3 Things PTs Won't Tell You About Physical Therapy for Hip Impingement

[@Uprighthealth]

What surprised you the most in this video? 👉 Rebuild Your Hips and Don't Buy Into FAI! uprighthealth.com/fai

[@92yrsyung]

none of itsurprises me ... thank you so much for bringing attention to this !!! seems everything health care isbeing taught as a business model .thank you for being the alternative to life destroying but profitable procedures ! i could barely walk becauseof my hips and dont even havea floorto excercise on (existing in a tiny travel trailer in a graveled parkinglot since2021). 2-3 days later,from watching yourvideos i can at leastwalk to themailboxes andback !! i am not able to tolerate allopathiccare ,norwouldi survive asurgery .thank you ! and i LOVE that you are doing mildstretches during theentire video !

[@jazbarry13]

This man is a lifesaver. So many of us are out here spinning our wheels, paying co-pays and deductibles only to stay in the exact same spot and not get any better. Modern medicine and treatments are designed to keep us coming back; there's no money to be made in a patient that is well.

[@92yrsyung]

he is also saving us from permanent damagefrom "medical care " !

[@klf153]

So important to know and understand this! People have no clue how medical care is dispensed today. Thank you. We are so lucky to have you and others like you on KZbin so we can learn and avoid surgery, which is often the first thing offered, especially the older one is. I have friends who are having second and even third hip, knee and shoulder surgeries. It is mind-blowing and very sad. Again, thank you.

[@PardieDiem]

I'm a big believer in physical therapy in place of surgery. I've learned through my own experience that what you are saying is the absolute truth. Thank you!!

[@sharonmitchel1377]

I so agree!

[@ph5915]

It shouldn't be surprising to me at this point, but, having PT's curtailed in to what they can do or try with patients is based on insurance or medical hierarchy , is disappointing. PTs are very highly trained and skilled and should be allowed to do their best for their patients, and think outside the box sometimes.

[@missmishpot]

@@ph5915 Totally agree. For anyone who can afford it, they should seek a fitness trainer who specializes in rehabilitation. They should understand full chains instead of only addressing a single joint or function because everything is related.

[@tracyvision]

I’ve known this paradigm for years, it’s so frustrating. Thank you for getting the word out so more medical care consumers can be more educated. And it’s not just limited to PT. A related problem is “standard of care”. If a health care practitioner doesn’t do what everyone else does (“standard of care”) they open themselves up to potential malpractice litigation. So providers are hesitant to prescribe new, innovative treatments, or a treatment that’s more natural and not pharmaceutical, simply because it’s not what is typical. And ineffective treatment, like surgery for FAI, is perpetuated. Seriously f’d up system.

[@missa1goins]

They should prescribe massage therapy more often for muscle tension, muscle relaxers are prescribed so much but don't work.

[@Uprighthealth]

It's pretty insane

[@FirstnameLastname-pe5ib]

Woah! Just realized mines gone completely! Forgot I even had it & saw this vid. Followed your routine for a week and it's GONE.

[@celiauzarski2064]

I had a suspicion that people in the medical industry somehow had constrictions of what they could or could not do. Thank you for giving your viewers the inside scoop of how the system is set up. I am grateful that your friends in the field broke down the situation as to why they are not allowed act on their own. It’s deplorable that physical therapists must have now have a doctorate, yet cannot perform in a manner that took years of study.

[@michellewelch6013]

This is sick and twisted! And it explains what my PT was doing to help me with a shoulder/chest wall/neck injury that ultimately caused hand numbness. He was getting great results but after 3 months the insurance person decided I wasnt making enough progress to justify continued therapy. But I WAS making progress. It was a kind of 3 steps forward 2 steps back kind of progress, but I was experiencing 2-3 days of no numbness in my hand each time I went to therapy (because they can do traction on my head and spine which I cannot duplicate at home.) But we ran into an insurance wall. How do I craft a query to ask my doc for what I need from insurance so the PT can do his best work to help me heal? What a convoluted mess.

[@lloyannehurd]

@@michellewelch6013 And just who is making this decision to stop treatment. Possibly not a trained and experienced person. This is vital to you. This is just nasty.

[@johnhodgeman3980]

This affects how practitioners treat people. They start thinking less about treating it as a whole body issue. It's no wonder that professional athletes and celebrities with deep cashflow get the best care.

[@JenB.188]

I had a foot physical therapist years ago who diagnosed my back issue. She was totally correct. I ended up finding a great spine doctor who ended up sending me to a spine physical therapist. I wish the system had allowed the first physical therapist to send me to her spine coworker. I would have saved a year of pain.

