Symptom Finder - Hip Pain
Hip Pain
When examining a patient with a history of trauma, the physician will undoubtedly obtain an x-ray of the hips before proceeding with an
extensive clinical examination. If there is no evidence of fracture, he or she may proceed with an examination of the range of motion (extension and flexion, internal and external rotation) and palpation for point tenderness.
Greater trochanter bursitis is a common cause of hip pain and is easily diagnosed by palpation over the greater trochanter bursa and subsequent
relief of the pain by injecting the bursa with 1% to 2% lidocaine. Range of motion is restricted, and Patrick test (pain on external rotation of the hip) is positive in both osteoarthritis (and other forms of arthritis) and greater trochanter bursitis.
It is wise to do a femoral stretch test and straight leg raising test to be sure one is not missing a herniated lumbar disc in these patients.
The clinician must palpate the sacroiliac joints. The patient with sacroiliitis may present with “hip” pain.
When examining a patient with a history of trauma, the physician will undoubtedly obtain an x-ray of the hips before proceeding with an
extensive clinical examination. If there is no evidence of fracture, he or she may proceed with an examination of the range of motion (extension and flexion, internal and external rotation) and palpation for point tenderness.
Greater trochanter bursitis is a common cause of hip pain and is easily diagnosed by palpation over the greater trochanter bursa and subsequent
relief of the pain by injecting the bursa with 1% to 2% lidocaine. Range of motion is restricted, and Patrick test (pain on external rotation of the hip) is positive in both osteoarthritis (and other forms of arthritis) and greater trochanter bursitis.
It is wise to do a femoral stretch test and straight leg raising test to be sure one is not missing a herniated lumbar disc in these patients.
The clinician must palpate the sacroiliac joints. The patient with sacroiliitis may present with “hip” pain.
