{"id":49,"date":"2008-12-20T21:49:42","date_gmt":"2008-12-21T04:49:42","guid":{"rendered":"https:\/\/blog.brianschiff.com\/?p=49"},"modified":"2008-12-20T22:03:30","modified_gmt":"2008-12-21T05:03:30","slug":"do-you-have-the-wrong-diagnosis","status":"publish","type":"post","link":"https:\/\/blog.brianschiff.com\/?p=49","title":{"rendered":"Do You Have the Wrong Diagnosis?"},"content":{"rendered":"<p>Well, you might imagine the look of surprise and relief on the face of a client I saw this week when I told him what was finally causing his hip\/leg pain.\u00a0 This particular client trains with one\u00a0of my staff members.\u00a0 He has\u00a0a longstanding history of pain in the upper posterior thigh and groin area.\u00a0 It flared up recently and he finally went to see a physician.<\/p>\n<p>He was diagnosed with an adductor strain and given a\u00a0prescription for physical therapy.\u00a0 My trainer wanted\u00a0asked for guidance\u00a0in working with him as not to aggravate the situation yet continue his fitness program.\u00a0 As I spoke with him, he mentioned his worst pain occurred with sitting.\u00a0 In fact, he can&#8217;t tolerate more than 5 minutes of sitting due to pain.\u00a0 This struck me as very odd and not typical with adductor strains.<\/p>\n<p>I began to probe further.\u00a0 Next, I had him do some specific movements and I took a closer look.\u00a0 My brief exam yielded limited hamstring flexibility and pain\/weakness with hamstring resistance.\u00a0 It was clear that his groin pain was more likely related to a medial proximal\u00a0hamstring strain and not an adductor strain.\u00a0 Because the medial hamstring controls hip rotation, his symptoms would easily be provoked in certain movements and positions much like an adductor strain.\u00a0 \u00a0<\/p>\n<p>The take away message here is simply to listen carefully and closely examine the affected tissue to determine the true source of pain\/dysfunction.\u00a0 Treating the adductor will NOT cure his hamstring problem.\u00a0 I am sure his physician is very competent, but often MD&#8217;s do not listen closely enough or perform inadequate testing, which leads to an incomplete or inaccurate diagnosis.\u00a0 Any intervention I offer to clients should yield positive results or improvement within 4 weeks.<\/p>\n<p>If you have an injury or physical goal and are not seeing forward progress in this time period, it is time to take a closer second look at the plan of attack.\u00a0 It may take a different set of eyes and ears to get you back on track.\u00a0 The little things really do matter!<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Well, you might imagine the look of surprise and relief on the face of a client I saw this week when I told him what was finally causing his hip\/leg pain.\u00a0 This particular client trains with one\u00a0of my staff members.\u00a0 He has\u00a0a longstanding history of pain in the upper posterior thigh and groin area.\u00a0 It [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[3,4,8],"tags":[],"class_list":["post-49","post","type-post","status-publish","format-standard","hentry","category-fitness","category-health","category-rehab"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.10 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Do You Have the Wrong Diagnosis? 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