A prescription for someone's hip pain may be: single leg stane on a BOSU with hip abduction, core stabilization on a physioball, soft tissue release of the psoas, Turkish get-ups, hip long axis traction, hip extensor strengthening, IT band foam rolling. My prescription for this patient may be: loaded hip extension. This is not an exaggeration. This is a representative example of what a patient might get for his complaint of hip pain with other clinicians and what I often give patients with a complaint of hip pain.
The logical question is why does this happen? The answer lies in the fact that I look at the neuromusculoskeletal system differently than other clinicians. Compared to 10 years ago, I evaluate differently and diagnose differently now. Ergo, I prescribe different treatment plans. I find that most orthopedic disorders are joints not moving well and therefore the treatment is specifically directed at getting them to move normally again.
Is there a scenario in which I would prescribe all those things in the first example? Maybe, but I can’t imagine that case. I know those things exist if I need them, though, because I used to employ them.
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