In Ep.133 of the Sports Therapy Association Podcast, we bring you Part 2 of this month’s ‘Focus on The Hip’, with special guest Dr. Sarah Rollins discussing Buttock Pain (posterior hip pain), a condition treated by soft tissue therapists but all too often under the assumption that all buttock pain arises from the Piriformis muscle. Dr Sarah Rollins delves into the anatomy of the posterior hip and the many potential reasons for our clients & patients suffering from buttock pain. Dr. Sarah Rollins spent 11 years training & serving as an Army GP. In 2009, she left the Army and took up a post with the Ministry of Defence as a Civil Servant GP. In 2012 she moved to the Regional Rehabilitation Unit in Aldershot to work in Sport, Exercise & MSK Medicine. In 2017, Sarah completed her Masters in Medical Ultrasound and in 2018 wrote the FSEM UK training guidelines for MSK Ultrasound training & mentoring. Sarah is a runner and orienteer, and an ex-GB athlete herself having represented Great Britain at 11 World Orienteering Championships. She continues to compete at a Master’s level winning a Gold medal in 2022. Topics discussed: 6:40 Dr Sarah Rollins role in the Army & Ministry of Defence. 9:00 Representing Great Britain at 11 World Orienteering Championships 11:55 Buttock Pain covers a large category of possible issues. More complex than often taught. 13:59 Research suggests 6% to 36% of buttock pain involves the piriformis. 15:35 The importance of not dismissing what a patient 'thinks' is the problem. 16:20 What percentage of piriformis syndrome is caused by the sciatic nerve piercing the piriformis? 18:44 Anatomy of the buttock area 26:23 Does the 'type' of pain described by the patient help in diagnosis? 29:30 Importance of the location & journey of the pain, and red flags 34:30 What can 'pain when sitting down' be caused by? 39:10 Subjective assessment: the importance of letting the patient speak 42:26 Motivational Interviewing: shout out to Dr Gary Mendoza of stagesofchange.co.uk 46.00 Proximal Hamstring Tendinopathy 48:30 Gluteal Medius & Minimus Overload 50:15 How often is "weak glutes" the cause of buttock pain? 54:00 The usefullness of massage & passive therapy. Shout out to Paul Coker of movecornwallphysio.co.uk 56:00 How useful is stretching and yoga for buttock pain? 59:00 Back next week with Sports Physio Emer Acton to talk about rehab for these conditions! Useful Links: Twitter: @DrSarahRollins Pure Sports Medicine · Raynes Park, London Sports Therapy Association Website Our sincere thanks to Dr Sarah Rollins for giving up her time to be a guest on the show! Want to join the live recordings? Episodes of the Sports Therapy Association podcast are recorded live every TUESDAY at 8pm on the Sports Therapy Association YOUTUBE CHANNEL. Everyone is welcome - you do not have to be an STA member! If you cannot join us live, be sure to subscribe to the 'Sports Therapy Association Podcast' on all popular podcast apps to be notified when new episodes are available. Please Support Our Podcast! If you appreciate what we do, please take a couple of minutes to leave us a rating & review on Apple Podcasts. It really does make all the difference in helping us reach out to a larger audience. iPhone users you can do this from your phone, Android users you will need to do it from iTunes. Questions? Email: [email protected]

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