Rob is in his mid seventies and has severe restriction of mobility through both hip joints. He reports bilateral hip pain with radiation down the lateral thighs to the knee, the right side being most affected. He reports left side hip replacement five years ago due to severe osteoarthritis in the joint. Unfortunately, he continues to experience pain even after the operation. The osteoarthritis in the right hip has continued to progress and the hip is now extremely painful.

Upon examination there is severe hip tightness with hardening of the muscle and connective tissue surrounding the hip joint involving the piriformis muscles bilaterally creating Piriformis Syndrome. Rob is very concerned about the pain and the progression of osteoarthritis on the right side and wants to prevent another hip replacement.

Therapy was started and he noticed easing of symptoms within the first week. His left side (with the hip replacement) is responding especially well with much more mobility and much less pain. Two weeks into therapy, he is able to walk much easier with significantly less pain and stiffness.

Conclusion: Rob is now just starting the third week of treatment and is progressing very well. He is expected to continue to progress in the following weeks and his overall prognosis is excellent with continued therapy.