E.A. Clark wrote:
>
> Hello, I'm a first year PT student in my first clinical placement. I had
> a client today who presented with trochanteric bursitis. I'm having
> problems developing a treatment protocol for her. So far I have her
> stretching her quads and hip flexors since they are the ones which are
> tight and rubbing on the bursa. I also have recommended she use ice to
> decrease any inflammation in the area. She reports the pain travelling
> into her groin along her inguinal ligament - I don't understand this. Can
> someone figure this out? Also, is there anything else I can do to treat
> her? Would U/S work or is its thermal effect contraindicated? Thanks for
> any insights,
>
> Anne clark
If this is truely trochanteric bursitis, ensure that the patient is
referred on to the appropriate specialist for an injection. This seems
to be a highly effective intervention, and greatly shortens the period
of pain and suffering that the patient endures.
Significant results from therapy should occur in 4 to 5 treatments.
You may have more joy in a strengthening/stretching programme post
injection, plus assess the need for orthotics.
Mind you, thats if the patient comes back. As they may feel good and not
see/feel the need for further Physiotherapy.
Regards
craig
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