HipNotes Blog


HipTrac Helps Pro Basketball Player Landen Lucas

And guess what, he doesn’t have any hip problems! Landen Lucas is a former member of the University of Kansas Jayhawks Basketball Program. He graduated in 2017 and is now embarking on his professional career. After playing with the Boston Celtics in the 2017 NBA Summer League, he signed a 3-year contract with Alvark Tokyo in Japan. As a 6’10” and 240 lb. forward, Landen’s body is constantly taking a pounding.  He’s running up and […]


Diet Rich in Saturated Fats Associated with Osteoarthritis

A recent study from the Queensland University of Technology (QUT) identified a high-fat diet, and specifically, saturated fats as a prime suspect in the onset of osteoarthritis. QUT scientists found that a diet containing 20% saturated fats changed the composition of cartilage in the weight-bearing joints of the hip and knee. The modified cartilage displayed osteoarthritic changes. In addition, the diet resulted in changes to the bone under the cartilage. The team of researchers from […]


HipTrac Expands to Hip Arthroscopy Rehab, Prehab and More

Leveraging independent LAT to help more patients Clinicians are finding additional ways to leverage independent long axis traction with HipTrac to assist a wider range of patients facing or experiencing tightness and capsular restrictions, pre- and post-surgery, including: Hip Arthroscopy with microfracture, post-op rehabilitation Hip Arthroscopy without microfracture, post-op rehabilitation Pre-habilitation, before surgery for hip arthroscopy or THR Hip OA, FAI and labral tears Other conditions resulting in pain, tightness and/or capsular restrictions HipTrac’s original […]


Physical Therapists as Advocates and Educators

Like most physical therapists, I’m constantly playing the role of educator and advocate. This oftentimes occurs while working with patients diagnosed with early onset hip osteoarthritis. Individuals may not realize how much modern conservative care can help them during the months and years they may have to wait until they are candidates for THR surgery. Every day in this country thousands of individuals visit their physicians to find answers to their hip pain. Many of […]


Motocross racer meets HipTrac

Hip pain threatened to end racer’s Motocross career Simon Gerber is part of the Kempten Motocross team of RE-Racing from Kempten. Simon is a metal worker at Norm Aufzüge AG Frauenkappelen who started riding a Honda CR50 when he was four. Until he was 16, he rode his motorcycle on his uncle’s fields, and then purchased a racing license for the Freiburger Championship series. He’s very active – as part of his Motocross training for […]


hip traction comes to the middle east

Independent long axis traction comes to the Middle East

The Arab Health Conference is 1st Middle East showcase HipTrac is now appearing in the Middle East, in its first showcase at the Arab Health Conference in Dubai. We’re delighted to welcome Anil Daniel Prasad and his company Focus Professional as the exclusive distributor for MedRock products for the Middle East and India. Prasad is a practicing physiotherapist specializing in sports and musculoskeletal therapy. Focus Professional also organizes  evidence-based medical courses throughout the Middle East. […]


HipTrac Meets Bodybuilder with FAI

Bodybuilder Wins! Long axis traction and HipTrac can provide pain reliefon a range of hip pathologies, including hip osteoarthritis (hip OA), femoroacetabular impingement(FAI) and labral tears. For Stuart Cosgrove, using HipTrac relieved his pain and enabled him to return to his full workouts. Stuart, currently a physiotherapist (Cosgrove Physio) and a former Mr. Britain, is a dedicated HipTrac user.  “I started using the HipTrac and noticed a very quick improvement in my gait pattern and pain reduction. I used the device every day for one week, then […]


Long Axis Traction, Manual Therapy and HipTrac

How Does Long Axis Traction Help? Long axis traction is one of the key manual therapies that physical therapists use to relieve the pain and improve mobility of patients with hip osteoarthritis. Long axis traction has been in use for more than 100 years, and multiple studies over the last twenty years have documented its efficacy.  They also suggest that higher traction forces up to 800N are superior for improvements in pain and mobility.  However, those higher traction forces can be difficult […]


