Pain on right side in multiple places

Background / Duration
• Female, strength training regularly (PPL split).
• Symptoms started January 2024 and have been ongoing for ~2 years.
• Initial issue began after weight training.

Main Symptoms
• Predominantly right-sided pain (knee, quad, glute muscle knot, right elbow, ).
• Initial diagnosis: pes anserinus inflammation (January 2024).
• Pain later migrated upward:
• Quadriceps (more proximal)
• Glute (palpable tight knot)
• Pain is triggered by:
• Standing up after sitting
• Exercises with axial load or pressure on the leg (squats, RDLs, seated cable rows)
• Direct pressure through the leg (standing on leg)
• Symptoms worsen after:
• Long periods of flexion
• Heavy compound lifts
• Known functional scoliosis:
• Right shoulder blade protrudes
• Upper body leans slightly to the right
• Pain sensitivity increases with smoking
• Tight hamstrings
• Right glute is clearly weaker (noticed during side steps / abduction work)

No numbness, tingling, loss of strength, or classic radicular pain.

Imaging & Test Results

Extensive imaging was performed; no structural pathology found.

Ultrasound / CT / MRI
• No tears, no tendon ruptures
• No joint pathology
• No nerve compression
• No inflammatory findings

Full-leg X-ray (RX)
• Femoral head heights: symmetrical
• Femur length:
• Right: 43.2 cm
• Left: 43.5 cm
• Tibia length:
• Right: 33.5 cm
• Left: 33.1 cm
• Total leg length (femoral head to ankle joint):
• Right: 76.6 cm
• Left: 76.5 cm
• Hip–knee–ankle alignment: normal bilaterally
• Ankle joint height: symmetrical

Treatments So Far
• Custom orthotics for flat feet (March 2024)
• Physiotherapy focused on:
• Knee stabilization
• Strengthening
• Dry needling
• Quadriceps massage
• Manual therapy
• Continued training with load modifications

Effects:
• Temporary symptom relief only
• Pain tends to return when loading increases

Current Working Hypothesis

Since:
• All imaging is normal
• Pain is unilateral and widespread on the right
• Symptoms shift location
• Trigger points and muscle tightness are present
• Scoliosis is functional rather than structural

The current hypothesis is:
• Neuromuscular / myofascial overload
• Right-sided motor control and stabilization deficit
• Likely involving:
• Gluteus medius/minimus dysfunction
• Quad dominance
• Increased neural sensitivity rather than nerve damage

Current / Planned Treatment
• Ongoing physiotherapy
• Planned Redcord / neuromuscular suspension therapy

Reason for Posting

Despite normal imaging and extensive treatment, symptoms persist.
I am looking for input from others with experience in:
• Neuromuscular overload without structural findings
• Functional scoliosis–related asymmetry
• Chronic unilateral pain in strength athletes
• Central or peripheral sensitization without nerve compression