- CASE FILE
I have sharp, constant upper leg pain, have seen multiple doctors without success. Have had testing and evaluations without any answers.
ABOUT THIS CASE FILE
For the past 2.5 years I have experienced sharp, stabbing, shooting constant pain in the medial right leg from the groin to the knee with an altered gait. I also have deep pain where the right leg connects with the pelvis and pain in the top of the right buttock area. The pain worsens with lying and sitting. The pain has altered my sleep habits, social, physical and psychosocial lifestyle. I have taken Neurontin 100-300 mg every day for a short period of time, and had to discontinue due to the side effects. I have also used Lidocaine 5% topical patches.
I have been evaluated by the following physicians:
rehabilitation physician performed EMG which was negative,
orthopedic surgeon (diagnosed with small labral tear in right hip),
2 hip specialists ( diagnosed with dysfunction of the SI joint and right hip labral tear),
neurosurgeon (diagnosed with possible obturator nerve impingement),
2 neurologists, and 3 pain management physicians.
I have had the following treatments and tests:
sympathetic, inguinal, femoral, and 3 obturator nerve blocks;
SI joint injection;
physical therapy for SI joint dysfunction;
dry needling in the SI joint and femoral area;
physical therapy and dry needling of the obturator nerve area;
2 MRI of right hip (2017 MRI - small focal labral tear, 2019 MRI - no issues)
MRI of Cervical and Lumbar spine;
Pelvic floor therapy; and
MRI of pelvis (minimal increased signal within obturator internus).