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Hip Labrum Injury: Diagnosis and Management

March 28, 2015 - March 29, 2015


right-hip-labral-tearExtra-Articular Pelvic and Hip Labrum Injury: Differential Diagnosis and Integrative Management-HLI


Acetabular labral tears are reported to be a major cause of hip dysfunction in young to middle-age patients and a primary precursor to hip osteoarthritis. The management of hip injuries in the athletic population “…has rapidly evolved over the past decade with our improved understanding of mechanical hip pathology.” (Lynch et al., 2013) Medical and rehabilitation differential diagnosis of the hip involves many options such as labral tear, femoroactebular impingement (FAI), hip capsular laxity/instability, chondral lesions, septic joint or loose body in the joint.  New technology allows improved identification of tears and arthroscopic surgical repairs, yet time of injury to diagnosis is still often delayed, making long-term prognosis for hip preservation poor. The risks of arthroscopic surgery, which, according to the American Academy of Orthopedic Surgeons, are equal to complication rates of open hip surgeries (Arthroscopy, 2013), coupled with the lack of long term follow up studies for arthroscopic procedures, makes conservative therapy a valuable tool.  This 2-day continuing education course presents a holistic methodology for the recommended trials of conservative therapy covered in current literature.

This course will give special attention to identification of differential diagnosis of specific tissues of the hip joint for identification of intra-articular damage or premature joint degeneration. The participant will be able to recognize high-risk populations, common musculoskeletal presentation of patients with hip dysfunction, and how to instruct in optimal recruitment patterns for prevention of long-range debility. Secondary and differential diagnoses of the hip and pelvis will be addressed in order to help the clinician understand how conventional and integrative therapies can be used in combination to provide better outcomes. Hip labrum injury will be addressed in the following clinical categories: injury prevention and wellness, clinical evaluation and diagnosis, treatment and rehabilitation, and organizational and professional health and well-being.

Current surgical methods will also be addressed in this continuing education course in order to provide the clinician with a well-rounded background in the management of labral injuries and related secondary lesions. Therapists in increasing numbers are working with patients who have hip labral injuries prior to and following hip arthroscopic and open surgeries. Utilizing a case study framework, this course will provide you with the opportunity to analyze the evaluation and intervention of the most current methods.


This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner’s license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.

Upon completion of this continuing education seminar, participants will be able to:
1. Demonstrate methods for differential diagnosis of the hip and the evidence-based risk factors for intra-articular hip injury.
2. Describe the morphological classification system of labral tears.
3. Practice the provocative tests used in diagnosis of hip joint injury.
4. Discuss current evidence based medical management, including surgical intervention, for labral tears and related injuries of the hip in order to identify critical factors for intervention.
5. In a case study format, critically analyze the biopsychosocial model of assessment and its indications and contraindications in order to prescribe subacute through chronic phase functional intervention and activity modification for hip joint preservation and rehabilitation in a multidisciplinary team approach.
6. Identify conventional and integrative methods, including but not limited to yoga, Pilates, muscle energy technique, and manual therapies, for hip and related pelvic intervention.

Level: All levels

Contact Hours: 15 (CEUs vary by state)

Price: $475 (Early registrant price of $450 for registrations received one month before course start date).

Prerequisites: None

What to bring:
1 yoga mat
2 yoga blankets (Mexican blankets are fine)
1 yoga strap (quick release buckle)
2 yoga blocks
Participants should wear comfortable exercise clothes for this course
Special Considerations: As this continuing education course includes lab work, all course attendees should come prepared to participate as both clinician and patient.


Day One:
7:30 Registration
 Introductions, goals, manual orientation, pre-test
8:30 Hip & Pelvis: Intra-articular and Extra-articular Anatomy & Biomechanics
9:30 Hip & Pelvis: Guidelines to Conventional & Integrative Therapy Practice
10:00 Break
10:15 Hip & Pelvis: Assessment Lab
12:00 Lunch on your own
1:00 Hip & Pelvis: Movement Patterns Lab
3:00 Break
3:15 Hip & Pelvis: Integrative Techniques Lab
5:00 Case Study
5:30 Q&A and post-test
6:00 Adjourn
Day Two:
8:00 Q&A/pre-test/Lab Review
9:00 Integrative Techniques Lecture/Lab
10:00 Break
10:15 Biomechanics of Movement & Muscle Energy Therapies
12:00 Lunch on your own
12:45 Case Studies & Prescription
2:00 Break
2:15 Prescription Discussion & Assessment Review
3:00 Q&A/wrap-up, post-test
3:45 Adjourn


Arthroscopy. (2013) Retrieved April 20, 2014 from http://www.aaos.org/news/aaosnow/aug13/clinical4.asp.

Lynch, T. S., Terry, M. A., Bedi, A., & Kelly, B. T. (2013). Hip Arthroscopic Surgery Patient Evaluation, Current Indications, and Outcomes. The American journal of sports medicine41(5), 1174-1189.

Want to bring the course to you? Contact our office: naomi@professionalyogatherapy.org 

See the latest course offering schedule and learn more at Herman & Wallace Pelvic Rehabilitation Institute 


March 28, 2015
March 29, 2015
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Women’s Hospital of Texas
7400 Fannin St.
Houston, TX 77030 United States
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