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📌 FREE Guide -  Athletic Pubalgia & Sports Hernia Evidence Based "Cheat Sheet": https://fitnesspainfree.com/programs/athletic-pubalgia-cheat-sheet-lead-magnet/ 🎓 Insiders Academy - https://fitnesspainfree.com/programs/fpf-insiders/  👉 Transform your career with the FREE FPF Mini Course & gets some FREE CEUs for PTs, PTAs & ATCs. https://fitnesspainfree.com/programs/fpf-certification-presale-page/  ****** Sports hernia, athletic pubalgia, core muscle injury, Gilmore's groin… whatever you call it, diagnosing groin pain in athletes can be incredibly challenging. In this video, we break down the latest evidence on **sports hernia / athletic pubalgia diagnosis**, including clinical presentation, subjective examination, special tests, differential diagnosis, imaging findings, and the relationship between femoroacetabular impingement (FAI) and chronic groin pain. You'll learn how to differentiate between adductor-related, inguinal-related, iliopsoas-related, and pubic-related groin pain — and how to recognize when multiple diagnoses may be contributing to your athlete's symptoms. We also briefly discuss conservative versus surgical management, return-to-sport outcomes, and when referral may be appropriate. **Our goal? Help you become more confident evaluating athletes with persistent groin pain and making better clinical decisions.** Want to go deeper with evidence-based rehab education? 👉 Try Fitness Pain Free Insiders Academy for $1: https://fitnesspainfree.com/programs/fpf-insiders/  Insiders Academy includes evidence-based master courses, clinical cheat sheets, exercise progressions, treatment protocols, case studies, mentorship, and continuing education for rehab professionals. ****** TIMELINE 00:00 Sports Hernia: What Physical Therapists Need to Know 01:43 The Doha Agreement & Why the Diagnosis Is So Confusing 02:32 Adductor-Related Groin Pain 04:49 Iliopsoas-Related Groin Pain 05:49 Inguinal-Related Groin Pain 09:00 Pubic-Related Groin Pain 16:18 How Common Is Sports Hernia & Groin Pain? 18:37 Which Athletes Are Most at Risk? 21:52 Anatomy Every Clinician Should Understand 23:46 The Problem With MRI Findings 27:16 Risk Factors for Athletic Pubalgia 35:29 Why Multiple Groin Diagnoses Often Coexist 36:32 The HUGE Connection Between FAI & Sports Hernia 40:02 How Sports Hernias Develop 46:04 Subjective Exam & Clinical Presentation 52:05 Physical Exam & Special Tests 54:37 Imaging & Diagnostic Injections 61:20 Differential Diagnosis of Groin Pain 64:01 Conservative Treatment & Physical Therapy 66:26 Shockwave, Cortisone, PRP & Other Treatments 73:07 When Should Surgery Be Considered? 77:26 Return-to-Sport Rates After Surgery 81:51 Surgical Takeaways for Rehab Professionals If you regularly work with athletes experiencing groin pain, understanding the overlap between adductor-related groin pain, athletic pubalgia, core muscle injury, FAI, osteitis pubis, and true inguinal hernia can make your examination and clinical decision-making much more precise. ****** 👋 FOLLOW ME ONLINE: Instagram: https://www.instagram.com/fitnesspainfree/ Facebook: https://www.facebook.com/FitnessPainFree/ Blog Articles: https://fitnesspainfree.com/articles/ #DanPope #AthleticPubalgia #SportsHerniaDiagnosis #GroinPain #SportsHernia #PhysicalTherapy #PhysicalTherapist #SportsPT #ExercisePrescription #PTSchool #DPT #OrthopedicPT #RehabExercises #CoreStability #AthleticPubalgia #SportsRehab

📌 FREE Guide - Adductor Strain Evidence-Based "Cheat Sheet" https://fitnesspainfree.com/programs/adductor-strain-cheat-sheet-lead-magnet/ Thanks for watching! 🎓 Insiders Academy - https://fitnesspainfree.com/programs/fpf-insiders/  👉 Transform your career with the FREE FPF Mini Course & gets some FREE CEUs for PTs, PTAs & ATCs. https://fitnesspainfree.com/programs/fpf-certification-presale-page/  ****** Adductor strains and adductor-related groin pain can be frustrating injuries—especially when you're trying to safely progress an athlete from early rehab all the way back to sprinting, cutting, and sport. In this video, we break down an evidence-based approach to adductor strain rehabilitation for physical therapists, athletic trainers, strength coaches, and other rehab professionals. We'll cover how I think through the entire rehab process, including: - Early-stage loading and pain monitoring - How to progress from isometrics to heavier adductor strengthening - Exercise selection for the different hip adductors - Copenhagen adduction progressions - Squats, deadlifts, lunges, and kinetic-chain strengthening - When and how to reintroduce running - Sprinting, cutting, change-of-direction, and sport-specific progressions - Return-to-sport testing and criteria - Strategies that may help reduce future groin injuries The research supports an active rehabilitation approach emphasizing hip/groin and trunk strengthening, and the program in this video progresses from lower-intensity early loading toward heavy strength work, running, and eventually full-speed sport-specific activities.      We also discuss some of the newer research on which exercises create the greatest forces through the different adductor muscles, including Copenhagen variations, deadlifts, squats, lateral lunges, and more.      Later in rehab, the goal is to prepare the athlete for the actual demands of sport—including high-speed running, cutting, change of direction, kicking, and other mechanisms relevant to their injury.      Want to earn CEUs while learning this material? This type of content is also available inside Fitness Pain Free Insiders Academy, where you can take evidence-based continuing education courses designed specifically for rehab and fitness professionals—and earn CEUs while you learn. 👉 Join FPF Insiders Academy + Earn CEUs: https://fitnesspainfree.com/programs/fpf-insiders/   **TIMESTAMPS** 0:00 Adductor Strain Rehab Overview 0:33 Evidence-Based Rehab Principles 2:37 Best Exercises for Adductor Strength 7:34 Phase 1: Early Adductor Strain Rehab 11:41 Phase 2: Progressive Strengthening 13:27 Return to Running After Adductor Strain 16:35 FPF Insiders Academy + Earn CEUs 19:06 Managing Adductor Strains In-Season 22:46 Phase 3: Heavy Strength & Sport-Specific Rehab 25:55 Sprinting, Cutting & Return-to-Sport Preparation 27:14 Can Adductor Strains Be Prevented? 31:58 Copenhagen Adductor Exercise Progressions 34:40 Return-to-Sport Criteria After Adductor Strain 38:40 Key Clinical Takeaways #DanPope #PhysicalTherapy #PhysicalTherapist

