Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with localized pain over the left lateral hip, exacerbated by direct pressure (lying on the affected side), prolonged standing, and stair climbing. No history of acute trauma, radicular symptoms, or mechanical locking. Pain is described as a dull ache with occasional sharp exacerbations.
Clinical Examination Findings
Physical examination reveals focal tenderness to palpation directly over the left greater trochanter. Range of motion of the left hip is full and painless, though pain is reproduced with resisted hip abduction and passive adduction. FABER test is negative for intra-articular pathology. No erythema, warmth, or fluctuance noted.
Treatment Protocol
Conservative management initiated: activity modification to avoid provocative positions, NSAIDs as needed for pain/inflammation, and a structured physical therapy program focusing on hip abductor strengthening and iliotibial band stretching. Consider corticosteroid injection if symptoms persist despite 4-6 weeks of conservative therapy.