European Teaching Group of Orthopaedic Medicine Cyriax

25/11/2025

🧠 5-Day Private Mastermind Training in Orthopaedic Medicine Cyriax

June 3–7, 2026 | ETGOM–GCI International Training Centre

• Designed for physiotherapists, doctors & osteopaths
• Small group with max. 4 guests = high interaction & personalized coaching
• Apply MSK methodology in an efficient and logical way
• Learn functional testing, clinical reasoning, and evidence-based treatment

Only 4 spots – Apply early to secure your place.

Pregister through www.cyriax.eu/mastermind
Questions? info@cyriax.eu

📍 Location: ETGOM–GCI International Training Centre
🗓 Dates: 3–7 June 2026
🌐 Language: English

23/11/2025

The Importance of Correct Palpation Technique in Golfer’s Elbow

Golfer’s elbow, or medial epicondylitis, is a condition characterized by pain and tenderness on the inner side of the elbow, typically caused by overuse of the wrist flexor muscles. Accurate palpation of the medial epicondyle and surrounding soft tissue structures is essential for correct diagnosis.

A precise palpation technique allows clinicians to localize the pain, distinguish different types of golfer’s elbow from other causes of medial elbow discomfort (such as ulnar nerve entrapment or ligament injuries). Improper palpation may lead to misdiagnosis, delayed recovery, or ineffective interventions (e.g. deep friction massage on the wrong localization).
Effective palpation should be done with the elbow extened and forearm supinated, enabling better access to the common flexor tendon origin. We make a distinction between the origin and the musculotendinous junction.

Interested in a set of free downloads?
surf to www.cyriax.eu
Questions? info@cyriax.eu

21/11/2025

🌟 Exclusive 5-Day Mastermind in Orthopaedic Medicine Cyriax 🌟

June 3–7, 2026 | ETGOM-GCI International Training Centre | De Haan, Belgium

Only 4 participants – apply now!

Are you ready to take your clinical expertise to the highest level?
Join us for a rare and exclusive 5-day private training in Orthopaedic Medicine Cyriax, designed specifically for physiotherapists, medical doctors, and osteopaths. Held in the renowned ETGOM-GCI International Training Centre in the beautiful coastal town of De Haan, this intensive mastermind offers a unique opportunity to refine your diagnostic accuracy, sharpen your treatment skills, and deepen your clinical reasoning—all in a highly personalized setting.

✅ Only 4 guests accepted – ensuring focused, one-on-one interaction
✅ Advanced hands-on training in Cyriax MSK techniques
✅ Ideal for professionals seeking elite-level refinement

This is not a standard course. It’s a high-level, in-depth experience for practitioners committed to excellence.
📅 Dates: June 3–7, 2026
📍 Location: De Haan, Belgium
🎓 Instructor: Steven De Coninck
🔒 Spots are strictly limited – secure yours now.
📩 For registration and details, contact: www.cyriax.eu/mastermind and info@cyriax.eu

I look forward to welcoming you in De Haan.

20/11/2025

19/11/2025

Greater Trochanteric Pain Syndrome (GTPS) Diagnostic Confusion

GTPS is an umbrella term encompassing a spectrum of disorders involving the lateral aspect of the hip, particularly around the greater trochanter. Historically thought to be primarily due to trochanteric bursitis, recent studies have shown that most cases are instead related to gluteal tendinopathy, particularly of the gluteus medius and minimus tendons. Other contributors can include iliotibial band (ITB) irritation or tears, and referred pain from the lumbar spine.

Causes of Diagnostic Confusion

1. Non-specific Symptoms

Lateral hip pain, tenderness over the greater trochanter, and pain when lying on the affected side are hallmark symptoms, but they are non-specific and can mimic or co-occur with lumbar radiculopathy, osteoarthritis, or even intra-articular hip disorders.

2. Imaging Challenges

MRI and ultrasound can reveal tendinopathy or bursitis, but these findings do not always correlate with clinical symptoms. Conversely, imaging can appear normal despite significant pain, particularly in early stages of gluteal tendinopathy.

3. Overlap with Other Conditions

GTPS often occurs alongside iliotibial band syndrome, lumbosacral radiculopathy, or hip osteoarthritis. This overlap complicates the diagnostic process, requiring a thorough clinical and functional assessment.

Accurate diagnosis of GTPS hinges on a detailed patient history and targeted physical examination, including specific maneuvers such as resisted hip abduction and palpation over the greater trochanter. Functional assessments, like the single-leg stance test or the FABER (Flexion, Abduction, and External Rotation) test, can aid differentiation.

Free downloads?
download now on www.cyriax.eu
Questions? info@cyriax.eu

17/11/2025

Unlock the Future of Orthopaedic Excellence – 5 Days That Will Transform Your Practice!

Are you a health professional driven by passion, precision, and the pursuit of mastery?

From 3–7 June 2026, the ETGOM International Training Centre opens its doors for an exclusive 5-day Mastermind Private Training in Orthopaedic Medicine – Cyriax Method.

This intensive, high-level program is designed for motivated clinicians, physiotherapists, and manual therapy experts who want to:

• Elevate their diagnostic and treatment skills with the globally respected Cyriax approach.
• Work closely with world-class instructors in a private, small-group setting for maximum learning impact.
• Integrate evidence-based techniques that deliver faster, more precise results for patients.
• Gain an international certification that sets them apart as leaders in orthopaedic medicine.

This is not just a course – it’s a career-defining experience. A chance to immerse yourself in practical, hands-on training, refine your expertise, and join a community of forward-thinking professionals who share your drive.