🎓 Insiders Academy - https://fitnesspainfree.com/programs/fpf-insiders/  🧠 ACL Rehab Master Course [Mike Reinold & Kevin Coughlin] https://mikereinold.com/acl-rehab-masterclass/  📌 FREE Guide - ACL-Reconstruction Evidence Based Exercise "Cheat Sheet" https://fitnesspainfree.com/acl-reconstruction-exercise-prescription-cheat-sheet-lead-magnet/ Thanks for watching! Are knee extensions bad after ACL reconstruction? For years, clinicians have been told to be careful with open kinetic chain knee extensions after ACL-R because of concerns about anterior tibial translation, ACL graft strain, and potentially increasing graft laxity. But does the research actually support avoiding knee extensions? In this video, I break down the evidence on **open kinetic chain knee extension after ACL reconstruction** and, more importantly, how I think physical therapists should actually apply this information in the clinic. We’ll cover: • Why knee extensions place strain on the ACL graft — and why that isn’t necessarily a bad thing • Open vs. closed kinetic chain ACL loading • Why restoring quadriceps strength is so important after ACL-R • Research comparing closed-chain rehab with combined open + closed-chain strengthening • Whether early knee extensions actually increase ACL graft laxity • How range of motion changes ACL strain during knee extension • Why walking may actually strain the ACL more than lightly loaded knee extensions • How graft ligamentization should influence our thinking • Criteria for introducing open kinetic chain strengthening • How I progress quad loading during the first 4+ weeks after ACL reconstruction • Where BFR, isometrics, squats, and supine knee extensions fit into the progression The big takeaway? **Knee extensions aren't inherently “bad” after ACL reconstruction.** The more useful question is: **When should we introduce them, through what range of motion, with how much load, and does the knee currently tolerate that stress?** We need to respect graft biology, joint effusion, range of motion, the graft harvest site, and the patient's overall irritability — while also recognizing that being too conservative with quadriceps strengthening can create its own problems. If your athlete is several months into ACL rehab and still has a massive quadriceps deficit, simply avoiding knee extensions probably isn't helping them. This is where criteria-based progression matters. 📚 **FPF INSIDERS ACADEMY** Want more practical, evidence-based rehab education like this? Fitness Pain Free Insiders Academy is my online membership for physical therapists and rehab professionals. You’ll get access to a growing library of courses, clinical resources, case studies, CEUs, rehab protocols, and the ability to submit questions that I may turn into deep-dive videos just like this one. 👉 Join FPF Insiders Academy for just $1: https://fitnesspainfree.com/programs/fpf-insiders/  🏋️ **ACL REHAB RESOURCES** Want the exact exercise progressions, sets, reps, testing, and criteria we use throughout ACL rehabilitation? 👉 ACL Rehab Course / Resources: https://mikereinold.com/acl-rehab-masterclass/  ⏱️ **TIMESTAMPS** 00:00 – Are Knee Extensions Bad After ACL Reconstruction? 01:28 – Open vs. Closed Kinetic Chain Exercises 03:22 – Why Clinicians Worry About Early Knee Extensions 04:40 – Why We NEED Open Kinetic Chain Strengthening 05:10 – Quad Strength & Knee Re-Injury Risk 07:01 – What the ACL Rehab Consensus Recommends 08:09 – Early Knee Extension Research After ACL-R 10:32 – Starting Knee Extensions at 4 Weeks 13:00 – A Major Limitation of the Research 16:03 – Quad Strength Results: Open vs. Closed Chain 17:09 – Hamstring Strength Results 18:13 – Did Knee Extensions Increase ACL Graft Laxity? 18:43 – Criteria for Starting Open Kinetic Chain Exercise 20:30 – How Early Can We Start Knee Extensions? 22:18 – Walking vs. Knee Extension ACL Strain 24:13 – Using ROM to Reduce ACL Graft Strain 25:34 – When Is the ACL Graft Actually Weakest? 29:38 – Quad-Biased Squats After ACL Reconstruction 31:41 – Closed Chain Doesn't Automatically Mean “Safe” 32:50 – Supine Knee Extensions for ACL Rehab 33:45 – BFR + Low-Load Quad Strengthening 36:09 – Weeks 0–2: Practical Quad Progressions 38:21 – Weeks 2–4: Progressing Knee Extensions 39:00 – Week 4+: Loading the Quadriceps Harder 40:08 – Final Clinical Takeaways If you’re a physical therapist, athletic trainer, strength coach, or other rehab professional working with ACL reconstruction patients, let me know in the comments: **When are you currently introducing knee extensions after ACL-R?** And if you have another rehab question you want me to break down, drop that below too. #ACLRehab #ACLReconstruction #PhysicalTherapy #KneeRehab #QuadricepsStrength #SportsPhysicalTherapy

