Lateral Hip and Buttock Pain
Sunday, 11 December 2022 09:00 - 17:00 (GMT)
English National Ballet
Mulryan Centre for Dance
41 Hopewell Square
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 increase your skills and confidence in your assessment and management of lateral hip and buttock pain?
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 and 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.
This course aims to:
- Enhance clinical reasoning, and skills for assessment of nociceptive sources, clinical entities and drivers associated with lateral hip & buttock pain
- Provide a framework for optimally effective, targeted interventions that consider
- Morphological variants & implications for load management advice, exercise therapy and manual therapy
- Adverse loading associated with kinematics and neuromotor function
- Individual goals and functional demands
- Provide opportunity to practice useful exercise therapy and nerve mobilisation techniques
Upon completion of this course, participants should be able to:
Perform diagnostic tests for lateral hip and buttock pain and use that information for differential diagnosis of the most likely source of nociception or a primary clinical entity
- 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 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