Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with chronic lateral right hip pain, localized to the greater trochanteric region. Pain is exacerbated by weight-bearing, prolonged standing, and side-lying on the affected side. Reports no history of acute trauma, radiculopathy, or mechanical locking. Pain is described as a dull ache with occasional sharp exacerbations during gait initiation.
Clinical Examination Findings
Physical examination of the right hip reveals focal tenderness upon palpation of the gluteus medius insertion at the greater trochanter. Trendelenburg test is positive on the right. Resisted hip abduction elicits pain and demonstrates mild weakness (4+/5). Range of motion is preserved but painful at end-range adduction. No signs of bursitis or intra-articular pathology.
Treatment Protocol
Initiate conservative management including activity modification, avoidance of provocative positions (e.g., crossing legs, side-lying), and a structured physical therapy program focusing on gluteal strengthening and pelvic stabilization. Prescribe NSAIDs for pain control. Consider corticosteroid injection or PRP therapy if symptoms persist despite 6 weeks of conservative care.