In today's article, you can find out what to do if your hip joint hurts.
It is this part of the human body that bears the maximum load when walking and running. Problems in this area can lead to serious complications. Even if the pain occurs intermittently, proper treatment is necessary. In this case, the treatment option must be prescribed by the doctor after the diagnosis is made, since the treatment option depends entirely on the pathology.
Causes of pain in the hip joint
First of all, you need to know the causes of pain.
traumatic causes
If painful syndromes in the joints are strongly felt, the reasons may be the following:
- Congenital dislocation of the hip, which can appear during childbirth. Such damage is most often diagnosed in newborns. This can lead to pinched nerves.
- Traumatic dislocation is accompanied by very intense pain. Hematoma and edema occur over the affected area. This type of injury requires immediate treatment.
- A fracture of the neck of the femur usually occurs in women over 60 years of age. The cause of the injury is a fall or blow. Unpleasant sensations are given in the inner thigh area. This condition causes pinched nerves and difficulty walking.
- With a transvertebral fracture of the femur, the pain is aggravated by movement. The extremities can go numb and the pain shoots up.
- A bruise of the hip joint is manifested by moderate pain. In a static state, such signs disappear. In this case, lameness may also occur.
Traumatic injuries are a common problem and cause quite unpleasant painful sensations. In some cases, surgery is even required.
If you experience numbness, it is important to seek help immediately. The appearance of the diseased joint can be seen in the photo.
systemic diseases
With systemic connective tissue disorders, pain can occur when walking. For this, an integrated approach is essential.
So, here are some pathologies that can cause pain:
- Ankylosing spondylitis is accompanied by dull pain. The pain is especially pronounced at night. The pain is localized in the sacrum or in the pelvis. At the same time, the knees hurt, it shoots, and there may be discomfort in the groin area. A strong inflammatory process occurs inside the left and right joints.
- Reiter's syndrome presents with genitourinary, conjunctival, and joint problems. There is severe pain and fever.
- Rheumatoid arthritis forms when connective tissue is damaged. A complication of the disease can be coxarthrosis of the hip joints. At the beginning of the disease, swelling and edema appear. When walking, there is a feeling of discomfort, and pain is given in the legs.
- During inflammation, the temperature can rise. The development of the disease provokes stiffness of movements.
Systemic pathologies can cause the appearance of different types of pain. However, it is not always possible to cope with the disease on your own.
If the treatment is wrong, complications will arise.
degenerative changes
With this pathology, the pain is burning, pulling and sharp. They can be provoked by such diseases:
- Viral epiphyseal deformity often occurs during adolescence. The pain has a pulling and dull character. It can radiate to the inner region of the knee. After training, the pain syndrome intensifies. The joint can click.
- Coxarthrosis is a common disease. It takes a long time to treat such a disease. The disease can not be started, since it provokes the formation of destructive and degenerative processes in the joints.
If the joints began to ache after a long walk, run or climbing stairs, this can be considered the first sign of the disease.
At the next stage, the pain syndrome radiates to the groin and thigh. With daily stress, the intensity of symptoms can increase.
In this case, the work of the tendons and muscles is disrupted. In the last stage, the pain occurs even at night. The lameness becomes more pronounced and the muscles atrophy. Such pathologies must be treated in a timely manner, otherwise they can lead to permanent lameness.
infectious diseases
Discomfort can be caused by inflammation of the tendons, muscles and the joint bag.
Such infectious diseases can provoke painful symptoms:
- Purulent arthritis is expressed by high fever, severe swelling, sharp pain and redness of the skin. Not only are some movements difficult, but also getting out of bed. The pains can shoot. In this case, urgent medical assistance is required.
- Necrosis of the head of the femoral bone occurs with poor blood flow in this area. This begins the death of tissue cells. Signs of the disease are sharp pain, which is accompanied by a burning sensation and radiates to the groin. An injection of painkillers is often required to be able to stand up.
- Tuberculous arthritis often occurs in immunocompromised children. This pathology develops slowly. The boy gets tired quickly and runs around a bit. Over time, the joint begins to click and the leg becomes shorter.
- Bursitis is an inflammatory pathology of the articular joints. The main symptom is pain radiating down the leg. Particular discomfort is felt when walking.
Features of the diagnosis of pathology.
![hip joint x-ray for pain](/images/article/2787/hip%20joint%20x-ray%20for%20pain.jpg)
First of all, you should go to the therapist, who will tell you which doctor to go to. The patient is assigned a full diagnosis.
The following procedures apply:
- Ultrasound exam.
- Thigh X-ray, which is performed in two projections.
- General and biochemical blood analysis. In this case, the presence of rheumatoid factor is determined by a change in the erythrocyte sedimentation rate and the level of leukocytes.
- External examination with palpation and questioning of patients.
- magnetic resonance
After the examination, the doctor will determine the exact diagnosis and prescribe a comprehensive treatment.
How to treat pathology
Therapeutic methods are largely determined by the causes that originated the disease.
congenital dislocation
With such a pathology, orthopedic devices are applied to the child, such as struts, stirrups or a Freik pillow.
These tools keep the baby's legs in the correct physiological position. They are used for at least six months.
In rare cases, when conservative methods do not help, surgery is prescribed. In this case, the head of the femur is reduced. Even after removing the braces, the baby needs to do a light massage that strengthens the muscles.
traumatic dislocation
If there is such an ailment, then the doctor prescribes drugs that help to eliminate muscle tone, as well as slow the joint.
