Hip pain

Hip pain is located at the junction of the femur and the pelvis. It is this connection of bones that allows human legs to move normally on any plane. The hip joint is considered to be the largest movable joint in the human body, which helps it move fully.

Like many other joints in the body, the femur and pelvis can also be damaged. If work is interrupted, the patient will feel pain in the hip joint. Bones, muscles, joint circumference, cartilage, blood vessels, tendons, nerves, and adjacent joints may all be affected by the pain syndrome. In this case, a person will experience unpleasant symptoms that interfere with normal life. When this pain is felt, a person is immediately interested in the question of how the syndrome develops and how to eliminate it.

Cause

There are many causes of hip pain. The junction of the femur and the pelvis may become inflamed due to injuries, joint and tendon diseases, systemic diseases, and manifestations of the infection process.

The cause of pain syndrome can be such non-traumatic factors:

• Osteoarthritis;
• Osteoarthritis;
• The blood supply formed by bones and joints fails.

With the development of such diseases of the hip joint, the joint surface will undergo degenerative changes. In humans, cartilage and pockets around the joints are damaged, the synovium of the joints is destroyed, and the amount of joint fluid is reduced, resulting in severe joint pain and rupture.

To get rid of the unpleasant syndrome, patients need to determine the cause of hip pain. In order to make a correct diagnosis, the patient needs to undergo a comprehensive examination. Clinicians have determined that the cause of hip pain while walking is fairly simple. The following indicators fall into the most common predisposing categories:

• Infectious inflammation;
• Degenerative changes;
• dislocation;
• fracture;
• Aseptic necrosis of the femoral head;
• Bursitis;
• Non-communicable inflammation with autoimmune diseases of connective tissue;
• tuberculosis.

It is difficult to determine the cause of the onset of pain, because it can be triggered not only by injury and disease, but also by pathological processes in the abdominal cavity, waist, and genitals.

Hip pain when walking is usually caused by damage to the joints of the bones. Injuries that can cause similar syndromes include not only dislocations or fractures, but also other causes:

• Pelvic contusion;
• Rupture of the acetabulum;
• stretch;
• Violation of the structure of ligaments and joint capsules.

In addition, the cause of pain syndrome may be toxic synovitis, primary and secondary tumor pathology, osteomalacia and osteomyelitis.

Unlike adults, children have slightly different aggravating factors. If the hip is painful, it may be epiphyses, Legg-Calve-Perthes, Still disease, juvenile rheumatoid arthritis, etc.

For women during pregnancy, the hip joint also has characteristic pain. During this period, women's bodies will undergo significant changes, and the functions of many organs will change, so pregnant women often feel pain in various parts of the body. Pain syndrome of movable joints in the pelvic area may develop due to the following reasons:

• Hormonal changes;
• The growth of the uterus increases the load on the hip joint;
• Increase leg load;
• Early damage aggravated;
• Lack of calcium;
• A focal point of inflammation occurs in another area, radiating to the groin.

All of the above causes can be determined through a comprehensive examination and examination by a doctor. During pregnancy, hip joint pain is a great inconvenience for women, but after delivery, all symptoms will disappear.

Classification

The unpleasant sensations experienced by a person are related to intra-articular and extra-articular factors. The first category includes the formation of joint effusion, increased pressure, trabecular fractures and rupture of intra-articular ligaments, joint capsule stretching, and synovial inflammation.

Extra-articular factors include muscle spasms and venous outflow disorders, which can cause congestion of the subchondral bone and inflammation of the tendon area around the joint.

Clinicians also determined the type of pain by type:

• Mechanical-manifested as joint load, which increases at night and subsides after sleep;
• Initial pain-formed by reactive synovitis, progresses with physical activity, then subsides slightly or usually disappears;
• In the context of tendinitis or tenosynovitis-exacerbated where damaged tendons and muscles are involved;
• Based on the spasm of the muscles around the joints;
• Hip pain at night-lessened with exercise. The blood stasis syndrome in the subchondral area is aggravated;
• Syndrome caused by osteophyte damage to the synovial surface.

symptom

The etiology and treatment of this syndrome are interrelated. Therefore, in order to determine the treatment method, the doctor needs to determine the clinical picture.

During hip joint injury, cartilage and cartilage fragments become thinner, causing inflammation of the inner surface of the pelvis and femur. It is this process that causes the pain to appear. If there is no cartilage in the joint, the exposed femur will rub against the pelvic bone, which can cause severe pain syndrome.

In many cases, the patient's sensations will pass from one part of the body to another. Usually, the patient will feel pain in the hip when walking, the pain can move to the knee, but also to the hip and waist area. At first, the syndrome may be unstable and not obvious, however, as the damage progresses, the intensity of the symptoms increases. At this point, the pain becomes continuous, and it can be manifested in movement and in a calm state.

