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Unpopular opinion: Copenhagen holds will not solve your groin pain because most groin pain is not caused by weak groins It's an oversimplification of a more complex problem The best groin rehab starts with good movement quality

Loss of hip internal rotation can be a precursor to groin pain Players lose hip rotation over the course of sport seasons from the demands of sport Measure➡️ Monitor➡️ Intervene

New study: 89% of NHL players who undergo hip surgery return the following season with no difference in on-ice performance The success equation of hip arthroscopy is simple: Success = good surgery + good rehab + good training pmc.ncbi.nlm.nih.gov/articles/PMC11…

Coaches just wanna coach😅

Building glute strength after hip surgery can be as simple as: 1) Restore lumbopelvic stability 2) Groove and strengthen motor patterns 3) Develop explosive ability Check out this paper for more ⬇️ ncbi.nlm.nih.gov/pmc/articles/P…

Hot take... 9/10 times Copenhagens are not the solution to groin pain The idea that strengthening a structure to resolve pain is flawed All groin pain has a cause Most times groin pain is the symptom, not the cause Find the cause, find the solution

Preparing for hip surgery should look the same as performance training...just modified movements Glute bridge for end range glute max strength Pin squats to avoid impingement positions Battle rope intervals for cardio Pre-op is not a good time to get weak

The first step to improving hip mobility is improving rib and pelvis positioning Without those, we're creating flexibility on a poor foundation of stability

I see a misunderstanding in how people see rehab exercises It's like they're not meant to be that challenging They should be able to breeze through them The science is the same Building strength requires effort regardless of where you start from

Banded traction for hip mobility is like trying to pull an 18-wheeler with dental floss

Random thought: FAI is a movement-related condition That we solve, in most cases, by surgically removing bony restriction and repairing the labrum But not addressing the movement impairments that brought on symptoms in the first place?

Hip and groin pain in athletes is often attributed to change of direction and lateral movements Yet most never evaluate these movements 4 things I always look at in COD/lateral movements: 1) Foot position 2) Step width 3) Loading the hip 4) Trunk rotation/side bending

When squatting, people with FAI showed: - Lesser squat depth - Less hip IR - Greater pelvic tilt - Lesser hip extension torque To get back to squatting, rehab should focus on: - Build glute strength - Pelvis control - Hip mobility linkinghub.elsevier.com/retrieve/pii/S…

I have a younger client awaiting hip replacement after years of hip pain. Here are some examples of exercises she's doing to get strong before surgery: - DB glute bridge - Cable pull-through - Wall march ISO - TRX Fallout - Bird Dog Row There's always a way to get stronger

Hot take: Hip 90/90s are to the hip as the the sleeper stretch was to the shoulder Soon people will realize that jamming a joint into itself may be doing more harm than good

Russian step ups are great for strengthening the hip after surgery: - Trains strength and stability - Easy to load (DB, BB, weight vest) - Progress/regress by changing box height

Study shows that increases in hip strength only explains 11% of the improvement in symptoms and function during sports in athletes with groin pain when using a movement based rehab approach. Movement quality > Movement Quantity pmc.ncbi.nlm.nih.gov/articles/PMC84…

If I really wanted bulletproof hips, I wouldn't do: - 90/90s - Banded traction/distraction - Hip CARs I'd buy body armour

The push towards tech and data in rehab is leading to the loss of clinical skills A big one is the "coaches eye", or the ability to observe movement "Observation collects facts; reflection combines them; experimentation verifies the result of that combination" - Denis Diderot

Turns out I'm the oldest player on my rec hockey team With a long history of nagging injuries, here's how I still keep up on the ice - Lift weights 3-4x/week - Sprint - Eat whole foods - Sleep 7-8hrs - Water > everything Being healthy is hard, but it's not complicated