History & exam
Key factors
- sharp or burning pain superior to the lateral joint line
- positive Noble's test
- positive Ober's test
- positive modified Thomas's test
Other diagnostic factors
- pain on sitting or walking
- local oedema
- crepitation
- reduced hip abductor muscle strength
- genu varum (bow leg)
- hind-foot and fore-foot varum
- pes cavus (high arch)
- prominent lateral femoral epicondyle, tight iliotibial tract and tensor fascia lata
- weak gluteus medius, gluteus maximus, and tensor fascia lata
- tightness and weakness in the quadriceps, iliotibial tract, and lateral retinaculum
History & exam details
Treatment details
Acute
pain and inflammation
- non-steroidal anti-inflammatory drugs (NSAIDs)
- activity modification
-
severe pain and swelling or refractory to non-steroidal anti-inflammatory drugs (NSAIDs)/activity modification
- combination local anaesthetic and corticosteroid injection
Ongoing
resolved pain and inflammation
- stretching exercises
- foam roll mobilisation
- hip abductor strengthening
refractory to conservative treatment
- elective surgery
Treatment details
Letzte Aktualisierung am: Apr 22, 2013
