Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with a chief complaint of audible and palpable snapping sensation over the left lateral hip. Symptoms are exacerbated by hip flexion and extension, particularly during gait or rising from a seated position. Patient reports localized discomfort over the greater trochanteric region. Denies history of acute trauma, fever, or neurological deficits.
Clinical Examination Findings
Physical examination of the left hip reveals a palpable, audible snap of the iliotibial band or tensor fasciae latae over the greater trochanter during active hip flexion and extension. No evidence of hip joint effusion or intra-articular pathology. Trendelenburg test is negative. Range of motion is full but reproduces the snapping phenomenon. Neurovascular status is intact distally.
Treatment Protocol
Conservative management initiated, including activity modification, avoidance of repetitive hip flexion, and a targeted physical therapy program focusing on stretching the iliotibial band and strengthening the hip abductors. Consider non-steroidal anti-inflammatory drugs (NSAIDs) for pain management. If symptoms persist, consider corticosteroid injection into the trochanteric bursa.