Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with localized pain over the right lateral hip, exacerbated by direct pressure, prolonged standing, and climbing stairs. Pain is described as a dull ache that may radiate down the lateral thigh. No history of acute trauma, fever, or night sweats. Symptoms are worse when lying on the affected side.
Clinical Examination Findings
Physical examination reveals significant tenderness to palpation over the right greater trochanteric prominence. No erythema, warmth, or fluctuance noted. Range of motion of the right hip is preserved but may elicit pain at the extremes of adduction. Negative Trendelenburg sign. Neurovascular status of the right lower extremity is intact.
Treatment Protocol
Conservative management initiated: activity modification to avoid aggravating positions, non-steroidal anti-inflammatory drugs (NSAIDs) as needed, and physical therapy focusing on gluteal strengthening and iliotibial band stretching. Consider corticosteroid injection to the right greater trochanteric bursa if symptoms persist.