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Lateral Hip and Buttock Pain Practical Workshops for physiotherapists and other health professionals involved with the management of lateral hip and buttock pain

Do you find buttock pain a diagnostic dilemma? Or if you’ve ruled out the lumbar spine, do you just treat it as muscle related pain and provide some glute massage and generic exercises?

And how are you going with your patients with lateral hip pain?
Do you find some respond quickly and others just seem to struggle?

There is much to consider with lateral hip and buttock pain, but it doesn't have to be difficult, with a good understanding of the area and a clear framework to develop an effective management approach.

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Upskill in practical applications of assessment and management of joint, tendon and nerve related lateral hip and buttock pain, with Dr. Alison Grimaldi, physiotherapist, researcher and educator

Presented by: Dr Alison Grimaldi

Dr Alison Grimaldi Profile Picture - 450 x 525

Physiotherapist

  • 30+ years experience
  • Bachelor of Physiotherapy
  • Masters of Sports Physiotherapy
  • APA Titled Sports Physiotherapist
  • Practice Principal of PhysioTec Physiotherapy in Brisbane - 18 years
  • Fellow of the Australian College of Physiotherapists

Researcher

  • Doctorate in Philosophy (PhD), in physiotherapy, on hip region
  • 20+ years of research involvement
  • Adjunct Senior Research Fellow at the University of Queensland
  • Involvement in collaborative international research projects

Educator

  • University of Queensland visiting educator for Masters Programs for > 20 years
  • Presented over 100 clinical workshops globally
  • Presented over 50 podium conference presentations
  • Founder of Hip Academy, a global platform aimed at helping more people around the world with hip pain
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6 hours of PowerPoint lessons with printable notes

8 hours of live practical workshop

3 months access to online video content

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Workshop Attendee Testimonial

"I have learned many tips and tricks, I have learned them well and I will retain them for long time. It was a highly valuable learning experience and I would recommend my doctor colleagues whether surgeons, Sport and Exercise physicians or rehabilitation consultants to attend all three of the courses."

Ms Theodora Papadopoulou  Orthopaedic Surgeon • Loughborough, UK

SYNOPSIS for Lateral Hip and Buttock Pain Practical Workshop

Lateral-Hip-and-Buttock-Pain-Practical-Workshop
Lateral-Hip-and-Buttock-Pain-Practical-Workshop

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 and 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.

Learning Objectives

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 development of optimally effective, targeted interventions for each individual that considers
    • Morphological variants & implications for load management advice, exercise therapy and manual therapy
    • Adverse joint or soft tissue loading associated with kinematics and neuromotor function
    • Individual goals and functional demands
  • Provide opportunity to practice useful exercise therapy and nerve mobilisation techniques

Learning Objectives: 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
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ONLINE THEORY for Lateral Hip Pain Practical Workshop

The substantial theoretical component of this course is presented in an online learning format for your flexibility and optimal learning experience.

6 hours of PowerPoint lectures with printable notes.

Learn anywhere, at your own pace, in your own time.

Rewind and revise as many times as you like.

Self-assessment quiz

3 months of unlimited access to video content

The online component aims to:

  • Clarify definitions and diagnoses of lateral hip and buttock pain
  • Explore factors which may influence loads across the lateral hip & buttock and predispose to intra or extra-articular impingement, such as:
    • morphological variants (e.g., bony structure, soft tissue – neural relationships)
    • adverse soft tissue loading associated with kinematics and neuromotor function (focus on hip abductors and short external rotators).
  • Provide an overview of key load management and therapeutic exercise strategies for lateral hip and buttock pain, particular to the patient presentation and associated difficulties with mechanical load transfer.
  • Provide an update on scientific evidence for underlying diagnostic and management approaches
Hip exercise demonstration - Dr Alison Grimaldi

PRACTICAL DAY CONTENT for Lateral Hip and Buttock Pain Practical Workshop

The live practical workshops will be provided as 8 hour live sessions.

Pdf manuals and attendance certificates will be supplied for all workshop attendees.

↓ The one-day practical workshop ↓

The practical workshop will guide participants through diagnostic tests and management strategies for lateral hip and buttock pain. There is now high-quality evidence for assessment and management of gluteal tendinopathy from the ‘LEAP’ lateral hip pain randomised clinical trial, of which Alison was a key investigator. Participants will receive first-hand instruction on techniques, advice regarding how best to apply this approach in clinical practice and valuable troubleshooting for slow or non-responders.

The workshop with then delve into the other lesser-known problems associated with buttock pain that may present diagnostic and management challenges – posterior joint instability, bony impingements, peripheral nerve entrapments and musculotendinous overload. Understanding the impact of bony morphology, soft tissue interfaces and postural and movement patterns is critical to optimal management of these conditions.

The one-day practical workshop will include:

Diagnostic tests, management strategies and key exercises for:

  1. gluteal tendinopathy & associated soft tissue pathologies (Greater Trochanteric Pain Syndrome – GTPS)
  2. posterior femoroacetabular impingement
  3. posterior hip joint instability
  4. extra articular impingements *ischiofemoral impingement
  5. deep gluteal syndrome/extraspinal sciatica
  6. proximal hamstring tendinopathy
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Lateral-Hip-and-Buttock-Pain-Practical-Workshop
Hamstring assessment - workshop demonstration - Dr Alison Grimaldi

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