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Rationale for treatment of hip abductor pain syndrome

PainSci » bibliography » Bewyer et al 2003
Tags: back pain, chronic pain, muscle pain, neurology, strain, sciatica, leg, pain problems, spine, muscle, injury, butt, hip, limbs

Three articles on PainSci cite Bewyer 2003: 1. Massage Therapy for Back Pain, Hip Pain, and Sciatica2. Massage Therapy for Low Back Pain (So Low That It’s Not In the Back)3. The Complete Guide to Low Back Pain

original abstract Abstracts here may not perfectly match originals, for a variety of technical and practical reasons. Some abstacts are truncated for my purposes here, if they are particularly long-winded and unhelpful. I occasionally add clarifying notes. And I make some minor corrections.

Patients with lower back or buttock pain that radiates into the posterior or lateral leg are often referred to physical therapy with a diagnosis of sciatica. Often the physical exam does not reveal neurologic findings indicative of radiculopathy. Instead, there is hip abductor muscle pain and weakness. This syndrome involves muscle imbalances that result in overuse strain of the gluteus medius and gluteus minimus muscles, myofascial trigger points, and trochanteric bursitis. This paper describes hip abductor pain syndrome and provides a rationale for the diagnosis and treatment.

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