I've spent 28 years, under pain management control for chronic bilateral sciatica, PT etc. it was last year that I began listening to people like you, thank you by the way. My life has changed to what it should have 28 years ago if people would have healed me instead of management. I have more mobility now and doing everything that I gave up on at age 56 when I could have had my life back at 28.. I get so mad at my Drs, I've seen since 2004,up to last year I quit them, quit pain meds and started training on RU-vid. I wear bearfoot shoes and now back to hiking, walking 6 miles etc. I still get hip pain, sciatica etc, knee, ankle but it's only because I'm using them again and still working on strengthening all those tiny muscles etc. the lust goes on and so does my journey. Mind you, I built a friendship with my clinic and Drs, almost considered them friends, every 3.5 months, trigger point injections and pills. I don't even like them anymore. Not once did they suggest acupressure for soas etc. I am pissed! But only at the Drs not at life cause now I'm living it mostly pain free or painless
Matt, last year I barely walked. First, I was told I needed a shot, then an arthroscopy procedure for the FAI and, finally, I was told I needed a hip replacement. I learned so much from you and the FAI fix. I stopped going to see any new doctors and now I'm walking and going to the gym. I can't run yet but, most importantly, I don't think anymore that "my life is over". I was also severely depressed. I'm not exaggerating if I say you saved my life. Thank you.
I couldn’t help thinking, while I was listening, that I suddenly understand why you are concerned about censorship. Big pharma and surgeons do not want people to hear this message. Thanks for teaching us-and for your courage.
19:20 YES YES YES!!! That is exactly what caused my low back pain: anterior pelvic tilt! And they kept telling me to do it more and more, and I got worse and worse....until one day the surgeon "entered the scene"....He stated, "I only have 3 tools in my tool box: PT, injections, and surgery. Therefore since the exercises didn’t help you, and neither did the injections, then you have to have surgery on your lumbar spine." I went to the orthopedic clinic originally with severe HIP pain, not back pain. But the PT only gave me exercises that put me in APT. He never gave me exercises for my hips. The clinic definitely had me on the road to surgery from the moment I entered the building. And I'm sorry to say it took me $5k and 2.5 months to figure that out. The good news is, I refused the surgery, and began looking for ways on RU-vid to help my hips. And that's when I found your videos on APT. Thank you, Matt!!🎉 Now I'm always thinking muscles. And I'm telling all my friends.
You are seriously amazing! Your family is blessed to have you as are your patients and YT viewers. You've taught me so much as well as keeping me motivated to continue through my hip issues...
Sending warm supportive thoughts your way I hope your journey with the aging elders in your life lends itself to moments of serenity and understanding ❤
I am 40 years old, I started having major hip pain in 8th grade football. After that I would frequently feel the need to reduce my hip, much like people feeling the need to crack there knuckles. When I was 25 I went to a sportsmedicine surgeon. I was diagnosed with fai. I was skeptical so I tried to get by without it for a few years. Then I decided to do the surgery since I couldn't improve the situation. My range of motion was immediately better and I didn't have the need to reduce or crack the hip joint. I had surgery on the other hip too. My range of motion dramatically increased on both hips. Eventually after playing alot of basketball my groin hurt so I went back to get more physical therapy. This new round of physical therapy was very beneficial. Once I addressed the asymmetry in my body I felt sustained dramatic improvement. Here is a link to describe the therapy I did. These are great videos and I am glad you are discussing in such detail. It took me a lot of time and patience to fully understand the mechanical problems I was dealing with so being patient is key ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-zk2ZRqvlRbo.html
This video was absolutely brilliant. I've known how B.S. the industry is when it comes to foot, knee, and hip pain and you put everything into words perfectly. So much oversight of such simple solutions. Use the muscles!
Oh wow. I had a PT that gave me some of those exercises, told me that I was not allowed to lunge, squat, stand on one leg etc. etc. I was also told that I would never be able to do much and that I would also be in constant pain because my "knee is crooked". Well, I am still on the road to full movement with a new PT and I can do anything. The new PT tells me the sky is the limit!
