Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with chronic, deep-seated hip pain, localized primarily to the groin, exacerbated by prolonged sitting, pivoting, or rotational activities. Reports intermittent mechanical symptoms including catching, clicking, or locking sensations. Pain is described as sharp/stabbing with activity and dull/aching at rest. No history of acute trauma; symptoms are insidious in onset.
Clinical Examination Findings
Physical examination reveals positive FADIR (Flexion, Adduction, Internal Rotation) test, eliciting concordant groin pain. FABER (Flexion, Abduction, External Rotation) test may also be positive. Gait is non-antalgic, though range of motion is limited in internal rotation. No focal neurological deficits noted in the lower extremities. Neurovascular status is intact distally.
Treatment Protocol
Initiate conservative management including activity modification, avoidance of provocative positions, and a structured physical therapy program focusing on core stabilization and hip abductor strengthening. Consider NSAIDs for inflammation control. If symptoms persist, obtain MRI arthrogram to confirm diagnosis and evaluate for potential intra-articular corticosteroid injection or surgical consultation for arthroscopic labral repair.