Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with chronic, progressive left hip pain, secondary to prior trauma. Pain is exacerbated by weight-bearing, prolonged ambulation, and rotational movements. Patient reports morning stiffness lasting <30 minutes, localized to the groin and lateral hip, with associated functional limitation in activities of daily living.
Clinical Examination Findings
Physical examination of the left hip reveals antalgic gait, limited passive and active range of motion (ROM), particularly in internal rotation and abduction. Positive impingement signs (FADIR/FABER). Tenderness noted over the greater trochanter and anterior joint line. No signs of acute infection or neurovascular deficit in the distal extremity.
Treatment Protocol
Conservative management initiated: activity modification, physical therapy focusing on hip abductor strengthening and range of motion, and non-steroidal anti-inflammatory drugs (NSAIDs) as needed. Discussed potential for intra-articular corticosteroid or viscosupplementation injections. Surgical consultation for total hip arthroplasty (THA) considered if conservative measures fail.