Hip Adductor Strain Misdiagnosed as Herniated Lumbar Disk: Case Report

Hadianfard, Mohammad Javad; Ashraf, Alireza
June 2011
Journal of Physical Medicine & Rehabilitation Sciences / Fizikse;Jun2011, Vol. 14 Issue 2, p54
Academic Journal
Case Study
A 55 year old man was admitted in the physical medicine and rehabilitation ward with severe lower lumbar and left gluteal region pain that had radiation to lower extremity. The patient was uncooperative in physical examination and unable to stand and walk due to the severity of his pain. Magnetic resonance imaging and electrodiagnosis were in favor of herniated lumbar disk. However, after 17 days, the patient did not respond to conservative treatment. Therefore, he was scheduled for operation. But the unsaid history of falling down in swamp and careful physical examination revealed the hip adductor strain and he had a dramatic response to injection.


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