Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with chronic, activity-related right hip pain, localized primarily to the groin. Symptoms are exacerbated by prolonged sitting, deep flexion, and internal rotation. Patient reports mechanical symptoms including occasional catching, locking, or clicking. No history of acute trauma. Pain is described as a dull ache with sharp, stabbing episodes during specific movements.
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. FABER test (Flexion, Abduction, External Rotation) may be positive or reveal posterior hip tightness. Gait is non-antalgic but may show compensatory patterns. Neurovascular status is intact distally.
Treatment Protocol
Initial management includes activity modification, avoidance of provocative positions, and a structured physical therapy program focusing on core stabilization and hip abductor strengthening. Consider NSAIDs for inflammation control. If conservative measures fail, consider intra-articular corticosteroid injection for diagnostic/therapeutic purposes or surgical consultation for arthroscopic hip preservation (labral repair/osteoplasty).