Matt, coming across your videos changed the course of my declining hip and knees. In a fairly short time, my pain, weakness and limitations have improved so much! It truly sucks that the “professionals” in this field have us doing all the wrong things..it’s crazy!! Thank you again for your wisdom, kindness and insight! 💪
I really appreciate your radical transparency; your approach is refreshing and truly needed. The incessant and relentless wave of biased advice in the Orthopedic realm, where chronic pain suffers like me often suffer; is in dire need of more professionals like you.
This is so depressing. After 6 months of fighting for a diagnosis and in that time before diagnosis I was wasting time in PT for an undetermined problem. Finally got the MRI that showed the hip impingement in both hips, a torn hamstring attachment, deteriorated labrum and deep hip sockets what ever that is. Since I'm a Medi-cal patient they actually don't want to give me surgery so it's back to PT for me. I am hypermobile so can do any and all of these exercises. At 61 I'm not as strong as I used to be but still pretty strong as my work is very physical. The pain is terrible. I'm in the system that uses HPT and I can see that it's not going to help me. Sure I can demand surgery but I can't demand better PT. My only thought is to learn how I walk and move and try to change my gait, my posture and ways in which I move that don't let me heal. That's why I watch your videos and a few others. It's a good education about many things but so far hasn't been helpful for figuring out what to do. Thanks for the relevant content.
If you're already hyper mobile, make sure you're focusing on building strength strength strength. check out my follow along workouts and don't be afraid to add a little bit of weight/resistance to encourage muscles to get STRONGER. REST and worry won't make anything better!
I was diagnosed with left hip bursitis and lateral glute tear that's painful comes and goes. They found hip fissure on. My right but I feel nothing a little dust brush off. My left hip is weak sore and all my left side actually. Will the hip impingment work for me to try? I am flexible and do yoga. My pain tolerance is high. I need strength training I have gone to ortho. Received one cortisoone on my left hip and going back to PT w different pt I have gone to acupuncture massage therapy treatments dry needling. I want to try one of these programs but which one is right fit for me? My knees are sensitive too
I've had issues with bursitis in my right hip for years and the steroid injections aren't working now, just weakening everything holding my hip joint in place. I was referred to a podiatrist by my GP and she's been giving me acupuncture from the top of my hip bone and down my leg to mid calf. I've had 4 sessions so far and of all the treatment, that's been the most successful. The podiatrist has also confirmed that exercise to strengthen the muscles supporting the hip is vital to fixing the underlying problem, not masking it by taking painkillers and steroid injections. So you might like to give acupuncture a go?
@@Uprighthealth I had a partial menisectomy (discoid meniscus) when I as 19 yrs. I was a competive athlete. Before the surgery, I was told I would be back up and running in six weeks. I never competed in sport again. I developed immediate pain following surgery behind the back of the knee radiating into the calf. Quad and hamstrings tighted up, it I felt like I had a wooden leg.
Have you considered trying prolotherapy or PRP for your hypermobility? If the hypermobility in your SI joint is caused by lax ligaments then I highly recommend it. I have femoral acetabular impingement (with a labral tear) and SI joint disfunction for years and went to dozens of PT's who couldn't help me fix the hip issues because Hip exercises cause so much pain in my SI joints and that's because the crooks of the issue was hypermobility/laxity in my SI joint ligaments. Getting PRP was the only effective treatments for my lax ligaments and has allowed me to now rehab my hip when all other treatments failed (including Hip arthoscopy surgery with labral repair).
How do you feel about stem cell therapy? I am considering this treatment? I would love to hear what Matt thinks about this. I have si joint, hip, and bulging discs.
I will have to look into this. I haven't found anyone who takes me seriously because I do NOT have pain or a problem until I suddenly start going crooked--the bottom half goes to the right and the top half goes to the left. It then affects my hips too. I have to lie flat for days until I start to straighten out. Can't sit or walk because.of instability in my spine. By the time I can finally get in to see the doc; there is nothing to show.
I have the same issues as you. There are several different alternative injection therapies. They are not usually covered by insurance and stem cell is very, very expensive. In my case, stem cell was recommended, for various reasons. I also have imbalances that can cause the same issues as you. Light glute exercises have helped me, but I overdo sitting etc. and I can get out of alignment again. I love watching Matt’s videos, but when I flare up, I have to be very careful. Do you have a Facebook page Renee? I can message you further about my experiences, if you want.
