Hip pain is a common complaint among patients, including women and children. Let's look at the causes of hip pain and treatment methods.
Hip pain accompanies symptoms of various diseases; if pain occurs, consult a doctor who will make a diagnosis.
If a child has hip pain, this is a signal for parents to urgently consult a doctor. Causes of pain:
Pain in the hip area can be of different types - acute or chronic, when the joint hurts constantly.
Often the back of the thigh, inner or upper part hurts. By nature, the pain is divided into nagging, sharp, sharp, aching. It hurts simultaneously in the thigh and buttocks or the thigh and lower back.
Typical patient complaints:
Characteristics of pain:
Painful sensations manifest differently in each person:
Avoid self-medication and consult a doctor. First, they undergo an initial examination, during which the doctor asks where and how the hip joint hurts, and uses palpation to identify sore spots. If injuries or fractures are excluded, tests are done so that the doctor determines the causes of the disease. The study is carried out using the following methods: angiography, electromyography, tomography, X-ray photography, ultrasound.
If a fracture is detected, movement in the joint area is limited by applying a plaster cast. If the fracture is complex and bone fragments need to be collected, surgical intervention will be required. For arthrosis, the joint is replaced with an endoprosthesis.
What to treat, what treatment is better to choose.
To find out the cause of hip pain, consult your doctor. Depending on the diagnosis, he will refer you to a traumatologist, surgeon, neurologist, orthopedist, or oncologist. Remember, treatment is associated with eliminating the cause of pain; isolating the pain syndrome is one of the stages of treatment.
Pain in the hip that radiates to the leg in most cases indicates serious problems with the spine. This is a symptom of a fairly advanced disease that causes walking impairment. In most cases, symptoms are preceded by intermittent lower back pain, and serious exacerbation occurs after exercise or hypothermia. In extreme cases, weakness in the leg, numbness, and paralysis occurs.
Doctor Ignatiev's clinic specializes in the diagnosis and treatment of diseases of the spine and nervous system. A correct diagnosis is the key to correct treatment.
Pain in the leg from the hip in most cases indicates damage to the nerve roots coming from the lumbar spine. Departing from the spinal cord, the nerve passes next to the intervertebral disc and goes to the innervated area through a canal. Pain can occur due to irritation of the fibers of the spinal cord, brain or the nerve itself - intervertebral disc, narrowing of the canal.
Diagnosis of hip pain radiating to the leg
Most often, pain is caused by diseases such as osteochondrosis of the lumbar spine, disc protrusion, intervertebral hernia, and various tunnel syndromes.
Osteochondrosis - although it does not cause direct pain in the hip, it causes a narrowing of the intervertebral canals, thereby reducing the amount of space for the nerves passing nearby. Over time, protrusions may occur, which cause pain, and if they are not treated, an intervertebral hernia will form. The diseases are typical for ages from 17 to 55 years. The pain usually begins in the lower back, and then begins to radiate to the leg, intensifying with loads and movement.
To make a correct diagnosis, a conventional x-ray is not enough; an MRI of the lumbar spine is performed, or less often a CT scan.
If pain occurs after 55 years, the patient should be examined for inflammatory processes of the bones, diseases of the hip joint (coxarthrosis), fractures, and oncology.
At any age, varicose veins should be excluded by conducting a visual examination. Presence of injuries or acute inflammatory diseases.
The medical name for pain going from the hip to the leg, without indicating the cause of the pain, is sciatica, sciatica, or inflammation/incarceration of the sciatic nerve.
If pain occurs during any movement or after work, you should stop immediately and lie down on a flat surface for 5-10 minutes. If after this time the pain does not completely disappear, you need to limit any stress on the spine over the next 24 hours. To relieve pain, use ibuprofen, nurofen or any available non-steroidal anti-inflammatory drug. In this case, you need to avoid hypothermia and overheating.
The doctor who is most competent in these matters is a vertebrologist or chiropractor .
With timely treatment, the first task facing the doctor is to determine the cause of the pain. Even if it is treated with pain medications, it is a serious symptom that may require emergency surgery.
After conducting an examination, checking reflexes and sensitivity, you can determine the affected area and prescribe targeted diagnostics. Once the cause is determined, appropriate treatment is selected.
Without an accurate diagnosis, it is prohibited to massage, use warming ointments, or self-medicate.
In most cases, a course of treatment is required, which will consist of correction of the spine, elimination of infringements, the appointment of therapeutic exercises, reflexology, etc. This will help not only eliminate pain, but also avoid similar problems in the future.
The patient periodically suffered from lower back pain, especially in the morning. After physical exertion (loading a refrigerator into a car), acute pain arose in the lower back, which sharply radiated down the leg to the hip, and my legs became weak. Having reached home, the pain intensified when walking, raising an even leg, and even tilting the head. A week later, the pain forced me to see a doctor, and an MRI of the lumbar spine showed an intervertebral hernia between the fifth lumbar vertebra and the sacrum. A course of conservative treatment was prescribed, lasting from 1.5 months, surgical intervention was not required.
At the next meeting of the elite club, successfully functioning under the auspices of the Ukrainian International Committee on Science and Culture at the National Academy of Sciences of Ukraine, a meeting of journalists with readers was held. The meeting was reported in.
Venous thromboembolism is a disease that pathogenetically combines deep vein thrombosis and pulmonary embolism.
