Rapid Resolution of Chronic Hip and Lower Back Pain with Mechanical Diagnosis and Treatment

Type of Presentation

Event

Location

Hall of Governors

Start Date

4-7-2017 4:00 PM

End Date

4-7-2017 6:00 PM

Abstract

There is a lack of research on the efficacy of Mechanical Diagnosis and Treatment (MDT) in the treatment of hip pain in young adults. The purpose of this study is to examine the impact of an MDT treatment regimen for a 20- year-old female college student who was referred to therapy for chronic hip pain with 7 years' onset. Function was assessed using the Lower Extremity Functional Scale (LEFS), Modified Oswestry Lower Back Pain Disability Index, and Harris Hip Score (HHS). Pain was recorded using the Visual Analog Scale (VAS). The patient's reported pain decreased to 1110 VAS at worst (previously 8/10 VAS), LEFS 33/80 (previously 77/80), ODI 0/ 100 (previously 38/ 100). The patient was seen for 7 sessions over 5 weeks. The patient found resolution of symptoms with the initiation of sagittal plane lumbar extension. The chronicity of the symptom and rapid resolution of symptoms indicate the use of MDT in similar cases. This case has implications for young adult patients with chronic hip and lumbar pain.

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Apr 7th, 4:00 PM Apr 7th, 6:00 PM

Rapid Resolution of Chronic Hip and Lower Back Pain with Mechanical Diagnosis and Treatment

Hall of Governors

There is a lack of research on the efficacy of Mechanical Diagnosis and Treatment (MDT) in the treatment of hip pain in young adults. The purpose of this study is to examine the impact of an MDT treatment regimen for a 20- year-old female college student who was referred to therapy for chronic hip pain with 7 years' onset. Function was assessed using the Lower Extremity Functional Scale (LEFS), Modified Oswestry Lower Back Pain Disability Index, and Harris Hip Score (HHS). Pain was recorded using the Visual Analog Scale (VAS). The patient's reported pain decreased to 1110 VAS at worst (previously 8/10 VAS), LEFS 33/80 (previously 77/80), ODI 0/ 100 (previously 38/ 100). The patient was seen for 7 sessions over 5 weeks. The patient found resolution of symptoms with the initiation of sagittal plane lumbar extension. The chronicity of the symptom and rapid resolution of symptoms indicate the use of MDT in similar cases. This case has implications for young adult patients with chronic hip and lumbar pain.