad it was helpful!
Really helped me understand my problem better.
Thanks for the message, regards JG
Thank you very much. I have all that symptoms and i m going to surgery (hip) soon. What is your opinion about taking glucosamine? I think that i'm just getting fat and dont help much with the pain...Thank you again
Thanks for the message and good luck with the surgery - not sure about Glucosamine as by the time people take it the issue is already there and doubt it will truly help, regards JG
Hi John, so if i lay down on my stomach and move my leg up does it matter which one fires first among glutes and hamstrings?
As long as they are similar its ok, regards JG
Very helpful content! Thank you very much for sharing in such detail.
Has it ever happened that muscle tension in and around the hip developed without any prior pathology?
Can it be that the muscles are tight by themselves due to excessive sitting/overweight/lack of exercise and they are the issue without any problems at the joint itself?
If yes, what is in your opinion the right way to proceed?
They could become shortened due to position but its normally a pathological hip that causes the issue, regards JG
@@JohnGibbons oh thank you so much for such a quick answer! I will look into this further on. I think it's time for a scan of sorts to check further.
@@JohnGibbons Mr. Gibbons, one more question: what happens if this issue is untreated for a long time? For example, in my case I have this muscle compensation pattern that involves the lats and the intercostalis as well. And of the lats are tight, because of their cervial inervation, they upset my neck and trapezius on the same side. Is this chain reaction something normal? Can a human being revert this through therapy,exercise, massage?
So informative!! Question i had surgeory on both hips for labrum tear. Now after 9 years back in pain now for 7 months left hip. Arthro mri shows nothing major (no new labrum tear) pain i have is mainly hamstring and inside thigh under groin. And sometimes click in groin (painless click) Cortisone shot did nothing to relieve pain. Could pain come from lower back prblm (two disc bulges l4 l5- l5 s1) or is it most probably hip joint related?
Probably still from the hip the joint if honest, a normal MRI might not see the labrum if torn, maybe look at a MR Arthrogram as the Gold standard. The lower 2 discs can also refer pain but I think it is more than likely the hip joint that is responsible, hope that helps, regards JG
PLEASE advise - 4 years now of constant, persistent pain in left glute and around hip joint. Tried PT for one year before labral tear w/ FAI diagnosis and surgery in 2019. Post surgical rehab of 9 months, and now nearly 2 years post-surgery still have constant deep pain in the entire gluteal/hip region as well as lower back. I'm 34 years old now, otherwise in good physical condition, and very disciplined. Walking is the only activity that gives some relative pain relief (sitting, lying, standing, weight bearing cause pain). Do you know why the injury may be so resistant? What do you suggest? (PS - I had a top rated surgeon from USC, Dr. Weber, and have tried 3 different PT clinics).
Thank you!
If honest, sounds like the original issue of the FAI/ Labral tear is still giving you symptoms, I would look at having another MRI / MRA to check, regards JG
My brother had a problems lifting the right leg, was limping and had pain the right hip area for which doctors performed a surgery of psoas muscle abscess which was diagnosed to spinal tuberculosis on April 2022, since few days back his pain recurred. Why would the pain might occur if their is no abscess present in the spine Or in the psoas muscle. And the mri also shows no presence of abscess.
Hard to comment without looking at him - could be an issue directly with the hip joint like a labral tear, regards JG
So I’ve been suffering from piriformis syndrome/sciatica for over 6 months now. Prior to getting this I used to get pain in the lower back often during/after activities. I suspect now it’s my symptoms have developed due to weak gluteal muscles and tight hipflexors (like you presented in this video). I would like to ask for your recommendations to solve this problem apart from stretching the piriformis itself which ive done for 6 months without any long lasting results. Thank you!
Dont sound like piriformis syndrome as potentially the hip joint will be the causative factor - see a therapists like me where you live as sure they can help, regards JG
What is the solution for this? I have had this for a couple years with no luck with exercise, is a hip arthroscopy the only way? Thanks.
Thanks for the information. Any recommended exercises for improving walking with a limp due to femur surgery?