36 years old, male, weight 70, height 175
In 2007, my lower back started to hurt, after 4 days the pain went away, but my left leg started to hurt, with a nagging pain in the buttock, thigh and lower leg. It was painful to lie down, sit for a long time and stand. Injections (dicloberl or ketanov, etc.) relieved the pain, I could lie down and walk. The doctors diagnosed osteochondrosis and inflammation of the sciatic nerve. Treatment: medication, massage, exercise therapy, turpentine baths, therapeutic mud, electrical stimulation. After 3 weeks I went back to work. For 4 years, mild pain in the leg appeared rarely after physical activity, but it went away after 2-4 days.
A month ago (October 3, 2011), my left leg suddenly began to hurt (I sat down and then stood up abruptly), a nagging pain in the buttock and down the left side of the thigh and in the lower part of the lower leg, it hurts to walk (20 meters and I squat, it’s easier) while standing and when walking my back is stiff I can straighten it, the muscles of the lower back are very tense, especially on the left, lying also hurts, especially on the stomach and back. After the injections (Dicloberl, Ketanov) I could only sit without pain, otherwise no effect. I am seeing a neurologist. Treatment: L-lysine escenate, vitamin C, dixamethasone, xefocam - all intravenously No. 5; Vitaxon, Mydocalm - i.m. Then Mydocalm, Vitaxon, Nucleo CMF-Forte - intramuscularly; tablets troxevasin, ranselex. The improvements are not significant: while sitting I don’t feel pain or it’s short-term and weak, I can only lie on my right (mostly) or left side, on my back I barely endured an MRI, while standing still I can straighten my back for a while, then my fingers, foot and lower leg tingle and go numb, and When walking, a nagging pain appears in the buttock, the lower back muscles become tense like a stone, my back can’t hold up, I bend – it’s a little easier. Now I take Vitaxon, Mydocalm, Aertal tablets (prescribed by a doctor). There are no problems with urination or defecation; I have never had or felt any numbness or pain symptoms anywhere else.
-Osteochondrosis II stage. L3-4, L4-5, L5-S1
-Osteochondrosis Ist. Th11—L3
-Spondyloarthrosis stage I-II. L3- — -S1
-In the L3-4 segment there is a circular disc protrusion of up to 2 mm.
-In the L4-5 segment there is a circular protrusion of the disc up to 3 mm and a local hernial protrusion on the left paramedian, in the caudal direction, measuring 11+10+13 mm (sagittal + axial + coronal), with compression of the left lateral recess.
Acute back pain is a complex and important medical and social problem. Between 80 and 100% of adults experience back pain at least once in their lives.
Relevance of the problem According to WHO recommendations, since 2000, back pain has been declared a priority study in the structure of the decade of bones and joints (2000-2010). “Pain is an unpleasant sensory and emotional experience, conditioned.
Who hasn’t had pain in their legs, who hasn’t experienced a feeling of heaviness or complained about tired legs? In the evening, many also experience swelling of the lower extremities, a feeling of heat, tingling, itching, and sometimes cramps in the legs. And who wasn't bothered by the ugly ones?
The first symptoms of varicose veins often do not attract much attention. Tired legs are attributed to the end of the day, swelling is explained by drinking too much water... Such negligence can lead to irreversible changes in the future.
Diabetes mellitus is a disease that requires special attention to the condition of the blood vessels in the legs. How to prevent the appearance of trophic ulcers in diabetes mellitus and how to treat them correctly and effectively if the formation of a trophic ulcer could not be prevented.
Restless legs syndrome is a chronic neurological disorder characterized by motor restlessness in the lower extremities.
Dizziness is a person’s illusory perception of his own and external movements. This complaint occurs in 3-5% of patients seeking medical help from a general practitioner and in 10% of patients when visiting a neurologist.
Thromboembolism of the pulmonary arteries is the occlusion of the vascular bed of the lungs by blood clots, primarily formed in the veins of the systemic circulation or in the right cavities of the heart and brought into it by the blood flow.
Flat feet is a pathological condition characterized by deformation of the arch of the foot. Up to 2 years of age, a child’s feet are normally flat, but by 3-4 years of age the bones become stronger and the arch of the foot is formed.
I am 29 years old. It all started with cystitis, which was treated with crazy courses of antibiotics. It was all to no avail, there were exacerbations every month. While treating another cause (traces of Chlamydia were found), my colleague prescribed Laferon. This wonderful drug and another course of antibiotics led to VSD with sympatho-adrenal crises, asthenia and other delights. Later, as a result of increased immunity + antidepressants + stimulants + bacteriophages = remission of cystitis for 5 years. In 2012, it all started again - again courses of antibiotics, against the background of the latter there could be cystitis. VSD is progressing). Everything hurts, I have become somatized. From the comorbidity: IBS, Chronic Pelvic Pain Syndrome. In September 2012, the inguinal lymph nodes on the right became inflamed. My leg began to pull and my knee began to hurt. Subfibrility -37.3-37.5. During physical activity it jumped up to 38. Cramping pain in the intestines before calling an ambulance. Pain in the right lower quadrant of the intestine with projection to the leg. Surgeon - normal, Gastroenterologist - IBS. I BLUE EVERYTHING ON VSD AND GO ON AMITRIPTYLINE. Tests: general blood test - everything is normal. Urine is normal. Ultrasound of limos - doubled in size (I don’t remember the size). Viruses -
Cytomegalovirus - M -negative G- 8 (more than 1.1)
G EBV-VCA - 6.28 (more than 1.1)
The immunogram, so as not to describe it, shows mild immune deficiency.
