When the hip joint hurts, the question of what to do and how to treat the disease is the most interesting.The hip joint is one of the most prominent and loaded joints in the entire musculoskeletal system.Loss of mobility in it due to pain can partially or completely prevent a person's ability to move.The answer to the question of how to treat pain is simple - identify and eliminate the cause.
Possible causes of hip pain
First of all, you need to pay attention to the point at which the pain in the hip joint occurs.This can happen at the following points:
- when waking up in the morning;
- during physical activity, while running;
- during normal walking;
- in a state of no movement.
It is worth listening to your body and trying to distinguish the systemic nature of the pain.
Important!In hip joint disease, due to the structural characteristics of the nerve bundle, the pain may radiate to the leg.This reaches such a level that the patient until the last moment thinks that his leg or knee hurts and does not suspect that the cause of the pain is in the hip.
The nature of pain in the hip joint can also vary.The following types of hip pain occur:
- sick;
- periodic acute;
- suddenly acute.
It is necessary to accurately determine the main cause of pain in the hip joint.
Trauma
Often it is preceded by a sharp fall or jump from a height.Signs of injury are as follows:
- sharp pain;
- edema;
- restriction of movement;
- visual deformation;
- inability to externally rotate the leg.
An injury is a sprain, fracture or bruise.
Coxarthrosis
This is arthrosis of the hip joint, degenerative changes in the cartilage and bone tissue.Symptoms of coxarthrosis are as follows:
- dryness;
- stiffness in movement;
- periodic sharp aches and pains;
- increased pain in bad weather and at night;
- deformation;
- swelling
Often, older people face it.
Bursitis of the trochanteric bursa
The bursa or trochanteric bursa contains synovial fluid, and its inflammation is called bursitis.The cause of the pain is often felt in the back.The pain increases if you lie on the damaged joint.Exacerbations 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 mucous membranes 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.
Joint pain
In general, this is inflammation of the hip joint.The cause may be either 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 sore spot;
- edema;
- sharp pain when moving.
Arthritis can be primary or secondary, as a result of injury or arthrosis.
Symphysitis of pregnant women
A pregnant woman's body prepares for childbirth, the bones gradually move apart in the symphysis area.This 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 women sharp pain when moving and changing positions.During rest, no pain is felt.
Aseptic necrosis
Necrosis is tissue death due to insufficient blood supply.In most cases, it affects the neck or head of the hip joint.This can happen for a number of reasons:
- compression due to injury;
- loss of messages due to injury;
- blood clots;
- blood clotting disease.
The disease develops relatively quickly and affects young people more, because they move more actively.
Oncology
Unfortunately, something started to hurt because the neoplasm was already in the last stage.The initial stage is almost symptomless.But when pain occurs, it cannot be relieved by ordinary painkillers.Risk factors for the development of sarcoma or myeloma are trauma and prolonged inflammation.Pain may be accompanied by swelling and fever.
Facts!The pain may subside for a moment and return with renewed vigor.The severity of pain in the hip joint will be directly proportional to the size of the tumor.
In most cases, pain in the right or left hip joint is due to one of these reasons, but in rare cases it may be something else.
Diagnostics
With hip pain, the best thing to do is to contact a general practitioner or a rheumatologist.The specialist will examine and palpate the joint and choose a diagnostic method.Diagnostic methods may be as follows:
- blood tests for the presence of inflammation and infection;
- Hip joint ultrasound;
- tomography;
- radiography;
- osteoscintigraphy in cases of suspected oncology;
- magnetic resonance imaging.
After making a diagnosis, the doctor will start treating the pain in the hip joint himself or will refer you to a more specialized specialist if a particular case is not within his competence.
Some specialists treat diseases that cause hip pain:
- neurologist;
- orthopedic specialist;
- allergies;
- oncologist.
When the cause is known, then the answer to the question when choosing a treatment is on the surface.
Treatment
When the hip joint hurts, various treatments may be needed, and it directly depends on the diagnosis.
In case of injury, the patient must immobilize the limb and wait for further instructions from the attending physician.If a fracture or dislocation is detected, then, if necessary, the damaged area is reduced and repaired with plaster or knitting needles.After that drugs are prescribed that promote rapid regeneration and complete rest.
With symphysitis during pregnancy, the addition of calcium and vitamin D, whose reserves are depleted by the growing fetus, often helps.
Cancer treated:
- radiation therapy;
- chemotherapy;
- bone marrow transplant.
In the case of degenerative changes in the joints, they most often start with conservative methods.
Medicines
The following types of drugs are used to treat coxarthrosis:
- Anti-inflammatory.To relieve the inflammatory process, in most cases it is necessary to eliminate the cause of inflammation.But, in addition to this, local ointments are used.
- Anti-inflammatory hormones.
- Chondoprotectors.They are designed to accelerate the regeneration of interarticular fluid and hyaline cartilage.
- Painkillers.Anti-inflammatory ointments almost always contain pain relievers, but for severe pain they may not help.Then a stronger medicine is prescribed.This is not done to heal a person, but so that he does not experience severe pain and gains strength.
Basically, drugs are used in combination.
Operation
In advanced stages of coxarthrosis, when the layer between the bones is almost absent and the person can no longer walk, surgical intervention may be necessary.Where the following manipulations will be performed:
- replacement of parts of the joint lining or cartilage;
- tumor removal;
- bone fusion.
The following treatment methods are often used in addition to drug treatment or during recovery after surgery:
- Therapeutic exercise.Both the classic version and the author class system.
- Physiotherapy.Mud baths, medication using electricity and laser exposure.
- massageWith its help, blood circulation improves and lymph spreads.But massage can cause inflammation.
All physical effects are aimed at improving blood circulation, after which healing will go faster.But at first it seems that your health is getting worse.
Class
The author's method of exercise therapy is gaining popularity.At its core, this is the same physical therapy, an exercise 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 must believe that the bones do not hurt, because they cannot hurt - the muscles hurt and they can be restored with exercise.
All simulators used to train using this system were developed by the author himself.
Before treating the joints with exercise, you need to know that the following are contraindications to them for degenerative changes in the pelvis:
- acute pain;
- oncology;
- pre-infarction and post-infarction conditions;
- high temperature;
- recovery after surgery;
- inflammatory process;
- significant overweight.
There are several 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 have helped many, but relying only on such methods is dangerous, because time is often lost, which is invaluable in such matters.