Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with chronic left lateral hip pain, localized to the greater trochanteric region. Pain is exacerbated by prolonged standing, side-lying on the affected side, and stair climbing. No history of acute trauma, radiation to the knee, or neurological deficits. Symptoms are consistent with gluteus medius/minimus tendinopathy.
Clinical Examination Findings
Physical exam of the left hip reveals focal tenderness upon palpation of the greater trochanter. Positive Trendelenburg sign noted during single-leg stance. Pain reproduced with resisted hip abduction and passive hip adduction (Oberโs test). 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 side-lying on the left, and a structured physical therapy program focusing on hip abductor strengthening and pelvic stabilization. Prescribe NSAIDs as needed for pain control. Consider corticosteroid injection if symptoms persist despite 6 weeks of physical therapy.