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Hip pain with normal xray4/22/2024 ![]() ![]() When Smith asked the patient to do a squat only using her right leg, she had no problem, but she struggled to do the same with her left. She tested the patient's hips and legs and found that, while her right leg was entirely normal, there was a subtle weakness on the left. Smith noticed the patient had tenderness at the top of her thigh bone and down the side of her thigh, called the IT band. Eventually, on the recommendation of a friend, the patient went to see Samantha Smith, a sports-medicine doctor at Yale New Haven Hospital. The only thing that would help the pain was walking or taking ibuprofen.ĭuring breaks in school, the patient's parents took her to see her pediatrician and a number of physical therapy appointments but none of it helped. Not only that, the pain was spreading, moving from her hip down her thigh and to her knee, sometimes going as low as her foot. Just before Thanksgiving, she had a visit with her pediatrician who ordered an X-ray that came back normal, leading the doctor to encourage the patient to continue with physical therapy.īy the springtime, the patient's pain started arriving during the day, and it was more intense than before. The patient signed up for more physical therapy, but that didn't work. In the fall, as she started college, she didn't experience much pain until right after Halloween when the pain returned at night. Unfortunately, that didn't help, and while the pain didn't come every night, it came often, but still never in the daytime. However, the pain continued coming at night, which ultimately led the patient to try physical therapy. They suggested it was some sort of muscle injury and recommended she take a few days off from exercising, which she did. ![]() It was a dull pain that came on slowly when she laid in bed, but would disappear by the time she woke up.Īfter weeks of the pain coming and going, the patient mentioned it to her parents, both of whom are doctors. ![]() At first, the patient wondered if the hip pain she was experiencing was the result of a pulled muscle. Stuck at home during the COVID-19 pandemic, the patient - who was 18 at the time - would often work out with her friends over FaceTime. ![]()
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