Portable hip traction provides a bridge to surgery

Portable hip traction helps when traveling Aaron was diagnosed with labral tear with femoral impingement. When he visited his physical therapist, the hip traction he received gave him significant relief. Nothing else he’d tried helped and that put him to thinking about alternatives. “I first sought to build my own traction device but had visions of doing more damage then good. So I sought it out on Google and found a Canadian supplier. Then went […]


Side-lying Option for Advanced Traction with HipTrac

Another Home Hip Therapy Option In this excerpt from his workshop at OPTA 2016, Dr. Tony Rocklin, a leading advocate for conservative treatment for patients with hip osteoarthritis, discusses the use of HipTrac in the side-lying position. After patients have used HipTrac and advanced to pressures of 70 PSI or more, and have decreased the flexion of the HipTrac from 30 degrees to 0 degrees, they can try the side-lying position for increased traction force. In […]


Podcast: Self-Management of Chronic Hip Pain

Self-management when surgery isn’t an option In the second part of this podcast, Tony Rocklin DPT discusses self-management of chronic hip painwith moderator Benoy Mathew. The discussion begins around the case of a 46 year old male with chronic hip pain. His MRI scan showed cam impingement with labral tears. His surgeon told him he’s too young for a hip replacement, and too old for an arthroscopy. That’s particularly true since there’s now evidence that the arthroscopy could […]


Therapeutic Exercises for Hip Osteoarthritis

Physical therapy to treat symptoms ] In this excerpt from his workshop at OPTA 2016, Dr. Tony Rocklin reviews therapeutic exercises for hip osteoarthritis that patients can perform at home to improve their mobility. Tony is a leading advocate for conservative treatment for patients with hip osteoarthritis that isn’t “drug-centric”. While the disease is degenerative and can’t be cured, the symptoms associated with it can be treated. These exercises are an important component of best practices for conservative treatment of hip osteoarthritis.  Those […]


Podcast: Treating Hip Pathology

Focus on Treating Hip Pathology Tony Rocklin DPT is known as “the hip guy” in Portland and around the Pacific Northwest. He’s been a physical therapist for 18 years, and for the last ten years has focused on treating hip pathology. Tony went in that direction when he started noticing that there was a big void in how the hip joint was being treated. This was particularly true when compared to the much more advanced […]

treating hip pathology

Physical Therapy Key for Hip Osteoarthritis Patients

Conservative Treatment for Hip OA With millions of Americans facing hip osteoarthritis (OA) at some point in our lives – 25% of us – it is increasingly important for our healthcare system to focus on treatments that are both cost-effective and provide the best possible patient outcomes. Historically, conservative treatment for hip OA in the US focuses more on painkillers, NSAIDS, and waiting for it to get bad enough to warrant surgery rather than on […]


When Arthroscopic Hip Surgery Isn’t the Best Choice

Arthroscopic hip surgery increases in popularity The popularity of arthroscopic hip surgery has increased in recent years, with a more than 600% increase between 2006 and 2010 in the United States. But although the minimally invasive procedure, often performed on an outpatient basis, may be preferred, a recent study published in Arthroscopy: The Journal of Arthroscopic and Related Surgery found that it may not be the best option for older patients or those with arthritis. […]


Prescription: therapeutic exercise for hip osteoarthritis

Therapeutic exercise = “medicine” for many chronic illnesses Therapeutic exercise is a key component in the conservative treatment of hip osteoarthritis. A paper published in the Scandinavian Journal of Medicine & Science in Sportsprovides the up-to-date evidence-based basis for prescribing therapeutic exercise for hip osteoarthritis and more than twenty other chronic diseases.   “Exercise as medicine – evidence for prescribing exercise as therapy in 26 different chronic diseases” was written by B.K. Pederson and B. Saltin and published in September 2015. In […]


