Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with anterior hip and groin pain, exacerbated by hip extension and active flexion. Reports localized tenderness, occasional snapping sensation, and radiation to the anterior thigh. Symptoms aggravated by prolonged sitting, stair climbing, or athletic activity. Denies trauma, fevers, or night sweats.
Clinical Examination Findings
Physical exam reveals focal tenderness over the iliopsoas bursa (medial to the femoral artery). Positive Stinchfield test and pain on resisted hip flexion. Passive hip hyperextension reproduces symptoms. Gait analysis shows antalgic pattern. Neurovascular status intact distally. No erythema or warmth noted.
Treatment Protocol
Conservative management initiated: Activity modification, avoidance of aggravating movements, and NSAIDs. Physical therapy referral for iliopsoas stretching and strengthening. Consider ultrasound-guided corticosteroid injection if refractory to conservative measures. Follow-up in 4-6 weeks.