Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with chronic, localized pain over the left lateral hip, exacerbated by direct pressure (e.g., side-lying), prolonged standing, and stair climbing. No history of acute trauma, radiation of pain to the knee, or neurological deficits. Symptoms are consistent with Greater Trochanteric Pain Syndrome (GTPS).
Clinical Examination Findings
Physical examination of the left hip reveals focal tenderness upon palpation of the greater trochanteric bursa. Trendelenburg test is negative. Range of motion is full and painless in flexion, extension, and rotation, though resisted hip abduction reproduces the patient's characteristic lateral hip pain. No signs of erythema, warmth, or fluctuance.
Treatment Protocol
Initiate conservative management including activity modification, avoidance of side-lying on the affected hip, and a structured physical therapy program focusing on gluteal strengthening and iliotibial band stretching. Prescribe NSAIDs as needed for pain control. Consider corticosteroid injection if symptoms persist despite conservative measures.