Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with chronic, activity-related anterior right hip pain, exacerbated by hip flexion and repetitive hip extension. Reports localized tenderness in the inguinal region, occasional snapping sensation, and pain with sit-to-stand transitions. No history of acute trauma, fever, or night sweats.
Clinical Examination Findings
Physical examination of the right hip reveals tenderness to palpation over the iliopsoas tendon at the inguinal crease. Positive resisted hip flexion test. Positive Thomas test and Stinchfield test. No evidence of intra-articular hip pathology, normal range of motion with pain at end-range flexion. Neurovascular status intact distally.
Treatment Protocol
Initiate conservative management including activity modification, avoidance of repetitive hip flexion, and non-steroidal anti-inflammatory drugs (NSAIDs). Referral to physical therapy for iliopsoas stretching and strengthening of the core and hip stabilizers. Consider ultrasound-guided corticosteroid injection if symptoms persist.