When the hip joint hurts, the questions of what to do and how to treat the disease are the most interesting.The hip joint is one of the most important and stressed joints of the entire musculoskeletal system.Loss of mobility due to pain can partially or completely deprive a person of the ability to move.The answer to the question of how to treat pain is simple: identify and eliminate its cause.
Possible causes of hip pain
First of all, you need to pay attention to what point the pain in the hip joints occurs.This can occur in the following places:
- during the morning rising;
- during physical activity, when running;
- during normal walking;
- in a state without movement.
It is worth listening to your body and trying to discern the systemic nature of pain.
Important!In diseases of the hip joint, due to the structural characteristics of the nerve bundles, pain can radiate to the leg.This goes to such an extent that the patient until the last minute thinks that his leg or knee hurts and does not even suspect that the source of pain is in the hip.
The nature of hip joint pain can also vary.The following types of hip pain occur:
- sore;
- acute periodic;
- sudden sharp.
It is necessary to accurately determine the main causes of pain in the hip joint.
Trauma
Very often it is preceded by a fall or a sharp jump from a height.Signs of injury are as follows:
- sharp pain;
- edema;
- movement restriction;
- visual deformation;
- inability to rotate the foot outward.
An injury is a dislocation, fracture, or bruise.
Coxarthrosis
This is arthrosis of the hip joint, a degenerative change in its cartilage and bone tissue.The signs of coxarthrosis are as follows:
- crunch;
- stiffness in movements;
- acute aching and periodic pain;
- increased pain in bad weather and at night;
- deformation;
- swelling.
Most often, older people encounter it.
Bursitis of the trochanteric bursa
The trochanteric bursa or bursa contains synovial fluid and its inflammation is called bursitis.The source of the pain is often felt in the buttocks.The pain intensifies if you lie on the damaged joint.Flare-ups occur at night.
Systemic lupus erythematosus
This is an autoimmune disease.Your own cells are attacked by the immune system, causing inflammation in your muscles and joints.Symptoms of lupus erythematosus are as follows:
- high temperature;
- blisters, ulcers on the mucosa and skin;
- muscle weakness;
- joint and muscle pain.
There can be one symptom or all at once.But usually you start with one and then join the others.
Arthritis
In general terms, this is an inflammation of the hip joint.The cause may be the partial or total absence of the shock-absorbing cartilaginous layer between the bones or an infection.Symptoms other than pain include:
- local increase in temperature of the sore spot;
- edema;
- sharp pain when moving.
Arthritis can be primary infectious or secondary, resulting from injury or arthrosis.
Symphysitis of pregnant women
The body of a pregnant woman prepares for childbirth, the bones gradually move apart in the symphysis area.The disease is possible only during pregnancy and most often in the 2nd or 3rd trimester.The symptoms are as follows:
- pubic bone pain;
- swelling in the affected area;
- severe pain when walking;
This often brings a woman sharp pain when moving and changing position.At rest no pain is felt.
Aseptic necrosis
Necrosis is the death of tissue due to insufficient blood supply.In most cases it affects the neck or head of the hip joint.This can happen for several reasons:
- compression due to injury;
- loss of message due to injury;
- blood clots;
- diseases that thicken the blood.
The disease progresses quite quickly and affects young people more, as they move more actively.
Oncology
Unfortunately something begins to hurt due to the tumors already in the last stages.The first stages are almost asymptomatic.But once the pain occurs, it cannot be relieved with common painkillers.Risk factors for developing sarcoma or myeloma are trauma and prolonged inflammation.The pain may be accompanied by swelling and fever.
Done!The pain may subside for a while and return with renewed vigor.The severity of hip joint pain will be directly proportional to the size of the tumor.
In most cases, pain in the right or left hip joint is caused by one of these reasons, but in rare cases it can be something else.
Diagnostics
With hip pain, the best thing to do is contact a general practitioner or rheumatologist.The specialist will examine and palpate the joint and select a diagnostic method.Diagnostic methods can be as follows:
- blood test for the presence of inflammation and infection;
- Ultrasound of the hip joint;
- tomography;
- radiography;
- osteoscintigraphy in case of suspected oncology;
- magnetic resonance imaging exam.
After making the diagnosis, the doctor will start treating the hip joint pain himself or will refer you to a more specialized specialist if the specific case is not within his expertise.
Several specialists treat diseases that cause hip pain:
- neurologist;
- orthopedic;
- allergist;
- oncologist.
When the causes are known, the answers to questions about choosing treatment are on the surface.
Treatment
When the hip joint hurts, various treatments may be needed and it directly depends on the diagnosis.
In the event of an injury, the patient must immobilize the limb and wait for further instructions from the treating doctor.If a fracture or dislocation is detected, if necessary, the damaged area is reduced and fixed with plaster or knitting needles.After which drugs are prescribed that promote rapid regeneration and complete rest.
With symphysitis in pregnancy, the replenishment of calcium and vitamin D often helps, the reserves of which are depleted by the growing fetus.
Tumors are treated:
- radiotherapy;
- chemotherapy;
- bone marrow transplant.
In cases of degenerative changes in the joints, they most often start with conservative methods.
Drug
The following types of drugs are used to treat coxarthrosis:
- Anti-inflammatory.To alleviate inflammatory processes, in most cases it is necessary to eliminate the cause of inflammation.But in addition to this, local ointments are used.
- Hormonal anti-inflammatory.
- Condoprotectors.They are designed to accelerate the regeneration of interarticular fluid and hyaline cartilage.
- Painkillers.Anti-inflammatory ointments almost always contain painkillers, but in cases of severe pain they may not help.Then stronger drugs are prescribed.This is done not to cure a person, but so that he does not suffer from severe pain and gains strength.
Basically the drugs are used in combination.
Operation
In the advanced stages of coxarthrosis, when the layer between the bones is practically absent and the person can no longer walk, surgery may be necessary.During which the following manipulations will be performed:
- replacement of parts of the joint or cartilaginous layer;
- removal of tumors;
- fusion of bones.
The following treatment methods are often used in addition to drug treatment or during rehabilitation after surgery:
- Therapeutic exercise.Both its classic version and the author's class system.
- Physiotherapy.Mud baths, drug delivery using electricity and laser exposure.
- Massage.With its help, blood circulation improves and lymph is dispersed.But massage can cause inflammation.
All physical effects are aimed at improving blood circulation, after which healing will proceed faster.But at first it may seem like your health is only getting worse.
Classes
The author's method of physical therapy is gaining more and more popularity.Basically it is the same physical therapy, exercises in which are based on the mobilization of the body's own resources, in addition to physical ones, also on a psychological level.
Interesting!The author of the technique is convinced that the patient must believe that his bones do not hurt, since they cannot hurt: muscles hurt and can be restored with exercise.
All simulators used to train with this system were developed by the same author.
Before treating joints with exercises, you need to know that the following points are contraindications for degenerative changes in the pelvis:
- sharp pain;
- oncology;
- pre-infarction and post-infarction status;
- high temperature;
- postoperative rehabilitation;
- inflammatory processes;
- significant excess weight.
There are many other unproven techniques used to treat diseases that cause hip pain:
- hirudotherapy;
- osteopathy;
- traditional methods;
- ozone therapy;
- acupuncture;
- Su-jok therapy.
It is possible that they helped many, but relying only on such methods is dangerous, since time is often wasted, which is priceless in such a matter.