Hip — detail

What happened

Onset early–mid April 2026, during a Bulgarian split squat with an awkward lateral shift. The spot: left lateral pelvis / iliac crest / waist, just above the hip bone — running around the side, front and back. Higher than the buttock or the greater trochanter (the bony point of the hip joint).

Character: mild, intermittent soreness / tightness / knot-like feeling. Not debilitating, and it has NOT substantially progressed in ~6 months — with quiet periods and flare-ups.

What triggers it — and what doesn't

• Triggers: bending forward, coming back up from bent-forward, seated pelvic circles, stairs and other asymmetric loading, kneeling / lowering down.
• Does NOT trigger: side bending, backward bending.
• Quiet signs: normal walking generally comfortable; no numbness, tingling or weakness; no shooting leg pain; never wakes him from sleep.

Relevant history: left tibia + fibula spiral fracture ~2020, surgically repaired with a retained intramedullary rod; occasional left knee discomfort with squats; longstanding limited flexibility (can't touch toes). No diagnosis, no imaging, no physio so far.

The advice

One in-person session with a sports physiotherapist BEFORE any imaging. The exam that matters: palpation of the crest itself plus watching how the movement splits between lumbar spine and hip when he hinges — that distinguishes a crest/QL-type soft-tissue problem (trainable) from something that needs a scan.

Exercises alone were suggested back in April (glute bridges, clamshells, step-downs) and were never done in a structured way — so "just do exercises first" has already effectively been the plan for six months, without the exam. The valoración comes first; the physio then sets the exercise dose.

The physio options

1 · Esencial Fisioterapia Integral — the pick. Torre Médica 2, CC El Tesoro, Cra. 25A #1A Sur-45, piso 16, consultorio 1650, El Poblado. First appointment is a full 60-minute valoración (history, movement, strength, pain points), no referral needed, private-pay only (no EPS) — and their FAQ explicitly welcomes intermittent, non-constant pain cases like this one. Hours Mon–Thu 06:00–20:00, Fri 06:00–18:00, Sat 07:00–12:00. Rated 4.9/5 (114 Google reviews, per their site). Site: esencialfisioterapia.com. WhatsApp +57 324 492 0816. Valoración price is NOT published — the draft below asks. Availability and price are unverified until they reply.

2 · Wakeup Rehabilitación Funcional — backup. Cl. 1a Sur #31-105, El Poblado. Osteomuscular rehab focused on movement, exercise and sport injuries (SUMMA MOTUS methodology). Hours Mon–Thu 06:00–19:00, Fri 06:00–18:00, Sat 07:00–12:00. Rated 4.6/5 (30 reviews). Site: wakeup.com.co. Phone +57 301 756 8883.

Nothing has been contacted or booked for either. Choice is sitting with Carlos (options shown Oct 26).

Ready to send — WhatsApp to Esencial

Number: +57 324 492 0816

Hola, buenos días. Quisiera agendar una cita de valoración de fisioterapia como paciente particular.

Desde abril tengo una molestia leve e intermitente en el lado izquierdo de la pelvis, a la altura de la cresta ilíaca / la cintura.

Me aparece sobre todo al agacharme hacia adelante y al volver a ponerme derecho.

No tengo diagnóstico ni imágenes, y nunca he hecho rehabilitación estructurada para esto.

¿Tienen disponibilidad esta semana?

¿Cuál es el precio de la cita de valoración?

Muchas gracias.

Exercises on record (from April)

• Glute bridges
• Clamshells
• Step-downs (controlled, pain-free range)

Suggested in April, never structured. Treat these as background, not the plan — the valoración sets the real program.