BUTT muscles not WORKING....check the HIP JOINT?

[@andrecampos3795]

Thanks a lot, Very good. You are a very good teacher. If I live in Europe, I will do all your courses.

[@JohnGibbons]

Thanks for the comments. Regards John

[@bobbygSMP]

Amazing info by JG again. Such a Brilliant teacher..

[@JohnGibbons]

Glad you think so! Regards JG

[@mamaof2176]

I wish I could see Josh as a patient. I live in Alaska and we are lacking in this field. I can not find knowledgeable doctors here.

[@JohnGibbons]

You mean John but thats ok, you never know I might visit Alaska one day...regards JG

[@mamaof2176]

Sorry, I do mean John. U are amazing. Alaska is great in June or July!

[@jfjf689]

Finally something usefull in the world of nocebotube XD

[@Hopeful887]

Can sacroiliac joint problems lead to Gmax inhibition ?

[@JohnGibbons]

Potentially yes - regards JG

[@saracarr6457]

I know someone who is extremely restricted in internal rotation, has a positive result on fabers, passive hip flexion sends the knee way out of line away from the body, very externally rotated foot. Could this be something to do with the capsule? Glutes not firing correctly, quads tight, as are adductors.

[@JohnGibbons]

Sounds like a hip pathology to me, if they are older then maybe OA - otherwise look for a labral tear of a FAI....regards JG

[@mreudeco]

My knee to chest movement is hardly anything. How do I improve it?

[@JohnGibbons]

Sound like an hip joint issue - try and see someone like me to take a look, regards jG

[@emmaclaire3603]

So what does one do when they have a tear ? I've been told I can't have a repair due to arthritis. I want to continue exercising but I get pain in the groin & also electric shock sensations in the glute. I was strengthening my glutes before but cant say it's making much difference & my hip flexors are constantly short & tight no matter what I do

[@JohnGibbons]

Emma claire hi Emma, you can try a guided ultrasound steroid injection first and see if that helps reduce the pain and take it from there...good luck, if you come to oxford I can have a look and let you know what I think. regards JG

[@emmaclaire3603]

John Gibbons I had the ultrasound & it did help for a very short period. I'll consider coming to Oxford.

[@JohnGibbons]

Emma claire Thanks for the reply and maybe see you at my clinic. Have a great wknd, JG

[@misterbulger]

Meee tooo. I had FAI surgery 7 years ago... Thinking it's time for a hip replacement or at least a revision. I'm only 35 tho so trying to avoid a THR.

[@neilmarshall2315]

So if the Faber and Fair tests are positive, are the solutions mainly surgical, or potentially, can extensive work on improving the ROM (through MET, stretch, muscle training...) work?

[@JohnGibbons]

Tricky one to answer as a lot of my patients with a Labral tear / FAI are normally women with mobile hips so stretching I believe is not really recommended - if they train their Glutes then they normally say that they struggle to engage these muscles - this is because the hip pathology is neurologically switching off the Gmax and maybe Gmed so the muscles becomes inhibited and normally the psoas is facilitated as protecting the hip so back pain follows. I suggest a U/S guided steroid injection into the hip before surgery is indicated as a lot of the time it will settle down after the injection. Hope that helps, regards JG

[@vajaynunthandass676]

If there's no infringements we need the proper medications to be explained to patients from 3rd world with doctors only prescribing inferior and over the counter medications for acute and chronic pain.

[@JohnGibbons]

Thanks for the message, regards JG

[@altaykosova5910]

can one of the reason that hip joint restriction of external or internal rotation is about anteversion or retroversion of femur to? i mean problem of centralization femur in acetabulum. so i think we should do craig s test to. what do you think?

[@JohnGibbons]

I agree that if you have an anteverted or retroverted then the external and internal rotation will be limited so worth checking first. Regards John