Friday, 16 August 2013

2. Pain in the gluteal region Q

A middle aged male presented with complaints of pain in the right gluteal region. The pain started spontaneously and hampered him from walking. The pain was worse with movement especially in getting up from sitting and climbing stairs. It was relieved temporarily with the use of NSAIDs. There was no associated back pain, no pain on the anterior or medial aspect of the thigh or below the knee. There was no history of numbness or paresthesias. On examination pain was reproduced particularly during extension and internal rotation of the hip. There was no local tenderness and no obvious lesions on the skin.
 

What is the cause of this patient's pain?
How is he to be evaluated? 

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