Chronic acute or soreness of the hip joint (HJ) often indicates the development of a musculoskeletal disorder and prompt diagnosis and treatment are important. At the initial stage of pathological development, joint pain can be relieved conservatively using special tablets and ointments. When the disease begins, the joints become immobile and the persistent pain syndrome is worrisome, surgical intervention is essential.
possible causes and symptoms
Severe pain in the hip joint can be caused by various degenerative dystrophic conditions under the influence of which the joint is destroyed, eliminated and ceases to function fully. Periodic soreness often raises concerns about spinal disease, which causes muscle tension and nerve fibers to shrink. Pelvic pain symptoms can occur due to injury, bruising, or fracture of the femoral head or neck. To determine exactly what's causing your hip pain, you'll need to see your doctor.
Traumatic factors
badly bruised
Acute pain while sitting, walking, or abducting the leg is due to bruising from a fall to the side or a direct blow to the femoral joint. With a bruise, the structure of the bony tissue remains intact, but the soft fibers are greatly affected and ligaments may be damaged. An extensive hematoma develops at the site of impact, which is painful when pressed, but if the person is at rest, the pain syndrome does not occur. When pain in the left or right hip is progressively worse, it's worth seeing a doctor to rule out a fracture.
hip dislocation
This irregularity occurs under the influence of great force along the axis, flexed at the knee joints, and the torso immobilized. A typical scenario for this situation is an accident or a fall from a height. With a dislocation, a person fears severe joint pain that radiates into the leg and groin area, which can completely disrupt the function of the limb. You can get relief by applying cold compresses to the affected area, otherwise qualified medical attention is required.
It is important to remember that if misalignment is suspected, attempting to set the joint yourself is prohibited.
hip fracture
It is a common cause of hip pain in older women. Integrity damage often occurs due to falls and strong impact of the rotor on hard surfaces. Femoral neck fractures are considered one of the most dangerous pathologies due to the high risk of complications in the form of thrombosis, infection and necrosis. Typical symptoms:
- Severe pain in the left or right hip that gets worse when you try to move the limb or move it to one side.
- Victims are unable to lift their legs off the ground when sitting or lying down.
- The leg appears shortened compared to a healthy, injured leg.
- If neural structures are affected, numbness can occur in one extremity.
after surgery
Hip, lower back, and back pain are common after surgery related to implant placement. The need to implant an endoprosthesis occurs when the native joint has for some reason worn out, worn out and cannot be cured by conservative means. To prevent further destruction of the joint, endoprostheses are performed. After surgery, until the wound is fully healed, the patient will be plagued by pain, however, the pain will decrease in intensity with each passing day.
Complications after hip replacement can negatively affect not only the hip area, but also general physical, psychological status, physical activity and walking ability. In order to restore the previous health, it is necessary to carry out a series of rehabilitation measures, which are prescribed according to the pathology and problems of the development. For a quick and efficient recovery, it is necessary to determine the causes of complications and limitations after hip replacement surgery.
disease
infectious inflammation
A dangerous complication that causes hip pain. There are the following types of purulent inflammation:
- basic. The main reason is the direct infiltration of pathogenic microflora into the joint cavity.
- middle school. The infection infiltrates the joint structure along with blood from other inflammatory foci.
Symptoms of inflammatory complications are:
- musculoskeletal pain;
- edema formation;
- skin redness;
- hot;
- Limb dysfunction.
Inflammatory Bursitis
Often, frequent joint injuries lead to inflammation of his bag.
The disease is often diagnosed in athletes whose knees and hips are prone to frequent injuries and bruises.
Under the influence of traumatic factors, the joint pocket will become inflamed. Gradually, pathological exudate accumulates in the bursa, and inflammatory complications are added. Pain in the groin and below begins to disrupt the knee when walking. There is a sense of stiffness in activities, late stage or even resting limb soreness, elevated body temperature, and swelling formation.
Tumors of various etiologies
Right or left hip pain can lead to tumors:
- benign. As they increase in size, they can compress neural structures, causing discomfort and periodic discomfort in the spine and hips.
- vicious. These are dangerous tumors that tend to grow rapidly and spread throughout the body. In the initial phase, patients complain of joint pain after running or walking. It was getting bigger and bigger, the tumor was compressing the nerve structure, a leg was taken away from the person, the sacrum was very painful, and pain symptoms were felt in the lower back. In this case, commonly used pain relievers do not relieve hip pain.
- Femoral neck sarcoma. Severe cancerous bone disease, the patient's pelvis is very sore after sitting, walking and standing. The disease is characterized by chronic fractures of the femoral neck, whereby the function of the joint is significantly limited. Also pay attention to signs of intoxication, under the influence of which the general condition of the patient deteriorates significantly.
other reasons
Due to the destruction of the joint cartilage, a person begins to have difficulty moving.
If a person has sore legs and hips, the following conditions may cause such symptoms:
- Hip disease. A chronic degenerative dystrophic disease characterized by the destruction of cartilage between joints and the growth of osteophytes on bone structures. In the initial stage, the symptoms are mild, but as the disease progresses, the functional mobility of the joints is disturbed, the patient becomes disturbed by extreme pain, and muscle deformities and atrophy are observed. If treatment is not started in time, a person can become disabled.
- Osteochondrosis. A degenerative disease in which the lumbar spine is destroyed and deformed. Due to inflammation and compression of nerve fibers, the pain radiates to the thigh, and the patient's motor activity is significantly reduced, and even in a state of complete rest, he will feel discomfort.
This condition may occur if your child has injured a hip:
- Hip dysplasia and subluxation;
- osteochondrosis;
- Physeal dissolution.
diagnosis method
With persistent severe hip pain, you need to contact an orthopedic doctor who will help you make an accurate diagnosis and prescribe an appropriate treatment plan.
After conducting an initial examination and collecting medical records, the doctor will guide you through such diagnostic measures as:
- X-rays of the spine and hip;
- Vascular Doppler angiography and angiography;
- EMG;
- Thigh CT, MRI;
- Laboratory tests will show if other dangerous conditions are present in the body.
What is the treatment?
effective drug
Based on the patient's diagnosis, the doctor selects an appropriate drug regimen aimed at eliminating accompanying symptoms and relieving the patient's general condition. During conservative treatment, it is important to limit the load on the joints, observe bed rest if necessary, and use orthopedic devices. Use the following funding groups:
- NSAIDs. Helps relieve inflammation, swelling, pain.
- painkiller. Relieves acute pain.
- Glucocorticoids. If NSAIDs do not help resolve inflammatory complications, steroid medications are prescribed, which are injected directly into the joint cavity.
- Muscle relaxants. Relieves muscle cramps.
- stop bleeding. Promote hematoma absorption.
- Chondroprotectant. Restores the cartilage structure and prevents its further destruction.
helper method
Practicing "bicycle" will help you avoid trouble with pronunciation.
To speed recovery and normalize hip function, regular therapeutic exercises are helpful. Taking into account the general situation and diagnosis, the doctor chooses the training complex individually for each patient. For prevention, the following daily exercises are recommended:
- bike;
- Scissors;
- picks up small objects with toes;
- The toes and heels of walking barefoot.
At the same time, a series of physiotherapy procedures are prescribed, such as electrophoresis, phonophoresis, laser therapy, massage. Surgical intervention is essential when diagnosing malignancy or advanced pathology of a deforming nature. During surgery, the surgeon removes affected tissue and, if necessary, installs an implant. To prevent relapse and speed recovery, rehabilitation is prescribed.