Left Hip Pain

Case Description: Pt is a 64 y/o female who arrived to physical therapy with reports of pain in the front of the left hip after bending over to water her plants. She has difficulty with tasks requiring bending over including feeding her dogs and letting them out, self care such as dressing, as well as sit to stands, stairs, and prolonged weight bearing.

Objective Measures: The patient was seen for physical therapy 10 visits over a course of 1.5 months. 

Tests and Measures	Initial Evaluation	Day of Discharge from Physical Therapy
NPRS	8/10 at worst 1/10 at best	0/10 at worst
LEFS	23/80	63/80
Lumbar AROM	20% limitation into extension with pain in anterior L hip	Full and pain free in all planes
Hip ROM	External rotation: R:18 deg L: 26 deg	External rotation: R: 29 deg L: 31 deg *at visit 7*
Hamstring length	L: 69 degR: 78 deg	80 deg bilaterally
Hip strength	Decreased hip extension and abduction strength bilaterally	Full strength in both and nonpainful
Daily activity performance	Difficulty/pain with performance of bending over for caring for pets, self care, prolonged ambulation, sit to stands	No pain with performance of her daily activities previously listed

Summary: The patient was discharged from physical therapy due to reports of 99.9% improvement since the start of therapy; reports no pain or difficulty with performance of her required daily activities. She was educated to continue with the performance of her HEP to maintain gains in strength and ROM as well as tolerance to daily activities.