Had no idea how doctors are slaves to the professions prosurgery over therapy norm. I’ve found that also PT practitioner’s vary in skills tremendously! Thank God for utube,I had to look to Germany for successful self therapy relating to my pubic pain, saw no exercises in the U.S. at the time! Don’t get me started on statin therapy side effects , finally doctors are questioning the over prescribing. I’m new to the feeling of little trust in physicians; and finally doing my own investigations for therapy’s.
Great content as always! I have got 2 questions for you, please. Sadly, my shoulder was dislocated by pushing it backwards in a horizontal position of 90 degrees in a football match and I have been diagnosed with Bankart Lesion and Hill-Sachs Deformation. I'm a bit lost about if I get surgery. 🤓This is my first dislocation and I am 26. If I strength rotator cuffs and get muscle balance related to the shoulder (chest & back) Is there a chance to swim or to do sports again without surgery? Does labral tear repair its own? Thank you.
Watch these videos. VERY useful perspective for you. FYI, Trevor is a personal friend and former coworker. ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-Hix3BIQ3msQ.html ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-pDcFuMkiQk8.html
Are there any scientific studies evaluating the “fai fix” program with before and after outcomes? I’d love to look into this, but prefer to see evidence that it actually helps.
I totally understand your point but what I can't get my head around is how biomechanically a CAM FAI is not going to mess up a joint over time. A CAM FAI guarantees impingement at a certain range of motion. An active person over a long period of time is going to, at some points, move their leg through the full range of possible motion. Even if being careful, you'll eventually do so accidentally. Therefore an active person would be guaranteed to at some point experience impingement. I also struggle to see how the impingement of grinding bone on bone, or bone on labrum/cartilage, is going to do anything other than degrade the joint. Please, please, please can you explain that one because I would desperately love nothing more than to avoid surgery. I just cannot see how the mechanism for damage can be avoided without reshaping the bone.
I unfortunately tend to agree with you but hoping we're both wrong. I'm a physiotherapist and have been trying to manage my new onset of hip pain for 10 weeks that's aggravated from surfing (heaps of flexion and internal rotation). I've had an Xray which was unremarkable and have an MRI tomorrow with likely referral to hip specialist for arthroscopic surgery.... if MRI confirms bony lesion/labral tear supports my symptomatic hip. Would you please share a bit of your background? Cheers.
Would’ve loved to hear a reply to this one, I agree that no matter what building the muscle and any range of motion will help but like you said, half of the things that I’m to do for building those muscles cause pain/ over working my other side which then causes pain on that side as I’m sure I have the same cam on both sides but the left just is “much worse” and have seen imaging of it. Whatever gives me the BEST SHOT at having a life full of golf and hiking is what I want after 4 months of dealing with this
@@BogeyParEtc I think it's going to depend on the damage that you've already done and how severe the impingement is. My pain mostly went away with basic physio and rest after 3-4 months and completely went away after around 6 months. The impingement was on the less severe (although concerning side) so I bailed out of surgery and focused on physio and then personal training with a physio to improve hip function. So far it's paid off but I constantly have the risk of hip degradation hanging over me.
@@anatidaephobicduck thanks for the reply man! I’m hoping to follow in your footsteps. Will do whatever is needed to get me back to my athletic self again though.
This was a very informative. However I have more questions than answers. Is your problem with the PHT protocol or with FAI surgery? You say that the surgery is not that good right now but don't cite anything for that claim. You've only dissected one, and only one study. I feel like you're doing a disservice to those in pain brother. You're saying surgery is no better than a horrible physical therapy protocol. Then you say your program is free but you have to pay for it on your website. With more people were like the knees over toes guy. You're trash bud
Wow! There's a lot on ongoing contradictions in physical therapy for hip pain. I've been in PT for years. They sure do like to milk that insurance cash cow.
I find it quite disingenuous to assume orthopedic surgeons are only concerned about bones. P.s. not a surgeon. I appreciate your intentions here but let's not get carried away
Matt, you're a good man. I have none of these issues, never have had, but at 64 I don't want them and visiting your channel I know what to keep ticking over and keep an eye on as I get older.
