Hip P! with Radiating Pain Flashcards
What are the Subjective finding for those patients with Hip P! with Radiating pain?
- Insidious, gradual onset
-Traumatic MOI - Sitting and/or standing for prolonged periods could be an aggravating factor
- Reports of neuropathic pain symptoms
What are common Physical Examination findings for Radiating Pain?
- Neurologic exam may or may not be normal
- Restrictions in AROM or PROM will vary
- MLT may or may not be impaired
- MMT may be impaired
-Based on etiology and compensations - Joint integrity testing
-May be Hypomobile - Additional Orthopedic Test
- Palpations
Keep in mind that, Mobility deficits may cause radiating pain
What are Prognostic Factors for Radiating Pain?
- Etiology
- Concomitant Low back pathology
- Age
- Severity
- Social Determinants of Health
What Interventions can be done with Radiating Pain?
Sx Modulation
- Manual Therapy
- Dry Needling
- Modalities
- Static Stretching
Movement Control
- Core and Lumbar Stability
- Hip Musculature strengthening
- Neurodynamics
Functional Optimization
- Continue to focus on strength and stability
- Education on how to avoid recurrence
What are the Characteristics of Piriformis Syndrome?
- Several etiologies:
-Hypertrophic piriformis
-Anatomical variance
-Overuse - More common in middle-age patients
- More common in females than males
What may you find during the Examination of Piriformis Syndrome?
- Reports of deep buttock pain
- May or may not have radiating pain
Test and Measures that will indicate Piriformis Syndrome
- Neurologic Exam
- AROM/PROM
- MLT/MMT
- Additional Orthopedic Test
- Palpation
What Interventions can be done with Piriformis Syndrome?
Conservative Treatment
- Manual Therapy
- Dry Needling
- Static stretching
- Neurodynamics
- Strengthening of Hip musculature and core and back stabilzers
Various injections may be considered depending on severity
Surgical Treatment
