When the hip joint hurts, the questions of what to do and how to treat the disease are most exciting.The hip joint is one of the most important and loaded joints in the entire musculoskeletal system.Loss of mobility in it 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 should pay attention at which point the pain in the hip joints occurs.This can happen at the following points:
- when getting up in the morning;
- during physical activity, when running;
- during normal walking;
- in a motionless state.
It is worth listening to your body and trying to recognize the systemic nature of the pain.
important!In diseases of the hip joint, due to the structural features of the nerve bundles, the pain may radiate to the leg.This goes to such an extent that the patient until the last moment thinks that his leg or knee hurts and does not even suspect that the source of the pain is in the thigh.
The nature of hip pain can also vary.The following types of hip pain occur:
- pains;
- intermittent acute;
- suddenly sharp.
It is necessary to accurately determine the main causes of pain in the hip joint.
Trauma
It is most often preceded by a fall or a sharp jump from a height.Signs of injury are as follows:
- sharp pain;
- swelling;
- restriction of movement;
- visual deformity;
- inability to rotate the leg outward.
The injury is a dislocation, fracture or contusion.
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;
- painful and intermittent sharp pain;
- increased pain in bad weather and at night;
- deformation;
- swelling.
Most often, elderly people face it.
Bursitis of the trochanteric bursa
The trochanteric bursa or bursa contains synovial fluid and its inflammation is called bursitis.The source of pain is often felt in the buttocks.The pain increases if you lie on the damaged 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.The symptoms of lupus erythematosus are as follows:
- high temperature;
- blisters, ulcers on the mucous membrane and skin;
- muscle weakness;
- joint and muscle pain.
There may be one symptom or all at once.But usually it starts with one and then the others join.
Arthritis
It is generally inflammation of the hip joint.The cause may be a partial or complete lack of the cushioning cartilage layer between the bones or an infection.Symptoms other than pain include:
- local increase in temperature in an inflamed area;
- swelling;
- sharp pain on movement.
Arthritis can be primary infectious or secondary, resulting from injury or osteoarthritis.
Symphysitis of pregnant women
The pregnant woman's body prepares for childbirth, the bones gradually move apart in the area of the symphysis.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 the woman sharp pain when moving and changing position.No pain is 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 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 starts to hurt due to neoplasms already in the last stages.The early stages are almost asymptomatic.But once the pain occurs, it cannot be relieved by ordinary painkillers.Risk factors for the development of sarcoma or myeloma are trauma and prolonged inflammation.The pain may be accompanied by swelling and fever.
Fact!The pain may subside for a while and return with new force.The severity of hip pain will be directly proportional to the size of the tumor.
In most cases, right or left hip pain is caused by one of these reasons, but in rare cases it may be something else.
Diagnosis
For hip pain, it is best to contact a general practitioner or a rheumatologist.The specialist will examine and palpate the joint 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 imaging.
After making the diagnosis, the doctor will start treating the hip pain himself or refer you to a more specialized specialist if the specific case is not within his competence.
Several specialists treat conditions that cause hip pain:
- neurologist;
- orthopedist;
- allergist;
- oncologist.
When the causes are known, then the answers to the questions in the choice of 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 found, then, if necessary, the damaged area is reduced and fixed with plaster or knitting needles.After that, drugs are prescribed that promote rapid regeneration and complete rest.
With symphysitis during pregnancy, it often helps to replenish calcium and vitamin D, the reserves of which are depleted by the growing fetus.
Cancers are treated:
- radiation therapy;
- chemotherapy;
- bone marrow transplant.
In the case of degenerative changes in the joints, it is most often started with conservative methods.
medicines
The following types of drugs are used to treat coxarthrosis:
- Anti-inflammatory.In order to relieve 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.
- Hondoprotectors.They are intended to accelerate the regeneration of interarticular fluid and hyaline cartilage.
- Pain relievers.Anti-inflammatory ointments almost always contain pain relievers, but in severe pain they may not help.Stronger drugs are then prescribed.This is not done in order to cure a person, but so that he does not suffer from severe pains and gains strength.
Generally, the drugs are used in combination.
Operation
In an advanced stage of coxarthrosis, when the layer between the bones is practically absent and a person can no longer walk, surgical intervention may be necessary.During which the following manipulations will be performed:
- replacement of parts of the joint or cartilage layer;
- tumor removal;
- bone fusion.
The following treatment methods are often used in addition to drug treatment or during rehabilitation after surgery:
- Physical therapy.Both its classic version and the author's class system.
- Physiotherapy.Mud baths, application of drugs with electricity and laser irradiation.
- massage.With its help, blood circulation is improved and lymph is distributed.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 training therapy is gaining more and more popularity.Basically, it is the same physical therapy, the exercises in which are based on the mobilization of the body's own resources, in addition to the physical, also on a psychological level.
Interesting!The author of the technique is convinced that the patient should believe that the bones do not hurt him, because they cannot hurt - the muscles hurt and they can be restored with exercises.
All simulators used for training on this system were developed by the author himself.
Before treating the joints with exercises, you should know that the following points are contraindications for them for degenerative changes in the pelvis:
- sharp pain;
- oncology;
- pre-infarction and post-infarction condition;
- elevated temperature;
- postoperative rehabilitation;
- inflammatory processes;
- significantly overweight.
There are several other unproven techniques that are used to treat conditions that cause hip pain:
- hirudotherapy;
- osteopathy;
- traditional methods;
- ozone therapy;
- acupuncture;
- Su-jock therapy.
It is possible that they have helped many, but relying only on such methods is dangerous, as time is often wasted, which is invaluable in such a case.