📌 FREE Guide - ACL-Reconstruction Evidence Based Exercise "Cheat Sheet" https://fitnesspainfree.com/acl-reconstruction-exercise-prescription-cheat-sheet-lead-magnet/ Thanks for watching! 🎓 Insiders Academy - https://fitnesspainfree.com/programs/fpf-insiders/  👉 Transform your career with the FREE FPF Mini Course & gets some FREE CEUs for PTs, PTAs & ATCs. https://fitnesspainfree.com/programs/fpf-certification-presale-page/  Show Notes: - https://fitnesspainfree.com/2026/08/the-complete-guide-to-acl-injuries-rehabilitation/ In today's episode we go over The Complete Guide to ACL Injuries & Rehabilitation - FPF Show Episode 198 ***** Want to master physical therapy for patients in the strength and fitness world?   Click on the link to sign up for the FREE FPF Mini Course and also receive the infographic "7 Reasons Why People Get Hurt in the Gym and What to do About It."  - https://fitnesspainfree.com/programs/fpf-certification-presale-page/ ***** Welcome to the Fitness Pain Free Show!  This is where we help physical therapists like YOU get your patients out of pain back to training ***** Want to support me?  Sign up for the FPF "Insiders" Online Library where you can ask questions I'll answer for future episodes! https://fitnesspainfree.com/programs/fpf-insiders/ 👊🏻Was this helpful? Subscribe to my Youtube channel for more! 🤔Have a question/comment? Drop one below in the comment section - I love questions and they help the channel grow! ***** 🧠 WANT TO LEARN MORE? Head over to fitnesspainfree.com and sign up for the newsletter.  I'll keep you learning and growing on a weekly basis! ***** 👋 FOLLOW ME ONLINE: Instagram: https://www.instagram.com/fitnesspainfree/ Facebook: https://www.facebook.com/FitnessPainFree/ Blog Articles: https://fitnesspainfree.com/articles/

📌 FREE Guide - Adductor Strain Evidence-Based "Cheat Sheet" https://fitnesspainfree.com/programs/adductor-strain-cheat-sheet-lead-magnet/ Thanks for watching! 🎓 Insiders Academy - https://fitnesspainfree.com/programs/fpf-insiders/  👉 Transform your career with the FREE FPF Mini Course & gets some FREE CEUs for PTs, PTAs & ATCs. https://fitnesspainfree.com/programs/fpf-certification-presale-page/  ****** Groin pain in athletes can be incredibly sneaky and tricky to manage. As a sports physical therapist or strength coach, you know that 1 in 5 athletes will suffer from a new adductor strain over a single season — especially in high-demand sports like soccer, hockey, and football. But while basic adductor pain seems straightforward, missing a critical red flag can completely derail an athlete's recovery and push back their return-to-sport timeline. How do you confidently differentiate a standard adductor longus strain from FAI (Femoroacetabular Impingement), a true hernia, or athletic pubalgia (core muscle injury)? In this video, we'll break down the exact subjective clues, objective special tests, and clinical pearls you need to accurately diagnose adductor strains in under 10 minutes—ensuring you never miss a complete avulsion or a hidden hip joint pathology. What We Cover In-Depth: ✅ The 91% Rule: Why the adductor longus is almost always the culprit, and how to isolate it during palpation.   ✅ Objective Special Tests: Step-by-step demonstrations of the Squeeze Test, Resisted Outer Range Adduction, and Passive Adductor Stretch.   ✅ Clearing the Hip Joint: How to use the FADIR and FABER tests to rule out Femoroacetabular Impingement (FAI), hip osteoarthritis, or dysplasia.   ✅ Spotting Red Flags: How to differentiate an acute strain from a true hernia or gradual-onset athletic pubalgia (core muscle injury) so you know exactly when to refer back to a physician. ****** 🧠 WANT TO LEARN MORE? Head over to fitnesspainfree.com and sign up for the newsletter.  I'll keep you learning and growing on a weekly basis! 👋 FOLLOW ME ONLINE: Instagram: https://www.instagram.com/fitnesspainfree/ Facebook: https://www.facebook.com/FitnessPainFree/ Blog Articles: https://fitnesspainfree.com/articles/ ****** TIMELINE 00:00 – Why Sports Physical Therapists Struggle with Groin Injuries 01:04 – Most Common Athlete Populations & Mechanisms of Injury 01:44 – Subjective Assessment: Kicking, Cutting & Tearing Sensations 02:32 – How to Palpate the Adductor Longus (90%+ of Groin Strains) 03:26 – Red Flags: Bruising, Palpable Defects, and Complete Avulsions 04:04 – The Squeeze Test & Resisted Outer Range Adduction Test 04:50 – Passive Adductor Stretch Test Explained 05:01 – Differential Diagnosis: Ruling Out FAI (FADIR & FABER Tests) 05:48 – How to Screen for True Hernias vs. Groin Strains 06:13 – Athletic Pubalgia & Core Muscle Injury Assessment #DanPope #PhysicalTherapy #PhysicalTherapist #LateralCore #CoreExercises #LowBackPain #SportsPT #ExercisePrescription #PTSchool #DPT #OrthopedicPT #RehabExercises #CoreStability #SidePlank #AthleticPubalgia #SportsRehab #ContinuingEducation

📌 FREE Guide - Hip Osteoarthritis Evidence Based "Cheat Sheet" https://fitnesspainfree.com/programs/hip-osteoarthritis-cheat-sheet-lead-magnet/ Thanks for watching! 🎓 Insiders Academy - https://fitnesspainfree.com/programs/fpf-insiders/  🏋️‍♀️ Transform your career with the FREE FPF Mini Course & gets some FREE CEUs for PTs, PTAs & ATCs. - https://fitnesspainfree.com/programs/fpf-certification-presale-page/ Total hip replacement outcomes are generally good—but many patients are left with persistent weakness, gait deviations, and no clear plan for returning to higher-level activities like strength training, running, and sport. In this video, I provide physical therapists with an evidence-informed, step-by-step framework for total hip replacement rehabilitation. We’ll discuss what the research says about supervised physical therapy after total hip arthroplasty, which patients may need more than a basic home program, and how to progress rehabilitation beyond simply restoring independence. You’ll learn how to progress patients through: • Early mobility, gait training, and postoperative precautions • Hip mobility, strength, balance, and single-leg control • Squat, hinge, step-up, lunge, and deadlift progressions • Return to heavier strength training and recreational activity • Plyometrics, running, agility, and return-to-sport testing The goal isn’t just to help patients walk again—it’s to restore the strength, capacity, and confidence required to return to the activities they care about. Always consider surgeon-specific precautions, surgical approach, healing status, medical history, and individual patient goals. #PhysicalTherapy #TotalHipReplacement #HipRehab Want More Evidence-Based Rehab Education?  