You should be under the guidance of a physio after surgery as cant advise without looking at you, regards JG
I'm no specialist, but I have worked my way back from an ankle surgery and a limp that I had for 20 yrs pre-surgery. The best general advice that I can share from my own experience is. While you are learning what you can and can't do right not with the femur area. Take the time to do alot of mobility and strength exercises to the areas lower then the femur, to give yourself a good healthy foundation for the femur to grow healthy to. Get the soft tissue in these areas in good health (stretching and rubber band type work outs). Think of the femur like it's the epicenter of an earthquake and slowly work your way throw the body parts that surround the femur until you get to the femur. I find this to be best for long term injury prevention due to the adjustments your body will have to make to compensate for the femur injury.. The limp will destroy other areas of the body if you don't correct it over time. Allowing my ankle to cause a limp for so long has created muscle imbalances throughout my body and its been a long process to balance the body and thus prevent further injuries to the joints and areas that were forced to take on unhealthy daily movement patterns. Your hip will be the first to change. So keep your hips healthy and mobile. Good luck.
Can releasing tension from the hamstrings have a direct & positive effect on the psoas?
It could indeed as the psoas is antagonist and if the hamstrings are short and tight the motion of hip flexion is more difficult because you have a resistance posteriorly - especially running etc, regards JG
5 months ago in Oct of 2022, I was involved in an auto accident that caused trauma to my right hip and lower back. I was driving and the other vehicle pulled out in front of me and my left front fender struck the right front of the other car. I was thrown abruptly into the console of my car. Within a short time I felt tightness and pain in my lower right back and hip. Later that day I could not stand or walk. Tightness and pain began to subside as days went by. So I never received treatment other than a few chiropractic sessions. I've been performing various stretches and exercises on my own. After walking on my treadmill yesterday for 35 minutes I was fine. However, today I'm experiencing a little tightness and the heel and ball of the right foot is sore. I've experienced this foot and heel pain many times since the accident. My lower leg feels a little tight. Any ideas as to a plan to completely recover on my own?
Thanks for the message and you have to realistic in what i can advise - mainly from a text message and i am not physically looking at you so its unrealistic for me to decide on a plan of action....I suggest you see a local therapists a few times as sure they can help, regards JG
exerlent, ive tried to explain this to my consultant but they insist on a hip replacement. my gut instinks agrees with your explanation as the two match, ive defintly a labrum tear ache in the groin and muscle imbalence.
how can i get my consultant to beleive me ?
Insanely good ty John
Thanks, regards JG
I find the entire hip complex extremely mysterious and interesting
Thanks for the message and I feel the same about the hip...., regards JG
Might be a dumb question but if all this is going on how do you fix it do you just fix one thing at a time for everything all at once
This will depend on whats going on within the hip joint as naturally this will determine the prognosis, regards JG
Hey Sir, would you give a source of informations about muscle firing sequence? Is it from any study ?
I answered this another message, regards jG
Thank you Doctor for the valuable info. I have been sufering from low back pain for years now. My xray said i have lumbar ostheophytosis and have my medication regularly but of no avail. I still have groin pain on the liver channel and medial side knee pain. The pain is intense when i get up from a sitting position and also i noticed i got leg length discrepancy right side. Kindly advice me what to do. Many Thanks for your time Doctor.
Hard to comment without looking at you so see someone where you live as sure they can help, regards JG
excellent sir... lots of learnt from your video sir...
So nice of you, regards JG
Well explained. Thanks John Gibbons. Can I check with you as one of my client complaint neck pain while doing neck extension. I did soft tissue release on muscles around the neck. He didn’t experience any whiplash episode. Your advice. Thanks 🙏
Could be a facet compression in the cervical and normally around the C5 area, regards JG
Thanks . Appreciate very much.
Hi John my son muscles are tight & stiff at the back of his knees he cannot stretch out his legs all the way, what can I do to release his muscles
Utilise the skill set of a decent soft tissue therapist is the best option - if he is a teenager then wouldn't stretch him much as he will be going through growth spurts so the long bones grow (femur etc) and the muscles play 'catch up' like the hamstrings so they feel 'tight' but are not short they are on 'stretch' so not much stretching even though they feel like its needed. regards JG
@@JohnGibbons he's doing physiotherapy as the Orth doc said he should, will it help ?I ask to do an mri just to see what going on
wow i am amazed with your knowledge. Great !
