left buttock pain radiating to mid back

[Physio Dace]

Have you considered an intra-articular hip pathology or possible iliopsoas strain? Labral tears have been known to refer superiorly into the lumbar spine - or associated with maladaptive gait patterns with subsequent NSLBP. Beyond that from the MOI I would be thinking Lx first (more likely facet) and SIJ second. If its purely an acute muscular injury (i.e. strain) I would have expected considerable improvement in 1/12.

[jacinta]

hello dace,

thanks for the reply.
it was found that thr is NAD in his gait.
this gentleman was not sure had he injured his hip previously,
but claimed numerous falls on buttock.
No x-ray was done.

It's a good news to me that his left thigh adn mid back pain are resolved.
Rt. hamstrings tightness reduced.
Lt. hip pain reduces in VAS: 3-4 /10 (previously 7/10)

new finding: Lt. iliopsoas tighness (again, thanks for your suggestion)
stretches are taught.
will wait & see how next week.


jacinta