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 &/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.

This 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, 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, particularly of the proximal hamstring tendon and deep hip external rotators.  Understanding the impact of bony morphology, soft tissue interfaces and postural and movement patterns is critical to optimal management of these conditions.

Leerdoelen : 
• 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 and provide management strategies for these
• 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

 Online Learning Component (4-6 hours)  : Understanding definitions, pathology & mechanisms

Aan deze opleiding is een e-learning-module verbonden die u GRATIS wordt aangeboden bij inschrijving voor deze opleidingsdag. Een aantal weken voor aanvang ontvangt u een persoonlijke login voor de website van dr Alison Grimaldi.

Leerdoelen e-learning :

• Clarify definitions and diagnoses of lateral hip and buttock pain
• Explore factors which may influence loads and integrity of the posterior capsuloligamentous structures.
• Explore factors which may influence extra-articular loads in the lateral hip and buttock region – a. morphological variants (e.g. bony structure, soft tissue – neural relationships), b. 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

Datum : vrijdag 3 mei ’19,  van 9u-17u

Doelgroep van de cursus : Kinesitherapeuten, sportartsen, osteopaten, chiropractoren.

Prijs : 240€ (excl btw), 40% korting indien betaling met KMO-Portefeuille

Inbegrepen : Syllabus, lunchbuffet en koffiepauzes.

Dr Alison Grimaldi is an Australian Sports Physiotherapist and the practice principal of Physiotec Physiotherapy in Brisbane, with 25 years of clinical experience and a special interest in the management of hip, groin and pelvic pain. She has a Masters of Sports Physiotherapy and a PhD through the University of Queensland. Alison continues her research interests as an Adjunct Research Fellow at the University of Queensland. She has conducted over 100 clinical workshops and has presented keynote and invited presentations widely, both in Australia and internationally, at many physiotherapy and medical conferences. She has also contributed to two leading clinical texts – Clinical Sports Medicine and Grieves Modern Musculoskeletal Physiotherapy and recorded highly successful podcasts with the British Journal of Sports Medicine and PhysioEdge.