Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with chronic right lateral hip pain, localized to the greater trochanteric region. Pain is exacerbated by weight-bearing, side-lying on the affected side, and prolonged ambulation. Patient reports a Trendelenburg gait pattern and nocturnal discomfort. No history of acute trauma; symptoms are consistent with degenerative tendinopathy or partial-thickness tear of the gluteus medius tendon.
Clinical Examination Findings
Physical examination of the right hip reveals focal tenderness over the greater trochanter. Active abduction is weak and painful. Positive Trendelenburg test noted. Resisted hip abduction (abduction stress test) elicits significant pain. Passive internal rotation in flexion is limited. Neurovascular status is intact distally.
Treatment Protocol
Conservative management initiated: activity modification, avoidance of side-lying on the right, and physical therapy focused on gluteal strengthening and pelvic stabilization. NSAIDs prescribed for pain and inflammation. Consider corticosteroid or PRP injection under ultrasound guidance if refractory to conservative measures.