Entries by Dr Alison Grimaldi

Non-surgical options for management of hip osteoarthritis: An orthopaedic perspective

Includes podcast, infographic & podcast notes. Hip Osteoarthritis can be well managed through a blended approach of activity and load modification, exercise therapy and strength and conditioning, manual therapy and a polypharmacy approach of short acting, usually oral pharmaceuticals and long acting, usually injectable pharmaceuticals. Prior to being considered as a candidate for total hip […]

Total Hip Replacement – Is it time yet?

Guidelines from Dr Patrick Weinrauch, Orthopaedic Surgeon. Includes podcast, infographic & podcast notes. Making the decision to undergo Total Hip Replacement (Total Hip Arthroplasty) is something that patients with hip osteoarthritis (OA) may agonise over – understandably so. Although this is generally a remarkably successful procedure with the potential to substantially improve function and quality […]

Standing posture, hip joint loads & the management of hip pain

In recent years, particularly in the social media sphere, there has been a lot of negative publicity directed towards management approaches for musculoskeletal pain that incorporate postural and/or movement training. The criticisms usually hang on two main assertions: 1. Postural and/or movement training will induce hypervigilance and fear avoidant behaviour & 2. That the body […]

An Exciting Initiative – Hip Pain Help

Today I have some exciting news about a new initiative to connect those in the community suffering with hip and pelvic pain, and health professionals with a special interest in this field. Chances are, that if you’re visiting this site, you fall into one of those two groups, so this is great news for all […]

Tendinopathy – Does corticosteroid injection aid or hinder our rehabilitation process?

When physiotherapy treatment for tendinopathy fails, have you ever thought ‘Where did I go wrong?’ Assuming you have applied contemporary evidence informed protocols that incorporate load management and appropriate exercise therapy (e.g. avoiding compressive loading for insertional tendinopathies), there are a number of factors that may influence your success, including patient beliefs and compliance, systemic […]

Are you still prescribing ITB stretches and clams for lateral hip pain?

It might be time for a knowledge update! Painful tendinopathies are one of the most frequent musculoskeletal conditions with which patients present to physiotherapy clinics. Diagnosis can often be challenging, with hip and pelvic tendinopathies often masquerading as lumbar-referred or hip joint pain. A missed diagnosis or incorrect management plan can lead to delayed outcomes […]