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

Benoy Mathew
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Welcome to Straight from the Hip—the podcast where we cut through the noise and have honest, practical conversations about hip and groin pain and pathology. Hosted by Benoy Mathew and Callum East, hip specialists, this show is for all healthcare professionals who treat hip and groin cases in the real world—physiotherapists, osteopaths, sports therapists and strength coaches. We break down complex clinical presentations into actionable takeaways you can use in your clinic on Monday morning. Expect evidence-informed guidance without the academic jargon and real-world clinical reasoning.

Episodes

  1. FAI Mimickers - Episode 3 Trailer

    SEASON 1 TRAILER

    FAI Mimickers - Episode 3 Trailer

    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 unnecessary interventions. From femoral neck bone stress injuries that demand urgent action, to hip dysplasia hiding behind hypermobility, to the often-overlooked ischio-femoral impingement — we walk you through the key clinical features, risk factors, and distinguishing signs that separate FAI from its mimickers. In this episode, we cover: 🔹 Why FAI clinical tests lack specificity — and what that means for your diagnosis 🔹 Three common mimickers: bone stress injuries, hip dysplasia, and early hip OA 🔹 Three less common but crucial differentials: proximal ITB syndrome, ischiofemoral impingement, and avascular necrosis 🔹 The red flags you can't afford to miss 🔹 How history, risk factors, and imaging correlation can sharpen your clinical reasoning. Whether you're an early-career physio or a seasoned clinician, this episode will challenge how you approach hip pain and give you the tools to look beyond the impingement label. Don't let a positive test become a diagnostic dead end. 𝐏𝐞𝐫𝐟𝐞𝐜𝐭 𝐟𝐨𝐫: Physiotherapists, osteopaths, sports therapists, strength coaches, and any health care professional managing active patients with hip and groin complaints.

    2 min
  2. Episode 3: Misdiagnosed Hip Impingement? These 6 Conditions Could Be the Real Culprit

    FEB 8

    Episode 3: Misdiagnosed Hip Impingement? These 6 Conditions Could Be the Real Culprit

    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 dysplasia hiding behind hypermobility, to the often-overlooked ischio-femoral impingement — we walk youthrough the key clinical features, risk factors, and distinguishing signs that separate FAI from its mimickers. In thisepisode, we cover: 🔹 Why FAI clinical tests lack specificity — and what that means for yourdiagnosis 🔹 Three common mimickers: bone stress injuries, hip dysplasia, and early hip OA 🔹 Three less common but crucial differentials: including a red flag 🔹 The red flags you can't afford to miss 🔹 How history, risk factors, and imaging correlation can sharpen your clinical reasoning Whether you're an early-career physio or a seasoned clinician, this episode will challenge how you approach hip pain and give you the tools to look beyond the impingementlabel. Don't let a positive test become a diagnostic dead end. 𝐏𝐞𝐫𝐟𝐞𝐜𝐭 𝐟𝐨𝐫: Physiotherapists, osteopaths, sports therapists,strength coaches, and any health care professional managing active patientswith hip and groin complaints. Self-rated joint hypermobility: the five-part questionnaire https://pmc.ncbi.nlm.nih.gov/articles/PMC7079417/

    41 min
  3. Episode 2: Beyond the Impingement Test - What Your Hip Assessment is Missing

    JAN 23

    Episode 2: Beyond the Impingement Test - What Your Hip Assessment is Missing

    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 clinical tests. We'll show you what to watch for in functional movement patterns—why your male patients prefer wider squat stances, toe out, and compensate through spinal flexion. But here's where most clinicians get it wrong: That "weakness" you're finding in strength testing? It'slikely pain inhibition, not true structural weakness. FAIS doesn't cause primary muscle weakness, but pain, fear, and central sensitisation absolutely inhibit function. Most importantly, we challenge you to step back. Don't just examine the hip in isolation—assess the entire kinetic chain. As we say: "If you're looking solely at the planet, step back and look at the universe." Because behind every hip impingement is a human being with unique movement patterns, beliefs, and compensatory strategies. Key Topics: ·      The FADDIR and FABER tests: sensitivity vs specificity ·      Why prone IR testing gives you more accurate ROM measurements ·      Functional testing that reveals real-world limitations ·      Understanding pain inhibition vs true weakness ·      The whole-system approach to FAIS assessment Whether you're an experienced MSK clinician or refining your hip assessment skills, this episode gives you the practical clinical framework to confidently evaluate FAIS. For further insights and clinical tips, Follow Benoy Mathew @function2fitness Callum East @hiprehablab

    32 min
  4. Episode 1: The C-Sign and Subjective Clues - Recognising FAI Syndrome From Patient History

    JAN 8

    Episode 1: The C-Sign and Subjective Clues - Recognising FAI Syndrome From Patient History

    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 "CAM morphology risk," and why that patient complaining their hip flexors feel "constantly tight" might be telling you something far more significant. We dive into the pathognomonic C-sign, decode the difference between primary anterior hip pain and secondary referral patterns, and explore why FAIS patients describe suchspecific aggravating factors—from getting out of the car to that familiar pinch at the bottom of a squat. What You'll Take Away: ✅ The exact age range and activity profile most at risk ✅ Which sports and training patterns during adolescence predispose to FAIS ✅ How to differentiate FAIS pain from other hip and groin pathologies based on history alone ✅ The functional limitations your patients describe that point directly to impingement ✅ Why gradual onset with load-related flares is the pattern you're looking for Whether you're assessing a 22-year-old footballer with groin pain or a 35-year-old gym-goer who "just can't squat anymore," this episode gives you the clinical framework to start building your FAIS hypothesis from the moment they walkthrough your door. Perfect for: Physiotherapists, osteopaths, sports therapists, strength coaches, and anyone managing active patients with hip and groin complaints.

    29 min

Trailer

About

Welcome to Straight from the Hip—the podcast where we cut through the noise and have honest, practical conversations about hip and groin pain and pathology. Hosted by Benoy Mathew and Callum East, hip specialists, this show is for all healthcare professionals who treat hip and groin cases in the real world—physiotherapists, osteopaths, sports therapists and strength coaches. We break down complex clinical presentations into actionable takeaways you can use in your clinic on Monday morning. Expect evidence-informed guidance without the academic jargon and real-world clinical reasoning.

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