A 42-year-old male runner presented with an insidious onset of left buttock/hip pain and some left thigh pain that had been present for approximately 4 weeks. The patient's past medical and surgical history was unremarkable and the patient reported no problems with night pain unrelated to movement, bowel and bladder function, and no unexplained weight loss. The patient also reported no instances of groin pain but that bending forward at the waist caused an increase in his pain. The patient had no recent imaging studies.