Hip Pathologies for Patients – Understanding Labral Tear

What’s a labral tear? Labral tears are a hip pathology that can be caused by trauma, structural abnormalities or repetitive motions (particularly those in sports). The labrum is a rim of cartilage around the hip socket that helps keep the head of the femur (thigh bone) inside the acetabulum (hip socket). A labral tear is a tear in the labrum; patients feel pain deep in the groin on the side of the involved hip, and may also have […]


Dr. Tony Rocklin on Physical Therapy to Treat Hip Osteoarthritis

You can treat the symptoms, if not the disease. No, you can’t cure hip osteoarthritis. But yes, physical therapy can treat the secondary effects, including pain, tightness of the muscles around the hip joint and increasing loss of mobility. Physical therapy as conservative therapy has a low profile, and many providers – including surgeons and primary care physicians – don’t realize that it can significantly reduce patients’ need for drugs and also increase their mobility, […]


What to Expect When Starting Therapy for Hip OA

Start Hip OA Conservative Treatment with Physical Therapy For conservative treatment of hip osteoarthritis to be effective, it must include some level of physical therapy and therapeutic exercise. While over-the-counter(OTC) and prescription painkillers may relieve the pain, they do nothing to counteract the increasing tightness of the muscles around the hip and decreasing range of motion(ROM) caused by hip OA. This is why physical therapy is so important in conservative treatment, as it can both […]


Does Obesity Increase Osteoarthritis Risk?

The insidious link between extra weight and increased osteoarthritis risk Doctors have historically advised patients diagnosed with osteoarthritis to lose weight in order to lessen the strain on the joints. Now doctors should also be advising overweight patients to lose weight to decrease their osteoarthritis risk. The Arthritis Foundation posted this overview on fat and osteoarthritis and discussed the links between osteoarthritis and obesity in a second post.   The latter points out “…year after year of obesity fuels a steady barrage of friendly […]


Mobilization with Movement, Part 1

Mobilization with Movement that Patients Can Take Home As May is Arthritis Awareness month, it’s worth remembering that more than 20% of people in the United States will have osteoarthritis during their lifetimes. Hip osteoarthritis is one of the most common chronic illnesses in the US today. Unfortunately, our healthcare system is pre-disposed to dismiss it as incurable and only treatable with surgery. Pain medications and NSAIDS are prescribed and the patient is told to wait – and they do […]


Dr. Tony Rocklin at COPA Practice Growth

 Dr. Tony Rocklin is a licensed physical therapist with almost 20 years of clinical experience, specializing in orthopedic and sports medicine with a specific focus in the treatment of hip pathologies. He is a leading voice for the adoption of best practices in the conservative treatment of hip osteoarthritis, speaking for options that lead away from the use of prescription drugs and NSAIDs and lead to better patient outcomes and lower healthcare costs. There are millions of individuals suffering from some amount of pain and […]


Better Ways to Chronic Pain Relief Than Opioids

CDC and Surgeon General Align on Chronic Pain Relief Is the United States finally coming to grips with the fact we have an opioid abuse crisis?  In March the CDC released their final guidelines for prescribing opioids for chronic pain, stating that “Patients with pain should receive treatment that provides the greatest benefits relative to risks. The contextual evidence review found that many nonpharmacologic therapies, including physical therapy, weight loss for knee osteoarthritis, psychological therapies such as […]


Mobilization with Movement Part 2

Home Mobilization Options for Patients This is the second part of Dr. Tony Rocklin’s focus on mobilization with movement that patients can do at home, excerpted from his presentation at OPTA 2016. You can watch the first part of this discussion here, see other excerpts here, or listen to the full one hour presentation here. One of the challenges in treating patients with hip osteoarthritis is that most insurance companies limit the number of visits for physical therapy […]


Mobilization with Movement, Part 3

More Self Mobilization Options for Patients This is the third part of Dr. Tony Rocklin’s focus on mobilization with movement that patients can do at home, self mobilization that does not require a second person to perform. This discussion is excerpted from Tony’s presentation at OPTA 2016. You can watch the first part of this discussion here, the second part here and other excerpts here. Or listen to the full one hour presentation here. Dr. Rocklin is one of the leading […]