Table 1.

Summary of Symptoms and Physical Exam Findings

Symptoms	Physical Exam Findings
Localized L buttock pain, ranging from 0-8/10	MMT results: L hip flexors (4/5), abductors (4+/5), adductors (4-/5), extensors (4+/5)
Pain worsens with sitting, deadlifting, driving, squatting, and bending over to pick up objects from floor	Pain with resisted hip extension and adduction during MMT
	Decreased AROM L hip: extension 7 °, ER 10 °
	90-90 hamstring passive length test on L revealed normal extensibility, but provoked pain
	Tenderness to palpation at L proximal hamstring tendon and ischial tuberosity
	In standing, iliac crest was elevated on L relative to R side and posterior pelvic tilt was noted

Abbreviations: left (L), right (R), manual muscle test (MMT), active range of motion (AROM), external rotation (ER)