Jul 2, 2021
Join us for the second installment of the CALU Clinical Files!
Today, Zak walks you through his line of reasoning and thought process for how he managed this case!
Case Study Context:
Pt is a later 20 year old, F, works in Television (currently work
from home). She reports that 1.5-2 years ago, she had a goal of
running and marathon and had a major uptick in her running volume,
and participated in roughly 9 races (avg distance of 5k). Pt
reports that towards the tail end of her running, she began to get
R knee pain which was dx as ITB syndrome. She received PT in NYC
and had some resolution over a few months, but then had an onset of
R sided lateral hip pain, which was originally dx as R GT
bursitis.
She had been receiving virtual PT at this point, but reports it was largely ineffective for her sx. She did end up getting imaging which reveals R labral tear, but was able to rule out potential boney stress injuries. Currently, she is c/o R sided lateral hip and groin pain that is worsened by prolonged sitting, squatting, running, and walking.
Pt is frustrated by her lack of progress with non-operative management and is considering surgical repair of her R labrum. Pt does reports that the past year has been extremely stressful as she has been dealing with three other undisclosed health issues that are now resolved. Pain 4/10, Achey, sharp, R lateral hip and groin, acute on chronic for past 1.5 years.
Podcast team: @weswax and @jasmine_dragon831