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Buttock Pain Decoded: A Practical Differential & Hands-On Exam Toolkit

Luke Nelson sorts buttock pain into its main sources, from the lumbar spine and SI joint to the hip, hamstring and deep gluteal nerves, with the exam to tell them apart and the red flags not to miss.

7 Episodes 1h 30m

Episodes

Buttock Pain Subgroups, Red Flags and Key History Questions

Why buttock pain is hard to diagnose, how to sort it into seven clinical buckets, which red flags to rule out first, and the history questions that start to point toward one source or another.

Lumbar Spine and Radiculopathy as a Source of Buttock Pain

How to recognize the lumbar spine as the source of buttock pain, the strong and weak clinical indicators, and a full examination covering range of motion, repeated movements, neurological screening and the slump test.

Sacroiliac Joint Pain and the Provocation Test Cluster

How sacroiliac joint pain typically presents, why no single test can confirm it, how to perform the five-test provocation cluster, and the education and loading principles for managing it.

Hip Joint Pathology: FAI, Dysplasia and Osteoarthritis

How hip joint pathology can present as buttock pain, how to examine for femoroacetabular impingement, acetabular dysplasia and osteoarthritis, and how management differs between the three conditions.

Proximal Hamstring Tendinopathy and Tendon Tears

How to recognize proximal hamstring tendinopathy as a cause of ischial pain, which tests provoke it, how to manage it, and how to tell a tendinopathy from a partial tear or complete avulsion.

Deep Gluteal Strains, Nerve Syndrome and Ischiofemoral Impingement

How to assess deep gluteal muscle strains, deep gluteal nerve syndrome and ischiofemoral impingement, why each is less common than often assumed, and the tests that separate them from proximal hamstring tendinopathy.

Pudendal and Cluneal Nerve Entrapment and a Diagnostic Roadmap

How pudendal and cluneal nerve entrapments present and are assessed, how to tell pudendal from deep gluteal nerve involvement, and a four-step roadmap for working through any patient with buttock pain.

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Buttock Pain Decoded: A Practical Differential & Hands-On Exam Toolkit

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7 Episodes

1h 30m

Oct 2, 2026