REMEMBER THE DTM FLOW…
1. Identify provocative movement
2. Consider involved neurology for potential neuropathic component
3. Assess for neural sensitivity
4. Apply treatment to improve mechanical interface of the involved neuro
5. Re-test provocative movement
6. Apply homecare and perform regularly until sensitivity to movement normalizes
Common Diagnosis
- Trochanteric bursitis
- Sciatica
- Femoral acetabular impingement
- Athletic pubalgia
- Groin pain
- Piriformis syndrome
- Sacroiliac (SI) joint syndrome
- Hip labrum tear
- Meralgia paresthetica
Target Neurology
- Superior cluneal nerves
- Iliohypogastric nerve
- Sciatic nerve
- Ilioinguinal nerve
- Genitofemoral nerve
- Saphenous nerve
- Obturator nerve
- Inferior cluneal nerves
- Medial cluneal nerves
- Subcostal nerves
This is another high pay off area! “Hip” pain often involves buttock, flank and groin regions. Appropriate evaluation of the femoroacetabular, pubic symphyseal and lumbar spine joint complexes is crucial. Especially consider any surgical scars in these areas which we have seen to be a frequent area of tethering of superficial neurology.
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