Table 1: Historical and current timeline of care.

Dates

Event

Outcome

1967, 1982, 1984

3 Cesarean Section Deliveries

Abdominal Scarring

1995

Panniculectomy

Expansion of abdominal scar, Trendelenburg gait began to develop

2018

Synvisc Knee Injections

Trendelenburg gait exacerbation

2019

Right Knee Replacement

Trendelenburg gait exacerbation

2020

17 Weeks of Physical Therapy

No improvement

August 3, 2021

1st Lidocaine Injections into gluteus medius, gluteus maximus

Immediate improvement in gait and resolution of trigger point pain 

August 13, 2021

2nd Lidocaine Injections into oblique muscles, vastus medialis, panniculectomy scar, knee replacement scar

Resolution of trigger point pain, improved range of motion, improved gait