Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with chronic, progressive unilateral hip pain localized to the groin/lateral hip, exacerbated by weight-bearing activities and prolonged standing. Reports morning stiffness lasting <30 minutes, relieved by rest. Denies trauma, fevers, or night sweats. Pain interferes with activities of daily living (ADLs) and sleep.
Clinical Examination Findings
Inspection reveals antalgic gait. Palpation shows tenderness over the greater trochanter and groin. ROM assessment demonstrates restricted internal rotation and abduction. Positive FADIR (Flexion, Adduction, Internal Rotation) test. No signs of neurovascular compromise in the distal extremity.
Treatment Protocol
Initiate conservative management: weight loss counseling, physical therapy for hip abductor strengthening, and activity modification. Prescribe NSAIDs (as tolerated) for pain control. Consider intra-articular corticosteroid or hyaluronic acid injection if refractory. Discuss total hip arthroplasty (THA) as a long-term surgical option.