Updated: Apr 6, 2021
A few nuggets I picked up from the Therapy Live Pelvic Health conference yesterday! This was a physiotherapy conference, with some of the top speakers in all things pelvises. I have bought the recordings to catch up on the talks I missed, and have lots of ideas for content coming soon!
For anyone who missed it and might be interested, you can buy all the recordings here.
The key to managing lateral hip pain (when it is caused by gluteal tendinopathy) is education
Talking about compression is key! Even the best rehabilitation programme will not go down well unless the person is aware of what is potentially aggravating their pain and what is causing their pain.
In 80% of cases of lateral hip pain - there is no bursitis! So stop blaming the poor bursa.
We need to ensure that we are not demonising compression however, as it is safe to do and fine to do once that pain in the hip has settled down.
2. The education to the person in front of you about what the manual therapy is doing is important
As a clinician, I need to make sure that I am helping the person in front of me help themselves. Sometimes, this can include manual therapy (massage etc.). However, I also need to make sure that you know more about the effect that the manual therapy is having, and I need to make sure that you understand that it is not 'breaking down adhesions' or 'reducing scar tissue' as this is biologically impossible!
I feel like this is something I have been working on anyway, but it is more difficult talking to people who have had these beliefs sold to them by chiropractors, osteopaths or other physiotherapists.
Communication is key in these situations, and as always, I am learning more as I go.
3. Bone stress injuries / RED-S
Learning more about when to spot these or when to be suspicious. Key factors are taking a good history, looking for risk factors in patient populations and linking this in with the history, and educating the person in front of you.
A good MDT approach needed also - so referral to other health care professionals for thorough management.
This talk spoke the most to me, as this is something I didn't know much about at all.
I am going to have to do more content on this to help educate others too!
- Menopause is a retrospective diagnosis: 12 months without a period
- 1 in 4 women who go through menopause consider leaving work due to their symotoms
- Symptoms include SO MUCH MORE than hot flushes and sweating at night
- Early menopause (under age of 45) occurs in around 5 in 100 women
- Peri menopause can occur in late 30s/early 40s
- Post menopause symptoms can last 10 years
- Bone health: 1 in 2 post menopausal women have osteopenia or osteoporosis
That's all I'll write for now - this needs a blog post in itself!!
5. Inflammatory back pain in women is underdiagnosed / misdiagnosed
Women have an extra year and a half delay to diagnosis when presenting with inflammatory back pain. That is over 9 years of a delay.
Women are often misdiagnosed with chronic pain, fibromyalgia or just standard mechanical back pain as they do not present in the same way as males.
Key factors to look for:
- Stiffness which is typically worse in the mornings, lasting >30mins, waking up in the second half of the night
- Symptoms are better with activity and worse with rest
- Onset is usually in those under 45 years of age
- Symptoms improve significantly with anti - inflammatories over a 2 day period
There are so many other things to consider here - and any diagnosis needs a full assessment by a qualified healthcare professional. But definitely worth considering, especially in those with ongoing unexplained pain.
Phew, I am still exhausted from all the learning, so that's all I'll write for today.
Keep an eye out for more blogs coming soon!