Matthew Tingson

S: Pt. c/o pain in their R knee that intensifies throughout the day especially in a cross-legged
position and while standing for long periods of time. Pt. stated they physically struggle
withstanding up from sitting, putting on pants and shoes. Pt. stated before the session that they
felt a pain level of 3 out of 10. Pt. c/o pain increased to an 8 after the ROM measurements.
O:Trochanteric bursitis is the inflammation of bursae in the lateral hip causing “localized lateral
hip pain” and “tenderness over the greater trochanter”(Diane Reid, 2015 pg. 1) There are 20
bursae of the hip, but if there is an excessive amount of friction within the hip, excess bursae can
be acquired.(Diane Reid, 2015, pg. 1) Trochanteric bursitis typically also presents pain in the
lateral hip, thigh and buttocks.(Diane Reid, 2015 pg. 2) L Ext. rot. of hip: 0-43 degrees w/ firm
end feel; R Ext. rot. of hip: 0-15 degrees w/ empty; L Int. rot. of hip: 0-34 degrees w/ firm end
feel; R Int. rot. of hip: 0-23 degrees w/ hard end feel; L Hip flex.: 0-122 degrees w/ soft end feel.
R Hip flex.: 0-79 degrees w/ springy block end feel; L Hip ext.: 0-25 degrees w/ firm end feel; R
Hip ext.: 0-9 degrees w/ spasm end feel; L Hip abd.: 0-47 degrees w/ firm end feel; R Hip abd.:
0-20 degrees w/ hard end feel; L Hip add.: 0-21 w/ firm end feel; R Hip add.: 0-9 degrees w/
hard end feel; L Knee Flex.: 0-127 degrees w/ soft end feel; R Knee Flex.: -10-90 degrees w/
empty end feel; L Knee Ext.: 127-0 degrees; R Knee Ext.: 90- -10 degrees; L 90/90 test: -16
degrees; R 90/90 test: -45 degrees
A: STG: Sit to stand w/ moderate assistance. LTG: Sit to stand independently.
P: Low energy extracorporeal shockwave therapy, this type of therapy is “...considered to
stimulate healing...” and shown to present improvement around 12 months (Diane Reid, 2015 pg
6); Corticosteroid injections, is a type of intervention which is “…more effective in high doses
and shows improvements around 3 months, earliest being 6 weeks.” (Diane Reid, 2015 pg 6);
Non-steroidal anti-inflammatory drugs, also known as NSAIDs, help with “…reduction of
inflammation and pain.” (Diane Reid. 2015 pg 6)

M.Q.T
5/15/21
 Work Cited
Reid D. (2016). The management of greater trochanteric pain syndrome
Journal of orthopaedics, 13(1), 15–28. https://doi.org/10.1016/j.jor.2015.12.006
http://eds.a.ebscohost.com/eds/detail/detail?vid=0&sid=7779b232-37c8-4755-a347-
f0560d2db776%40sessionmgr4006&bdata=JnNpdGU9ZWRzLWxpdmU%3d#db=ccm&AN=117078463