I took Proteflazid, lymphomyosot, Engystol, Mucosa, Galavit, Amitriptyline, vitamin E, Milgama.
Now the condition is getting worse, severe pain in the sacrum (MRI is normal), the lymph nodes in the inguinal and on the inside of the thigh are greatly enlarged, pain in the knee. Revmo test is normal. Formula - normal (rods, SOE, leukocytes - normal), C reactive - normal. The tonsil became inflamed - or rather, it was left over after it was removed at the age of 14. The rest of the lymphoid tissue began to function. The left submandibular lymph node is enlarged, the jaw ligament hurts, and radiates to the ear. I see that a crypt is being formed.
As a result, it’s a total mess, my nerves give out (fortunately, amitriptyline) everything hurts. Nobody knows what. Blame it on Epstein Barr? I can’t take antiviral drugs - my vegetation is acting up and it’s terrible. HIV - negative, liver and kidney tests - normal.
The question is what is it, which doctor should I go to, what is happening to the hip joint. Help me to understand. I'm already terrified (don't forget about hippochondria))). Everyone throws up their hands and chats from one to another with the words MAYBE?. Thanks in advance! Elizaveta
There are still swellings in my left leg. On palpation, a solid formation is felt. I went back again, but to a different doctor. The doctor performed palpation and ordered another ultrasound, which also showed nothing except two cysts in the head of the appendage. The doctor said that this is stagnation in the testicle and subsequent swelling. Prescribed Prostatilen in ampoules and St. Biophyton Men's Health in suppositories.
It all started in the summer, in June, after I fainted. I felt nauseous, my stomach began to twist, and I lost consciousness. Since then, these are the symptoms - they keep growing, I don’t know what to do. A neurologist at the clinic diagnosed me with astheno-neurotic syndrome, but I read the description, and it didn’t seem quite right. And the medications he prescribed don’t really help me.
The muscles twitch and sometimes trembling begins. Weakness comes in attacks - it feels as if the body is sleeping, but the brain is not; arms and legs become heavy and relaxed. Weakness is replaced by tension in the muscles. Previously there were only calves, now the feet, back of the hands, wrists and lower thighs are included. There was a very unpleasant feeling that the muscles were about to tighten, and if you strain them, then this happens (this has happened for the last two weeks). In addition, there is a burning sensation in the muscles. This week, for three days, the tension in my calves did not go away, then it went away, and the muscles ached wildly. In general, recently, muscle tension has become almost constant.
There will also be chills, nausea, and pressure on the eyes.
The gait sometimes changes - I put my foot on the full foot, my legs seem to be tense at the back. If I hit the back of my thigh while I'm standing on straight legs, my knees will give way. In general, the knee muscles are also tense, especially on the left leg. The muscles in my hips and knees relax as I lean my body forward.
Very unpleasant sensations in the front of the throat (under the jaw) - like a lump or pressure; It’s hard to swallow, sometimes it becomes difficult to breathe. Sometimes food is difficult to pass through and you have to push it through. Sometimes the muscle on the left front of the neck hurts.
Paroxysmal dizziness. It starts with me rocking back and forth once. After this, the next day or the day after, it becomes very bad - a feeling that I’m going to fall, and as if there are waves in the brain from the bottom up. After that I try not to leave the house, because... I can't even stand still, I feel like I'm falling. It intensifies if you look in one direction, then in the other. Sometimes there is such a “glitch”: if you look
at something at an angle of 45 degrees, then I seem to be driving backwards, and what I’m looking at is constantly moving away from me (similar to the effect in a movie when the hero stands still and the background moves away).
Headaches - start under the skull on the left, then move to the back of the head, on the right it also starts to hurt and creeps to the top of the head, where it goes away. Sometimes something tugs at my head (not for long, but unpleasant).
There is also pain under the jaw on the left (multiple visits to dentists did not help, i.e. also nervous), ringing in the ears. Sometimes there is also a crunch in the back when inhaling and a pulling/stabbing pain in the spine on the left, at the level of the shoulder blades.
Sometimes there is also trembling throughout the body, as with chills.
My ears also hurt, the lymph node behind my left ear hurts and radiates to my jaw under my ear.
All blood tests are normal (biochemistry, sugar, hormones, AIDS, hepatitis).
ENT did not find anything, based on my complaints about a feeling of swelling in the throat, she sent me to the Research Institute of ENT, where they also found nothing and said that it was nervous.
The neurologist prescribed Vinpotropil and Pantogam (I drank them a little, and I felt it only got worse), a course of Milgama (finished, it didn’t feel much better). Also Cortexin (also doesn’t provide any relief)
X-ray of the cervical spine showed nothing. The therapist still wrote “osteochondrosis.” Well, okay, she knows better.
ECG, FLG normal
EEG: “Weak diffuse changes in the BEAK of the brain of an irritative nature. Reactivity of the cortex according to the general type. Local and paroxysmal changes were not detected.”
REG: “Pulse filling in the carotid basins is normal. Pulse filling of the VBB is normal. The tone of large-caliber arteries is reduced. The tone of the arteries of medium and small caliber is normal. The elastic properties of the arteries are normal. Venous outflow is not changed. Functional VBB tests are negative"
Ultrasound of the abdominal cavity, kidneys - there are no abnormalities; thyroid glands - 2.5 mm cysts, but hormones are normal.
Associated diseases: superficial gastritis, hemorrhoids, it seems (that’s what the computer leads to), cervical erosion.
I can’t do an MRI for the simple reason - I don’t have money.
