trochanteric burisitis

[ginger]

I find the diagnosis of "trachanteric bursitis" invariably is a euphemism for " I don't know" and turns out to be just referred pain from protective behaviour at L4. Start there.

[dcz123]

I will certainly keep that in mind as there as a low lumbar/sacral component as well. Thanks!

[Laura Jayne Physiotherapy]

Hi,
I went on a tendonopathy course recently and found the Clam exercise very helpful for this condition. I also had a patient who struggled with uneven ground. She improved well with the Clam loaded plus some posture rehab.

Laura Jayne Physiotherapy

Laura Jayne Physiotherapy

[Fouche]

Hi Laura

Thanxs for the reply!

Clam exc? You talking about glut med strength exc?

Cherz

[Laura Jayne Physiotherapy]

Hi Laura

Thanxs for the reply!

Clam exc? You talking about glut med strength exc?

Cherz

Hi Cherz,

Yes glut med. Doing as many rep until fatigue and increasing the load. Then moving onto straight leg abduction work. Seems to work well. I've only had one patient who it flared up the symptoms so we had to settle pain down first as it was to acute.

Regards

Laura
www.laurajaynephysiotherapy.com

[alophysio]

Hi Fouche and Laura,

The strengthening of the deep hip external rotators are excellent...however i think there is some doubt as to whether the clamshell exercises target the glut med...Alison Grimaldi has done some studies and i know she has used realtime ultrasound on the clams exercises and shown that clams preference the TFL, not Glut med.

But really that is a moot point...the most important thing is to make sure that the hip muscles are working together as a team because any overactive or underactive elements will cause the axis of rotation to change and thus cause dysfunction and poor load transfer.

Cheers!