Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with localized pain in the right 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 and progressive. Pain is localized to the iliopectineal eminence.
Clinical Examination Findings
Physical exam reveals tenderness to palpation over the right iliopsoas bursa. Positive resisted hip flexion and passive hip hyperextension (Ludloffโs sign or extension test). No evidence of intra-articular hip pathology; range of motion is limited by pain at terminal extension. Gait is antalgic, favoring the right side.
Treatment Protocol
Initiate conservative management: activity modification, avoidance of repetitive hip flexion, and non-steroidal anti-inflammatory drugs (NSAIDs). Prescribe physical therapy focusing on iliopsoas stretching and core stabilization. Consider ultrasound-guided corticosteroid injection into the iliopsoas bursa if symptoms persist.