An MRI was done the next day because the pain when walking became simply unbearable. Below is the MRI report:
An MRI examination of the lumbar spine does not detect bone tissue destruction. Lumbar lordosis is moderately pronounced. The MR signal and the height of the intervertebral discs L1-L2, L3-S1 are reduced with signs of subchondral sclerosis of the endplates. At the L1-L2 level, a circular disc protrusion of up to 4.0 mm with moderate narrowing of the root canals is determined. At the L3-L4 level, a circular disc protrusion of up to 4.8 mm with moderate narrowing of the root canals is determined. At the level of L4-L5, a paramedian disc protrusion of up to 5.8 mm with a moderate narrowing of the root canal on the left is determined. At the level of L5-S1, a paramedian disc herniation of up to 7.8 mm with moderate deformation of the dural sac and narrowing of the root canal on the right and displacement of the right root is determined. The conus of the spinal cord is not deformed. Hypertrophy of the facet joints. Schmorl's hernia TH11-L3. Marginal bone growths along the anterolateral surfaces of the vertebral bodies. There is a posterior displacement of the L5 vertebra in relation to S1 up to 6.5 mm.
Conclusion: MRI picture of intervertebral osteochondrosis of the lumbar spine with the presence of a paramedian disc herniation to the right L5-S1, disc protrusions L1-L2, L3-L5. Retrolisthesis L5. Spondylosis. Spondyloarthrosis of the facet joints.
After reading a huge amount of information on the Internet, after a lot of advice from friends, we, on recommendation, went to the regional office, straight to the head of the neurosurgery department. To say that it was a reception is to say nothing (besides, it was, of course, paid). By the way my mother came in (this is a strong word given her pain) and, glancing with one eye at the MRI image, the doctor issued a verdict: “The operation should have been done yesterday...”. We asked about an alternative solution in the form of Conservative treatment (physical therapy, kinesitherapy) - to which the doctor said skeptically: “Do it, it may help, it will become easier, but then you will lose the sensitivity of the urethra.” He named the cost of the operation (including an anesthesiologist, an assistant doctor, a one-time contribution to the hospital for needs, the postoperative period and his own price, “No matter how much”) and sent her home for the weekend, so that on Monday the mother would arrive to be admitted to the hospital. And on Tuesday there will be surgery. With all this, he did not examine the mother, did not ask what was bothering her, he looked at the MRI image in daylight. Mom is panicking. We went to see a rehabilitation doctor and physiotherapist, who conducted the appointment conscientiously (1.5 hours). I fully examined the picture, described it, and explained it (it turned out that in addition to the hernia, there are a lot of other equally important problems: fatty degeneration, Schmorl’s hernia, a curved, displaced vertebra in the lumbar region, and thin walls). After fully characterizing the image, I examined my mother, and thoroughly. Standing, sitting, lying down. There was no back pain. In the leg, a little (when I raised the straightened leg 60-90 degrees). I made an unequivocal conclusion that the pain in the leg was not from the back (hernia, etc.), but definitely from the hip joint. He wrote out a referral for an MRI of the hip joint. That is, in fact, a diametrically opposite diagnosis to the one made by the neurosurgeon. He suggested doing kinesitherapy and taking a range of medications.
We don't know what to do. Who to believe? Should you decide to have surgery or try conservative treatment? Now the pain is getting worse, only in the leg, only in the hip. Only Olfen intramuscularly helps. Please help with advice. I no longer have the strength to go anywhere. There are so many people, so many opinions, but you can’t make an unambiguous diagnosis based on this... It’s hard for mom. Me too. Please, help. Thanks in advance for any advice!
Often patients of different ages come to the doctor and complain that their leg hurts in the thigh. In this case, pain can be constant or periodic, occur after physical activity or independently of it. In some cases, the pain is combined with loss of sensation and limited movement. As a rule, the pain is localized in the groin area, in the area between the lower abdomen and upper thigh, and can be localized in one or both legs. Sometimes patients confuse pain that is concentrated in the lower back or pelvis with pain in the hip.
The appearance of pain in the hip always indicates trouble in the patient’s body - if the discomfort is not associated with injury, then already on the second or third day of the disease it is worth seeking advice from a qualified orthopedist or rheumatologist and undergoing an examination prescribed by a doctor.
Coxarthrosis is the most common cause of hip pain
The most common causes of hip pain can be:
1. Arthrosis of the hip joint (also called coxarthrosis) - this diagnosis is made in approximately 30% of cases of visits to the doctor regarding hip pain. This disease is characterized by a slow course, although sometimes it can develop very quickly after physical activity, injury or severe psycho-emotional stress. It is registered in most cases after 40 years of age and is more common among women.
Coxarthrosis is characterized by pain in the leg in the hip and groin area. The pain may move down the front or side of the thigh, spread to the buttocks, or radiate to the knee. It appears when walking, as well as when getting up from a chair or bed. At rest, as a rule, pain does not bother you.
Another characteristic feature of this disease is limited mobility. So, the patient cannot move the sore leg to the side or raise it to the chest. At the same time, during movements, a peculiar crunching sound is heard in the affected joint. With further development of the disease, the affected leg becomes shorter than the healthy one.
2. Aseptic necrosis of the femoral head (so-called hip infarction) causes hip pain in 5% of cases. The symptoms of this pathology are very similar to coxarthrosis, so it is sometimes difficult to distinguish between these two diseases. That is why, looking for an answer to the question of why hip pain appears and deciding how to eliminate this unpleasant symptom should be determined by a qualified doctor.