Join Fitness Pain Free Insiders Academy for: ✅ Monthly CEU courses ✅ Case studies ✅ Exercise progressions ✅ Return-to-sport frameworks ✅ Clinical mentorship 👉  Insiders Academy - https://fitnesspainfree.com/programs/fpf-insiders/  Show Notes, Credit & References: - https://fitnesspainfree.com/2026/07/how-to-actually-rehab-a-total-hip-replacement-step-by-step-guide-for-physical-therapists/ ⏱️ TIMESTAMPS 00:00 Intro 00:30 Why Physical Therapists Matter After Total Hip Replacement 02:05 Does Every Total Hip Replacement Patient Need Physical Therapy? 08:05 Why Athletes Need More Than Standard THA Rehab 12:00 The Best Rehab Framework After Total Hip Replacement 13:47 Phase 1 (0–3 Days): Early Post-Op Rehabilitation 15:37 Early Exercises After Total Hip Replacement 16:34 Criteria to Progress Beyond Phase 1 22:15 Phase 2 (1–6 Weeks): Restore Mobility & Strength 23:22 Hip Mobility Exercises 24:53 Squat, Hinge & Single-Leg Progressions 27:05 Phase 2 Progression Criteria 29:03 Strength Testing After Total Hip Replacement 31:00 Phase 3 (6–12 Weeks): Advanced Strength Training 32:38 Progressing Single-Leg Strength & Core Training 33:30 Criteria to Begin Running & Sport 39:03 Phase 4 (3–6+ Months): Return to Sport 41:25 Return-to-Running Progression 43:42 Plyometric & Agility Progressions 45:17 Return-to-Sport Testing After THA 48:21 Final Takeaways ***** 👊🏻Was this helpful? Subscribe to my Youtube channel for more! 🤔Have a question/comment? Drop one below in the comment section - I love questions and they help the channel grow! ***** 🧠 WANT TO LEARN MORE? Head over to fitnesspainfree.com and sign up for the newsletter.  I'll keep you learning and growing on a weekly basis! ***** 👋 FOLLOW ME ONLINE: Instagram: https://www.instagram.com/fitnesspainfree/ Facebook: https://www.facebook.com/FitnessPainFree/ Blog Articles: https://fitnesspainfree.com/articles/

📌 FREE Guide - Hip Osteoarthritis Evidence Based "Cheat Sheet" https://fitnesspainfree.com/programs/hip-osteoarthritis-cheat-sheet-lead-magnet/ Thanks for watching! 🎓 Insiders Academy - https://fitnesspainfree.com/programs/fpf-insiders/  🏋️‍♀️ Transform your career with the FREE FPF Mini Course & gets some FREE CEUs for PTs, PTAs & ATCs. - https://fitnesspainfree.com/programs/fpf-certification-presale-page/ The direct anterior and posterior approaches are the two most common surgical techniques used for total hip replacement (THA), but does one actually produce better outcomes? In this video, we'll review the latest evidence comparing: ✅ Pain and functional outcomes ✅ Dislocation risk ✅ Recovery timelines ✅ Muscle preservation ✅ Rehabilitation considerations ✅ Return to sport and activity ✅ Long-term outcomes and revision rates You'll learn the advantages and disadvantages of the anterior, posterior, and direct lateral approaches, and how surgical approach may influence your rehabilitation plan as a physical therapist. Whether you're a PT, PTA, ATC, strength coach, student, or healthcare professional, this evidence-based review will help you better understand total hip arthroplasty and improve patient outcomes. Topics Covered - Direct Anterior Approach (DAA) - Posterior Approach (PA) - Direct Lateral Approach (DLA) - Hip replacement rehabilitation - Hip precautions - Return to sport after THA - Implant survivorship - Dislocation risk - Clinical decision making ⏱️ Chapters 00:00 Introduction 00:30 Why PTs Should Care About Surgical Approach 02:05 Direct Anterior Approach (DAA) Explained 03:45 Advantages of the Anterior Approach 05:30 Disadvantages of the Anterior Approach 08:05 Dislocation Risk: Anterior vs Posterior 10:00 Posterior Approach (PA) Explained 11:10 Advantages of the Posterior Approach 12:20 Disadvantages of the Posterior Approach 13:45 Direct Lateral Approach (DLA) Explained 15:10 Advantages of the Direct Lateral Approach 17:10 Disadvantages of the Direct Lateral Approach 20:15 Clinical Discussion: Which Approach Recovers Best? 22:15 How Surgeons Choose a Surgical Approach 25:45 Obesity, Anatomy & Revision Considerations 28:30 Hip Precautions: Do They Actually Matter? 31:00 Early Rehab Considerations by Surgical Approach 34:20 Muscle Recovery & Strength Deficits 37:45 Long-Term Outcomes & Revision Rates 40:00 Return to Sport After Hip Replacement 43:15 Which Sports Are Safe After THA? 45:45 Can Patients Run After Hip Replacement? 48:20 Modern Implants & Longevity 51:10 Clinical Takeaways for PTs 54:10 Final Summary 55:45 Insiders Academy & Continuing Education Want More Evidence-Based Rehab Education?  Join Fitness Pain Free Insiders Academy for: ✅ Monthly CEU courses ✅ Case studies ✅ Exercise progressions ✅ Return-to-sport frameworks ✅ Clinical mentorship 👉  Insiders Academy - https://fitnesspainfree.com/programs/fpf-insiders/  Show Notes, Credit & References: - https://fitnesspainfree.com/2026/06/anterior-vs-posterior-vs-lateral-hip-replacements-which-leads-to-better-outcomes/ ***** 👊🏻Was this helpful? Subscribe to my Youtube channel for more! 🤔Have a question/comment? Drop one below in the comment section - I love questions and they help the channel grow! ***** 🧠 WANT TO LEARN MORE? Head over to fitnesspainfree.com and sign up for the newsletter.  I'll keep you learning and growing on a weekly basis! ***** 👋 FOLLOW ME ONLINE: Instagram: https://www.instagram.com/fitnesspainfree/ Facebook: https://www.facebook.com/FitnessPainFree/ Blog Articles: https://fitnesspainfree.com/articles/