[@cynthiathomas5754]

This is all more True than people know. This is why a very talented friend of mine decided not to go to PT school. Drs. will also be theatened if they suggest diet changes ( which give relief) when such changes result in the patient not wanting/ needing surgery. Our high sugar diets lead to apparent glycosalation of joint surfaces.

[@ScottSummerill]

So true. My local PT, who is part of a huge east coast provider, does absolutely nothing creative. None of the deep evaluation and targeted techniques. Just a standard, one size fits all, printed sheet handed to every patient with a set diagnosis. Just terrible.

[@wynnproductionsinc.2678]

Brilliant explanation of how the services of most physical therapists are administered to patients. Also, your explanation of how muscle malfunction develops and leads to joint pain is phenomenally insightful. This is definitely the most logical approach to solving joint pain and immobility. Thanks for providing this much needed and most helpful information.

[@wendybaier9368]

This is wrong in so many ways!!!!! So Grateful I’m seeing this!! Thank you!!!

[@teresaharris7296]

Do pilates. They concentrate on all these muscles that you don't realise you have. Helps with falls when you're older

[@missa1goins]

Yoga too.

[@NilsenMouind]

Thanks man. Your work, along with Foundation Training, are helping me sooooo much. Cheers.

[@Uprighthealth]

Happy to be a helpful stepping stone in your journey!

[@Garpot]

This is happening to me now! Getting the feeling of useless PT with my insurance.

[@someblokecalleddave1]

I've experienced this with High blood pressure. I had a diagnosis and asked is there any other routes to improvement outside of taking drugs as prescribed. The Dr responded... "I've done x amounts of medical training and all of that means my solution to your problem is Y, there may be other options, but I can't advise. I have to stick to the options as dictated by my training".

[@m_a_r]

Hi. In South Africa, we are treated according to what the physical therapist deems appropriate, even if we have insurance. The therapist submits the claim to the medical insurance, and any fees not covered by the insurance must be paid by the patient.

[@daala6698]

Re shoulder plus wrist as a coordinated treatment. If the doc says “elbows” it will include both. This is a permissions workaround.

[@cherieblizzard9585]

Thank you Matthew. You are helping me avoid a second hip replacement, so i can keep doing backflips off the high dive at age 72+.

[@Uprighthealth]

PLEASE SEND VIDEO!!!! 😀

[@cherieblizzard9585]

@@Uprighthealth i don’t know how to send videos. The one i have is in FB messenger, from when i was 68, before my first replacement. My dr says he puts replacements in but doesn’t repair them if i mess it up, & it is like a splitting wedge that will split my femur if i land on it hard enough. I don’t think i could send the video to an email address. I started watching you cuz my son’s name is Matthew & my daughter’s spine surgeon’s name is Hsu.

[@Benjiffy]

Actually horrific. As someone whose life has been destroyed by arthritis and surgeries, the “just following orders” excuse doesn’t work for me.

[@92yrsyung]

its like we are living in one giant re creation of the Milgram experiment

[@Benjiffy]

@@92yrsyung interesting fact: people who were told “you must obey, you have no choice” in that experiment, refused to continue.

[@92yrsyung]

@@Benjiffy absolutely ! absolutely ! its one big fat business model ,its criminal and people need to understand they are participating in fraud and harm in exchange for that "well paid carreer" and it absolutely needs to stop TODAY

[@alyssakeezer8681]

That’s just terrible! The insurance companies, once again are dictating our level of care. This is very disappointing because my mom is going to start therapy on a shoulder fracture. I wonder if she’ll get the best therapy? She’s 90 and already has that against her.

[@ItsMefromSnuffys]

Matt you are so intelligent and talented. Thank you for everything

[@saleemahfareed4495]

Thanks for sharing 😊

[@petrawagner4946]

Love your amazing videos and your approach - I have been trying to follow the same approach for years it it is hard to when the medical industry doesn't use common sense and biomechanics. Many thanks for your outstanding work!

[@michaelparry1383]

Unfortunately, as with many areas of health and medicine, just follow the money to see why or why not things are done.

[@Joe-pb3lx]

i agree and feel that way about going to PT.......i feel like they are not giving you the full treatment......i watch you and other PT channels and get way better results......

[@sharonmitchel1377]

I get better results from this channel and Alyssa Kuhn too.

