Posterior hip pain can have a number of causes, with referral from the lumbar spine, SIJ and hip, along with local structures such as the hip joint, gluteals, glute tendons, proximal hamstring tendons. How can you identify the structures involved in your patient's posterior hip pain? What tests can you perform in your objective assessment to assist your treatment? What is the best way to treat the glutes if they are the involved in your patient's pain?

In episode 63 of the Physio Edge podcast, Benoy Mathew and David Pope explore how you can improve your diagnosis and results with posterior hip pain.

You will discover:

• What are some of the common causes of posterior hip pain?
• Gluteal tendinopathy (GT)
  • What area of symptoms will patients with GT report?
  • What are the pattern of symptoms for GT?
  • What tests can we perform to make GT more or less likely
  • How can we treat GT?
• Deep gluteal syndrome (DGS)
  • What is deep gluteal syndrome?
  • What muscles can be involved in DGS?
  • How can we differentiate it from Gluteal tendinopathy?
  • What tests can you perform to confirm or exclude DGS?
  • How does the treatment for DGS differ to GT?

Benoy is presenting a free webinar with Clinical Edge on "How to assess & diagnose posterior hip and gluteal pain", that complements this podcast, and takes you through the common sources of hip pain, how to identify hip and lumbar spine red flags, and demonstrates exactly how you can perform an assessment to test and differentially diagnose the structures involved in your patients pain.

CLICK HERE to enrol on this free webinar with Benoy Mathew

Ben also presented a webinar with Clinical Edge on how to rehabilitate adductor and psoas related groin pain. The webinar helps you discover:

• Rehabilitation of adductor and psoas related groin pain
• Practical tips
• Common presentations
• Osteitis pubis, sports hernia, hip impingement
• Rehabilitation from initial stages to plyometrics

CLICK HERE to watch the webinar "Rehab of adductor and iliopsoas related groin pain" with Benoy Mathew with a free trial Clinical Edge membership

Links of Interest

• Download and subscribe to the podcast on iTunes
• Download your free podcast handout on how to assess and treat posterior hip and gluteal pain
• Physio Edge podcast 053 Hip and groin pain part 1 - diagnosis, pathology and red flags with Benoy Mathew
• Physio Edge 054 Hip and groin part 2 - assessment and treatment with Benoy Mathew
• Download the free podcast handout for Physio Edge 054 Hip & Groin pain Part 2
• Webinar on groin pain rehabilitation with Benoy
• Benoy Mathew on Twitter
• Benoy Mathew's website and courses
• Access to Ben's webinar on rehabilitation of hip and groin pain, along with all of the Clinical Edge webinars and videos with a free trial membership
• David on Twitter
• Review the podcast on iTunes
• Like the podcast on Facebook

Articles related to this episode:

1. Franklyn-Miller et al (2009)- The Gluteal Triangle: a clinical patho-anatomical approach to the diagnosis of gluteal pain in athletes , BJSM. Open Access Link
2. Grimaldi & Fearon (2015)- Gluteal Tendinopathy: Integrating Pathomechanics and Clinical Features in Management, JOSPT. Open Access Link
3. Hernando et al (2016)- Evaluation and management of ischio-femoral impingement: a pathophysiologc, radiolgic and therapeutic approach to a complex diagnosis, Skeletal Radiol
4. Martin et al (2016)- Deep Gluteal Syndrome, JHPS, Open Access Link
5. Martin et al (2016)- Ishiofemoral Impingement and Hamstrings Syndrome, Distal Causes of Deep Gluteal Syndrome. Where do we go next? Clin Sports Med. Open Access Link
6. Michel et al (2013)- Piriformis muscle syndrome: Diagnostic criteria and treatment of a mono centricseries of 250 patients, Annals of Physical and Rehabilitation Medicine
7. The Copenhagen Hip and Groin Outcome Score (HAGOS): development and validation according to the COSMIN checklist
8. Physical Examination of the Hip by Dr. Hal D. Martin

How can you treat plantar fasciopathy? How can you return your plantar fasciopathy patients to activity and running? When can they run without aggravating their pain?

