Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with chronic, progressive left hip pain, localized to the groin and lateral hip, exacerbated by weight-bearing activities and prolonged ambulation. Reports morning stiffness lasting <30 minutes, relieved by rest. Denies trauma, fevers, or radicular symptoms. Pain interferes with activities of daily living (ADLs) and sleep.
Clinical Examination Findings
Left hip exam: Antalgic gait noted. Tenderness to palpation over the left greater trochanter and groin. Range of motion (ROM) is restricted in internal rotation and abduction, with crepitus noted on passive manipulation. Positive FADIR and FABER tests. Neurovascular status intact distally.
Treatment Protocol
Conservative management initiated: Activity modification, physical therapy for hip abductor strengthening, and weight management. Pharmacotherapy includes scheduled NSAIDs or acetaminophen as tolerated. Consider intra-articular corticosteroid or hyaluronic acid injection if symptoms persist. Discussed surgical consultation for total hip arthroplasty (THA) if conservative measures fail.