It is worth considering that necrotic processes in the femoral head always develop rapidly, so the symptoms of this lesion become intense within a few days after the onset of the disease. Characteristic symptoms of a hip joint infarction are rapid onset, pain on the outer surface of the thigh, absence of stiffness of movement and crunching when walking.
3. Injuries to the lumbar spine become the etiological factor in 40% of cases of requests for hip pain. They manifest themselves as follows: unilateral damage and pain in the leg, from the hip pain sensations spread to the entire limb, and irradiation to the groin is not typical. Patients complain that pain occurs both day and night, often localized in the lower back or buttocks.
4. Polymyalgia rheumatica - occurs in only 1% of cases; most often, hip pain develops after severe stress or the flu. Characterized by severe weakness and high fever. symmetrical joint damage, pain and stiffness in the hips, as well as pain in the shoulder joints.
5. Arthritis of various origins - develops in approximately 2-4% of cases of pain in the hip. During the examination, ankylosing spondylitis and various types of reactive lesions of the hip joints may be detected. Patients note morning stiffness of the joints, the pain becomes most intense at night, and may subside somewhat when walking. A characteristic feature of hip pain due to arthritis is that it occurs more often in young people aged 15-40 years.
It must be said that if a child has pain in his leg: hip, knee or other part of it, he should immediately consult a doctor . The cause may be hip dysplasia. congenital hip dislocations, osteochondropathy. fractures of the femoral neck, as well as various bone or joint pathologies.
Pain in the thigh can also occur in the presence of a cancerous process in the body, severe heart damage, stenosis or occlusion of the iliac arteries, or osteomyelitis. tuberculosis, pelvic abscesses and inflammatory diseases of the genital organs.
There are a lot of reasons for hip pain, so only a qualified doctor can prescribe the necessary examinations and, based on the data obtained, carry out a differential diagnosis.
If your leg hurts in the thigh and treatment at home is ineffective, the cause may be severe pathology of the muscles, bones or joints, so it is worth using not only folk remedies, but also the achievements of traditional medicine, because traditional methods of therapy are best used in combination with other methods. It should also be remembered that you can get rid of hip pain only by eliminating its cause, and not by acting on the pain syndrome in isolation.
By the way, you may also be interested in the following FREE materials:
The bones of the hip joint are the strongest in the body. They can withstand very heavy loads. However, people manage to injure even such a strong part of their body. If your leg hurts in the femoral area, this may indicate an injury or joint disease.
Depending on the cause, your leg may hurt in different ways. Aching and nagging internal pain symptoms may occur, as if bones ache. In some cases, the pain is very intense and sharp, radiating down the entire length of the leg. Their character may be continuous, pulsating, or at times acute and at times transient.
Unpleasant sensations in the thigh may be accompanied by numbness in the surrounding areas, crunching and clicking in the joint, and increased temperature in the joint area.
Severe emotional overload can provoke pain. People who are weather-sensitive note that their leg hurts more during periods of changing weather conditions or during solar flares or magnetic storms.
Why does hip pain occur? The reasons are very varied:
Some of them are quite harmless, but sometimes hip pain can be a sign of a complex and dangerous disease.
With age, the entire human body wears out. Even very strong bones are susceptible to this process.
According to statistics, age-related changes are the most common causes of pain in the hip. The cartilage becomes thinner and absorbs much worse. This problem especially often leads to pain when a person is overweight.
Very often, when patients complain of hip pain, doctors make a diagnosis of arthrosis of the hip joint. The second name for this disease is coxarthrosis.
In advanced stages, this disease causes the patient's leg to shorten.
Stretched muscles and ligaments in the groin area can cause pain in the hip. Why are old people so afraid of ice? In older people, all bones become fragile, so any fall can lead to a complex and unpleasant injury - a hip fracture. This is the thinnest part of the femur and is most susceptible to fracture.
Adjacent to the femur is a special cavity, the joint capsule, filled with a special fluid. Thanks to it, friction in the joint is reduced. This fluid is subject to inflammation. The reasons for this process lie in injuries, arthritis and infections. Inflammation in the joint capsule is called bursitis.
A disease associated with inflammation of the tendons in the thigh. This process is provoked by stress and increased workload. Women are most susceptible to the disease during hormonal changes during menopause.
The disease occurs in 5% of cases. The first signs of the disease coincide with the symptoms of coxarthrosis, but aseptic necrosis develops very quickly, and already on the second or third day the pain becomes unbearable. The nature of the disease is the death of the bone tissue of the femoral head. Most often occurs in men at a young age, from 20 to 45 years.
Separately, dangerous pathologies of the femur in children should be highlighted:
All these diseases require timely treatment. Parents should not ignore routine early examinations of infants by a surgeon and orthopedist, and also closely monitor the baby. If the child’s legs do not move apart well and he cries and expresses obvious dissatisfaction, you may need to consult a pediatric orthopedist. If a teenager’s leg hurts, this is also a reason to consult a doctor.
Pain in the hip may indicate dangerous diseases that absolutely cannot be ignored:
Vascular pathologies, which are accompanied by lameness and pain in the legs. The symptoms of the disease are very easy to mistake for a disease caused by damage to the hip joint. Stenosis is characterized by noise over the arteries, which increases after physical activity.
Sometimes the causes of hip pain are related to cancer problems. Tumor formations in joints are a fairly rare occurrence. Most often, bone metastases occur, which can provoke such common oncological processes as prostate or breast cancer.
