Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with a chief complaint of audible and palpable snapping sensation in the [Right/Left] hip. Symptoms are exacerbated by [flexion/extension/abduction] of the hip joint, particularly during [running/cycling/rising from a seated position]. Patient reports [intermittent/constant] discomfort localized to the [lateral/anterior/posterior] aspect of the hip. No history of acute trauma; onset is [insidious/gradual]. Patient denies neurovascular deficits, fevers, or night pain.
Clinical Examination Findings
Inspection reveals no erythema or edema. Palpation demonstrates tenderness over the [greater trochanter/iliopsoas tendon]. Active range of motion (ROM) is [full/restricted]. Snapping phenomenon is reproducible with [active/passive] hip [flexion/extension/abduction]. Positive [Ober test/Thomas test/Stinchfield test]. Neurovascular status is intact with 2+ distal pulses and normal sensation in the L2-S1 dermatomes.
Treatment Protocol
Conservative management initiated: 1. Activity modification to avoid provocative movements. 2. Physical therapy referral focusing on iliopsoas/IT band stretching and core stabilization. 3. NSAIDs for pain and inflammation management. 4. Consider corticosteroid injection if symptoms persist. Follow-up in [4-6] weeks to assess progress.