Straight From the Hip : Honest Conversations on Hip and Groin Pain

"𝐈 𝐡𝐚𝐝 𝐚𝐧 𝐢𝐧𝐣𝐞𝐜𝐭𝐢𝐨𝐧 𝐚𝐧𝐝 𝐢𝐭 𝐝𝐢𝐝𝐧'𝐭 𝐰𝐨𝐫𝐤." 𝐁𝐮𝐭 𝐰𝐡𝐢𝐜𝐡 𝐢𝐧𝐣𝐞𝐜𝐭𝐢𝐨𝐧, 𝐈𝐧𝐭𝐨 𝐰𝐡𝐚𝐭, 𝐚𝐧𝐝 𝐰𝐡𝐲? Many patients can't tell you what they were injected with, whether it was guided, or what it targeted. In this episode, Callum and Benoy go through the common hip and pelvis injections and show why the clinical reasoning around the needle matters more than the needle itself.

In this special episode of Straight from the Hip, Benoy sits down with Consultant Hip Surgeon Mr Karthik Logishetty (UCLH & Cleveland Clinic London) to explore one of the most exciting developments in young adult hip care: ceramic-on-ceramic hip resurfacing. For decades, resurfacing was overshadowed by the metal-on-metal complications of the early 2000s — and effectively closed off to women al...

FAI Syndrome - Myth or Facts Q: FAI syndrome presents purely as anterior groin pain. 🔴 FALSE Presentation is variable. Lateral hip pain from coexisting GTPS — more common in women — and adductor-related groin pain — more common in men — frequently cluster with FAI. Some will present as more buttock pain. Q: Intra-articular Steroid injections have no role in FAI syndrome management. 🔴 FALSE US -g...

"A hip OA diagnosis isn't the end of the road. But the wrong words from a clinician can make patients believe it is."  In Episode 10, Benoy Mathew and Callum East tackle the conservative management of early hip OA, starting with the damage done by throwaway phrases like"bone-on-bone" and "the hip of a 80-year-old."  They unpack why education and expectation-settin...

Half of all physiotherapists are missing it. Are you? In Episode 9 of Straight from the Hip, Benoy and Callum tackle one of the most under-diagnosed conditions in active adults — hip osteoarthritis. Not in your 70-year-old patient shufflingtowards a hip replacement. In your 35-year-old male athlete. Your 42-year-old female runner. The patients who are quietly losing capacity, reducing their activi...

Conservative care fails FAI syndrome patients every day — but is it really the treatment that's failing, or the process surrounding it? In this episode, Benoy and Callum break down the five most common reasons why patients with femoroacetabular impingement syndrome don't respond to non-operative management. This isn't about blaming patients. It's about clinicians holding up a mirro...

Your patient has FAIS. So now what? Do you keep rehabbing, refer for an injection, or send them down the surgical pathway? And how do you know you've actually done enough before escalating? In this episode, we cut through the noiseand break down the full management spectrum — from conservative care, through the three main injection options, to hip arthroscopy. Whether you're a physio, oste...

Your patient has FAI Syndrome. They're in pain, frustrated, and wondering if they'll ever squat, sit comfortably, or train hard again. The answer? They almost certainly can — but only if we stop blaming morphology and start managing load. In this episode, we break down exactly how to modify everyday activity and gym exposure, so your patients keep moving, keep training, and actually start...

A 22-year-old male footballer with a CAM lesion and a 28-year-old female runner with a pincer pattern — same diagnosis, completely different clinical pictures. So why are so many clinicians still assessing and rehabbing them the same way? In this episode, we unpack how sex and morphology shape everything from presentation to rehab strategy in FAIS. We cover why males typically present with reduced...

Are you ordering the right scans for your hip patients — or just ticking a box? In this episode of Straight from the Hip, Benoy and Callum dives deep into the world of diagnostic imaging for the young hip. From the X-ray views most clinicians forget torequest, to why MRI should be your first call for a limping young athlete — this episode is a practical session, in choosing the right investigation...

Misdiagnosed Hip Impingement? These 6 Conditions Could Be the Real Culprit (JUST RELEASED) 𝐘𝐨𝐮𝐫 𝐅𝐀𝐃𝐈𝐑 𝐭𝐞𝐬𝐭 𝐢𝐬 𝐩𝐨𝐬𝐢𝐭𝐢𝐯𝐞. 𝐘𝐨𝐮𝐫 𝐩𝐚𝐭𝐢𝐞𝐧𝐭 𝐢𝐬 𝐲𝐨𝐮𝐧𝐠 𝐚𝐧𝐝 𝐚𝐜𝐭𝐢𝐯𝐞. 𝐈𝐭 𝐦𝐮𝐬𝐭 𝐛𝐞 𝐅𝐀𝐈… 𝐫𝐢𝐠𝐡𝐭? 𝐍𝐨𝐭 𝐬𝐨 𝐟𝐚𝐬𝐭. I In this episode of Straight from the Hip, Benoy and Callum break down six conditions that can masquerade as hip impingement — and why getting it wrong could mean missed red flags, delayed treatment, or unnece...

Your FADIR test is positive. Your patient is young and active. It must be FAI… right? Not so fast. In this episode of Straight from the Hip, Benoy and Callum break down six conditions that can masquerade as hip impingement — and why getting it wrong could mean missed redflags, delayed treatment, or unnecessary interventions. From femoral neck bone stress injuries that demand urgent action, to hip...

You've taken a thorough subjective history and FAIS is sitting high on your differential list—but how do you confirm it objectively? In this episode, we break down the essential clinical examination findings that separate FAI syndrome from other hip pathologies. Discover the five critical objective markers you should be looking for: from restricted hip range of motion to the most sensitive cli...

Think you know how to spot FAI syndrome in your clinic? Think again. In this episode, we break down the seven key subjective indicators that should immediately raise your clinical suspicion for FAIS—before you've even laid hands on your patient. You'll learn how to recognise the classic demographic profile (hint: it's not just elite athletes), which sporting backgrounds scream "CA...