When the hip joint hurts, the questions about what to do and how to treat the disease are the most exciting.The hip joint is one of the most important and loaded joints in 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 - determine its cause and eliminate it.
Possible causes of hip pain
First of all, it is necessary to pay attention to the point at which the pain occurs in the hip joints.This can happen at the following points:
- when getting up in the morning;
- during physical activity, running;
- during normal walking;
- in a stationary state.
It is worth listening to your body and trying to distinguish the systemic nature of the pain.
It is important!In diseases of the hip joint, due to the structural features of the nerve ligaments, the pain can spread to the leg.It reaches such a point that the patient thinks that his leg or knee hurts until the last minute and does not even suspect that the source of pain is in the hip area.
The nature of pain in the hip joint can also be different.The following types of hip pain occur:
- painful;
- periodic acute;
- sudden sharp.
It is necessary to accurately determine the main causes of pain in the hip joint.
Trauma
It is often preceded by a fall or a sharp jump from a height.Symptoms of injury are as follows:
- sharp pain;
- edema;
- restriction of movement;
- visual deformation;
- inability to turn the foot outward.
Injury is a dislocation, fracture or bruise.
Coxarthrosis
This is arthrosis of the hip joint, a degenerative change in its cartilage and bone tissue.Symptoms of coxarthrosis are as follows:
- crispy;
- stiffness in movements;
- aching and periodic acute pain;
- increased pains in bad weather and at night;
- deformation;
- swelling.
Elderly people are often faced with 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 hips.Pain intensifies when you lie on the injured joint.Exacerbations occur at night.
Systemic lupus erythematosus
It 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 mucous membrane and skin;
- muscle weakness;
- pain in joints and muscles.
It can be one symptom or all at once.But it usually starts with one, and then the rest join.
Arthritis
Generally, it is inflammation of the hip joint.The cause may be a partial or complete absence of the shock-absorbing cartilage layer between the bones or an infection.Symptoms other than pain include:
- local increase in the temperature of the painful place;
- edema;
- sharp pain when moving.
Arthritis can be primary infectious or secondary, caused by injury or arthrosis.
Symphysitis of pregnant women
The body of a pregnant woman prepares for childbirth, the bones gradually separate in the symphysis region.The disease is possible only during pregnancy and most often in the 2nd or 3rd trimester.The symptoms are as follows:
- pain in the pubic bone;
- swelling in the affected area;
- severe pain when walking;
This often brings sharp pain to a woman when she moves and changes her position.Pain is not felt at rest.
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 damage;
- blood clotting;
- blood-thickening diseases.
The disease progresses quite quickly and affects young people more because they are more active.
Oncology
Unfortunately, due to neoplasms that are already in the last stages, something starts to hurt.Early stages are almost asymptomatic.But once the pain occurs, it cannot be relieved by conventional painkillers.Risk factors for the development of sarcoma or myeloma are trauma and prolonged inflammation.Pain may be accompanied by swelling and fever.
Fact!The pain may subside for a while and then come back with force.The severity of pain in the hip joints 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 rarely it can be something else.
Diagnostics
With hip pain, it is best to contact either a general practitioner or a rheumatologist.The specialist will conduct a joint examination and palpation and choose 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 examination.
After making a diagnosis, the doctor will begin to treat the pain in the hip joint himself or, if the specific case is not within his competence, he will refer you to a more specialized specialist.
Several specialists treat conditions that cause hip pain:
- neurologist;
- orthopedist;
- allergist;
- oncologist.
When the causes are known, the answers to the questions when choosing the treatment are on the surface.
Treatment
When the hip joint hurts, different treatments may be needed and it directly depends on the diagnosis.
In case of injury, the patient should immobilize the limb and wait for further instructions from the attending physician.If a fracture or dislocation is detected, if necessary, the damaged area is reduced and fixed with plaster or knitting needles.After that, drugs are prescribed that promote rapid recovery and complete rest.
With symphysitis in pregnancy, replenishment of calcium and vitamin D, whose reserves are depleted by the growing fetus, often helps.
Cancers are treated by:
- radiation therapy;
- chemotherapy;
- bone marrow transplantation.
In cases of degenerative changes in the joints, they usually start with conservative methods.
Medicine
The following types of drugs are used to treat coxarthrosis:
- Anti-inflammatory.To eliminate 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.
- Chondroprotectors.They are designed to accelerate the recovery of interarticular fluid and hyaline cartilage.
- Pain relievers.Anti-inflammatory ointments almost always contain pain relievers, but they may not help with severe pain.Then stronger drugs are prescribed.This is done not to cure a person, but to prevent him from suffering from severe pain and to gain strength.
Basically, drugs are used together.
Operation
In the advanced stages of coxarthrosis, when the layer between the bones practically disappears and the person can no longer walk, surgical intervention may be necessary.During this period, the following manipulations will be performed:
- replacement of parts of the joint or cartilage layer;
- tumor removal;
- 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 system of lessons.
- Physiotherapy.Taking medicines using mud baths, electric and laser effects.
- 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 that your health is getting worse.
Lessons
The author's method of exercise therapy is gaining more and more popularity.Basically, this is the same physical therapy, exercises are based on the mobilization of the body's own resources on a physical, as well as a psychological level.
Interesting!The author of the technique is sure that the patient should believe that his bones do not hurt, because they cannot hurt - muscles hurt and can be restored by exercise.
All simulators used for training using this system were developed by the author himself.
Before treating the joints with exercises, you should know that the following points are contraindications for degenerative changes in the pelvis:
- sharp pain;
- oncology;
- pre-infarction and post-infarction condition;
- high temperature;
- postoperative rehabilitation;
- inflammatory processes;
- significant excess weight.
There are several unproven methods used to treat conditions that cause hip pain:
- hirudotherapy;
- osteopathy;
- traditional methods;
- ozone therapy;
- acupuncture;
- Su-zara therapy.
It is possible that they helped many, but it is dangerous to rely only on such methods, because time is often lost, which is priceless in such work.