Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with chronic lateral hip pain, localized to the greater trochanteric region. Pain is exacerbated by weight-bearing, prolonged standing, side-lying on the affected side, and climbing stairs. Denies radicular symptoms, paresthesia, or history of acute trauma. Pain is described as a dull ache with intermittent sharp exacerbations.
Clinical Examination Findings
Physical examination reveals focal tenderness upon palpation of the gluteus medius insertion at the greater trochanter. Positive Trendelenburg sign noted during single-leg stance. Pain elicited with resisted hip abduction and the 'FADER' test (Flexion, Adduction, External Rotation). Gait analysis demonstrates an antalgic pattern with a shortened stance phase on the affected side.
Treatment Protocol
Initiate conservative management including activity modification, avoidance of aggravating positions (e.g., crossing legs), and physical therapy focusing on gluteal strengthening and pelvic stabilization. Consider NSAIDs for inflammation control. If refractory, evaluate for corticosteroid injection or PRP therapy under ultrasound guidance.