Hip Joint Pathologies causing back, groin, buttock, & knee pain

John Gibbons is a registered Osteopath, Lecturer and Multi-published Author and in this video he will be teaching pathologies of the Hip joint and how they cause pain to the lower back, disc, groin, buttocks like piriformis syndrome and knee.

He discusses an acetabular labral tear and also a femoroacetabular impingement called an FAI - these are cam and pincer type of impingement. He also mentions perthes disease and osteoarthritis of the hip joint.

Hip pain can be caused by a multitude of issues like a Gilmores groin or a sportsman hernia, bursitis, SUFE - slipped upper femoral epiphysis, dysplasia, stress fractures, pubic-symphysis dysfunction. Sensory nerve distribution from iliohypogastric, ilioinguinal and genito-femoral.

In another video John will teach you if the facet joint is stuck in an open position called an FRS (flexion, rotation and side bending) or fixed closed in an ERS (extension, rotation and side bending).

John also shows you in his other videos to assess the nerve root level of the adductors (obturator nerve through L3 reflex), patella tendon (femoral nerve through L4 reflex), semitendinosus (tibial / sciatic nerve of L5 reflex) and Achilles / plantar (tibial nerve of sciatic through S1 reflex) and a normal response is classified as 2++. Any reduced hypo-reflex (1+) or increased hyper-reflex (3+++) with Clonus and Babinski positive as might indicate some form of upper motor neurone lesion like Multiple sclerosis, stroke, spinal cord tumour or brain injury. Any altered reflex will need further investigation as a possibility of disc or neural pathology. These techniques and more is taught on the Neurological Master-Class at the University of Oxford.

In terms of his courses he offers, you can attend one at a time if you prefer or book all ten and receive a discount. Once you have completed all the courses you will be able to call yourself a Bodymaster Method ® Practitioner and be registered on his website with the letters 'BmP' after your name.

John is the Author of the highly successful book and Amazon No 1 best seller called 'Muscle Energy Techniques, a practical guide for physical therapists'. John has also written many more books and these include:

1. A Practical Guide to Kinesiology Taping and comes with a complimentary DVD.
2. The Vital Glutes, connecting the gait cycle to pain and dysfunction
3. Functional Anatomy of the Pelvis, SI joint & lumbar spine
4. The Vital Shoulder Complex
5. 2nd Edition of Kinesiology Taping
6. The Vital Nerves (released Oct 2020)

John now offers Advanced Training in all aspects of Sports Medicine to already qualified therapists (athletic trainers, sports massage therapists, osteopaths, chiropractors, physiotherapists, physical therapists, personal trainers, pilates teaches etc) in manual therapy to 'Diploma' Level. You need to have attended all of his ten individual Therapy Courses before the diploma is awarded. His venue is based at the idyllic venue of Oxford University, home of the first four-minute mile by Roger Bannister.

1. Spinal Manipulation & Mobilisation
2. Advanced Spinal Manipulation
3. Kinesiology Taping
4. Muscle Energy Techniques
5. The Vital Shoulder Complex
6. The Vital Cervical spine
7. The Vital hip & groin
8. The Vital Knee
9. Advanced Soft Tissue techniques
10. The Vital Neurological system
11. Pelvis, SIJ & Lumbar spine
12. The Vital Glutes & Psoas
13. Acupuncture & Dry needling

The Bodymaster Method ® Diploma is now recognised as a training provider and accredited with the STO - Sports Therapy Organisation.

[arronjoseph]

Hi there, I watched this video and the one after John. Very informative. I have suffered with back pain for 5 years and its made me quit football, running, the gym and now work. Its ruined my life. I continually looked and researched online to find out what's goin on as the NHS gave up trying to fix me. I had MRI, Xrays, Physio, acupuncture, chiropractors, changed my career, bought new mattresses and money on many other things. One day I asked my doctor to check my There it was!! I have FAI cam impingement and sever OA in both hips. They have tried Hip arthroscopy but it has not worked and now waiting for a THR. I am 35 years of age which is not great but if i can get out of pain maybe i can still have a future. Thanks for your videos, I would love to pick your brains on the topic.

[Elisplushieswoodierc]

I had all these symptoms until recently getting a hip replacement. Feel great now.

[tycobrahe]

Excellent coverage of hip joint, the great mimicker. (Minor point: “implicated” instead of “implemented” in one of the slides). Lots to learn in this channel. Keep it up. You’re providing a great educational service!

[gudrunclarke]

Dear John Gibbons. Ths is the first time that I have heard a satisfactory explanation to what I am feeling. My hip was x-rayed and diagnosed as ostheo arthritic. The pains/discomfort I feel seems to shift from the side of my lumbar spine to middle of my buttock, to groin, to outside of the knee, front of knee, and when doing yoga, especially trying to balance on the affected leg, i feel unstable/unsupported by my hip joint, and with certain rotations, it feel like the femur moves over a bumpy area and clicks. I am 70, and from 4 years ago I had a couple of difficult years, when I stopped doing yoga and other exercises. When I started to practise again, I found my left hip to be rather stiff, and foolishly did kick-boxing for a couple of months, when my hip started to give me these problems. I very much believe in natural cures. Do you think that there is any chance of regeneration with special diet and special strengthening exercises?