In episode 62 of the Physio Edge podcast, Tom Goom and David Pope help you discover exactly how you can get great treatment outcomes with plantar fasciopathy.

You will discover:

• How can you treat plantar fasciopathy (PF)?
• How can you help reduce plantar fascia pain during the "pain-dominant" phase?
• How can you improve load capacity during the "load-dominant" phase?
• When do your patients need relative rest?
• What cross training options are suitable for runners with PF?
• When and how can you incorporate strengthening into your treatment?
• What other impairments should you address in your treatment?
• How do you adapt strengthening if your patients pain is irritable vs non-irritable
• Is stretching helpful?
• Should you include other treatment, eg taping, orthotics, gel heel cup
• When can your patients return to running?
• How long is the average recovery from PF?
• A PF case study with exercise progressions and return to running.

This podcast follows on from Physio Edge 060 Plantar fasciopathy in runners with Tom Goom and Physio Edge 061 How to assess & diagnose plantar fasciopathy in runners with Tom Goom

Free running injury assessment & treatment video series available now

Links of Interest

• Download and subscribe to the podcast on iTunes
• Tom Goom on Twitter
• Connect with David Pope on Twitter
• Review the podcast on iTunes
• Like the podcast on Facebook
• Infographics by Clinical Edge
• Get your free trial Clinical Edge membership
• Tom Goom's website & courses
• Tom on Facebook Live

Related posts

• Infographic - How to treat plantar fasciopathy in runners with Tom Goom
• Physio Edge 060 Plantar fasciopathy in runners with Tom Goom
• Infographic - Plantar fasciopathy in runners with Tom Goom
• Infographic - Plantar fasciopathy imaging & education with Tom Goom
• Physio Edge 061 How to assess & diagnose plantar fasciopathy in runners with Tom Goom
• Infographic - How to assess & diagnose plantar fasciopathy in runners with Tom Goom

Research associated with this episode

• Rathleff et al. 2014. High-load strength training improves outcome in patients with plantar fasciitis: A randomized controlled trial with 12-month follow-up.

Assessment and diagnosis is vital in planning your plantar fasciopathy treatment program, and successfully returning your patients to activity and running. Structures in the vicinity of the plantar fascia insertion may contribute to plantar heel pain, but require a very different treatment approach. How can you identify other structures that are involved? What questions do you need to ask in the history? How can you perform an examination, and what tests should you perform on patients with plantar fasciopathy?

In episode 61 of the Physio Edge podcast, Tom Goom and David Pope help you discover exactly how you can assess and differentially diagnose plantar fasciopathy.

You will discover:

• Plantar fasciopathy clinical presentation
• How to identify fat pad irritation
• Patterns of calcaneal and navicular bony stress injuries
• How you can identify nerve entrapment and radiculopathy
• Red flags such as spondyloarthropathy
• Questions to ask in your subjective that will guide your diagnosis and treatment
• How to perform an objective assessment
• Tests you need to perform
• Identifying impairments to address during rehabilitation
• When you should perform a running assessment

This podcast follows on from Physio Edge 060 Plantar fasciopathy in runners with Tom Goom

Free running injury assessment & treatment video series available now

Links of Interest

• Download and subscribe to the podcast on iTunes
• Tom Goom on Twitter
• Connect with David Pope on Twitter
• Review the podcast on iTunes
• Like the podcast on Facebook
• Infographics by Clinical Edge
• Get your free trial Clinical Edge membership
• Tom Goom's website & courses
• Tom on Facebook Live

Research associated with this episode

• Rathleff et al. 2014. High-load strength training improves outcome in patients with plantar fasciitis: A randomized controlled trial with 12-month follow-up.
• Riel H, et al Is ‘plantar heel pain’ a more appropriate term than ‘plantar fasciitis’? Time to move on

Plantar fasciopathy is one of the most common causes of foot pain in runners and non-athletes alike. Our understanding of plantar fasciopathy (PF) pathology and treatment has progressed significantly over recent years. In episode 60 of the Physio Edge podcast, Tom Goom and David Pope explore PF, what we know about it, and how you can explain the condition, treatment and recovery process to your patients.

