Lateral Hip and Buttock Pain
Monday, 13 May 2019 09:00 - 17:00 (GMT)
Australian Physiotherapy & Pilates Institute (APPI)
Do you have a list of possible diagnoses that jump to mind when someone presents with lateral hip or buttock pain?
Do you consider posterior joint stability, extra-articular impingements of the lesser or greater trochanter or peripheral nerve entrapments?
What is your strategy for working through the differential diagnoses and which subjective and objective markers determine your pathway towards each particular diagnosis?
Once you have determined the most likely diagnosis, are you also able to identify and develop a plan to address the most potent drivers for each individual’s presentation?
Would you like to Fast Track your lateral hip and buttock Rehab?
Lateral hip and particularly buttock pain can often present a diagnostic dilemma. The lumbar spine and sacroiliac joints may refer into these regions; intra-articular hip pathologies may be accompanied by lateral hip and/or buttock pain; local soft tissues & neural structures may be primary sources of nociception.
The first step is determining the most likely contributors to the patient’s pain presentation. Developing an optimal management program with positive effects past the short term, will also require an evaluation of physical & psychological drivers. Intrinsic & extrinsic factors should be considered within the overall context of workload. While non-modifiable factors (e.g. bony morphology) are by nature unable to be modified, awareness of these factors can be integral to providing advice and interventions (active or passive) that ‘do no harm’ and development of strategies that allow maximal function with minimisation of adverse effects.
Learning Objectives: This practical workshop will teach skills that allow participants to
- Perform pain provocation tests for gluteal tendinopathy & associated soft tissue pathologies, and reason through the differential diagnosis for lateral hip pain
- Provide evidence-based load management and exercise strategies for lateral hip pain
- Assess and develop management strategies for posterior hip joint instability
- Recognise occurrence of and potential drivers for extra-articular impingements such as ischiofemoral and posterior greater trochanteric impingement
- Develop management strategies for these extra-articular bony impingements
- Differentially diagnose ischial pain, including diagnostic tests for proximal hamstring tendinopathy
- Apply neurodynamic assessment and mobilisation techniques relevant to the lateral hip and buttock, and consider the impact of soft tissue interfaces
- Recognise the important anatomical relationships and functional roles of the deep external rotators