[@missmishpot]

This is great information. I myself worked with an excellent fitness trainer who really focused on chains of movement and addressed very painful trigger points, and with some observation, pointed out that I have loose ligaments, thus I need to strength training to gain both muscle memory with good technique as well as tighten them up to put less stress on ligaments and joints. Big game changer! Doctors just wanted to talk about deterioration and arthritis (which everyone with a few years on us will present in a scan) with little more to offer than cortisone shots and possible surgery. 😕 Strengthening the muscles and learning good technique, muscle activation, controlled stretching, and fascia trigger point release were and are lifesavers IMO. You can get past pain without surgery in many cases.

[@Uprighthealth]

AWESOME STORY. Thank you for sharing this with others!!! If you ever want to share this story in more detail, please get in touch! uprighthealth.com/contact

[@ItsMefromSnuffys]

THANK YOU SO MUCH FOR TELLING THIS IMPORTANT INFO.. MATT YOU ARE GREAT….

[@GirdsHerStrength]

Found a great physio after a rear-ender. My wrist kept feeling like it was out of joint and previous physios were treating the shoulder, but this guy noticed my pelvis was rotated and treated that until it was level again. Wrist pain went away. Physiotherapy needs creativity.

[@natashanaples]

this information is WILD. thank you os much for sharing.

[@marytomskicrane7189]

I wasnt getting better with epidurals n steroid injections and didnt know what to do. Found a video about glute activation, which i now do regularly, and get regular massages of my tight hips n adductors n hamstrings n glutes. Ny leg sciatica has reduced 80%. Must be a holistic approach....

[@drlorrie1019]

I’ve been doing toes over knees after bilateral knee replacement and pain so much better. PTs are mostly not creat8veand do the same exercises to keep you paying.

[@akeleven]

My physical therapy clinic was very helpful in help me explore expanded regimen as requested.

[@suzanneadamson1306]

Very enlightening. Thank you.

[@christinaturpin9464]

Ive had a terrible leg/hip cramp on my right consistently for the last 15 years. It gives me such horrible pain.This soooo happened to me! I couldnt believe it. Ive tried to fix on my own, lots of guess stretching but still same old problem. I finally broke down and went to a Dr. The Dr. dx me with extremely mild OA (level 1, and barely) but I kept insisting that it was muscular but I could figure out where on my own and needed help. Once they wrote it off as OA, they would not explore other possibilities. I was able to see a PT, and I suggested maybe IT bsnd or pirifoemis, or maybe one leg shorter, etc. but he did nothing to check other possibilities. No ROM testing, no evaluating my gait, nothing! He originally told me to get tested for Osteopenia just to cover all the bases and narrow down from there (im a strong 45 yr old that does weights and walks/hikes 5+ miles per day) and when i contested and insisted that this was a muscular imbalance issue, he broke down and told me the truth about how they have to play this insurance game. I was stunned. I never went back but at that point, i just went back to trying to figure this out on my own. 😢

[@daala6698]

You taught me the exercise that stops pain in my fingers. That exercise is arm circles. . FULL STOP. sic. It makes some kind of sense to me that the problem is in my shoulder blades and the arm circles are affecting my fingers through that Another way of looking at it is a heart=to=hands energy circuit If you experience it, it’s the truth. The same thing “believed” is a lie.

[@rstthree]

Not my experience w various PTs and insurance - spanning decades

[@annawozniak6807]

i doesnt work like that in Canada...i went into private clinic here...and i paid from my pocket ( i had no insurrance). And i have never got good help ( i have chronic back pain) . I went to several different...told about my problem that i do exercise and nothing helps me...they tell me i have to go see psychologist or learn to live with my pain...or they tell me i don't do the exercise correctly etc...never found anyone who helped me ( Chiro, physio, osteo)

[@buddy3892]

How is your sciatic nerve ?

[@VicBxxx]

Totally describes my experience with NHS - 6 years after arthroscopy (which made NO difference) changing my gate using my muscles and massaging my inner thigh - cured ! Ps they told me I needed a new hip … 🤬!!!!

[@bainm61]

100% agree with and validate his honest reporting of how the insurance companies control the care you get in America. And how the American medical association controls physicians and all clinical providers under them by deciding what is payed for and what is not. High power Dr's controlling all of medicine. Sounds crazy, but he is 100% spot on and it's true of all of medicine in America. I have worked in the front - and the back side of Healthcare for 42 years. Wealthy people get the best care - because their care is self pay and not insurance mediated. Our system is badly broken. Thanks for your honesty.

[@lynnwhitaker1660]

What about sports injuries (sudden lunge while playing pickleball) that cause ligament or tendon pain in front of hip area. Can PT still help??

