Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with chronic right hip pain, worsening over [Time], following a remote history of [Trauma Type/Date]. Pain is described as [Dull/Aching/Sharp], localized to the groin and lateral hip, exacerbated by weight-bearing and prolonged ambulation. Patient reports morning stiffness lasting [Minutes] and mechanical symptoms including [Clicking/Locking]. Previous conservative management includes [NSAIDs/PT/Injections] with [Partial/No] relief.
Clinical Examination Findings
Right hip inspection reveals [No/Mild] atrophy of the gluteal musculature. Palpation demonstrates tenderness over the greater trochanter and anterior joint line. Range of motion is restricted in internal rotation and abduction compared to the contralateral side. Positive impingement sign (FADIR) noted. Gait analysis shows an antalgic limp favoring the left side. Neurovascular status is intact distally.
Treatment Protocol
Plan: 1. Activity modification and weight-bearing optimization. 2. Physical therapy focusing on hip abductor strengthening and range of motion. 3. Pharmacotherapy: [NSAIDs/Analgesics] as needed. 4. Consider intra-articular [Corticosteroid/Hyaluronic Acid] injection. 5. Radiographic follow-up to monitor joint space narrowing. 6. Discuss potential for total hip arthroplasty if symptoms remain refractory.