questions about glutes

[BetapegLLC]

???hi all-- a few questions regarding assessment and stretching recommendations for clients with glute pain-- this is a topic for presentation in my kinesiology class-- i am polling therapists and practitioners to see what sort of questions one would ask a client who comes to them with glute pain and /or hip pain complaints. how would YOU begin the assessment? how would YOU query the client, would you immediately do range of motion,etc.     what types of injuries do you see in your practice that typically result in glute pain or hip pain? what muscle groups do you tend to see affected most, how do YOU begin treatment on these? i am interested in the range of responses, as everyone will assess a client differently and seek out different types of information. i greatly appreciate your honesty and time, and thank you so much for assisting me with this "pain in the butt" assignment.....              cheers!

 

[VICTORY]

I want to know when and if they know why the pain started.  What aggrevates it and if anything they have tried to eleviate the pain has worked.  What other medical treatment they may have received from MDs, DCs, DOs etc.  Which movements cause pain.  I also want to know some lifestyle information.  What they do at work.  What hobbies or workouts do they participate in.  Any background information I can gather that will give me an insight into what muscles or movements need work.  Then I will want to assess ROM.  Treatment will vary on what I find out through their answers and to the limits on the ROM.  Hope this helps and isn't too late for your assignment.

 

[Pompal 09.]

Hi, I am a recovering butt-pain sufferer - it is referred pain from a lower back injury that I have been treated for by a chiro.  His suggested stretches are:Lying on back, raise one knee, and use your hands to draw the knee towards your chest.  Hold for 5 and relax.  Repeat, several times, then do the opposite knee.Repeat again, but draw the knee more across your body, towards the opposite shoulder.Then repeat again, but rather than drawing the knee towards you, draw it across the other leg.I have been doing this daily for several months, and also receiving regular massages (yumm!) and it's getting better at last.

 

[Pompal 09.]

I'm finding that stubborn piriformis and hip pain is often related to a dysfunction in the sacroiliac joint and pelvic imbalance in general.  I often see an SI which is rotated, nutated, or counternutated, an upslip in the ilium or something that just isn't right in the joint.  I believe that these imbalances impinge upon the sciatic nerve either as it exits the lower lumbars or the sciatic notch.  The most common reviews about what brought it on is either some exercise, like the eliptical machine, or stair master or sitting and driving for prolonged periods.  What has been most effective in helping to correct the problem is a combination of precise release of the muscles which are affecting the imbalance along with craniosacral work and an energy technique which I recently picked up called quantum touch...  quantumtouch.com  ... I'm finding that resolution can often happen within 1-2 sessions.