In this episode of the Unreal Results podcast, I explore why the femoral neck can be uniquely resistant to change and why this often has less to do with exercise selection and more to do with blood flow and neurovascular entrapment. A simple case study question opens into a deeper look at pelvic anatomy, vascular supply, and how circulation drives bone remodeling.
I break down the arterial anatomy of the hip, identify common neurovascular entrapment sites that limit blood flow to the femoral neck, & explain why checking distal pulses may be the assessment you’re missing. I also unpack the relationship between pelvic floor tone & inhibited blood flow to the hip joint and how addressing it can change femoral neck response.
Resources & Links Mentioned In This Episode:
Ep. 9: Left Side Sciatica or Right Side Shoulder Pain?
Ep. 75: The Colon Connection
Info from the handout I mentioned
- Femoral Neck Vascular Anatomy: Hip Joint Anatomy Article (pages 7-8) & Blood Supply to Head of Femur (slides 2-7)
- Vascular Entrapment Areas: Iliopectineal ligament and inguinal ligament, pectins/iliopsoas, quadratus femoris, sartorius, proximal rectus femoris
- General Pelvic Congestion: Episode 49 - Pain on the Sacrum
- Practical Treatment Area: Hip Flexor Release & Obturator Canal
- Practical Treatment Area: Posterior Inferior Pelvic floor Mobility
- Practical Treatment Area: Obturator nerve glide
- Practical Treatment Area: Adductor hiatus / distal sartorius soft tissue mobilization - decompression with flexible cup or self massage
- Practical Treatment Area: Hip Medial Glide
- Practical Treatment Area: Prone supported frog stretch
Tools To Support These Treatments
- Soft Ball for Self-Massage* & Flexible Cups*
Learn the LTAP® In-Person in one of my upcoming courses
*This link is an Amazon affiliate link, meaning I earn a commission from any qualifying purchases that you ma
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