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 trauma, fevers, or radicular symptoms. Pain interferes with activities of daily living and sleep.
Clinical Examination Findings
Right hip examination reveals antalgic gait. Palpation demonstrates tenderness over the greater trochanter and groin. Range of motion (ROM) is restricted in internal rotation and abduction, with crepitus noted on passive manipulation. FABER and FADIR tests are positive for pain. Neurovascular status is intact distally.
Treatment Protocol
Conservative management initiated: weight-bearing modification, physical therapy for abductor strengthening and ROM maintenance, and non-steroidal anti-inflammatory drugs (NSAIDs) as needed. Discussed potential for intra-articular corticosteroid or viscosupplementation injections if refractory to conservative measures.