Hi. I am looking for some help problem solving with a patient who is a 55 year old ex-professional ballet dancer with hip pain. Her pain is intermittant and has had gradual onset over the last few years, recently increasing in frequency and intensity. She sometimes notices an ache in her hip which can progress to a sharp pain at the post aspect of the hip with prolonged walking (>2hrs and with up/down grade). The only specific motion that can reproduce the pain (which is sharp, post hip, but difficult to palpate) is "frog pose"...laying supine with the soles of the feet touching and hips in ER, ABD, and FLex. However, standard FABER position with the ipsilateral foot resting on the contralateral thigh is pain free with full ROM and tolerates over pressure. Her x-ray is clear, no sign of arthritis. No Wikipedia reference-linkMRI has been done. IT band is very tight, but other hip ROM is good. Knee ROM is full. Pelvic alignment appears normal. She has a gait deviation on the ipsilateral side of externally rotating after midstance--as she moves through stance phase and her heel lifts it twists inward.

I have not treated many dancers and I am wondering if anyone is familiar with hip injuries common for ballet dancers, maybe there is some there is something I should be checking for in that regard. I'm not sure why FABER is clear, but frog pose hurts.

Any ideas?

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