📌 FREE Guide - Meniscus Pathology Evidence Based "Cheat Sheet" https://fitnesspainfree.com/clone-of-meniscus-pathology-cheat-sheet-lead-magnet/ Thanks for watching! 🎓 Insiders Academy - https://fitnesspainfree.com/programs/fpf-insiders/  🏋️‍♀️ Transform your career with the FREE FPF Mini Course & gets some FREE CEUs for PTs, PTAs & ATCs. - https://fitnesspainfree.com/programs/fpf-certification-presale-page/ Timestamps: 01:02 Meniscus Anatomy Explained 04:09 Hoop Stress & Meniscus Mechanics 06:27 Meniscus Blood Supply & Healing Zones 08:00 Meniscus Function & Shock Absorption 09:54 Meniscus Tear Prevalence & Risk Factors 14:20 Mechanism of Meniscus Injury 19:42 Types of Meniscus Tears Overview 20:31 Peripheral Meniscus Tears 21:14 Vertical & Bucket Handle Tears 22:07 Radial & Parrot Beak Tears 24:32 Horizontal Cleavage Tears 25:47 Complex Meniscus Tears 28:14 Degenerative Meniscus Tears 31:25 Subjective Examination for Meniscus Tears 37:58 Acute vs Degenerative Meniscus Presentation 41:04 Objective Examination & Clinical Testing 43:28 Swelling, ROM & Strength Testing 46:30 Special Tests for Meniscus Tears 48:36 McMurray Test Explained 51:48 Joint Line Tenderness Test 56:00 Thessaly Test Explained 58:47 Meniscus Clinical Prediction Cluster 1:01:49 MRI Findings & Imaging Accuracy 1:03:21 Surgery vs Physical Therapy Overview 1:03:42 Meniscectomy vs Meniscus Repair vs Transplant 1:04:47 Clinical Practice Guidelines for Degenerative Tears 1:08:00 Mechanical Symptoms — Do They Matter? 1:12:00 When NOT to Operate on Meniscus Tears 1:18:00 Physical Therapy vs Surgery Research 1:24:00 Long-Term Outcomes After Meniscus Surgery 1:31:00 Meniscus Repair vs Meniscectomy Outcomes 1:38:00 Which Meniscus Tears Need Surgery? 1:45:00 Indications for Meniscus Repair 1:52:00 Meniscus Repair Healing Considerations 1:58:00 Root Tears Explained 2:05:00 Bucket Handle Tears & Locked Knees 2:12:00 Degenerative Meniscus Tear Management 2:20:00 Conservative Rehab Principles 2:28:00 Activity Modification Strategies 2:35:00 Managing Pain & Irrability 2:42:00 Restoring Knee Extension & Flexion 2:49:00 Quad Strengthening Principles 2:56:00 Hamstring Strengthening Considerations 3:03:00 Exercise Selection Based on Tear Type 3:10:00 Open vs Closed Chain Exercise Considerations 3:18:00 Squatting & Compression Forces Explained 3:26:00 Programming Rehab Progressions 3:34:00 Balance & Neuromuscular Training 3:41:00 Return to Running Progressions 3:48:00 Plyometric Progressions 3:55:00 Return to Sport Considerations 4:02:00 Criteria-Based Rehabilitation Principles 4:10:00 Post-Operative Rehab Overview 4:17:00 Meniscectomy Rehab Guidelines 4:24:00 Meniscus Repair Rehab Guidelines 4:32:00 Weightbearing Restrictions Explained 4:40:00 ROM Restrictions After Repair 4:48:00 Protecting the Healing Meniscus 4:55:00 Strength Training After Surgery 5:02:00 Return to Running After Surgery 5:09:00 Return to Sport After Meniscus Surgery 5:16:00 Common Rehab Mistakes Clinicians Make 5:24:00 Biggest Errors in Meniscus Rehab 5:31:00 Final Clinical Pearls & Takeaways ⚡ If you want to go deeper: Inside of Fitness Pain Free Insiders Academy, we teach you exactly how to: - Build step-by-step rehab progressions for real patients - Use criteria-based decision making (not guessing) - Stay current with the latest research in under 10 minutes - Get your clinical questions answered ***** 👋 FOLLOW ME ONLINE: Instagram: https://www.instagram.com/fitnesspainfree/ Facebook: https://www.facebook.com/FitnessPainFree/ Blog Articles: https://fitnesspainfree.com/articles/

📌 FREE Guide - Hip Osteoarthritis Evidence Based "Cheat Sheet" https://fitnesspainfree.com/programs/hip-osteoarthritis-cheat-sheet-lead-magnet/ Thanks for watching! 🎓 Insiders Academy - https://fitnesspainfree.com/programs/fpf-insiders/  When should you actually refer a patient for a total hip replacement vs continue rehab? If you’re a PT, this is one of the most important—and most misunderstood—decisions in managing hip osteoarthritis. In this video, I break down the pros and cons of physical therapy vs total hip replacement for hip OA—so you can make better clinical decisions, set realistic expectations, and avoid common mistakes that lead to poor outcomes. You’ll learn: - When conservative care is enough (and when it’s not) - Key factors that should drive a referral for surgery - What the research actually says about PT vs hip replacement outcomes - How to manage patients who are on the fence about surgery - Common mistakes clinicians make with hip OA rehab 🧠 Who this is for: - Physical therapists & PTAs - Athletic Trainers - PT students / new grads - Strength coaches working with hip pain - Clinicians who want to improve decision-making with hip OA ⚡ If you want to go deeper: Inside of Fitness Pain Free Insiders Academy, we teach you exactly how to: - Build step-by-step rehab progressions for real patients - Use criteria-based decision making (not guessing) - Stay current with the latest research in under 10 minutes - Get your clinical questions answered 🎓 Get started for $1 - https://fitnesspainfree.com/programs/fpf-insiders/  Show Notes, Credit & References: - https://fitnesspainfree.com/2026/04/pt-vs-hip-replacement-for-oa-what-the-outcomes-actually-show/ ⏱️ TIMESTAMPS 00:00 PT vs Hip Replacement: What Actually Works? 00:16 Why This Decision Matters (Real Patient Scenarios) 01:02 Is Physical Therapy Effective for Hip OA? 02:11 Can PT Delay Hip Replacement? (Long-Term Data) 02:55 How Effective is Hip Replacement Really? 03:58 Is Hip Replacement Safe? (What Patients Fear) 05:25 Who is Actually at Risk for Complications? 06:41 Age, Comorbidities & Surgical Risk 08:10 Why Hip Replacements Often Do Well Clinically 09:12 True Surgical Risk in Healthy vs Complex Patients 10:15 PT vs Surgery: Direct Comparison (NEJM Trial) 11:39 Resistance Training Protocol (What They Actually Did) 15:51 How Much Does PT Actually Improve Pain? 16:42 Surgery vs PT Outcomes (Pain + Function) 18:13 Quality of Life & Return to Activity Differences 19:44 Objective Performance: Surprisingly Similar? 20:29 What Changes Actually Matter to Patients? 21:28 Who Can Avoid Surgery? 