According to the location of the inflammatory lesion, hip pain has different manifestations and symptoms:

• If the hip joint is damaged-this syndrome not only makes the patient worry about the joint area, but also affects the entire thigh and calf. Inflammation of the lumbar spine often occurs in the hip joint area;
• The patient’s mobility is reduced-the possibility of hip flexion is reduced;
• Limp may appear on the right or left side, or one leg is slightly shorter than the other;
• The joints become tight and inactive;
• Sports will be particularly painful after sitting for a long time;
• Tired from being unable to walk long distances.

If the symptoms manifest as a serious disease, then the patient may have more serious symptoms of the disease-high fever, swelling, headache, weakness, redness in the inflamed area.

diagnosis

If a person continues to be injured on the right or left side of the hip area, then he absolutely must seek expert advice. For similar problems, the patient may be referred to a rheumatologist, traumatologist, physiotherapist, or neurologist.

Before treating symptoms, you need to evaluate the condition and determine the presumed cause of the syndrome. In addition to the obvious features of severe inflammation, the condition of the hip joint can also be assessed by the following methods:

• In the supine position, observe the lower limbs-in the case of dislocation or fracture, they adopt a forced posture and are not parallel to the body axis;
• To determine the range of motion of the joint, you can do multiple active exercises back and forth-if the pelvic area is damaged, the patient will feel severe pain;
• In the supine position, passive movement of movable joints can be detected-clicks, crackles and muscle tension may occur;
• When examining patients, doctors need to fully describe all manifestations of the syndrome.

The symptoms of hip pain can be formed by various pathological processes, so it is important for clinicians to make a differential diagnosis of the disease. In order to determine the cause of hip pain when sitting and walking, the patient undergoes laboratory and instrumental examinations:

• X-rays of the spine and hip area;
• Tomographic scans of the spine, pelvis and hips;
• Vascular patency examination-Doppler angiography, angiography and other methods;
• EMG;
• General, biochemical, bacteriological, immunological blood tests.

treatment

If a person’s nighttime hip pain does not occur quickly and disappears after resting, then the cause may be a minor injury or joint load. In this case, the doctor recommends the use of mild treatment measures:

• Reduce load
• Provide rest for the joints;
• Use of non-steroidal anti-inflammatory drugs;
• Lying on the healthy side.

Severe, severe, continuous and long-term pain cannot be separated from the doctor's help, especially when joints are deformed, the thighs are red, the color of the thighs is changed, and the sensitivity is poor. In this case, self-medication can harm the patient and cause symptoms to worsen.

After the doctor prescribes different treatments, the pain in the hip joint radiates to the legs. In order to eliminate this syndrome, the doctor prescribed conservative treatment to the patient:

• drug;
• Exercise with the lowest load;
• Weight control;
• physiotherapy;
• Assistive equipment-walking sticks, walking aids, crutches;
• Avoid heavy loads;
• Balance emotional state;
• Take vitamins.

The course of treatment must include medication. To this end, doctors prescribe the following drugs for patients:

• Diuretics
• Anti-inflammatory (medicine;
• Muscle relaxant
• Improve microcirculation;
• Chondroprotective agent;
• Vitamins and minerals.

If a woman suddenly starts to have hip pain during pregnancy, then she should definitely consult a doctor. She may be prescribed multivitamins, calcium intake, moderate physical exercise and bandages. In order to reduce symptoms and prevent the development of complications, doctors recommend expectant mothers to follow simple rules:

• Reduce the frequency of climbing stairs and long-distance walks;
• Do not sit for more than an hour;
• It is forbidden to sit and lie on a hard surface;
• When there is pain at night, it is recommended to rotate the body part, first the upper part, then the pelvis;
• Eat foods that contain a lot of calcium and vitamin complexes;
• Weight control;
• Put on a bandage
• Reduce the load on the pelvis and hips.

However, in addition to these methods, there are other medical techniques to eliminate symptoms. Therefore, the doctor told us at the reception desk what other measures can be taken to relieve the pain syndrome. For mild pain on the left or right side of the hip joint, the following methods can be used without consulting a doctor:

• massage;
• physiotherapy;
• Manipulative therapy.

Folk remedies are still used in medicine to treat hip joint pain, but doctors use this type of therapy in some cases and only as an additional treatment. Patients can apply compresses, make tinctures, decoctions and lotions. Each of these agents has analgesic effect and helps to improve the patient's condition. Patients are advised to use the following plants and ingredients:

• Lavender leaves;
• Honey;
• lemon;
• saber;
• lard;
• Banyan leaves
• garlic;
• celery.

All the ingredients are quite familiar and are often used in traditional medicine, but they can be used after consulting a doctor. If the ratio is not correct, it may harm the body and cause complications. In the treatment of this syndrome, it is also important to insist on restricting physical activity so as not to cause an increase in unpleasant symptoms.