Bone infections can be very difficult to overcome. The earlier the problem is detected, the greater the chance of success. Pain in the femur can indicate such terrible diseases as:
http://facebook.com/profile.php?id=100004676892293 Oksana Kyrychenko
When a child complains of pain in the knee joint, examine the hip joint.
Does the child have a fever? If present, promptly obtain blood culture + exploratory arthrotomy to rule out septic arthritis (do not rely on hip aspiration alone).
Think about a slipped femoral epiphysis in a teenager. If a child develops an unexplained painful limp, the hip joints should be examined clinically and radiologically. Typically, in such cases, the child should be hospitalized for observation and compliance with the appropriate regimen (+ traction). An examination is also carried out to exclude tuberculous lesions of the hip joint or Perthes disease. If a patient has had limited movement in one hip joint, which spontaneously resolves after a few days of rest (on bed rest), and the X-ray picture of this joint is normal, a diagnosis of transient synovitis of the hip joint (also known as irritable hip joint) can be made retrospectively. "irritable hip") If other joints are also affected, you should consider the diagnosis of juvenile rheumatoid arthritis.
Perthes disease. This is osteochondritis of the head of the femur, affecting children aged 3 to 11 years (usually 4-7 years). In 10% of cases it is bilateral; it occurs 4 times more often in boys than in girls. Perthes disease causes pain in the hip or knee and causes lameness. When examining the patient, all movements in the hip joint are painful. An X-ray of the hip joint in the early stage of the disease shows widening of the interarticular space. In later stages of the disease, a decrease in the size of the nucleus of the femoral head is observed, and its density becomes inhomogeneous. In even later stages, collapse and deformation of the femoral head and new bone formation may occur. Severe deformation of the femoral head is a risk factor for the early onset of arthritis. The younger the patient, the more favorable the prognosis. For mild forms of the disease (less than the head of the femur is affected according to the lateral radiograph, and the total capacity of the joint cavity is preserved), treatment consists of bed rest until the pain subsides. Subsequently, X-ray observation is necessary. For individuals with a less favorable prognosis (1/2 of the femoral head is affected, the interarticular space is narrowed), a varus osteotomy may be recommended to retract the femoral head into the acetabulum.
Slipped upper femoral epiphysis. In men, this condition occurs 3 times more often than in women, and adolescents aged 10 to 16 years are affected. In 20% of cases, the lesion is bilateral; 50% of patients are overweight. This displacement occurs along the growth plate, while the epiphysis slides down and back. The disease manifests itself as lameness, spontaneous pain in the groin and along the anterior surface of the thigh or knee. When examining the patient, flexion, abduction and medial rotation were impaired; in the patient's lying position, the foot was rotated outward. The diagnosis is made by a lateral radiograph (an anteroposterior radiograph may be normal). In untreated cases, avascular necrosis of the femoral head may develop, and improper tissue fusion is also possible, which leads to the development of arthritis. For lesser slippage, a bone nail can be used to prevent further slippage, but for severe slippage, complex reconstructive operations are necessary.
Tuberculous arthritis of the hip joint. Currently it is rare. Most often children aged 2-5 years and elderly people become ill. The main symptoms are pain and lameness. Any movement in the hip joint causes pain and muscle spasm. An early radiological sign of the disease is bone loss. Subsequently, slight unevenness of the articular edge and narrowing of the interarticular space develop. Even later, bone erosions may be detected on radiographs. It is important to ask such a patient about contacts with tuberculosis patients. It is necessary to determine the ESR, perform a chest x-ray and the Mantoux test. The diagnosis can be confirmed by bnopsia of the synovium. Treatment: rest and specific chemotherapy; Chemotherapy should be carried out by experienced medical personnel. If significant destruction of the hip joint has already occurred, arthrodesis may be necessary.
Pain in the hip occurs in people of different age groups. This condition may be due to damage to muscle tissue; damage to the hip joint or femur; degenerative-dystrophic changes occurring in the lower parts of the spinal column.
In order to prescribe adequate treatment to the patient, the doctor must establish the true cause of the pathological condition.
Although hip pain can occur at any age, some causes of its occurrence are typical for young patients (infectious arthritis and sports injuries), while others are typical for older people (autoimmune diseases, osteoarthritis deformans).
Pain in the hip area can be combined with other manifestations of joint diseases, which makes diagnosis easier.
The doctor listens to the patient’s complaints, conducts an initial examination and refers the patient for additional examination:
All these measures taken together make the diagnosis easier.
The reasons why hip pain may occur when lying on your side are quite varied. The hip joint is the largest in the human musculoskeletal system. It combines all the bones of the pelvic ring.
The hip joint contains not only bones and muscles, but also ligaments, large nerve and vascular trunks that provide innervation, blood supply and nutrition to the tissues of the leg. If any of these structures are damaged, pain and discomfort will occur in the hip.
The causes of hip pain can be divided into several groups:
At the first appointment, the doctor must determine the nature of the pain.
All these factors must be taken into account when making a diagnosis.
For many people, hip pain in the side position is caused by excessive physical activity or regular sports training.
In such cases, the pain may be one-sided, for example, in a navvy, pain occurs in the right thigh. But in professional weightlifters, pain appears simultaneously in both limbs and is associated with frequent squats and lifting heavy equipment.
The appearance of pain in the thigh when lying on the side is explained by the accumulation of lactic acid in the muscle tissue. Unpleasant and painful sensations often go away on their own with rest.
