- Initial Visit: 6-9-17
- Patient reports:
- Walks 3-7miles per day especially while in Florida and walking on the beach
- Possible contributing factor
- Pain lateral L hip down the lateral leg and lateral calf
- Wakes her at night with difficlty laying on it
- Pain with walking, so she stopped walking
- While in Florida got away from strength training and only did walking, possibly contributing
- Has now returned to exercise
- Leg press sometimes reproduces lateral knee pain
- pain can radiate to medial joint line
- Stairs, squatting, lunges
- PMH:
- Physical Exam
- Standing
- elevation of L ilium
- restriction in L shoulder flex
- sidebending decreased L compared to the R
- single leg balance L more unstable and lateral hip discomfort
- collapse medial arch on the L
- Supine
- No significant mobility restrictions except
- ankle dorsiflexion and gastroc mobility on Left compared to R
- Mild restriction in L quad, hamstring and hip IR
- Strength
- Pain with squat with valgus collapse of bilateral knees
- Significant inhibition of L glute max and bilateral glute med weakness
- Bridge with mild R lateral knee pain