[@azlizzie]

I wish I could figure out why my right hip in the front is still so angry after a year of trying to work out weakness. I'm so strong compared to former me but I can't seem to shake my habitual motion path and isolate the weak underperforming glutes.

[@janerobinson7078]

Though all of this is likely accurate I wish it included something to help with hip impingement other than a link. 18 minutes is too long to say insurance is messed up. 😢

[@Uprighthealth]

There are links to workouts in the desc. box. My whole channel has tons of exercises and workouts for your hips.

[@m2d5]

Matt, you are right! Health insurance has RUINED health care. When I figured this out I started going ONLY to the people who do not take insurance.

[@amanasd26]

So why couldn’t the treatment be classified as treating shoulder pain instead of wrist pain? Treat it as different malady from the wrist pain so that insurance can’t deny. Just wondering

[@mollytremblay1396]

That would be considered insurance fraud unless both diagnosis for both areas were documented. Then insurance doesn't want to pay for two issues at the same time. Totally nuts

[@amanasd26]

@@mollytremblay1396 yeah both would be documented. man you guys are so fucked in the US

[@moses5407]

As a physical therapist of over v40 years, I have. few comments. First, I appreciate your respectful attitude and have to agree that FAR too many PT's place politics ahead of solid principles ... and ignore the importance of considering the entire kinetic chain and the POTENTIAL impactions of both recent and long-term behavior patterns which may well be reversible with a broader view of the potentially contributing problems. That being said, it's not true that FABER and FADIR tests or ratification studies are without value and basis in both the literature and in clinical practice. But ALL findings must be viewed in properly framed context vs. taken as "single proofs". But I'm fairness it had to be said that taking a soft tissue only view of FAI is equally myopic. There are multiple structures and moment patterns that can contribute ... and the proper course of treatment starts with careful consideration of all possible elements and a systematic AirWatch to addressing and eliminating each possible cause before any invasive, surgical surrogacy is considered.

[@Uprighthealth]

Thanks for your perspective. Would you mind sharing any studies that demonstrate validity of the FABER and FADIR tests? I've searched and there are NONE that demonstrate usefulness of any kind for identifying the cause of someone's hip pain. If there is one that refutes the many papers that have shown their uselessness, I would love to see where they are and how they were constructed. I've dived quite deep into FABER and FADIR and cited and explained everything here: www.uprighthealth.com/fai-tests One part particularly relevant: A 2015 study took on the diagnostic accuracy of FAI clinical tests...“Currently, no physical examination tests can accurately confirm or discard the presence of radiographic FAI” and “other studies have been small and suffer from spectrum bias, using subjects with hip pain and intra-articular pathology.” Results were dim, with the study concluding “Clinical tests for FAI generally lack sensitivity.”

[@moses5407]

Sure! If be happy to. I'll do that a bit later. I'm out and about in errands at the moment but always interested in fact based discussion. 👍

[@moses5407]

