Integrating Osteopathic Manipulative Treatment and Injections in the Diagnosis and Management of a Hip Labral Tear
| Autor: | Shaun C. Knox, Laura L. Snyder, Charles J. Smutny |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Adult
Male musculoskeletal diseases Complementary and Manual Therapy medicine.medical_specialty Lidocaine Bursitis medicine.medical_treatment Radiography Injections Intra-Articular 03 medical and health sciences 0302 clinical medicine Humans Medicine Outpatient clinic Paravertebral Block Psoas Syndrome 030212 general & internal medicine Aged Rupture Rehabilitation medicine.diagnostic_test business.industry Magnetic resonance imaging Manipulation Osteopathic medicine.disease Arthralgia Magnetic Resonance Imaging 030205 complementary & alternative medicine Surgery Complementary and alternative medicine business medicine.drug |
| Zdroj: | Journal of Osteopathic Medicine. 120:421-424 |
| ISSN: | 2702-3648 |
| DOI: | 10.7556/jaoa.2020.065 |
| Popis: | Hip pain in adults is a common complaint. Secondary processes can often mask underlying conditions, prolonging the course to diagnosis and definitive treatment. In this case, a 74-year-old man presented to an outpatient clinic after 6 weeks of right hip pain that began upon initiation of a rehabilitation program following coronary artery bypass graft surgery. Various imaging and treatment modalities (including radiography, osteopathic manipulative treatment, injection of the greater trochanteric bursa, L2-3 paravertebral block, magnetic resonance imaging, and intra-articular hip injection with 1% lidocaine) ultimately led to the definitive diagnosis of a labral tear. This case report highlights how a comprehensive osteopathic approach was used to evaluate and treat a patient with persistent unilateral hip pain because of an acetabular labral tear, associated psoas syndrome, and trochanteric bursitis, all within 2 months and with a positive clinical outcome. |
| Databáze: | OpenAIRE |
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