A seventy-one-year-old gentleman complained of weakness in his thighs, stiffness in his hip girdle and discomfort from his hips to his knees. The problem had progressively worsened over approximately seven years. He was unable to stand up from a chair without pushing himself up with his arms and throwing his weight forward.The patient also complained of general stiffness after resting for a short period. Hip and thigh pain on short-distance walks were profound. He found improvement in the hip girdle pain when lying flat or sitting.
He had problems with decreased mobility of his back for years and was told he had “spondylosis” of his spine. He was otherwise in good health. History He denied paresthesias or numbness in any of the extremities, or bowel or bladder incontinence. There was no recent history of fever, chills, weight loss or decreased appetite. He had no upper extremity…