Teenagers, physically active people and old people, whose bone tissue becomes porous and loses its strength, are very susceptible to injuries. Even minor physical exertion or bruises in old age can lead to fractures. Most often, old people break the femoral neck, the most fragile and thin part of the bone. This injury is very serious and requires long-term treatment.
The clinical picture of fractures develops rapidly. Usually the injuries are unilateral.
When the joint capsule is damaged or a ligament is torn, the symptoms are usually less severe.
If only muscle tissue is damaged, this type of injury is considered the easiest, since complete muscle rupture occurs extremely rarely. Partial rupture of muscle fibers is accompanied by moderate pain in the local area. When moving, the pain intensifies, but does not radiate to the groin.
A complete picture of the injury can only be obtained after an X-ray examination. The picture is taken in three projections.
Treatment is usually conservative:
For complex fractures, surgery is prescribed, during which the bone structures are restored using plates and bolts.
Typically, these pathologies occur in bone and cartilage tissue, less often in muscle tissue. Inflammation rarely develops as an independent process; more often it is a complication of infection.
For example, inflammation of bone tissue (osteomyelitis) is provoked by purulent microbial microflora (streptococcus, staphylococcus) or tuberculosis bacillus. In rare cases, there may be swelling of the hip joint.
First, the general state of a person’s health deteriorates (fever, weakness), but local symptoms do not take long to appear:
Tendon inflammation is less intense:
The general condition of the patient with inflammation of the muscle tissue, as a rule, remains normal. The anterior muscle group suffers much less frequently than the posterior and internal ones. The leg may swell slightly.
To eliminate inflammatory processes in the tendons and bones of the thigh, the doctor prescribes antibacterial drugs. NSAIDs are prescribed for muscles. During the recovery period, physiotherapy sessions are indicated.
These pathologies are the most difficult both in diagnosis and treatment. In the hip, they usually develop into the bone or affect the joint. The signs of arthrosis and arthritis are not specific.
There are other symptoms that are typical for certain forms of arthritis and arthrosis. It helps the doctor make the correct diagnosis. For example, with rheumatoid arthritis, morning stiffness occurs in the joints, and deforming osteoarthritis is characterized by a waddling gait and increasing limitation of mobility.
Conservative treatment methods for such diseases are aimed at reducing pain and restoring cartilage tissue. In advanced stages of arthrosis, hip replacement is indicated.
Often, hip pain is provoked by pathological processes in the spinal column. From the lower parts of the spine there are large branches that innervate the entire limb. Therefore, pain due to osteochondrosis or ankylosing spondylitis can radiate to the lower limb.
The patient feels pain on the back of the thigh or in the groin area. The sensations arise during movement and subside at rest. On palpation, pain is noted at the exit points of the nerves.
For treatment, non-steroidal anti-inflammatory drugs and B vitamins are prescribed, which improve the metabolism of nerve tissue.
Sometimes there is a sharp pain in the thigh that occurs on the left and right. The causes and forms of pain are varied.
Pain in the hip area occurs acutely and suddenly, sometimes gradually, increasing over time. The pain is localized in the upper thigh, radiates to the groin, under the knee, and to the foot. Men and women are affected by hip pain with the same frequency; the causes of pain are different and are determined by anatomical and physiological characteristics.
Often the sensation of pain is accompanied by sensory disturbances such as dysesthesia or paresthesia. In the first case, the perception of cold, heat, and other influences is disrupted. In the second, the patient feels crawling and numbness in the affected area. Symptoms are caused by compression of the nerve trunks by inflamed muscle tissue or ligaments. There may be numbness of the skin. Contact your doctor with such complaints.
Consult a professional, describing your symptoms and sensations in detail. The doctor will determine the causes of pain, tell you what tests and examinations need to be done and prescribe treatment. Depending on the results of the examination and diagnosis, pain in the hip area will be treated by an orthopedist, angiosurgeon, infectious disease specialist, or phthisiatrician.
Localization of acute or aching pain in the thigh:
The pain is aching, nagging, and intensifies at night. It is associated with neurological disorders. Possibly due to oncological pathology of soft tissues or bones. The pain is associated with physical activity, such pain subsides at night, during rest. Common causes of pain are deforming arthrosis of the hip or knee joint. In neurological pathology, impaired sensitivity to temperature changes and skin paresthesia are noted.
With a hernia of the inguinal ligament on the right side, pathology of the vessels of the femoral and iliac region, a nagging pain in the groin develops.
Causes of hip pain:
Hip pain is caused by physical activity that destroys cartilage and soft tissue. Inflammation in the soft tissues, after injury, irritates the sciatic nerve. This causes pain in the gluteal muscle and back of the thigh. The pain reaches the heel area. The patient cannot stand or sit for a long time.
Nagging pain can be caused by the characteristics of the hip joint, changes in the soft tissues. Pain in the thigh above the middle third or in the groin is caused by pathology in the spine - osteochondrosis, disc arthrosis, narrowing of the spinal canal. Curvature of the spine causes spasm, pain in the muscle of the front surface of the thigh.
If leg pain is left untreated, the frequency and nature of the pain worsens.
Hip and thigh injuries are often treated with surgery. In case of a displaced fracture, the bone fragments are fixed with special knitting needles and titanium plates. In the postoperative period, gymnastics are performed. Perform exercises for the upper body and healthy limb.
For fractures in older people, surgical treatment in some cases is not performed due to contraindications. The patient is cared for and prevented from bedsores.
