How to assess and diagnose posterior hip & gluteal pain with Benoy Mathew

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Lectures 6
CPD Hours 00:59:10

How to assess and diagnose posterior hip & gluteal pain with Benoy Mathew

Course Description

Do you find differential diagnosis with some chronic gluteal pain difficult? Would you like a clear understanding on how best to approach deep gluteal syndrome, ischio-femoral impingement and proximal hamstring tears?

Chronic gluteal pain is a common presentation in both sports medicine and primary care setting. Conditions like deep gluteal syndrome, ischio-femoral impingement and proximal hamstrings tendinopathy are being increasingly identified as cause of chronic gluteal pain in the physically active population.


In this webinar you will discover:

  • How to assess and diagnose common sources of hip pain
  • How to identify hip and lumbar spine red flags
  • Exactly how you can perform an assessment to test and differentially diagnose the structures involved in your patients pain

The complex anatomy of the buttock and pelvis, variability of presentation and non-specific nature of signs and symptoms make the diagnostic process difficult. The lumbar spine may refer into the posterior hip and groin, and mimic other pathology. The presentation of gluteal strains, hamstring tendinopathy/ tears or sacroiliac joint pathology is similar and for the clinician, eliciting the significant features in order to differentially diagnose can be difficult. Whether it is the weekend warrior, yoga enthusiast or the competing triathlete, accurate diagnosis and management of chronic gluteal pain can be challenging. This webinar will help you overcome these challenges, and improve your results with posterior hip and gluteal pain.


Key Learning Outcomes:

  • Overview of the complex interaction of the buttock, pelvis and the hip joint, to enable the clinician to discriminate more easily between pathological conditions
  • A detailed and systemic examination will be covered using an evidence-based approach for the assessment of the chronic gluteal patient and a solid understanding of differential diagnosis

 

 In Parts 2 & 3 of this masterclass (out shortly) you will further discover:

  • Clinical presentation and current management principles of pathologies including deep gluteal syndrome, ischio-femoral impingement, proximal hamstring tendinopathy/tears and clinical insights on managing complex presentation
  • Practical application of rehab exercises including progression of stabilisation, strength and mobility exercises for the different pathologies, in the gluteal region
  • Integration of theory, current evidence and treatment tools with case studies


Clinical Impact: Current evidence-based evaluation and management of chronic gluteal pain and overview of emerging pathologies such as deep gluteal syndrome, ischio-femoral impingement, proximal hamstrings tendinopathy and avulsions.


Part 1 covers:

  • Introduction
  • Learning Outcomes
  • The Gluteal Triangle
  • Clinical Approach to Chronic Gluteal Syndrome

Part 2 covers:

  • Red flags
  • Cauda Equina Syndrome
  • Fracture of the Pelvis
  • Sacral Stress Fractures in Long-Distance Runners
  • Management of metastatic sacral tumuors
  • Lumbo-sacral pathology
  • Sciatica
  • Lumbar Facet Referral Patterns

Part 3 covers:

  • Case report: claudication of the buttock
  • SIJ Syndrome
  • Evidence-Based Diagnosis and Treatment of the Painful Sacroiliac Joint
  • Hip Pathologies
  • Hip Joint Pain Referral Patterns: A Descriptive Study Differentiating Characteristics Between Hip Arthritis and Spinal Stenosis 

Part 4 covers:

  • Differential Diagnosis of Hip Disease Versus Spine Disease
  • Local Pathologies
  • Deep Gluteal Syndrome
  • Excursion of the Sciatic Nerve
  • Piriformis Muscle
  • DGS - Symptoms

Part 5 covers:

  • Seated Piriformis Stretch Test
  • Active Piriformis Test
  • Clinical Tests for Deep Gluteal Syndrome
  • Palpation of the Deep Gluteal Space
  • Part 1 Summary
  • Gluteal Pain - Differential Diagnosis 



  1. Now Viewing - 00:09:49 How to assess and diagnose posterior hip & gluteal pain part 1 with Benoy Mathew
  2. 00:11:15 How to assess and diagnose posterior hip & gluteal pain part 2 with Benoy Mathew
  3. 00:11:45 How to assess and diagnose posterior hip & gluteal pain part 3 with Benoy Mathew
  4. 00:14:42 How to assess and diagnose posterior hip & gluteal pain part 4 with Benoy Mathew
  5. 00:11:39 How to assess and diagnose posterior hip & gluteal pain part 5 with Benoy Mathew
  6. 00:01:00 Handout and Q&A - Posterior hip pain & gluteal pain with Benoy Mathew

Instructor

Benoy Mathew London, United Kingdom

Benoy Mathew, a UK Chartered Physiotherapist specializing in overuse lower limb injuries, has worked extensively in hospital, private practice and sporting settings within Asia, Middle East and the UK. A master’s graduate from the University of Hertfordshire, he’s currently working as an extended scope practitioner in London for the NHS. As an ESP physio, he is involved in assessment of complex cases and requesting investigations including MRI, Xrays and ultrasound and onward referral to orthopaedics or rheumatology, if appropriate. He also provides injection therapy and shockwave therapy for suitable patients as part of their rehabilitation. Benoy has more eighteen years of experience in the field of exercise therapy and rehabilitation and is also a clinical tutor on chronic Hip and Groin & Running courses in the UK for health care professionals and fitness trainers. More than 500 therapists have attended his CPD courses, over the last 3 years in the UK.

Twitter: @function2fitnes