It is important to keep the patient calm. If the limbs begin to go numb, this indicates a pinched nerve.
In this case, an examination by a neurologist is required.
Hip fracture
![hip fracture](/images/article/2787/hip%20fracture.jpg)
In this situation, treatment is carried out by a traumatologist. Most often, an operation is prescribed. If surgical intervention is not possible, a cast is applied from the lower back to the heel.
It should be borne in mind that after 60 years such lesions practically do not grow together.
Bechterew's syndrome
With such a disease, a complex treatment is prescribed that allows you to reduce the symptoms of inflammatory processes.
Therapy includes:
- Medications: hormonal compounds, immunosuppressants and anti-inflammatories.
- Therapeutic exercises - muscle stretching.
- Physiotherapy procedures.
- The right and left joints are massaged.
All sets of exercises and preparations must be selected by a traumatologist, surgeon or orthopedist. To strengthen the muscles of the pelvis, you should practice swimming.
If the case is severe, then the patient may be prescribed arthroplasty.
Reiter's disease
To treat this pathology, anti-inflammatory drugs, glucocorticoids and drugs that depress the function of the immune system are used.
The treatment will last approximately 4 months.
Such a pathology may reappear in the future. You also need to maintain tone with the help of exercises - stretching.
Rheumatoid arthritis
This disease is considered very common. Every hundredth person suffers from it. At the same time, women are more susceptible than men. This is because during pregnancy there is a change in the structure of the pelvic bones.
The main symptom of the disease is pain and stiffness when walking.
Treatment with hormonal agents, non-steroidal anti-inflammatory drugs and cytostatics is used.
Exercises, stretch marks, and topical ointments are especially effective. Surgical intervention is used in the later stages of the disease, when it is impossible to walk and sit.
At the same time, arthroplasty and joint fixation are recommended. After the operation there is a decrease in pain symptoms, improvement in mobility and prevention of possible complications.
coxarthrosis
Corxarthrosis is a disease in which there are problems with the hyaline cartilage.
It occurs more often in older people. A variety of measures and procedures are used in treatment. It can be both medications and surgery. First, a course of medication is prescribed, and if it is ineffective, an operation is prescribed. In the early stages, the disease is treated with conservative methods.
Chondroprotectors, NSAIDs and agents that improve blood flow are prescribed. For treatment, warming and analgesic ointments can be used, as well as therapeutic exercises.
In some cases, it is necessary to anesthetize the joint. If the discomfort is severe, injections are used. If the stage is the last, then the coxarthrosis is not amenable to treatment.
At the same time, any load will only worsen your well-being, and even getting out of bed causes pain. In such a situation, only surgical treatment will help.
Stent replacement is often used, but this method is not used for the elderly. After the operation, simple training and recovery procedures are required, but under the supervision of a doctor.
The load must be minimal.
Treatment of inflammatory and infectious diseases.
You need to know how to treat infectious pathologies. With such problems, treatment is prescribed by a doctor.
Therapeutic methods depend on the type of disease:
- With purulent arthritis, it is first necessary to anesthetize the affected hip joint. In this case, an analgesic injection is used. Antibiotics and antibacterial agents are used against infection. Abscess removal is also used. In this case, a splint or cast is applied.
- To cure aseptic necrosis of the femoral head, it is necessary to restore blood flow so that the dead areas are restored. It is necessary to anesthetize with the help of NSAIDs. Complexes with vitamins and agents for reducing blood viscosity are actively used. If the thigh begins to hurt, then you need to use an anesthetic composition and massage. Therapeutic gymnastics procedures and physiotherapy are also used. If the case is complex, joint arthroplasty and surgical methods are used.
- With bursitis, the joint can hurt a lot, so it needs to be anesthetized. In this case, anti-inflammatory and analgesic compounds are used. With severe discomfort, steroid agents are relevant.
- Tuberculous arthritis is treated conservatively. Joint mobility is limited by a special tight bandage. When an abscess forms in the soft tissues, it is surgically removed.
home treatment
Please don't self-medicate. Consult a doctor!
Folk remedies are an addition to the main treatment, but not a replacement. There are different ways to treat arthritis or osteoarthritis.
It should be noted that all popular methods only help to drown out painful symptoms, but do not help dramatically.
Here are some recipes:
- A compress of horseradish is applied to the affected areas. To do this, the roots must be grated, and then boiled in warm water. After that, the compress is applied to the affected areas.
- Cabbage treatment. This vegetable has long been used to relieve joint and bone pain. A compress can be made from cabbage leaves or juice. The juice can be squeezed with a juicer or with crushed leaves. The tissue is soaked in juice and applied to the affected area. Honey can be applied to the leaves and placed on the affected area overnight.
- An oatmeal compress is made like this. First, the porridge is boiled in a small amount of water, and then placed in cheesecloth. The compress is applied to the affected area.
- Grind the eggshell and mix it with kefir. The mixture is wrapped in linen or gauze, and then applied to the sore spot.
For arthritis, special solutions and decoctions are prepared for drinking. It is recommended to drink apple cider vinegar several times a day.
In this case, a tablespoon of the solution is placed in a glass of water.
Do not use the composition for stomach problems.
A bay leaf decoction is also useful. Half a packet should be taken in a pot of water. Then the decoction must be filtered and drunk before bedtime.
It can be treated with the help of different juices. Especially effective are options from beets, carrots and juice from other vegetables.
With the correct and prompt treatment, you can cope with any disease.
The main thing is not to give up, but to follow all the recommendations of the doctor and, if possible, do therapeutic exercises.