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Part 6, FINAL UPDATE: When Groin Pain May Not Be The Hip

Published 3 months ago • 1 min read

Hey everyone, Ryan here with my final session update for my patient with R groin pain.

Recap: A 32-year-old female presented with sharp right inner groin pain after a fall in mid-January. Went to her PCP, hip x-ray is normal. She was unable to cross her R leg over her L (sitting FABER) due to intense pain.

Session 1: During the session, lumbar flexion/rotation toward the side of pain reduced pain noticeably with her baseline test of crossing R leg over L.

Session 2: The plane between side glide right and sagittal extension was the "sticky spot" and her move was extension in standing with R bias on top of the sticky spot.

Session 3: Despite having surgery, her hip continued to improve, the "sticky spot" is nearly resolved, and she is able to cross her R over leg over her L with minimal stiffness/discomfort.

Session 4: FABER remained somewhat stiff with end-range mild pain. All hip strength was good, with no concordant pain. I had her do some repeated kneeling hip extension. This improved her FABER test position. Time for some hip movement.

Final Session: No pain or limitation with any daily activity. End-range FABER (about 80-90 degrees) has discomfort. Instructed to continue FABER repeated and lumbar extension preventatively. FOTO Hip (LEPF) scores: 63 on Intake, 91 on final session.

The Takeaway: We followed this patient in real-time. She had an abdominal surgery in the middle of PT. I messaged her between sessions to prevent drop-out and maintain motivation. I saw her for 5 sessions over 10 weeks. This treatment approach is realistic, efficient, effective, and the way PT is trending. Start now.

The video below is the last I sent for her HEP.

Until next time,

Ryan Tauzell, PT, Cert. MDT

​atlashealth.io​

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