Description of pain
- Localization of pain? Hip, back, radiating pain?
- Quality of pain? Pulling, burning, stabbing?
- Pain intensity according to the VAS scale? (pain scale)
- Dependence on stress?
- 24 hours behavior of complaints?
- Dependence on footwear?
- Start-up pain in the morning or after sitting for a long time?
- Day and night behavior?
- What relieves the pain?
Social situation
- Everyday stress? Job, household, children?
- Difficulties (demands versus resilience) in everyday life? (Degree of limitations can be determined with appropriate questionnaires)
- Sports?
- What are the patient’s goals and expectations?
Physical examination
- Observation of the statics while standing
- Gait analysis, evasive movements? At which load phase does the pain increase?
- Manual therapeutic examination of the range of motion of both hip joints and the spine
- Manual therapeutic examination of the freedom of movement of the pelvic joints, knees and ankles
- Pain provocation tests and nerve stretching tests to determine the cause of pain (hip joint, spine, sacroiliac joint, knee joint, ligaments, nerves?) as accurately as possible
- Testing of muscle strength (hip, leg, trunk muscles), strength endurance and cardiopulmonary endurance
- Palpation of the surrounding muscles and connective tissue, pain localization
- Trial treatment with manual therapy, relief?
- Is overweight present?
