A patient complains of persistent hip pain and demonstrates a straight leg raise test yielding 55 degrees. What is the appropriate next step?

• A. Refer the patient to a physician for further evaluation
• B. Prescribe physical therapy for strengthening
• C. Provide pain relief medication only
• D. Conduct additional orthopedic tests in-clinic

Answer: (A)

In the context of persistent hip pain and a straight leg raise test yielding only 55 degrees, it indicates potential underlying issues that may require further medical evaluation. A straight leg raise test assesses the functional ability of the hip and can help identify the presence of hip joint pathology or lumbar spine conditions.

When a patient presents with significant pain or limitations in range of motion, as evidenced by the limited angle of the straight leg raise, immediate referral to a physician is warranted to rule out serious conditions such as fractures, significant joint pathology, or neurological issues. These conditions may necessitate specialized imaging or interventions beyond the scope of initial physical therapy or pain management strategies.

While physical therapy can be beneficial for hip strengthening and rehabilitation, it is more appropriate after a thorough evaluation has confirmed that conservative management is suitable. Similarly, simply providing pain relief medications without addressing the potential underlying cause may lead to further complications. Conducting additional orthopedic tests in-clinic may provide useful information, but they would not substitute for the comprehensive evaluation that a physician can provide.

Therefore, referring the patient to a physician for further evaluation is the most appropriate next step in managing this patient's care effectively.