Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with a chief complaint of a reproducible, audible, and palpable snapping sensation over the right lateral hip. Symptoms are exacerbated by hip flexion and extension, particularly during activities such as running, cycling, or rising from a seated position. No history of acute trauma, fever, or night pain. Patient reports localized discomfort over the greater trochanter but denies radiating pain, numbness, or mechanical locking of the joint.
Clinical Examination Findings
Right hip examination reveals a palpable snap of the iliotibial band over the greater trochanter during active hip flexion and extension. Tenderness to palpation noted over the right greater trochanteric bursa. Hip range of motion is full and painless, though the snapping is reproducible. Oberโs test is positive, indicating tightness of the iliotibial band. Neurovascular status of the right lower extremity is intact. No signs of intra-articular pathology or hip joint instability.
Treatment Protocol
Conservative management initiated, including activity modification to avoid repetitive snapping triggers. Prescription for physical therapy focusing on iliotibial band stretching, hip abductor strengthening, and core stabilization. Consider non-steroidal anti-inflammatory drugs (NSAIDs) for symptomatic relief of trochanteric bursitis. If refractory, consider corticosteroid injection into the peritrochanteric space. Follow-up in 6 weeks to assess progress.