22:05 Safety Comparison: PT vs Surgery 23:12 Clinical Takeaways (What You Should Actually Do) 23:57 When You SHOULD Recommend Surgery 26:14 The Biggest Mistake PTs Make With These Patients ***** Want to master physical therapy for patients in the strength and fitness world?   Click on the link and start to transform your career with the FREE FPF Mini Course & gets some FREE CEUs for PTs, PTAs & ATCs. - https://fitnesspainfree.com/programs/fpf-certification-presale-page/ ***** 👊🏻Was this helpful? Subscribe to my Youtube channel for more! 🤔Have a question/comment? Drop one below in the comment section - I love questions and they help the channel grow! ***** 🧠 WANT TO LEARN MORE? Head over to fitnesspainfree.com and sign up for the newsletter.  I'll keep you learning and growing on a weekly basis! ***** 👋 FOLLOW ME ONLINE: Instagram: https://www.instagram.com/fitnesspainfree/ Facebook: https://www.facebook.com/FitnessPainFree/ Blog Articles: https://fitnesspainfree.com/articles/

📌 FREE Guide - Hip Osteoarthritis Evidence Based "Cheat Sheet" https://fitnesspainfree.com/programs/hip-osteoarthritis-cheat-sheet-lead-magnet/ Thanks for watching! 🎓 Insiders Academy - https://fitnesspainfree.com/programs/fpf-insiders/  👉 Transform your career with the FREE FPF Mini Course & gets some FREE CEUs for PTs, PTAs & ATCs. https://fitnesspainfree.com/programs/fpf-certification-presale-page/  Show Notes, Credit & References: - https://fitnesspainfree.com/2026/04/best-evidence-based-treatments-for-hip-osteoarthritis-what-actually-works/ In today's episode we go over Best Evidence Based Treatments for Hip Osteoarthritis (What Actually Works)  - FPF Show Episode 192 If you treat hip osteoarthritis, this video breaks down the latest 2025 clinical practice guidelines so you know exactly what works—and what doesn’t. We cover: Exercise, manual therapy, and education Injections (PRP, corticosteroids, hyaluronic acid) Weight loss, modalities, and more What actually improves pain, function, and outcomes ⏱️ TIMESTAMPS 0:00 – What Actually Works (Overview) 0:48 – Where This Evidence Comes From (2025 Guidelines) 2:02 – Exercise Has the STRONGEST Evidence (Grade A) 2:24 – Why Supervised Exercise Works Better Than Home Programs 2:49 – Exact Exercise Dosage (Frequency, Duration, Timeline) 3:33 – Education vs Exercise (What Matters More?) 4:49 – Aquatic Exercise (Best Option for Painful Patients) 6:59 – Best Strength Exercises for Hip OA (What to Prescribe) 7:44 – Functional Training, Gait, and Balance 12:02 – Manual Therapy Has Strong Evidence (Yes, Really) 14:10 – Dry Needling: New Evidence + When It Works 19:20 – The Truth About Outcomes (Why Results Aren’t Dramatic) 20:03 – The Most Effective Treatment Strategy (Big Picture) 23:00 – Patient Education (What Actually Helps) 26:06 – Pain ≠ Damage (Stop Scaring Your Patients) 36:18 – Weight Loss: How Much Actually Matters 37:06 – Ultrasound & Modalities (Worth It or Not?) 45:34 – Corticosteroid Injections (Benefits + Risks) 47:06 – Hyaluronic Acid (Why It Doesn’t Work) 48:08 – PRP Injections (Hype vs Reality) 🎯 KEY TAKEAWAYS Exercise is the most effective treatment (especially supervised) Manual therapy and dry needling can help (despite social media trends) Education matters—but not on its own Most passive treatments and injections have limited or short-term effects Focus on what actually improves function and long-term outcomes ***** Want to master physical therapy for patients in the strength and fitness world?   Click on the link and start to transform your career with the FREE FPF Mini Course & gets some FREE CEUs for PTs, PTAs & ATCs. - https://fitnesspainfree.com/programs/fpf-certification-presale-page/ ***** Welcome to the Fitness Pain Free Show!  This is where we help physical therapists like YOU get your patients out of pain back to training ***** Want to support me?  Sign up for the FPF "Insiders Academy" where you can ask questions I'll answer for future episodes! https://fitnesspainfree.com/programs/fpf-insiders/ 👊🏻Was this helpful? Subscribe to my Youtube channel for more! 🤔Have a question/comment? Drop one below in the comment section - I love questions and they help the channel grow! ***** 🧠 WANT TO LEARN MORE? Head over to fitnesspainfree.com and sign up for the newsletter.  I'll keep you learning and growing on a weekly basis! ***** 👋 FOLLOW ME ONLINE: Instagram: https://www.instagram.com/fitnesspainfree/ Facebook: https://www.facebook.com/FitnessPainFree/ Blog Articles: https://fitnesspainfree.com/articles/

📌 FREE Guide - Hip Osteoarthritis Evidence Based "Cheat Sheet" https://fitnesspainfree.com/programs/hip-osteoarthritis-cheat-sheet-lead-magnet/ Thanks for watching! 🎓 Insiders Academy - https://fitnesspainfree.com/programs/fpf-insiders/  👉 Transform your career with the FREE FPF Mini Course & gets some FREE CEUs for PTs, PTAs & ATCs. https://fitnesspainfree.com/programs/fpf-certification-presale-page/  Show Notes, Credit & References: - https://fitnesspainfree.com/2026/03/hip-osteoarthritis-what-physical-therapists-are-getting-wrong-evidence-based-guide/ In today's episode we go over Hip Osteoarthritis: What Physical Therapists Are Getting WRONG (Evidence-Based Guide)  - FPF Show Episode 191 Timestamps: ***** Want to master physical therapy for patients in the strength and fitness world?   Click on the link and start to transform your career with the FREE FPF Mini Course & gets some FREE CEUs for PTs, PTAs & ATCs. - https://fitnesspainfree.com/programs/fpf-certification-presale-page/ ***** Welcome to the Fitness Pain Free Show!  This is where we help physical therapists like YOU get your patients out of pain back to training ***** Want to support me?  Sign up for the FPF "Insiders Academy" where you can ask questions I'll answer for future episodes! https://fitnesspainfree.com/programs/fpf-insiders/ 👊🏻Was this helpful? Subscribe to my Youtube channel for more! 🤔Have a question/comment? Drop one below in the comment section - I love questions and they help the channel grow! ***** 🧠 WANT TO LEARN MORE? Head over to fitnesspainfree.com and sign up for the newsletter.  I'll keep you learning and growing on a weekly basis! ***** 👋 FOLLOW ME ONLINE: Instagram: https://www.instagram.com/fitnesspainfree/ Facebook: https://www.facebook.com/FitnessPainFree/ Blog Articles: https://fitnesspainfree.com/articles/

