AI Summary & Key Takeaways
AI InsightBut the unsaid history of falling downin swamp and careful physical examination revealed the hip adductor strain and he had a dramatic responseto injection.
📌 3 Key Takeaways
Abstract
A 55 year old man was admitted in the physical medicine and rehabilitation ward with severe lower lumbarand left gluteal region pain that had radiation to lower extremity. The patient was uncooperative in physicalexamination and unable to stand and walk due to the severity of his pain. Magnetic resonance imaging andelectrodiagnosis were in favor of herniated lumbar disk. However, after 17 days, the patient did not respondto conservative treatment. Therefore, he was scheduled for operation. But the unsaid history of falling downin swamp and careful physical examination revealed the hip adductor strain and he had a dramatic responseto injection.
Özet
Ellibeş yaşında kadın hasta fiziksel tıp ve rehabilitasyon kliniğine sol alt ekstremiteye yayılan şiddetli sollomber ve sol gluteal ağrı ile başvurdu. Hasta fizik muayene iyi koopere olamıyordu ve ağrının şiddetinedeniyle ayakta durmakta ve yürümekte güçlük çekiyordu. Manyetik rezonans görüntüleme ve elektrotanısal inceleme lomber disk hernisi lehine idi. Ancak hasta 17 gün boynca konservatif tedaviye yanıvermedi. Bu nedenle operasyon planlandı. Ancak daha önce belirtilmeyen çamuda düşme öyküsü vedikkatli bir fizik muayene kalça addüktör strainini ortaya koydu ve hasta lokal injeksiyona dramatik yanıtverdi