Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with chronic, progressive right hip pain, localized to the groin and lateral hip, exacerbated by weight-bearing activities and prolonged standing. Reports morning stiffness lasting <30 minutes, improved with mild activity. Denies radicular symptoms, fevers, or night pain. Pain is described as a dull ache, rated [X]/10.
Clinical Examination Findings
Right hip examination reveals antalgic gait. Palpation demonstrates tenderness over the greater trochanter. Range of motion (ROM) is restricted in internal rotation and abduction. Positive impingement sign (FADIR). No erythema, warmth, or significant soft tissue swelling noted. 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 weight management and activity modification. Discuss intra-articular corticosteroid or viscosupplementation injection if symptoms persist.