📌 FREE Guide - Proximal Hamstring Tendinopathy Evidence Based "Cheat Sheet" https://fitnesspainfree.com/programs/proximal-hamstring-tendinopathy-cheat-sheet-lead-magnet/ Thanks for watching! 🎓 Insiders Academy - https://fitnesspainfree.com/programs/fpf-insiders/  👉 Transform your career with the FREE FPF Mini Course & gets some FREE CEUs for PTs, PTAs & ATCs. https://fitnesspainfree.com/programs/fpf-certification-presale-page/  Show Notes, Credit & References: - https://fitnesspainfree.com/2026/02/proximal-hamstring-tendinopathy-what-the-latest-research-says-you-should-be-doing/ In today's episode we go over Proximal Hamstring Tendinopathy: What the Latest Research Says You Should Be Doing  - FPF Show Episode 190 Timestamps: 00:00 What PTs MUST Know About Proximal Hamstring Tendinopathy  00:40 Key Impairments You’re Probably Missing (Gait, Glutes, Hypermobility)  02:07 FREE Evidence-Based Proximal Hamstring Tendinopathy Cheat Sheet  03:10 Best Outcome Measures (VISA-H & Patient-Specific Functional Scale)  05:19 The Pain Monitoring Model (Green, Yellow, Red Light System)  07:53 The 2025 JSPT Study That Changes How We Rehab PHT  11:00 The 5-Stage Rehab Model Explained  13:50 Stage 1: Do Isometrics Actually Work?  16:12 Stage 2: Progressive Strength Loading (Sets, Reps, Tempo)  17:26 Stage 3: Why You MUST Train the Entire Kinetic Chain  30:00 Reintroducing Compression (When & How)  31:37 Increase Load First or Range First?  36:14 Stage 5: Energy Storage & Return to Sport Progressions ***** Want to master physical therapy for patients in the strength and fitness world?   Click on the link and start to transform your career with the FREE FPF Mini Course & gets some FREE CEUs for PTs, PTAs & ATCs. - https://fitnesspainfree.com/programs/fpf-certification-presale-page/ ***** Welcome to the Fitness Pain Free Show!  This is where we help physical therapists like YOU get your patients out of pain back to training ***** Want to support me?  Sign up for the FPF "Insiders Academy" where you can ask questions I'll answer for future episodes! https://fitnesspainfree.com/programs/fpf-insiders/ 👊🏻Was this helpful? Subscribe to my Youtube channel for more! 🤔Have a question/comment? Drop one below in the comment section - I love questions and they help the channel grow! ***** 🧠 WANT TO LEARN MORE? Head over to fitnesspainfree.com and sign up for the newsletter.  I'll keep you learning and growing on a weekly basis! ***** 👋 FOLLOW ME ONLINE: Instagram: https://www.instagram.com/fitnesspainfree/ Facebook: https://www.facebook.com/FitnessPainFree/ Blog Articles: https://fitnesspainfree.com/articles/

📌 FREE Guide - Proximal Hamstring Tendinopathy Evidence Based "Cheat Sheet" https://fitnesspainfree.com/programs/proximal-hamstring-tendinopathy-cheat-sheet-lead-magnet/ Thanks for watching! 🎓 Insiders Academy - https://fitnesspainfree.com/programs/fpf-insiders/  👉 Transform your career with the FREE FPF Mini Course & gets some FREE CEUs for PTs, PTAs & ATCs. https://fitnesspainfree.com/programs/fpf-certification-presale-page/  Show Notes, Credit & References: - https://fitnesspainfree.com/2026/02/proximal-hamstring-tendinopathy-an-evidence-based-guide-for-physical-therapists/ In today's episode we go over Proximal Hamstring Tendinopathy: An Evidence-Based Guide for Physical Therapists  - FPF Show Episode 189 Timestamps: 00:00 What PTs Need to Know About Proximal Hamstring Tendinopathy 00:00:31 What Actually Defines Tendinopathy (Pain vs Imaging) 00:01:17 Tendon Loading 101: Tensile vs Shear vs Compression 00:02:56 Why Hip Flexion = More Compressive Load at the Ischial Tuberosity 00:03:28 Free PHT Cheat Sheet (Ad Break) 00:04:30 Exercise Selection: Neutral Hip vs Flexed Hip Loading 00:05:13 Prevalence & Imaging Reality Check (MRI ≠ Symptoms) 00:08:27 Relevant Anatomy: Semimembranosus vs Conjoint Tendon 00:11:00 Perimenopausal Considerations & Hormonal Influence 00:11:47 Running Biomechanics: Late Swing & Early Stance Demands 00:13:01 Coaching Runners: Pelvic Tilt, Trunk Lean & Overstriding 00:14:47 End-Stage Rehab for Athletes: Eccentrics, B-Skips & Sprint Prep 00:16:23 Mechanism of Injury: Training Errors & Load Spikes 00:17:31 Excessive Stretching as a Risk Factor (Yoga/Pilates Trap) 00:18:47 Intrinsic Risk Factors: Age, BMI, Hormones, Medications 00:19:54 Insiders Academy Promo (Ad Break) 00:22:19 Fluoroquinolones & Tendon Rupture Risk 00:23:00 Hormone Replacement Therapy & Tendon Pain 00:24:01 Compression Debate: When to Unload vs Reload 00:26:22 Pathogenesis: What’s Happening Inside the Tendon 00:28:29 Clinical Presentation: “Sit Bone” Pain Patterns 00:29:54 Warm-Up Effect & 24-Hour Pain Monitoring Model 00:31:13 Squatting & Compressive Load Considerations 00:31:35 Objective Testing: Max Hip Flexion + Active Knee Extension 00:32:20 Strength Testing: Dynamometry & Length-Specific Testing 00:32:55 Functional Testing: Jumps, Sprinting & Return-to-Run 00:37:34 Clinical Test Cluster for Diagnosis (Arabesque, Bridge, Sitting) 00:38:53 Imaging: MRI vs Ultrasound — What Matters? 00:41:00 Imaging Doesn’t Always Match Pain 00:43:19 Differential Diagnosis: Sciatic, Stress Fracture, Avulsion & Lumbar Referral 00:45:00 When It’s Hard to Tell: Radicular vs Tendon Presentation 00:45:48 Final Thoughts + Insiders Academy + Hamstring Strain Video ***** Want to master physical therapy for patients in the strength and fitness world?   Click on the link and start to transform your career with the FREE FPF Mini Course & gets some FREE CEUs for PTs, PTAs & ATCs. - https://fitnesspainfree.com/programs/fpf-certification-presale-page/ ***** Welcome to the Fitness Pain Free Show!  This is where we help physical therapists like YOU get your patients out of pain back to training ***** Want to support me?  Sign up for the FPF "Insiders Academy" where you can ask questions I'll answer for future episodes! https://fitnesspainfree.com/programs/fpf-insiders/

