I can’t believe I am replying to you again, Mr. Stern But I will give it a go…
You are correct, I am criticizing a large component to that video. However I am doing so as someone who was an elite post-collegiate athlete, who had bilateral hip impingement and labral tears on both sides, and has worked with about a dozen different orthopedics, as well as close to two dozen PTs, chiros, and some really truly great minds in the strength and conditioning field.
I can truly appreciate the info in your post. You are dead on with a lot of the current literature regarding types of hip impingement, etiology of labral tears and the difficulty in diagnosing them, as well as the biomechanics and forces that are believed to cause acute tears.
The reason I am criticizing that video is because I have had quite a few PT’s and also strength and conditioning professionals attempt to help me do those very techniques. Some of them felt oddly good while others did not feel so great. Oddly, I could not feel too much acute pain (except for the obvious pinching sensation that is classic for impingement). These mobility type exercises and stretches were combined with some very general movements in terms of easing back into squats with lighter weight, dead lifting, lunges, etc. I started to notice that my ability to generate power was slowly decreasing, I was feeling tighter after a few months of this “therapy”, and my hips felt unusually stiff (although I had no debilitating pain).
The reason I suggest imaging to the OP is because he has mentioned to most of you that he’s tried most of these techniques till he is blue in the face and seen little to no response from his hips. I was unfortunate to find out that all of the stretching and mobility type drills (many of which are in the video above) were adding to my problem. They caused excessive cartilage damage within the joint. I can attest for this because I had multiple types of imaging taken BEFORE I did these exercises and was able to compare them after close to 3 months of doing them.
Now, that doesn’t mean that would be the case for the OP. If you go back and read my post I said:
“I’m not saying not to attempt anything from the video - but if I was in your shoes I would get evaluated by an orthopedic who specializes in hips. I would want a X-ray done of each side and an MRI Arthrogram to evaluate the condition of the labrum. Even if you don’t have FAI, ANY type of problem should show up with those two types of imaging (if there is one at all).”
I still stand by that. Having been through 2 major hip surgeries, I am extremely big on taking caution and knowing what you are dealing with before you attempt to blindly treat it or force a joint into a range of motion it doesn’t want to go in. I don’t mean to call you out a second time, Mr. Stern, but have you had bilateral hip surgery? Have you worked with 2 of the top 5 hip surgeons in the United States as a patient? The surgeon who I decided to work with works on mainly athletes, and ones at every level from HS to professional. He’s VERY conservative. He was unwilling to even discuss surgery as an option until we tried just about every type of therapy possible. The trick to getting good imaging and advice is seeking out someone you feel comfortable with. Not all surgeons are out to take your money. Some are truly passionate about what they do and helping people get back to the sports/activities that they love. Again, for a second time, you disappoint me. Consulting with a surgeon does not mean surgery is the ultimate outcome.
The fact that you are regurgitating demographic facts about labral tears and hip impingement means absolutely nothing. By “Kelly Starlet” I am assuming you mean Starrett. Quite frankly, I think he is awesome. He has some great advice for individuals who do not have ARTHROKINEMATIC or CONGENTIAL joint problems. His advice can be applied to a wide population of people who have chronic tightness and imbalances and decreases in mobility due to soft tissue problems and poor postural habits or overuse. If you have read his blog or watched enough of his videos, you will know he gives the following advice:
“Be cool. Use at your own risk and stop if you think it?s gonna hurt you, your spine is going to come out your throat, or your face goes numb.”
He does not pretend that his techniques and ideas are for every case. Speaking from personal experience, I dearly wished someone had explained to me the risk factors involved for different types of strategies (such as WOD). I don’t expect anyone to know exactly where I am coming from (it’s hard to put yourself in someone else’s shoes) but I can say that my only intention from the post above was to warn that depending on the problem within the join, it CAN CAUSE HARM. Doesn’t mean it will happen to the OP, or you, or anyone else, but it’s a possibility. Sometimes sucking it up and paying a co-pay for a consult and an MRI is smarter than attempting to tip-toe through a field full of land mines when it’s dark out.