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, relieved by rest. Denies trauma, fevers, or radicular symptoms. Pain interferes with activities of daily living and sleep.
Clinical Examination Findings
Right hip reveals limited internal rotation and abduction with associated crepitus on passive range of motion. Positive FABER and FADIR tests. No erythema, warmth, or significant soft tissue swelling. Gait demonstrates an antalgic limp favoring the right lower extremity. Neurovascular status intact distally.
Treatment Protocol
Initiate conservative management: weight reduction, physical therapy for hip abductor strengthening, and low-impact aerobic exercise. Prescribe NSAIDs as needed for pain control. Consider intra-articular corticosteroid or hyaluronic acid injection if refractory. Discuss long-term surgical consultation for total hip arthroplasty if symptoms persist.