Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with chronic, progressive left hip pain, localized to the groin and lateral hip, exacerbated by weight-bearing activities and prolonged standing. Reports morning stiffness lasting <30 minutes, mechanical symptoms including crepitus, and functional limitation in activities of daily living (ADLs). No history of trauma, fever, or night pain.
Clinical Examination Findings
Left hip examination reveals antalgic gait. Palpation demonstrates tenderness over the greater trochanter and groin. Range of motion (ROM) is restricted, particularly in internal rotation and abduction, with palpable crepitus during passive movement. Positive FADIR and FABER tests. Neurovascular status intact distally.
Treatment Protocol
Initiate conservative management including physical therapy for hip abductor strengthening and ROM exercises. Prescribe NSAIDs as needed for pain control. Recommend activity modification, weight management, and use of assistive devices (cane) if indicated. Consider intra-articular corticosteroid or hyaluronic acid injection for symptomatic relief.