Dr Alison Grimaldi and her team at Physiotec have provided services for large numbers of clients with hip and groin pain for over 10 years here in Tarragindi. Management of these conditions is an area of special interest and expertise for our clinic, due to Alison’s passion, research and high level of skills in managing these problems. Alison has over 25 years of clinical experience and a number of degrees, has published many peer reviewed papers in scientific journals and continues her research interests in this area as an Adjunct Research Fellow at the University of Queensland. The establishment of a formal ‘Hip Clinic’ and a specific high quality rehabilitation program – Fast Track Rehab Hip & Groin Program aims to formalise our service and provide options for people close and afar.
What makes our Hip Clinic & FAST TRACK REHAB Hip & Groin PROGRAM different?
- Developed by Dr Alison Grimaldi, based on latest evidence and over 25 years of clinical experience in the field
- Specific outcomes measures are used to give you a clear indication of where you are now and where you need to go for recovery
- Specific advice provided on what to do and what to avoid, based on a deeper understanding of hip and groin conditions
- An exercise program tailored to your individual needs to speed and optimise your outcome
- Our own professionally recorded exercise videos available via a free app, Physitrack
- Remote access services – check ups via skype if required and regular feedback available via the Physitrack app.
The primary days for our Hip Clinic will be Monday, Tuesday and Thursday but you can also schedule assessments outside these days depending on availability. Colm Coakley has joined our team, with a wealth of experience and a similar passion for the management of hip and groin conditions. Colm will act as our Hip Clinic and Program Manager. Colm and Alison have worked closely together to develop a systematic and evidence based assessment procedure to look closely at your problem and ascertain your key impairments (problematic areas or weaknesses) and drivers (issues that may be driving your problem such as postural and movement habits, muscle imbalances etc). From this detailed assessment, we can develop for you a tailored management plan. So often patients we see who have failed previous rehabilitation have been provided a generic ‘one size fits all’ program. The hip and groin are such complex areas, no single program can address the many different issues that can arise. Furthermore, many programs fail to consider the complexities of muscle function – often strength alone is considered. While strength is an important component of musculoskeletal health, there are many other facets of function that can fail and will not be adequately addressed with a general strength-only approach.
Hip Clinic Assessments
For entry into our FastTrack Rehab programs, some specific assessments are required.
- Online questionnaire:
This questionnaire can gather some key information that will save us time in your initial assessment and allow time for you to think a little about some of your answers. This is sent to you via email or if you don’t have access to email you can attend early for your appointment and fill it in prior to your Initial Assessment. We would encourage you to complete the question online wherever possible.
- Initial Assessment: 1 hour
This first hour allows us to find out more details about your problem, and do a holistic assessment to develop a picture of your main problems and where we need to head with your plan. We will need to discuss with you about when the problem first started and any known reasons for the development of the problem, what has happened over time (changes in the condition, previous treatments and the effect of these), how the problem is now impacting on your life and what are your main goals and needs around day to day function, work or sporting requirements. We will then assess your posture and everyday movement patterns and usually video these for later analysis, and then take you through a battery of tests that will indicate the key areas that we need to work on as part of your overall plan. These will be explained and your plan will be discussed, including advice around what things you can start today to help improve the situation. Where time allows, we may also get you started on the first exercises in your program.
- Outcomes Assessment and Further Program Development: 1 hour
Now that we have a holistic impression of what is going on and where we need to go, this second hour allows us time to take some measures of your key deficits – eg weaknesses, areas of stiffness, inadequate balance, control of movement, endurance. These specific measures allow us to quantify your baseline function so that we can set clear goals and measure your progress objectively. So instead of just being told ‘you are weak or tight’, we can tell you exactly how weak you are or how limited your movement is and what we would like to achieve. This assessment may include a variety of strength tests with a hand-held dynamometer, measurable strength/endurance /power tests, balance tests and measures of mobility restrictions, as appropriate to the particular problem and individual capacity. We would also within this session aim to start or progress your program, and answer any questions or problem solve around the advice provided on day one.
FastTrack Rehab Hip & Groin Program
Once your assessments and early programming is complete, you can enter the Fast Track! You may require usually 1-3 individual sessions to ensure you are competent in performance of your home program and to familiarise you with exercises you will be completing as part of your supervised class, if you elect to attend Fast Track Rehab Hip & Groin Classes.
The programs are runs as 6-week blocks with a 30-minute review on completion. There are a number of options for program completion ranging from individual supervised exercise, to group classes (exercises tailored for you but in a group environment), or home exercise with intermittent face to face or skype review. With any of these options, you are also welcome to attend additional physiotherapy sessions for hands-on treatment as required.
Option A: Supervised Individual Exercise Plan
Option B: Weekly Home Exercise Review + Group Exercise Class*
*Individualised exercise plan within a group environment of 3-6 people
Option C: Home Exercise & Slider Hire
Option D: Home Exercise Only
Just ring the clinic on 3342 4284 or email firstname.lastname@example.org and make a Hip Clinic appointment with our program manager, Colm Coakley. Colm will get you on the Fast Track to recovery as soon as possible. Dr Alison Grimaldi is also available for assessments on a consultancy basis for those who are concerned that their doctors have been unable to provide a clear diagnosis or you have been through many failed treatments before and would prefer to have an assessment with Alison before moving forward with treatment. As Alison’s time is limited in the clinic due to other teaching and research commitments, Alison will usually not be providing your regular ongoing care. After her assessment, she will be able to either refer you into the fast Track Rehab program, at which point you will progress immediately to the second ‘Outcomes Assessment’ or to one of our highly skilled team for further individual treatment. Alison will be closely involved with monitoring patients progress in the Fast Track Rehab programs and will be available for intermittent reviews as required. Alison also has regular meetings with each staff member for patient progress reports and individual and group mentoring to keep all staff up to date.