Abstract
Objective: Gluteal pain may stem from a variety of different causes. Quadratus Femoris (QF) is an uncommon but significant cause of gluteal pain. Design: Retrospective case report: distance runner with persistent gluteal pain. Setting: Sports Medicine Clinic, Hamilton, Ontario, Canada. Intervention: This case report describes a case of clinically suspected QF myopathy treated with soft tissue mobilization therapy, static stretching of the hip’s external rotators daily along with gluteus medius and maximus strengthening exercises. Outcome Measures: Completion of race, 10 point numerical pain scale, palpatory pain and muscle testing. Results: After the course of conservative therapy, the athlete was able to complete the marathon successfully with minimal discomforted rated 2/10 on a 10 point numerical pain scale. There was no palpatory pain and resisted external rotation testing of her right thigh was rated 5/5. Conclusion: There are several differential diagnoses for gluteal injuries. Therefore, it is important to perform a thorough history, physical examination and provide a specified accurately targeted treatment program for persistent pain and dysfunction in the athlete.
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