Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with chronic, localized pain over the right greater trochanteric region. Symptoms are exacerbated by prolonged standing, side-lying on the affected side, and stair climbing. No history of acute trauma, radiculopathy, or mechanical locking. Pain is described as a dull ache with occasional sharp exacerbations during weight-bearing activities.
Clinical Examination Findings
Physical examination reveals focal tenderness to palpation over the right greater trochanter. Trendelenburg test is positive on the right. Resisted hip abduction elicits pain. Range of motion is full but painful at end-range adduction. No evidence of hip joint intra-articular pathology or lumbar spine involvement. Neurovascular status is intact distally.
Treatment Protocol
Initiate conservative management including activity modification, avoidance of side-lying on the right, and a structured physical therapy program focusing on gluteal strengthening and pelvic stabilization. Consider NSAIDs for pain control and local corticosteroid injection if refractory to physical therapy.