hi
could anyone help with my Dx?
70 yr old man, 6 week h/o anterior thigh/ groin and around to front of knee pain. No injury sustained just came on gradually. Gets worse at night, gets up at
least 3 times per night and has to walk around which eases pain.
Reports an episode (few days) of anterior thigh numbness which went with 1 session of acupuncture. No back pain reported. Reports a feeling that right leg
could 'give way'. Recalls a previous lower back injury 20 yrs ago which left him out of work for 2-3 months.
Active man, attend gym mostly does bike (few times a week) Hasnt been able to attend gym since onset.
On observation he walks slightly stooped forards.
Tries to limit weight through right leg (affected side)
SLR - brings on pain at 30degrees
Increase in pain with right hip flexion and adduc.
Increase in Pain - lumbar flexion and LSF and RSF
Tender Right Piriformis
c/o pain on L1-L3 grade 2 mobilisation
S.IJ - NAD
