Chronic Medial Thigh And Leg Pain After Pickleball

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Chronic Medial Thigh And Leg Pain After Pickleball - Page #1

Author: Othman Adil, MD Co Author #1: Timothy Foster, MD Senior Editor: Kevin Gray, MD Editor: Kelley Anderson, DO Patient Presentation: A 76-year-old male with past medical history of Chronic Inflammatory Demyelinating Polyneuropathy (CIDP) who receives weekly IVIG and history of prostate cancer presented with left hip pain for 1 year. History: The pain started when he was playing pickleball, then all of a sudden his left leg collapsed. He was able to stand back up and continue playing, but he was sore afterward. After the injury he stopped playing for 6 weeks and his burning pain worsened. The pain was mostly in the anteromedial thigh with some pain along the medial leg below the knee. His pain worsened with walking, but he was able to use an elliptical or recumbent bike for 1 hour without significant discomfort. His pain was refractory to physical therapy, transcutaneous electrical nerve stimulation, dry needling, and chiropractic care. He was limited in his nonsteroidal anti-inflammatory use due to being on a blood thinner. Physical Exam: Skin: He had no rashes, induration, erythema or cyanosis Neurologic: His sensation to light touch was intact. He had no allodynia or hyperalgesia. He did have increased resting tone in his left hip adductors. Gait: He had normal gait and station Extremities: He had no evidence of clubbing, cyanosis, or nail pitting Musculoskeletal: He had slightly increased tone in his left hip adductors and was slightly tighter. He was tender to palpation over the anteromedial thigh between hip adductors and quadriceps. He had full range of motion of the left hip and knee, 5/5 strength with hip flexion, abduction, adduction and FABER/FADIR were without pain. Click here to continue. Challenge yourself by writing down a broad differential diagnosis before moving to the next slide.		Back
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