📍 When: 3–7 June 2026
📍 Where: ETGOM International Training Centre

Places are extremely limited (max. 4!!) – this Mastermind is designed for those who are truly ready to invest in their future.
✨ Step up. Stand out. Become the expert your patients trust.

Join on www.cyriax.eu/mastermind
Questions? info@cyriax.eu

15/11/2025

Weakness during resisted abduction of the shoulder is a common clinical finding, often prompting suspicion of rotator cuff pathology. However, multiple underlying conditions—ranging from muscular to neurological—can contribute to this sign.

1. Rotator Cuff Tear

The most common cause of true weakness during resisted abduction is a full-thickness tear of the supraspinatus, a key muscle in initiating shoulder abduction.
• Key features: Sudden weakness, often following trauma or repetitive overhead activity; may be accompanied by pain and limited range of motion.
• Test: Weakness and/or pain in the empty can or Jobe’s test position.

2. Axillary Nerve Injury

The deltoid muscle, innervated by the axillary nerve, is also critical for abduction beyond 15°.
• Key features: History of dislocation, blunt trauma, or humeral fracture; numbness over the lateral shoulder ("regimental patch").
• Test: Weakness isolated to abduction with preserved rotator cuff strength.

3. Cervical Radiculopathy (C5 Nerve Root)

Compression or irritation of the C5 nerve root can cause weakness in both supraspinatus and deltoid muscles.
• Key features: Neck pain, radicular symptoms, altered reflexes, and possible sensory changes in the C5 dermatome.
• Test: Positive Spurling’s test, weakness not localized to one muscle alone.

4. Neurological Disorders (e.g., Parsonage-Turner Syndrome)

Also known as brachial neuritis, this condition can cause acute shoulder pain followed by profound weakness.
• Key features: Sudden onset of burning pain, followed by atrophy and motor loss in specific shoulder muscles.
• Test: EMG and nerve conduction studies aid in confirmation.

Discover more options and a set a free downloads on www.cyriax.eu
Questions? info@cyriax.eu

13/11/2025

🎯 Unlock Elite Clinical Thinking – Join the 5-Day Mastermind in Orthopaedic Medicine

🧠 Are you ready to take your diagnostic accuracy, hands-on skills, and clinical reasoning to the highest level?

From 3–7 June 2026, an exclusive group of forward-thinking physiotherapists, doctors, and osteopaths will gather at the ETGOM–Global Cyriax Institute International Training Centre for a one-of-a-kind Mastermind private training in Orthopaedic Medicine.

This is not just another course. It’s a high-impact, immersive experience designed to challenge, refine, and elevate how you think, assess, and treat musculoskeletal disorders — using the proven Cyriax methodology.

✅ What Makes This Mastermind Unique?

✔️ Small-group learning (max. 4 participants accepted!): Personalized, private atmosphere for deep interaction and real-time feedback
✔️ Elite mentorship: Direct access to Steven De Coninck with decades of clinical and teaching experience
✔️ Real-world application: Master functional diagnosis and selective tissue tension testing through hands-on labs and case analysis
✔️ Neuro-driven learning environment: Designed for fast integration and long-term retention
✔️ Global peer network: Connect with like-minded clinicians from around the world

🔒 Limited Spots – High Impact
Spaces are intentionally limited to ensure quality, depth, and mentorship. This Mastermind is ideal for clinicians who don’t just want more knowledge — but true clinical mastery.

📍Location:
ETGOM–GCI International Training Centre
🗓 Dates: 3–7 June 2026
🌍 Language: English

🎟 Apply Now and Reserve Your Seat on www.cyriax.eu/mastermind
This is your invitation to step into the next level of MSK excellence
Questions? info@cyriax.eu

11/11/2025

Functional tests against resistance are widely used in musculoskeletal (MSK) assessments to identify pain-generating structures—especially tendons, muscles, and joint-related tissues. However, these tests are not without limitations. False positives, where a test provokes symptoms unrelated to the target structure, are a common clinical challenge and can lead to misdiagnosis or unnecessary interventions.

Common Causes of False Positives

1. Poor Patient Positioning or Technique
If the patient is not properly stabilized, other muscles may compensate or overload, creating discomfort not due to the intended structure.

2. Referred Pain
Cervical spine or neural tissue irritation can cause pain in distal areas (e.g., arm or shoulder) during resistance tests, even when the local tissues are healthy.
A resisted wrist extension test might provoke forearm pain in a patient with cervical radiculopathy, mimicking lateral epicondylitis.

3. Over-Sensitivity or Central Sensitization
Patients with chronic pain or heightened central sensitivity may experience pain during minimal resistance due to altered pain processing, rather than local tissue damage.

4. Fatigue or Overuse
In athletic or post-rehabilitation patients, mild discomfort during resistance testing might simply reflect recent overuse or fatigue, rather than injury.

Context Matters:
A single positive resistance test should not be used in isolation. Always interpret it in the context of patient history, symptom pattern, and other clinical findings.

Compare Sides:
Testing the unaffected side helps distinguish between expected effort-related discomfort and abnormal pain.

Discover a series of free downloads on www.cyriax.eu
Questions? info@cyriax.eu

09/11/2025

There's quite a lot to discover in the orthopaedic medicine Cyriax treasury:
a series of free downloads, such as ebooks, assessment forms and practical films on clinical reasoning.

Dowload now on www.cyriax.eu
Questions? info@cyriax.eu