You will discover:

• What we know about plantar fasciopathy
• What pathology is present
• When is imaging indicated, and what information does it provide
• Which forms of imaging are the most useful
• What are the risk factors for developing PF
• Which aspects of running may be related or contribute to developing PF?
• How can you explain PF the condition, treatment and recovery process to your patients

Free running injury assessment & treatment video series available now

Links of Interest

• Download and subscribe to the podcast on iTunes
• Tom Goom on Twitter
• Connect with David Pope on Twitter
• Review the podcast on iTunes
• Like the podcast on Facebook
• Get your free trial Clinical Edge membership
• Tom Goom's website & courses
• Tom on Facebook Live

Research associated with this episode

• Sullivan et al. 2015. Musculoskeletal and Activity-Related Factors Associated With Plantar Heel Pain

• Nielsen et al. 2013. Predictors of Running-Related Injuries Among 930 Novice Runners

• van Leeuwen, et al. 2015. Higher body mass index is associated with plantar fasciopathy/‘plantar fasciitis’: systematic review and meta-analysis of various clinical and imaging risk factors

• Riel H, et al Is ‘plantar heel pain’ a more appropriate term than ‘plantar fasciitis’? Time to move on

How can you identify the most important factors involved in your patients running injuries? During your rehabilitation of runners, which is most important to address - load, gait pattern, strength, foot strike, pelvic position, footwear, range of movement or other factors?

I wanted to discuss and debate these issues with a number of Physiotherapists that treat and research running injuries, so I have a very different format for you on this episode of the Physio Edge podcast - a group podcast.

On this podcast, we have Tom Goom, Greg Lehman and Dr Christian Barton all in one virtual room discussing and debating the merits of the various approaches to running injuries.

In this episode of the Physio Edge podcast David Pope and the group discuss:

• When is it ok for your runners to continue running, and when do they need to stop
• Common myths around running retraining
• When is it important to change your patients foot strike?
• Which patient presentations and pathologies will be assisted with running retraining?
• How can you identify a suitable running load during rehab
• How can you incorporate running retraining into your rehab
• Which areas are important to running assessment
• How can you manage training load strength and conditioning
• When are plyometrics appropriate during rehabilitation
• Other factors that impact injury prognosis and duration
• What advice can you give new runners
• Which footwear should runners wear?

Free running injury assessment & treatment video series available now

Links of Interest

• Download and subscribe to the podcast on iTunes
• Connect with David Pope on Twitter
• Review the podcast on iTunes
• Like the podcast on Facebook
• Get your free trial Clinical Edge membership

Tom Goom

• Running Physio website 
• Tom on Twitter 
• Tom Goom's website & courses 
• Tom on Facebook Live

Greg Lehman 

• Greg Lehman's website 
• Twitter
• Facebook

Dr Christian Barton 

• Twitter
• LaTrobe Sport and Exercise Medicine Research Blog

Papers mentioned in this episode

• Is there an economical running technique? A review of modifiable biomechanical factors affecting running economy

• Influence of step length and landing pattern on patellofemoral joint kinetics during running

• The training-injury prevention paradox: should athletes be training smarter and harder?

• Optimising strength training for running and cycling endurance performance: A review

• A negative life event impairs psychosocial stress, recovery and running economy of runner

• Running shoes and running injuries: mythbusting and a proposal for two new paradigms: preferred movement path and comfort filter

• The effectiveness of exercise interventions to prevent sports injuries: a syatematic review and meta-analysis of randomized controlled trials

• Chronic psychological stress impairs recovery of muscular function and somatic sensations over a 96-hour period

• Frontal plane kinematics of the hip during running: Are they related to hip anatomy and strength?

• High eccentric hip abduction strength reduces the risk of developing patellofemoral pain among novice runners initiating a self structured running program: a 1 year observational study