📌 FREE Guide - IT Band Pain Evidence Based "Cheat Sheet" https://fitnesspainfree.com/programs/it-band-pain-cheat-sheet-lead-magnet/ Thanks for watching! 👉 Transform your career with the FREE FPF Mini Course & gets some FREE CEUs for PTs, PTAs & ATCs. https://fitnesspainfree.com/programs/fpf-certification-presale-page/  🎓 Insiders Academy - https://fitnesspainfree.com/programs/fpf-insiders/  Show Notes: - https://fitnesspainfree.com/2026/01/it-band-syndrome-evidence-based-diagnosis-treatment/ In today's episode we go over IT Band Pain - Evidence Based Guide [For Physical Therapists]: FPF Show Episode 187 Timeline:  ***** Want to master physical therapy for patients in the strength and fitness world?   Click on the link to sign up for the FREE FPF Mini Course and also receive the infographic "7 Reasons Why People Get Hurt in the Gym and What to do About It."  - https://fitnesspainfree.com/programs/fpf-certification-presale-page/ ***** Welcome to the Fitness Pain Free Show!  This is where we help physical therapists like YOU get your patients out of pain back to training ***** Want to support me?  Sign up for the FPF "Insiders" Online Library where you can ask questions I'll answer for future episodes! https://fitnesspainfree.com/programs/fpf-insiders/ 👊🏻Was this helpful? Subscribe to my Youtube channel for more! 🤔Have a question/comment? Drop one below in the comment section - I love questions and they help the channel grow! ***** 🧠 WANT TO LEARN MORE? Head over to fitnesspainfree.com and sign up for the newsletter.  I'll keep you learning and growing on a weekly basis! ***** 👋 FOLLOW ME ONLINE: Instagram: https://www.instagram.com/fitnesspainfree/ Facebook: https://www.facebook.com/FitnessPainFree/ Blog Articles: https://fitnesspainfree.com/articles/

📌 FREE Guide - Achilles Tendinopathy Evidence Based "Cheat Sheet" https://fitnesspainfree.com/achilles-tendinopathy-cheat-sheet-lead-magnet/ Thanks for watching! 👉 Transform your career with the FREE FPF Mini Course & gets some FREE CEUs for PTs, PTAs & ATCs. https://fitnesspainfree.com/programs/fpf-certification-presale-page/  🎓 Insiders Academy - https://fitnesspainfree.com/programs/fpf-insiders/  Show Notes, Credit & References: - https://fitnesspainfree.com/2026/01/the-best-evidence-based-treatment-strategy-for-achilles-tendinopathy/ In today's episode we go over The Best Evidence-Based Treatment Strategy for Achilles Tendinopathy  - FPF Show Episode 187 In this discussion, we cover: ✅The current evidence on Achilles tendinopathy treatment ✅Why progressive tendon loading outperforms passive care ✅How to apply isometric, isotonic, and heavy slow resistance loading ✅Pain monitoring and flare-up rules for Achilles rehab ✅Common mistakes physical therapists make with Achilles loading ✅How to progress load safely without delaying return to sport ✅When symptoms are acceptable — and when they’re not Timestamps 00:00 What Is the Best Loading Protocol for Achilles Tendinopathy? 01:19 Isometrics vs Eccentrics vs Heavy Slow Resistance 01:51 The Study: 4-Stage Progressive Loading for Achilles Tendinopathy 02:32 Why Isometrics Were Included (Lessons from Patellar Tendinopathy) 04:59 Do Different Loading Methods Actually Perform Differently? 05:48 Pain Monitoring Model vs Dialing Things Back 06:59 Study Methods: Who Was Included (and Excluded)? 09:44 Treating Chronic vs Acute Achilles Tendinopathy 11:04 Outcome Measures Used in the Study 12:00 Overview of the 4-Stage Progressive Loading Program 12:22 Pain Rules & Progression Criteria (≤3/10 Model) 14:09 Should Runners Stop Running With Achilles Tendinopathy? 15:04 Stage 1: Isometric Loading (Exact Prescription) 16:59 Is This Too Much Volume? Patient Compliance Discussion 18:24 Stage 2: Functional Strength + Reduced Isometrics 19:24 Weekly Schedule Breakdown (Stage 2) 23:51 Stage 3: Heavy Slow Resistance Progression 27:19 Stage 4: Plyometrics + Return to Running 28:01 Critique: Are Plyometrics Dosed Well Enough? 29:46 Return-to-Run Progression (Distances & Speeds) 31:23 Final Weekly Program Structure 31:25 Results: Did Progressive Loading Work? 31:34 VISA-A Improvements at 6 and 12 Months 32:12 Tendon Structure Changes on Ultrasound 33:36 How Long Does Each Rehab Phase Actually Take? 46:04 Achilles Tendon Exercise Progressions (EASY to HARD) ***** Want to master physical therapy for patients in the strength and fitness world?   Click on the link and start to transform your career with the FREE FPF Mini Course & gets some FREE CEUs for PTs, PTAs & ATCs. - https://fitnesspainfree.com/programs/fpf-certification-presale-page/ ***** Welcome to the Fitness Pain Free Show!  This is where we help physical therapists like YOU get your patients out of pain back to training ***** Want to support me?  Sign up for the FPF "Insiders Academy" where you can ask questions I'll answer for future episodes! https://fitnesspainfree.com/programs/fpf-insiders/ 👊🏻Was this helpful? Subscribe to my Youtube channel for more! 🤔Have a question/comment? Drop one below in the comment section - I love questions and they help the channel grow! ***** 🧠 WANT TO LEARN MORE? Head over to fitnesspainfree.com and sign up for the newsletter.  I'll keep you learning and growing on a weekly basis! ***** 👋 FOLLOW ME ONLINE: Instagram: https://www.instagram.com/fitnesspainfree/ Facebook: https://www.facebook.com/FitnessPainFree/ Blog Articles: https://fitnesspainfree.com/articles/