Glad it was helpful! Regards JG
Excellent presentation… I’ve been unfortunate enough to fracture both hips in my younger years. Fast forward to 52 and my right psoas is killing - it started after Murph 2 yrs ago and I just can’t heal it. I’ve done acupuncture, PT several times and chiropractic. It’s gotten so “tight”- a high pitched pain like it will “pop”- that I have trouble even sitting Indian style. I did pull that hamstring about 5 yrs ago and now this. I just am not sure what in the world it could be. I’ve seen an orthopedic and he says I have an impingement but did seem overly concerned…. Any thoughts?🤔 thank you!
I dont if it is the psoas muscle causing the pain - sounds like hip pathology is the culprit - see a therapist like me to assess the hip, regards JG
I have FAI. Discovered it after 15 years of leg and back pain.
The root cause is 20 years of prolonged sitting.
After watching this video, I now know I am lost.
My FAI is too severe to the point I cannot sit more than 30 minutes.
My left knee started to spontaneously slide and my psoas tendon is extremely inflammed. My left glutes arent firing at all.
I thought strengthening the glutes was the solution, yet I am totally depressed now.
FAI can be a real issue for people and strengthening the Glutes wont work sadly, regards JG
John your explanation of anatomy is amazing! This is exactly what seems its happening to me. I just had a microdiscectomy on my L5/S1 but my psoas is alway tight. My glutes feel like there not firing along with tighten hamstrings. What do i do to fix this????
Probably best to see an osteopath where you live as hard to assist via a text or watch my video on activating the glutes etc, regards JG
Thanksgiving speech sir
Thanks for the message, regards JG
Im 2 years late but.....ive been to a few orthos and im still not sure which came 1st, the chicken or the egg. im very familiar with everything you mentioned but how do i determined the root source cause of it all. how can u tell which issue started your problem?
This just taught me that my right side back pain is due to my left hamstring
Glad my video has helped, regards JG
Great information! it gets confusing out there. I recently had a left side lying hip induction where the the leg was lifted and held in place in three different positions then pressed down by the osteopathic MD. The left leg showed quite a bit of weakness compared to the right leg.The chronic pain seems focused in the hip and radiates into the groin as well the SI joint. SI joint injection proved more diagnostic than **therapeutic as was **hoped in order to bring relief. An xray and MRI may be in order to sort this out although neither of those are totally conclusive. Needless to say he "thinks?" it may be more spine related?!? I have no numbness, tingling, etc...Where would L5 fit into all this and or some narrowing of a nerve. Had an MRI in 2018 and nothing showed up. NOT looking for a diagnosis or medical advice. Any help or suggestions appreciated. Hoping and praying to avoid and type of invasive treatments like surgery THANK YOU!!!
I have a problem in my groin and inner thigh, is my hip causing it?
Maybe as hard to say, see a therapist where you live as sure they can help. regards jG
Great video John. Which side of L5/S1 becomes irritated in the example of the right stance phase leg?
Hey, do u know any physio or osteo in Canada who can diagnose the glut issue?
Thank you for this lecture. I’m a runner with low back pathology. I have two herniations at L4-S1 for over 25 years with little problems. I’m trying to understand what’s happening with my left glute and sacrum now, as running always causes me discomfort here. I do feel that psoas is affected as well. I’ve done PT, acupuncture and chiropractic, however, I’m wondering if I should have this surgically corrected, as it literally causes my running stride to shorten at longer distances. This lecture did help me realize what the problem can be and it seems as though I’ve got several things happening at once. Originally thought to be either “runner’s butt” and/or high hamstring tendonopathy, perhaps it’s just a misfiring problem that’s causing all surrounding muscles to overload.
Thank you so much John for the useful information. I have a question regarding the hip joint. If I were to go into the front splits where my right leg is stretched in front and my back leg is stretched 90 degrees backwards is this bad for the ligaments or tendons connecting the femor with the hip capsule? Is it possible to only stretch the muscles to extend the hip back without it affecting the ligaments and tendons? I'm not sure if it's bad for my body to learn the front splits idk if its hyperextending the ligaments?
