Age: 44, Male, Presenting Problem Since: 25 years, Symptom Behaviour: remaining constant, Symptoms Worse (24hr Behaviour): during the day: it only hurts when I am upright, Aggravating Factors:: using my right leg more than usual, be it through walking/running/etc. on it or just standing on it., Easing Factors:: taking my weight off the leg, No Investigations, No Diabetes, No history of High Blood Pressure, Medications: Carbamazapine for epilepsy (600mg daily), No Osteoporosis, No Hx of Cancer, No Unexplained Weight Loss, No Bowel/Bladder issues, Other Info: The epilepsy only results from shunt revisions when I was a teenager.
I caught meningitis shortly after birth and clearly received a lot of injections, presumably in my bottom as my hip went stiff in the process. When I started walking, this stiffness "transferred" to my knee and I had an op to extend my quads when I was 5. The ensuing physiotherapy being painful/unpleasant/whatever, I only ever remember having some 70 degrees of flexion at the knee. This gradually reduced to less than 50 and I had the op repeated when I was 18 and now can flex to more than 90 degrees. I had some three months of physio afterwards to help build the quads etc. However, despite this, the later op left me with about 10 degrees fixed lag and another 5-10 variable. This means that it's not much good for standing on (especially one-legged ) and when I do walk on it for any length of time, my hip starts to hurt. I can also add that after a year or more of cycling over 20 miles a day, the outer quad muscle just above the knee (sorry for not knowing its technical name!) appeared to be missing, developing instead a much larger muscle (comparing with my left leg) crossing from my right hip to the inside of my knee and a pronounced small triangle of muscles immediately above the knee.
The results of all this mean that when I try to use my leg for longer periods of time, walking/running, my hip starts to hurt and a small spasm in the muscle in front of the hip.
My question is whether there are exercises I can do to reduce these lags any further and anything else I can do to avoid the hip pain?
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