The cause of nagging pain in the thigh, especially on the right, is osteochondrosis of the lumbar or sacral spine. The deterioration of the condition is associated with sedentary work and incorrect posture. Spinal curvature causes pain in the left hip joint.
A nagging pain in the leg, on the inside and in front, is caused by varicose veins. Its localization is much lower, closer to the inner surface of the thigh and lower leg.
If your leg hurts along the outer and back side of the thigh, under the knee and up to the foot, the cause is pinching of the sciatic nerve by a mass of inflamed and spasmed muscle. The pain bothers the patient from behind along the outer surface of the leg and has the character of lumbago along its length. When moving, the nature of the pain changes.
Such pain is treated in combination with physiotherapeutic procedures:
This treatment will improve blood flow in the thigh area, relieve swelling and inflammation.
If the right side of the thigh hurts and numbness appears on the leg behind and above in the outer gluteal region, even with slight movement, this is due to disorders in the spine. When the spine is curved due to scoliosis, degenerative changes occur in the hip joints. Pinched nerve roots are accompanied by numbness or paresthesia on the left side.
Curvature of the spine is treated with gymnastic exercises. Therapeutic gymnastics strengthens the muscular corset of the femoral and spinal areas. Do the exercises immediately after the acute condition is relieved.
They often complain of pain in the hip area when walking, discomfort and difficulty moving. More often, this pathology is caused by damage to the soft tissues. The pain is localized on the surface and deep in the soft tissues.
The joint does not always hurt; more often the outer surface of the thigh and lower leg above the middle are affected.
Causes of discomfort in the thigh area when walking:
Comprehensive treatment of pain in the hip and buttock is carried out by a neurologist or vertebrologist. For diagnosis, X-ray examination, CT, MRI are performed. If degenerative or dystrophic disorders, bone or soft tissue injuries are detected, consultation with an orthopedist, rheumatologist, or infectious disease specialist is necessary.
Complex treatment includes:
After acute inflammation has been eliminated, therapeutic massage, manual therapy techniques, and gymnastics to stretch the quadriceps femoris, posterior and internal muscles and ligaments are performed.
Tuberculosis is treated surgically. At the same time, antibacterial drugs of the anti-tuberculosis spectrum are prescribed. Treatment of tuberculous coxitis is long-term and systematic. After the operation, wearing an orthosis, physiotherapeutic treatment, and a long course of anti-tuberculosis drugs are prescribed.
Pain in the hip area can be caused by thrombosis or thrombophlebitis of the femoral or iliac artery. Acute thrombosis of the iliac artery is manifested by pain in the lower abdomen or groin. With thrombosis of the femoral artery, pain spreads along the inner surface of the thigh. The leg, usually the left one, swells and turns blue, especially the inner part.
The patient must be urgently hospitalized. In the acute period, he is administered Heparin and thrombolytic drugs. In order to prevent infectious complications and the development of sepsis, antibacterial drugs with a wide spectrum of action are prescribed.
Acute thrombosis and thromboembolism are treated surgically. Above the area where the thrombus is located, the vessel is ligated or a device is installed inside it to prevent the thrombus from moving further along the vascular bed. Wearing compression garments or wrapping the limbs with elastic bandages is recommended. They bandage the leg from the ankle up to prevent stagnation of blood in the venous network and the formation of blood clots.
In addition to medicinal, physiotherapeutic and surgical treatment, there are means and methods of traditional medicine. Traditional treatment offers a recipe using an infusion of pine buds to treat inflammatory processes in the thigh and hip joint. Place some young pine buds in a dark glass jar and cover with granulated sugar. The jar is half filled. The top of the jar should be free. It is tightly closed and kept warm for 7 days. When the mixture is infused, a syrup will form in the jar, which is rubbed into the sore area. Rub the surface of the thigh and take the mixture orally. You need to drink 3 spoons daily. Duration of treatment is up to three months.
Pain and inflammation in the leg are relieved with the help of tincture from the cinquefoil plant. Pour a few tablespoons of dried cinquefoil herb into half a liter of vodka, close the container tightly and place in a dark place for a month. Then filter the mixture and drink it before meals, 30 drops. The tincture is also used for rubbing into the surface of the thigh.
Relieves pain in the hip joint, spine and hip area with an alcohol tincture from ficus leaves. To prepare it, you will need three fresh ficus leaves. Grind them thoroughly, put them in a dark glass container and pour 500 ml of vodka. Infuse for two weeks. Strain the mixture and rub into those places where there is acute, sharp pain.
Biological supplements are used to treat pain and inflammation in the joints. Local treatment is carried out using Collagen Ultra cream. This cream relieves pain and inflammation and serves as an additional source of collagen for joints.
To restore the structure of the affected cartilage, include in the diet foods rich in collagen and gelatin - jelly, jelly, jelly. Take a spoonful of gelatin dissolved in warm water in the morning on an empty stomach. To improve the taste, add honey and lemon juice.
Those who are forced to stand on their feet for a long time need to do a warm-up every hour and change the position of their legs. When working sedentarily, you can take off your shoes and walk barefoot around the room. Roll a spiked rubber ball over the surface of your thigh. Such balls are sold in pharmacy chains.
In the morning, self-massage of the legs is done. It is done with light stroking movements of the palms along the surface of the thigh. Massage from the knee to the groin area, avoiding areas where lymph nodes accumulate.
Take care of comfortable shoes that do not restrict movement. Those who are overweight need to think about correcting it through diet and gymnastic exercises. In case of severe metabolic disorders, consult an endocrinologist, undergo examination and treatment for weight correction.