Leg Pain, More Than Just A Strain - Page #1
 

Author: Jimmy Gonzales, MD
Co Author #1: Laura Schnettgoecke, ATC
Co Author #2: J. Field Scovell, MD
Co Author #3: Jennifer Mitchell, MD
Editor: Laura Dunne, MD

Patient Presentation:
20 year old Division 1 female soccer athlete presents with several days of left groin pain during spring soccer season. She recently had a road trip with the team which was 9 hours each way. Pain started the day after the road trip. Pain was in the groin and medial portion of the left leg. She tried ibuprofen and acetaminophen with no relief. She complained of swelling of the left lower extremity.

History:
Past Medical: Dysmenorrhea, constipation, hip impingement
Past Surgical: none
Family Hx: none
Social Hx: single, denies alcohol, tobacco, illicit drugs
Medications: Oral contraceptive 0.3/30 PO daily which was started 4 months prior for dysmenorrhea

Physical Exam:
Vital Signs: Ht 5'4", Wt 139 lbs, HR 81, BP 138/80
Gen: Thin, athletic, female, no apparent distress
Skin: Warm and dry
Head: Normocephalic atraumatic, ocular movements intact
Neck: supple, no thyromegaly
Lungs: clear to auscultation bilaterally, no wheezing, no shortness of breath
Heart: regular rate and rhythm, no murmur
Abdomen: soft, non-tender, non-distended, normoactive bowel sounds
Neuro: no focal deficits
Extremities: Left thigh with significant swelling although LLE was soft and compressible. Tender to palpation over medial adductor compartment and left groin. Normal passive range of motion but pain with resisted knee extension. Dorsalis pedis and posterior tibial pulse were not palpated on the left and were easily palpated on the right.

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NOTE: For more information, please contact the AMSSM, 11639 Earnshaw, Overland Park, KS 66210, (913) 327-1415.
 

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