Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with chronic, activity-related hip pain localized to the groin and lateral hip. Symptoms exacerbated by prolonged standing, walking, or impact activities. Reports mechanical symptoms including catching, locking, or giving way. No history of acute trauma. Pain intensity [0-10]/10, relieved by rest and NSAIDs. History of childhood hip issues: [Yes/No].
Clinical Examination Findings
Gait: Antalgic/Trendelenburg sign [Positive/Negative]. ROM: Limited internal rotation and abduction. Impingement testing: FADIR test [Positive/Negative] for labral pathology. FABER test [Positive/Negative] for intra-articular hip pathology. Neurovascular: Distal pulses intact, sensation intact to light touch in L2-S1 dermatomes.
Treatment Protocol
Conservative management initiated: Activity modification, physical therapy focusing on gluteal strengthening and core stabilization. Pharmacotherapy: NSAIDs as needed. Weight management counseling provided. If symptoms persist, consider intra-articular corticosteroid/HA injection or surgical consultation for periacetabular osteotomy (PAO) or total hip arthroplasty (THA) based on radiographic severity.