[kanikladreams]

Love your channel. 4 years with knee pain that shift from sometimes left of the patella tendon to sometimes on the right side of the patella tendon. also a tooth ach feeling at the acl region at the top of the tibia. Mri and xray was negative for injury to the knee and 3 months of physical therapy for knee strengthening was also ineffective. My knee doctors in America was not helpful in diagnosing what causes the pain. requested a hip doctor that only wanted to take a xray of the hip. that showed a cam. i requested a mri of hip and lower back and that revealed a herniated disk and a labrum tear. injection to the herniated disk did not relief pain and i am considering surgery to fix the labrum tear and the cam in hopes that it would relief the knee pain.

[fernandog.aguirre]

great video! Going through this pain and soreness, five weeks under proffesional treatment, started to feel better, I can't believe how long it takes to heal!

[beckybulla]

I had hip replacements in 2010 and for the last 3 months I’ve had pain in my right but cheek that increases when I do stretches that indicate it’s coming from the facet joint. The pain stops me in my tracks and comes and goes similar to a labor contraction. The pain is somewhat constant and flares up into the contraction type of immobilizing episodes happening every time I walk . Turning right leg first seems to consistently trigger the intense pain. I’m normally very active and have not had any limitations or complications with the porcelain and titanium DePuy replacement. When Covid -19 happened my lifestyle became sedimentary by 70% and that’s when the pain started. The bone or joint that I can feel located on the lower outer rear to side of by butt cheek feels somewhat numb on the skin or surface layers with a isolated intense pain deeper in the the low middle of butt. As the contraction type pain grows in intensity it radiates but rarely travels down my leg unless I’m laying down, then the pain can be felt throughout my entire leg and is unbearable. Squatting down to pick up something feels like the hip joint is unstable or weak. Note: I successfully had T9-12 and C4-7 discs removed and fused in 2015 and am not experiencing any changes in how they have felt throughout.

[caltori]

Excellent video. My recent Xray and MRI has confirmed hip impingement and labral tear. I feel practically zero pain in my hip but have chronic knee pain 24/7. Knee MRI and X-ray are totally normal. Sitting and biking worsen symptoms. I’m 33 years old. Generally speaking, would you advise someone in my position to opt for surgery or simply work on conditioning and avoiding problematic movements and hope the issue subsides? I know it’s hard to tell without seeing imaging, but I’m stuck on which path to take and any advice would be helpful. Thank you!!

[akuma]

im 17 and have groin pain ever since i started doing split squats haven't done any in a while, like a week and pain hasn't disappeared

[nighttide]

This guy is literally the best!
I had 2 hip surgeries when I was 20 with cam lesions and impingements in both (both with infection and cyst). To this day (I’m 28 now) I deal with stiffness, soreness, and pain daily. Is there a way to rebuild from this point or is it something I’ll have to ‘manage’ the rest of my life?

[sigrid]

Thank you, this helps me get a clear understanding of these conditions.

[misterbulger]

I have FAI and my dad was diagnosed with perthes. It sucks so bad appearing to be normal and healthy and being expected to push through pain! Several years of treatment for back pain probably just made it worse. They said I have degenerative disc disease too but I don't think my back actually is the issue. Hard to say. Most doctors don't know how to look at the big picture. Sometimes I do get back spasms as well but those are a different pain than in my hip.

[japsley]

Informative and easy to follow. Thank you.

[Myo.mechanic]

Youre a blessing to humanity john. Thanks

[enigma]

It’s good to be aware that groin, leg and back pain may not be anything to do with the hip. Impingement of the nerves in and running from the lower spine can all cause these symptoms, with the precise symptoms depending on which nerves are impinged. The impingement could be due to bulging disc or discs or arthritis narrowing the spinal canal or spinal joints. The point is if you have symptoms, which can be extremely debilitating, you need to get them properly assessed.

[minwade]

I’ve had 3 surgical labrum repairs over the years. I now have a ganglion inside the hip area plus a bony growth both are causing terrible discomfort along with osteoarthritis. Waiting to see orthopod, took a whole lot of tests to find the cause.

[treelover]

Hi Great video and explanation. I am a 59 year old nurse. My left hip has a "tight gripping pain", groin ache, lower back pain, and when i walked my patella was floating but locked back to position. Pain for a week then went away. Any Ideas?

[Susan-mdnd]

I have osteoarthrits, in my hip. Prior, I was very active, but always had a slight limp, after I hurt my back. Got over that, but my limp got a bit worse. Physio suggested, I use a cane, now I wish I never started to rely, on walking aides, as I cannot walk without 2 sticks, due to my leg being very weak. I get pain down my leg, various from back, buttock and down my leg. I did not know I had sciatica, yrs back, but research told me diffetent. Even physio who fixed my back, did not take any notice, when I
described my symptons. Now just trying to strengthen my hips.

[ojaalaa]

I've had surgery twice in my right hip and once in my left for CAM-lesion and labrum tear. After my surgeries, I've had complications. I have bain in my ancles, knees, hip, groin and my back (especially the teres muscles). On the right side my groin pops everytime i walk, and om the left side my hip pops. Also feel pain in the middle toes on both sides. I've taken new MRI scans and they couldn't see anything wrong, my fysio means it has something to do with my nerves. What frustrates me is that I don't get better, or at least it is taking SO MUCH TIME!! I am only 22 years, used to play soccer and jiu jitsu but haven't been able to practice any of those the last 3 years...

[patriciamoore]

2 hip replacements, all good, then both groin areas, left, right, left buttock excruciating pain. Though hop flexor were weakened. Seems more like your description!