Hi all
Members do not see these Ads. Sign Up.
I have a challenging case at present - would be grateful for any ideas you may have.
My patient is a healthy and mobile 60 year old lady.
She has (R) hip and inguinal pain after walking, and this seems to be due to a LLD - her (R ) leg is 25mm longer when measured from sternum to both medial malleoli. The difference is the same when measured from the ASIS point to the med mall too. (Also when she's lying prone, supine and in stance. )
The pain has been present for about a year and is unrelated to any localised injury.
She sought some topical work from a Physio who provided a UCBL type prefab device to wear in her (L) shoe only. This made the (R) hip pain actually worse.
After my assessment, I provided her with semi-flexible orthoses, shallow heel cup, with a 5mm (L) heel raise.
On review a couple of months on, she is finding the orthoses very comfortable, but the (R) hip pain remains. (In my previous experience, I have usually found that a long leg can present with hip and groin pain, and that this can reduce when the LLD is reduced).
To rule out any underlying issues, I referred her for a Hip and Back XR, which was reported as normal... in fact, with no narrowing of joint spaces noted.
I also referred for baseline Rheum serology: FBC, CRP, HLA B27, ANA, LATEX, ESR..... and these were all normal too.
Several months of physio and then Chiropractic have also been of little use.
So, any ideas on how to help with the (R)hip and groin pain please?
Loading...
- Similar Threads - Hip Pain LLD
-
- Replies:
- 1
- Views:
- 4,016
-
- Replies:
- 1
- Views:
- 3,220
-
- Replies:
- 2
- Views:
- 9,067
-
- Replies:
- 0
- Views:
- 1,845
-
- Replies:
- 3
- Views:
- 9,177
-
- Replies:
- 5
- Views:
- 4,465
-
- Replies:
- 0
- Views:
- 3,597