Persistent Hip Pain Not Always From The Hip

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Persistent Hip Pain Not Always From The Hip - Page #1

Author: Karen Frye, DO Co Author #1: Karen Frye D.O. Co Author #2: Michael Reeder, D.O. Patient Presentation: A 65 year old active male presented to our clinic with worsening right low back and buttocks pain, right anterior medial hip pain and pain that radiated down his anterior thigh to his knee. History: The patient is very active and works out regularly. He participates in recreational ice climbing and is involved with search and rescue. He has a history of DJD of the lumbar spine and hip for which he has been seen for the past 5-7 years. He denied any recent trauma, falls or injury. The pain had worsened over the past 2 months. He reported the pain was worse with hip flexion and external rotation, worse after sitting for prolonged time and with rising from sitting to standing. The patient was able to do the elliptical without pain, but it hurt afterwards. He denied any numbness or tingling in his lower extremities, no bowel or bladder dysfunction, no saddle anesthesia, no fever or chills, and no weight loss. Click here to continue. Challenge yourself by writing down a broad differential diagnosis before moving to the next slide.		Back
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