I'll respond with references on the usefulness of FABER and FADIR as indicators of intra- or periarticlar hip pain but, having reviewed your article, let me make a few comments. First, any competent orthopedic exam is a comprehensive rule OUT process based on systematic evaluation of the static/non-contractile, bone and ligamentous structures which can be sources of pain, loss of stability, etc. AND the contractile/dynamic musculotendinous elements which can be primary causes or contributord as well. It also includes neurovascular eval and consideration of any relevant metabolic and hematologic disease contributors ... among many other factors. So, using any test as a single source of truth to rule IN a specific diagnosis is already off on the wrong track. These studies you cited are meant to assess the potential contribution of specific FABER/FADIR tests as strong or weak indicators of FAI, specifically ... not to assess their value as indicators of structural hip pain in general. They weren't designed to be that specific but that doesn't mean they aren't useful for identifying and confirming hip pain of many possible causes. So, if you're looking for literature showing that FABER/FADIR or MRI/CT/XRAY or local injection can be used individually as an "A-ha!"/pathognomic test for FAI to the exclusion of other considerations, I'd say you're asking the wrong question. Proper evaluation is a "blank sheet" data gathering process based on presenting complaints and associated history ... and in almost NO case should a conclusion be reached without a weighted consideration of all data gathered. Sure, people misuse tests but that doesn't invalidate the test when used properly. And misuse of one or more tests in isolation does not invalidate the fact that many (not ALL) symptomatic FAI cases have a predominantly boney component which, when addressed with conservative surgery following failed conservative rehab, dramatically reduce the presenting problem, at least up to the 10-15 year follow-up time currently documented. It's not all soft tissue every time ... but I agree that failing to address failure of dynamic stabilizers is a big mistake and a violation of the proper rule out approach to diagnostics. It's done wrong all the time ... but don't throw the baby out with the bathwater . FABER/FADIR, the Stinchfield maneuver, C-sign, fluoroscopically guided injections, AROM, PROM, strength testing, neuromotor control testing all have their role in combination ... none in isolation. On Sun, Jul 7, 2024, 10:57 KZbin wrote: KZbin Logo 🌟 @Uprighthealth replied to Jim Moses's comment 3 Things PTs Won't Tell You About Physical Therapy for Hip Impingement @Uprighthealth Thanks for your perspective. Would you mind sharing any studies that demonstrate validity of the FABER and FADIR tests? I've searched and there are NONE that demonstrate usefulness of any kind for identifying the cause of someone's hip pain. If there is one that refutes the many papers that have shown their uselessness, I would love to see where they are and how they were constructed. I've dived quite deep into FABER and FADIR and cited and explained everything here: www.uprighthealth.com/fai-tests One part particularly relevant: A 2015 study took on the diagnostic accuracy of FAI clinical tests...“Currently, no physical examination tests can accurately confirm or discard the presence of radiographic FAI” and “other studies have been small and suffer from spectrum bias, using subjects with hip pain and intra-articular pathology.” Results were dim, with the study concluding “Clinical tests for FAI generally lack sensitivity.” REPLY If you no longer wish to receive emails about comments and replies, you can unsubscribe. © 2024 KZbin, LLC 901 Cherry Ave, San Bruno, CA 94066 KZbin Twitter Error Icon Address not found Your message wasn't delivered to [e-mail] because the address couldn't be found, or is unable to receive mail. LEARN MORE The response was: The email account that you tried to reach does not exist. Please try double-checking the recipient's email address for typos or unnecessary spaces. For more information, go to support.google.com/mail/?p=NoSuchUser ---------- Forwarded message ---------- From: Jim Moses To: [e-mail] Cc: Bcc: Date: Sun, 7 Jul 2024 15:51:01 +0300 Subject: Re: New reply to a comment on "3 Things PTs Won't Tell You About Physical Therapy for Hip Impingement" ----- Message truncated -----

[@vcbrittney4072]

This is exactly why I left healthcare. As a practitioner and as a patient.

[@enaid7911]

Thank you ❤🎉

[@audreycolantuoni2414]

PT can do more harm than good. Be very careful and protect yourself.

[@pamelacaldwelljeses1418]

Thanks!

[@Uprighthealth]

That's very kind of you!

[@Gastinochwan]

Hello, I hope you're doing well, is there a way I can email you to explain My situation? I am just about to purchase the healthy hips program bug j have a couple of questions to get off my mind.

[@Koronajewell]

Have you dealt with hip joint issues due to amyloid build up from kidney dialysis?

[@cyndylee147]

Very interesting!

[@johannagracejordan7162]

Matt, what is PHD you are referring to at end of video? You said it was on the bottom of video here but cannot find it?

[@karysmuh]

@@johannagracejordan7162 he said PHT, Personalized Hip Therapy. If you check the description of the video you’ll see it in there.

[@Uprighthealth]

PHT (personalized hip therapy). Link is in the description box!

[@jimmyjay6497]

I’m at the THR point. I DONT want to be cut up but the X-rays ante ugly!! I’m a goalie and I feel it’s over If I get the THR. I’m going to fight it back and see but it may be ova. I can’t sit for long periods AND IM A PILOT 😂😂🤦🏽‍♂️

[@Ecclectic_citcelccE]

A$$-tabular sounds like an appropriate description for the insurance system of treatment.

[@keenie7681]

It's so depressing especially if you have to go on Medicare and have a low amount of Social Security. One feels disposable. I learn so much from people like you. Grateful 🙏

[@cherieblizzard9585]

What surprised me is that you dared speak the truth.

[@nobukazumikami5466]

Why do physical therapist make older people perform chair-sit-stand exercise? Nobody fall on a chair. People fall on a floor. So, people should be performing floor-sit-stand exercise. Of course, they need to perform other strength training for arms, lower back and so on.

[@marytomskicrane7189]

Because some people aren't strong enough to get off the floor....

[@nobukazumikami5466]

@@marytomskicrane7189 Why aren't they strong enough? It is because PTs do not help them build "functional" strength. Chair-assisted (for balance) squat is a very fundamental exercise for people who cannot get off floor.

[@marytomskicrane7189]

@@nobukazumikami5466 My pt taught me squats n other strengthening exercises, but we didn't work on getting up off the floor.

[@googoo554]

Thanks so much