Thanks for the message, that movement you mention for a lot of people can be normal (not for me though as so inflexible) and its not a problem, the movement will naturally stretch the ligaments and tendons etc so personally wouldn't worry to much about it, unless it becomes painful, then i would stop doing that motion....regards JG
@@JohnGibbons Thank you for the reply. Would it weaken the ligaments and tendons over time though? It sounds possible but doesnt seem healthy. Just because one can do it doesnt make it a good thing. Is it possible to only stretch the muscle without the ligaments being stretched. It sounds like the illiofemoral ligaments are only made to go back 45 degrees for normal range of motion but I could be wrong.
@@GregoryMorales-uo6zetendons are attached to muscles, and ligaments to bones .
they both naturally will stretch
What kind of doctor or specialist do you recommend seeing to be evaluated for problems relating to this? Thanks
An osteopath I suggest to take a look, regards JG
Thank you John. Very thought provoking and useful for clinical reasoning. How do you treat those with mis-firing pattern? Obviously if tight psoas is the cause, releasing it will be a crucial part of the treatment but also if the movement pattern has been adapted for long enough, there will be maladaptive biomechanics for which I assume you will have to re-educate the patient's brain to the correct muscle recruitment / firing pattern? Correct? TL
Thanks for message and i do have other videos on the treatment protocols so look at them, regards JG
Excellent- now is to test to see if hips are involved and how each muscle is working. ..how would you gage on a person how strong to weak a certain muscle is. Definatley good to look at the whole picture of a client- there daily activity or inactivity- habits, patterns and to obviously consider other systems in the body the nervous system, age of client, past. Yes agree overuse tight muscles etc main factors. Myofascial release. I am a massage therapist. If it was say weak glutes & tight hams - would you recommened strength for glutes and releasing hamstrings- movement would have to be relearnt to develop correct patterns. As a therapist in this case, I'd loosen off the hams- would it mean the psoas would function better if glutes worked- Bridges be a good exercise- cow cat in yoga.. Very good lecture. Thank you
Lots of great info on causes of pain. Wish you went into some therapy solutions
Thanks - I do in another video, regards JG
I get a lot of people who get hamstring cramping during bridges, which I’m sure is a sign of an inhibited glute?
That is a sign and thanks for the comments, regards jG
And if all the problems are caused by a FAI, what are you suggesting to do? Strengthen hip flexors? Because a surgery to take off FAI isn't an option (the impingement can grow again; the surgery is pretty invasive/risky, etc.). Or something else?
Thanks. I loved it. Very informative
Glad it was helpful! Regards JG
Excellent thanks 🙏
Thanks - regards JG
Thank you!🍀
You are so welcome, regards JG
Has anyone else mentioned we can't see the arrow (red laser) on the screen?
Its not the best as you can see it but dimly, regards JG
Really enjoyed this presentation.. THANK YOU. So how would we measure the weakness of the glutes... Would we ask the patient to abduct their hip and measure using Oxford grading scale, or possibly palpate to feel muscle bulk.
Thanks for the message and pleased you enjoyed the video, regards JG
I've been living with hip pain for the past 6 years. I saw a doctor once but he did nothing to help. Same with the chiropractor. I've been managing myself by stretching, but recently, I've been getting worse lower back pain and my left glute is very weak now. Just hearing you go through this is bringing a tear to my eye. I feel like I finally found someone that might understand the pain that I'm going through. Please, how do I get treatment for this? Can it be fixed? It's completely destroying my quality of life.
See a sport physical therapist. I would also recommend doing yoga twice a week. And get on a total body workout regimen with glutes emphasis at-least twice a week.
Also, try sleeping on your back with a pillow under you hamstrings. Made a world of difference for me. Good luck.
I recently have found someone who does ortho bionomy and it has helped me so much. wish you the best. i understand with destroying quality of life.
Amazing !
Thank you! Cheers!
Great, keep doing, we love you
Thanks for the comments, regards JG
very good.
Many many thanks, regards JG
Greatness thank you
Thanks for the comments, regards JG
thankyou thankyou thankyou x
You are so welcome - regards JG
Brilliant.
Thanks a million for the comment, regards JG
Based on this video and some other similar ones you've released, I was able to advise and patient to get a long misdiagnosed hip issue investigated. They're seeing their GPS armed with information on FAI now and there's light at the end of the tunnel. Thank you again.
