Orthopaedic Physiotherapy Grand Rounds 8 - The Golfer’s Problem

Overview:

According to Wikipedia, Grand Rounds have historically been a methodology of medical education consisting of presenting the medical problems and treatment of a particular patient to an audience consisting of doctors, pharmacists, residents, and medical students.

The Adjunct Education Committee of the National Orthopaedic Division is initiating Orthopaedic Physiotherapy Grand Rounds.

Orthopaedic Physiotherapy Grand Rounds 8 was presented online on  April 5 and this is the recording from that presentation.

The case is a 44-year-old passionate golfer with persistent low back and buttock pain who recently underwent a left hip Femoral Acetabular impingement (FAI) and labral tear repair surgery. The patient consulted physiotherapy services one year after his initial injury, with the goals of improving his strength and decreasing his low back pain. Upon initial assessment, discogenic low back pain and poor mobility/lumbopelvic-hip motor control was suspected, with treatment focusing on manual therapy and a clinical pilates reformer program.

The panelists draw upon concepts such as the McKenzie Method, to propose suggestions for a gradual return-to-sport program following his hip arthroscopy. 

How do we manage the patient’s goals and expectations as he returns to the links?

Case Presenter:

Kubet Weston, BScPT

Kubet lived and worked in London Ontario and competed for Canada as a rower all around the world.  She won four World Championship medals, and was a member of the team at the Sydney Olympics.  She worked for many years with Rowing Canada traveling as a Physiotherapist internationally, and working locally with elite athletes.  Her Olympic story is one of perseverance and giving back.

Panelists:

Dr. Ryan Degen, MD, MSc, FRCSC 

Dr. Ryan Degen is an orthopedic surgeon specializing in athletic injuries of the hip, shoulder and knee. Originally from London, Dr. Degen completed his undergraduate degree at Western University, before leaving to attend the Michael G. DeGroote School of Medicine at McMaster University. He returned to Western University for his residency training in orthopedic surgery, during which he also completed a Masters of Science in Medical Biophysics.

David Lindsay BHMS BPhty MSc

David is a Physical Therapist with a Masters degree in Athletic Injury Rehabilitation. He is involved in active clinical and research practice at Tower Physio and the University of Calgary Sport Medicine Centre. David is currently involved in several research projects at the University of Calgary dealing with hip problems as well as golf related injuries. He has published more than 15 research papers in various international medical journals and lectures extensively throughout the world.

Audrey Long BScPT, Dip MDT, Clinical Specialist MSK

Audrey graduated with a Bachelor of Science in Physical Therapy from the University of Western Ontario in 1984. She  attained her Diploma in MDT in 1993 and has been an Instructor with the McKenzie Institute Canada since 1997.  In 1996 she completed a Certificate in Adult Education from the University of Calgary. She has worked as a Physiotherapist for 15 years, at Bonavista Physical Therapy, Calgary AB, Canada. Audrey has published extensively on MDT and continues to be involved in MDT research.  Her paper “Does it matter which exercise” published in 2004 is considered one of the key MDT research papers. She has previously been a Reviewer for the Journal of Manual and Manipulative Therapy and Clinical consultant on University of Alberta Master’s students' projects.