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Current Reviews in Musculoskeletal Medicine
Published in: Current Reviews in Musculoskeletal Medicine 1/2012

01-03-2012 | Hip Rehabilitation (J Edelstein, Section Editor)

The layer concept: utilization in determining the pain generators, pathology and how structure determines treatment

Authors: Peter Draovitch, Jaime Edelstein, Bryan T. Kelly

Published in: Current Reviews in Musculoskeletal Medicine | Issue 1/2012

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Abstract

The level of understanding of pain in the non-arthritic hip has made significant strides in the last couple of decades beginning with the discoveries of Reinhold Ganz, MD. However, even with the detection of subtle bony abnormalities, including femoroacetabular impingement, a clinician’s ability to differentiate pain generators in the hip has been ambiguous. Deciphering the etiology of the pathology versus the pain generator is essential in prescribing the proper treatment. The Layer Concept developed by Dr. Bryan Kelly, is a systematic means of determining which structures about the hip are the source of the pathology, which are the pain generators and how to then best implement treatment. Four layers will be discussed in this article. Layer I, the osseous layer, Layer II, the inert tissue layer, Layer III, the contractile layer and Layer IV, the neuromechanical layer.
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Metadata
Title
The layer concept: utilization in determining the pain generators, pathology and how structure determines treatment
Authors
Peter Draovitch
Jaime Edelstein
Bryan T. Kelly
Publication date
01-03-2012
Publisher
Current Science Inc.
Published in
Current Reviews in Musculoskeletal Medicine / Issue 1/2012
Electronic ISSN: 1935-9748
DOI
https://doi.org/10.1007/s12178-011-9105-8

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