Thank you, Matt. ❤ Excellent info to consider. ATM is a great mantra. Am working on glutes to help. Riding, biking,& sitting over time, I believe have caused muscle imbalances.
I really like some of your videos, BUT, the beginning of this video really smacks of conspiracy theories. I'm sorry you had hip issues, but an "I found Jesus" attitude can be just as dangerous as unnecessary surgery.
Have been doing your exercises for hip pain (also in knee) and everything you say is right on the money...have gone down the wrong stretch path and regretted it....I do your hip impingement exercises and they work (but am reversing 40yrs of tightened hips (one side),lost glutes from steroids for tumors,and walking unbalanced for 2 yrs from same tumors....but coming right now.
@@Sealust50 For me I was on steroids for medical condition and lost most of butt and leg muscle which turned into...hip impingement because of tight hip flexes and no glutes as well as pain in knee from IT band....if you google "upright health" and tight hip flexes or hip impingement or IT band he has numerous excerises.....do the stretches and strength at any length and take a a day off in between,he has a lot of good advice,worked for me.....once you follow along you will soon see which things are tight.
Maintain weak muscles 😐😪😩😫😖😖😓😠😠 manage pain, never get better. Restoration recovery goals impossible to get achieved. Oh grief. Every injured Patient is looking forward to Restoration of their whole body Health, & EMOTIONAL BALANCED HEALTH daily. 😃😄👍👍👍👍
I have resting had bad hips for a while (dental hygienist and a 18 month baby) and one day my hips completely went out where i could not walk without a limp and cannot lift my left leg. Nothing ever popped or a specific time that any injury occurred. Orthopedic suggested resting for two weeks and use crutches and that i have a possible hip avulsion (33 yr old female) Resting hurts so much but I am scared I will pull more bone off by stretching. They want to repeat a X-ray in 2 weeks to check for any differences. A chiropractor told me that even if i did tear a piece of bone off from a contracted muscle, it’s already off and i need to fix these muscles by stretching. Would you agree? Or would avulsion = bed rest.
None of it s working for me sadly. Cam impingement on mri ...positive ...some days just nagging, tight, low back pain. Other days, the above plus pain in hip joint ,pain shooting down the outside of my knee. I struggle to lift knee up and hold. Any suggestions appreciated...it.s debilitating and v depressing. 😢
I felt very validated by this video. I have been doing physical therapy prescribed by my doctor for a couple of years, and the protocol is always the same. A physical therapist works on me for 15 minutes and then sends me to an 18-year-old who tells me to do exercises that I could be doing at home. No advice on functional movement. I have been to several physical therapists in the last couple of years, and it is always the same. I am sure there are some good ones out there who do more than this, but I can't find one. I hope to find someone who specializes in this area and that is covered by insurance! Thank you for this video. I look forward to seeing your others. 🙂 Could you direct me some videos that you might have about what stretches and exercises might help this situation? Thank you!!
Love your vids! I'm looking through your videos trying to find one that applies to my specific situation - very sharp pain in hip joint when doing inward rotation that I've been told may be a labral tear. Any advice on how to identify exactly what the issue is and what type of therapy could help? It doesn't seem to be a major tear as I am still able to do crossfit and yoga, but at 55 years old, I just have to be a little more cautious on inner rotation on that side. Much thanks!
Hi, I lived with that type of pain for way too long. I experienced excruciating pain during adduction. The FAI fix helped me a lot. It's very time-consuming but it helps!
Some more advanced PT always helps me some but the minute I get busy with life and I miss the exercises for like a month, I'm back at square one. Or I'll buy a different brand of shoes (not cheap ones) and I fall apart.
