Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with localized pain in the left anterior hip/groin region, exacerbated by hip extension and active flexion. Reports associated snapping sensation and morning stiffness. No history of acute trauma; symptoms are chronic/subacute in nature. Pain is aggravated by prolonged sitting, stair climbing, and athletic activity.
Clinical Examination Findings
Left hip examination reveals focal tenderness to palpation over the iliopsoas bursa (medial to the femoral artery). Pain reproduced with resisted hip flexion and passive hip hyperextension (Ludloffโs sign). Gait analysis demonstrates an antalgic pattern with shortened stride length on the left. No evidence of erythema, warmth, or fluctuance. Neurovascular status intact distally.
Treatment Protocol
Conservative management initiated: activity modification (avoidance of repetitive hip flexion), non-steroidal anti-inflammatory drugs (NSAIDs), and targeted physical therapy focusing on iliopsoas stretching and core stabilization. Consider ultrasound-guided corticosteroid injection into the iliopsoas bursa if symptoms persist despite 4-6 weeks of conservative therapy.