Table
4: Specific
evaluation questions to ask about hip pain [18].
1.
Is there pain on activity or on side lying disrupting sleep? On PE, is
there tenderness to palpation of the greater trochanter? Is there pain on
straight leg raise (SLR) after 30 seconds? (GTPS) 2.
Is there morning stiffness, associated groin pain and progressive
nature of symptoms? Does the patient have difficulty putting on socks? On PE,
is there reduced range of motion (ROM)? Is there pain with internal rotation
and external rotation of the hip? (Hip OA) 3.
Is there low back pain? Is there radiation to a lateral hip? On PE, is
there reduced range of movement? Is there tenderness to palpation of the
back? Is there a positive straight leg raise (SLR)? (Lumbar spine disease
with referred pain) 4.
When evaluating a
patient with reported hip pain, it is wise to ask the patient to point to
where the pain is. |