Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with chronic right-sided hip pain, localized to the groin, exacerbated by prolonged sitting, deep flexion, and internal rotation. Reports mechanical symptoms including clicking, catching, and occasional locking. Pain is described as a deep, aching sensation, VAS score [X/10], interfering with activities of daily living and athletic performance. No history of acute trauma.
Clinical Examination Findings
Right hip examination reveals limited range of motion, specifically in internal rotation and flexion. Positive FADIR test (Flexion, Adduction, Internal Rotation) reproducing groin pain. Positive FABER test (Flexion, Abduction, External Rotation) indicating intra-articular pathology. Gait analysis shows no significant Trendelenburg sign. Neurovascular status intact distally.
Treatment Protocol
Conservative management initiated: activity modification, avoidance of provocative positions, and physical therapy focusing on core stabilization and hip abductor strengthening. Prescribed NSAIDs for inflammation control. If symptoms persist, consider intra-articular corticosteroid injection under ultrasound guidance or surgical consultation for hip arthroscopy (labral debridement/osteoplasty).