Murray,
Is the region of subjective pain the reason you omit evaluation of the
pelvis as a unit ie. Osteopathically defined lesions such as upslip,
downslip, iliac rotation, pubic dysfunction?
Sincerely,
Kent Osborn PT,MTC
Founder
SafeSlideBoard.com
770.851.2978
-----Original Message-----
From: - for physiotherapists in education and practice
[mailto:[log in to unmask]] On Behalf Of Murray Maitland
Sent: Tuesday, January 18, 2005 8:54 AM
To: [log in to unmask]
Subject: Re: Illiopsoas Bursitis
Dear Dr. Sood and Others:
Differential diagnosis of inguinal pain is exceeding difficult in my
mind. I have gathered some of the potential diagnoses for this set of
symptoms. There is a saying that sometimes helps.
How = Hip/pelvis
To = Thigh
Approach = Abdomen
Groin = Genitalia
Pain = Referred Pain
Although this saying is vague, it shows that a large number of
anatomical regions can give rise to these symptoms, which are also
vague. Here are some of the more specific medical diagnoses that can be
directly associated. I expect that other people can add more.
Stress fractures of the femoral neck, pubic rami, femoral dyaphysis
Osteitis Pubis
Avulsion fractures (younger age group)
Muscular lesions, Musculo-tendinous lesions or Tendo-periosteal lesions
of:
Adductor brevis, longus, magnus
Rectus femoris
Rectus abdominus
Gracilis
Iliopsoas
Pectineus
Sartorius
Acute tendonitis
Rheumatic
Inflammatory
Metabolic (uric)
Osteoarticular lesion of:
Sacrum:
tumours
sacroileitis
Hip:
epiphisiolysis
perthes
dysplasia
villonodular pigmented synovitis
traumatic synivitis
osteochondritis dissecans
Lumbar spine:
discal lesion
spondylolisis
spondylolisthesis
Abdominal wall:
Inguinal hernia
Affections of the genitourinary tract:
Urethritis
Prostatitis
Epididymitis
Deferentitis
Urethral calculus
Torsion of the testis
Varicocele
Hydrocele
Pubis osteitis after bladder and prostate surgeries as described by
BEER in 1924.
Postinfiltration pubis osteitis
Hematogenous pubis osteitis
Nerve entrapment syndromes
I hope this information is useful and I would be interested in other
people's suggestions.
Murray
Murray E. Maitland PhD PT
University of South Florida
School of Physical Therapy
12901 Bruce B. Downs Blvd
MDC 077
Tampa, Florida, USA
33612-4766
Telephone (813) 974-1666
Fax (813) 974-8915
Email [log in to unmask]
-----Original Message-----
From: - for physiotherapists in education and practice
[mailto:[log in to unmask]] On Behalf Of Dr.S.C.Sood
Sent: Sunday, January 16, 2005 11:38 PM
To: [log in to unmask]
Subject: Illiopsoas Bursitis
Dear friends,
I am having a very tough time treating a 60yrs old
male
patient with complain of pain in right ingunal region from last nine
months
,no H/o trauma ,fever ,X-rays and all blood trest are -ve.Mtx test is
weakly
postive
CT Scan done shows fluid and a diagnoisis of illiopsoas
Bursitis.Extension
and medial rotation of right hip is painful.Before coming to me he was
under
treatment of someother orthopaedic surgeon who aspirated some fluid and
report of that was not given to patient ,A course of Antibiotics and
NSAIDS
has been given again and again without any success .He worked in sports
factory before most of day sitting on floor with right hip in flexion
and
abduction .
Any suggestion will be more than welcome.
DrSarveshwar Chander Sood
Orthopaedic Surgeon & Head Department of Physical
Medicine & Rehabilitation,
Member American Academy Of Pain Management.
S.B.L.S.Hospital
812/1,Housing Board Colony
Model Town,Jalandhar city
Punjab State.India
E-mail [log in to unmask]
http://personal.vsnl.com/sarveshwar
www.health-india.com\personal\drsood.htm
"For all the happiness mankind can gain is not in pleasure....but relief
from pain."