Thank !
Thank you, regards JG
Can you please do a presentation like this on the shoulder joint, Palpation landmarks, differential diagnosis, knee, ankle. I would also love a video explaining Palpation in spine and mobes
I will be adding a Shoulder one this week, rewards JG
@@JohnGibbons awesome. How would one isolately measure weakness in the glutes, do we use Oxford grading in hip abduction.
Please talk little about line of treatment thanks
I have treatments on other videos, regards JG
Hi, could a lazy glute cause chronic low back pain one sided, shooting pains in SI joint on the same side , tigh psoas again on the same side.. Pain in groin and snapping hip, snapping knee.. and intermittent ache under front ribs again.. On the same side. These are all the symptoms I have and chiropractor mentioned a dysfunction in the SI joint and tight psoas..was hyperlordosis but this has been manipulated now but still muscle issues imbalances... I know my glutes are lazy.. I have a desk job.. Xrays look ok apart from mild scoliosis. Advice would be much appreciated, I've become so tired of pain. Thank you
Sounds like the gluteals are involved, however you have to find the underlying cause of the problem first as the inactive glutei might just be a symptom. The video looks at the hip which is a major cause of the symptoms you are saying, regards JG
All this is going on with me is it because the osteoarthritis and what will happen since the Dr refuses to do a repair on my labrum
Try and see another therapist for some advice, regards JG
John is super
Thank you for providing this video! I’ve had hip/knee/groin/buttock/abdominal pain for 10 months. From watching this video, im sure it’s related to a weak glut muscle as well as my psoas. What type of doctor would you recommend to address this issue? I am looking for ways to fix the problem. Wondering if squats will help. The burning in my hip, groin and abdomen is so frustrating.
Try an osteopath and should be able to help, regards JG
@@JohnGibbons thank you! Do you think the pain could be due to the 3 csections I had years ago and potential scar tissue?
Excellent......
Thanks, regards JG
U r awesome👏
Thank you so much, regards JG
What about having flat feet. Been trying to do hip flexor strength exercises and glute exercises, psoas has been tight for a while. I'm a cleaner and been naughty lately not wearing the best shoes. Never had this tight posas and glute for this long.
Question! Ugh I wish I could see you. Scenario for you. Had to lower back injury. Going to physio for a year they could only do so much. Going to a chiropractor you can only do so much. Last week horrible pain in the the glutes feels like piriformis syndrome. Sensation goes from the back of the leg to the glute Maximus possibly the Medias then to the lower back. When I find is when I press into the S1 facet joint when sitting it relieves a sensation down my leg. Causing more mobility now in my lower back. what do you think I should do to fix it do you think I should get an injection?
Not fair for me to comment without looking at you, the L5/S1 facet can refer pain - however, could be a multitude of things so having the injection might help, as long as it is involved with your symptoms, regards JG
can't pull left leg over right leg but can put right leg goes over left had knee replacement one spot on outside left hip nerve hurts all way down into knee and in front of FEMA bottom ley muscle in front of the top of leg can hip spurs cause large nerve shoot down I worked in cotton mill pulling one way with the left arm used one side for 30 years 12 hours a day had a knee replacement but at night before bone on bone on knee had spurs on knee all right sides of both knee and hip on the right side good hip wore down with spurs nerve pain and knee joint wore out same time knee hurts with muscles to tight all from hip to leg hurt and nerve pain do I need hip tested in all ways what test do I take the bottom of back vertebrates touching on one side.it is the hip I had problems before could not sleep hip jerking had to rub have 65 degrees curves in the backbone do I have all test made of hip and see my knee replacment in middle of new knee bouncing component to lose.
Thanks for the message, wish you all the best regards jG
Well. I don't know what to say. Been looking what's wrong with me for the last 15 years. Buttock, groin, leg, knee, penis, balls. Walking like a duck. Bum is out and it feels like pelvis is just in wrong position. What's the fix?
Hard to comment on a text, see a good therapist where you live, regards JG
A psoas problem causes a so-ass problem
Funny..😊 Regards JG
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@@eolfgrek4074 3 it is haha