In this episode, I am joined by Dr. Alison Grimaldi BPhty, MPhty(Sports), PhD, to discuss diagnosing and rehabilitating gluteal tendinopathy.

Show notes:

00:01:06 Painful gluteal tendons.

00:06:11 Recognize gluteal tendinopathy.

00:15:50 Load gluteal tendons actively.

00:21:03 Education and exercise first.

00:28:43 Reduce provocative positions.

00:34:44 Improve patient-specific function.

00:35:07 Listen and tailor the program.

00:45:17 Insurance limits treatment options. 00:50:01 Invest in continuing education.

More About Alison:

Dr. Grimaldi is an Australian Sports Physiotherapist and the practice principal of PhysioTec Physiotherapy in Brisbane, Australia, with over 30 years of clinical experience and a special interest in the management of hip, groin and pelvic pain. She has a Bachelor of Physiotherapy, Masters of Sports Physiotherapy and a PhD through the University of Queensland, Australia. Alison was a key investigator on the multicentre LEAP randomized clinical trial comparing the effects of treatment for gluteal tendinopathy. She has had involvement in research for over 20 years and continues her research interests as an Adjunct Senior Research Fellow at the University of Queensland, and in collaborative international research. She has contributed to three leading clinical texts, conducted over 100 clinical workshops worldwide and presented over 50 keynotes, invited or podium conference presentations. Alison also runs a Hip Academy with online learning and live mentoring at www.dralisongrimaldi.com.

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Key Papers: Wilson R, Abbott JH, Mellor R, Grimaldi A, Bennell K, Vicenzino B. Education plus exercise for persistent gluteal tendinopathy improves quality of life and is cost-effective compared with corticosteroid injection and wait and see: economic evaluation of a randomised trial. J Physiother. 2023 Jan;69(1):35-41. doi: 10.1016/j.jphys.2022.11.007. Epub 2022 Dec 14. PMID: 36526564. Link: https://www.sciencedirect.com/science/article/pii/S183695532200114X?

Mellor R, Kasza J, Grimaldi A, Hodges P, Bennell K, Vicenzino B. Mediators and Moderators of Education Plus Exercise on Perceived Improvement in Individuals With Gluteal Tendinopathy: An Exploratory Analysis of a 3-Arm Randomized Trial. J Orthop Sports Phys Ther. 2022 Dec;52(12):826-836. doi: 10.2519/jospt.2022.11261. Epub 2022 Oct 28. PMID: 36306175. Link: https://www.jospt.org/doi/10.2519/jospt.2022.11261?

Mellor R, Bennell K, Grimaldi A, Nicolson P, Kasza J, Hodges P, Wajswelner H, Vicenzino B. Education plus exercise versus corticosteroid injection use versus a wait and see approach on global outcome and pain from gluteal tendinopathy: prospective, single blinded, randomised clinical trial. BMJ. 2018 May 2;361:k1662. doi: 10.1136/bmj.k1662. PMID: 29720374; PMCID: PMC5930290. Link: https://www.bmj.com/content/361/bmj.k1662.long

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