Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with chronic lateral left hip pain, localized to the greater trochanteric region. Pain is exacerbated by prolonged standing, climbing stairs, and lying on the affected side at night. No history of acute trauma, radiation to the knee, or neurological deficits. Symptoms are consistent with gluteus medius tendinopathy.
Clinical Examination Findings
Physical examination of the left hip reveals focal tenderness upon palpation of the gluteus medius insertion at the greater trochanter. Positive Trendelenburg sign noted. Resisted hip abduction elicits pain. Range of motion is preserved but painful at end-range adduction. Neurovascular status is intact distally.
Treatment Protocol
Initiate conservative management including activity modification (avoiding aggravating positions), non-steroidal anti-inflammatory drugs (NSAIDs), and a structured physical therapy program focusing on gluteal strengthening and pelvic stabilization. Consider corticosteroid injection if symptoms persist despite 6 weeks of conservative therapy.