So glad for this video- been having increasing issues with my right hip and mentioned it to my dr and he mentioned possible FAI which may be likely as I used to be a long distance trail runner before my health was decimated by tick diseases and indoor molds. He said the standard tmts include PT, steroid injections and possible surgery.. that doesn’t sound so right to me esp since I am a bodyworker who has been training in the jean-Pierre barral methods of visceral and neural manipulation and we have done work on the nerves as well as the muscles & ligaments of the hip and pelvis including the pelvic bowl. I am always curious what the mainstream medical community recommends for different things and I have been pretty discouraged and sickened by how little they actually help with so many things. Thankfully I grew up with a lot of medical people in my family and they all say don’t go to Dr unless you’re dying lol. Unfortunately tho, the closest therapist who does the manual therapy that I know will help most is 2 hrs away.. so that’s 4 hrs of driving and $125 for an hour apt… but it’s worth it to avoid this slippery slope of crap.. I believe my current dr really does care and wants to help but i also believe he is very misinformed and misled. I will take the next apt and let him test my hip as I’d like to see what that entails and also see what the X-rays show.. but I will also be making an apt with the private practice PT who is 2 hrs away who has been trained in these methods that I believe will be most helpful. I also do this bodywork and it’s important for me to know what my clients are dealing with physically and how their drs may recommend dealing with their conditions so then I know how these other treatments may be more beneficial. Again, thanks so much for this info and thanks boney for your input and questions lol, great stuff!
You are so wunderfull. Thank you for explaing soooooo goooood😊 I am from germany and I am so happy,that I found you. My englisch is not so good, but I get enough to unverstanden, that I can do a lot to get heal.😊
Your friend Bony is really smart, but he needs a lot of work on his musculature. But I don't really trust that mystery guy with the shiny star glasses.
I'm curious - you've made several videos about FAI surgery and studies, and it's obvious you feel strongly. I was wondering if you'd made contact with any of the surgeons doing these studies with the possibility of using your own programme instead of PHT?
I have not as I honestly have never even considered there would be even a slight possibility they would consider any other path. The other types of studies these surgeons publish do not show even the slightest inkling of opening to the idea that their treatments might be better replaced by more rational exercise regimens. I also cannot conceive of a way to fit a WELL-CONSTRUCTED and WELL-APPLIED individualized exercise program into one of these trials. The fact that such egregiously bad PT protocols are the STANDARD without severe protest from the PTs tells me that training and education to get the participating PTs up-to-speed would be a long process which would have its own big challenges.
I’ve just come across your videos . They are brilliant. I admire your courage I have to say speaking out the way you do ! Someone has to . As soon as I can afford it I will be enrolling in your back programme to sort out years of chronic pain . I’d be interested to know what you feel about the whole TMS / Mind/Body theory ?
How do you not lose your temper while exploding bad medicine? And I’ll disagree on one point. At age 66, I would be happy to schedule a manipulative therapist about once per week.
The orthopedic surgeon says it's because he has "vociferous" shaped jaw bones. Other skeletons have non-vociferous jaw bones so they aren't able to speak like Boney.
this preentation reflects my esperience with pts - they seem to be all focussed on ending you to do h ip replacement before they regenerate your movement.....
Unfortunately everyone makes more money that way. Literally EVERYONE except you (the patient). Hospital, surgeon, anesthesiologist, nursing staff, PTs, even the insurance companies (they just raise premiums every year to compensate for outlays).
I discovered an excellent exercise. If you can't do squats, then try doing them leaning on a short stool. It will get the ball & socket joints together. I am getting fast results.
If you've had fai surgery in the past can you lift weights ie deadlift or squad with weigh? I couldn't get any information off the surgeon he only said no running and no impact activities.
If you can't take the load of your own body on top of your hip for a small "impact," loading heavily with a couple hundred pounds probably isn't on the surgeon's "okay" list.
My N=1 experience with FAI arthroscopy and multiple rounds of physical therapy with a diverse set of therapists and protocols contradicts your insinuation that surgery is worthless. Surgery helped me make a step change in pain and performance. I’m glad I listened to my docs and not my parents. To anyone reading, be skeptical of “do your own research / contradict the medical consensus / listen to my overlooked trick” type of medical self help. It’s often grifting.
@@Uprighthealth Yes I can well believe it, building flexibility and strength is the answer , but I'll have to buy your guide for the exact procedures. I've got cam impingements in both hips so need to get them sorted. Cartilage is fine, thank goodness, according to the scan.
