Inhoud
This course reviews the most updated terminology and research for coccyx pain, as well as the functional anatomy and biomechanics of the pelvic girdle and coccyx. You will learn about the risk factors, important differential diagnoses, coccyx pain phenotypes, role of vaginal birth on coccyx pain as well as how to perform a thorough physical examination. There will also be a prerecorded videopresentation of a Digital Rectal Examination (DRE). You’ll also learn targeted manual therapy for coccyx pain and promote self-management, including exercises and therapeutic movement, for this patient group. Conservative and medical/surgical management will be discussed, as well as the current evidence for both. At the end of this course, you will review a case study to demonstrate effective clinical reasoning to manage patients with coccyx pain.
Doelstellingen
On completion of this course, you will:
- Understand the functional anatomy and biomechanics of the pelvic girdle and coccyx
- Understand the evidence-based risk factors, including psychosocial and lifestyle factors, for coccyx pain
- Review the key differential diagnoses for perianal pain, ie proctalgia fugax
- Review the relationship between coccyx pain and pelvic floor muscle function
- Understand the impact of pregnancy and vaginal birth on the coccyx
- Understand the different patient phenotypes of coccyx pain, ie fracture vs dislocation vs hypermobility vs centrally-driven coccyx pain
- Review the conservative, pharmacological and surgical management options for coccyx pain and the evidence base for each
- Learn how to perform a physical examination of a patient presenting with coccyx pain, including external assessment and a videorecording of the Digital Rectal Examination
- Understand the relevant outcome measures and screening tools to thoroughly assess the psychosocial aspects that influence coccyx pain
- How to pivot your management if assessment indicates central pain mechanisms influencing coccyx pain
- Understand the importance of effective communication and developing a strong therapeutic alliance with your patients
- Learn targeted external manual therapy techniques for coccyx pain
- Be able to prescribe a self-management program for coccyx pain, including pain relief strategies, specific exercise and movement therapy
- Feel confident managing a person presenting with coccyx pain using a biopsychosocial & evidence-informed approach
Doelgroep
Algemeen Fysiotherapeut en Bekkenfysiotherapeut
Aanvangsniveau
HBO
Studiebelasting
6 contacturen
Didactische werkwijze
Interactieve hoorcolleges, praktische implicaties
