When the hip joint hurts, the questions about what to do and how to treat the disease are the most interesting.The hip joint is one of the most important and load-bearing joints in the entire musculoskeletal system.Loss of mobility due to pain can partially or completely eliminate a person's 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 when the pain in the hip joint occurs.This can happen at the following points:
- when waking up in the morning;
- during physical activity, when running;
- when walking normally;
- in a motionless state.
You should listen to your body and try to recognize the systemic nature of the pain.
Important!In diseases of the hip joint, due to the structural characteristics of nerve bundles, pain can spread to the legs.This is such that until the last minute the patient still thinks that his leg or knee hurts and does not even suspect that the source 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:
- pain;
- periodic acute;
- suddenly harsh.
It is necessary to accurately determine the main cause of hip pain.
injury
Usually, it occurs before a fall or strong jump from a height.Signs of damage are as follows:
- sharp pain;
- edema;
- movement restrictions;
- visual distortion;
- unable to turn the foot outward.
Injuries are dislocations, fractures, or bruises.
Coxarthrosis
This is hip osteoarthritis, a degenerative change in cartilage and bone tissue.Signs of coxarthrosis are as follows:
- crispy;
- joint stiffness when moving;
- periodic aches and pains;
- pain increases in bad weather and at night;
- distortion;
- swelling.
Usually, 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 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 muscles and joints.Symptoms of lupus erythematosus are as follows:
- high temperature;
- blisters, ulcers on mucous membranes and skin;
- muscle weakness;
- pain in joints and muscles.
There may be one symptom or all at once.But usually it starts with one, and then the rest join.
Arthritis
In general, this is an inflammation of the hip joint.The cause may be a partial or complete lack of shock-absorbing cartilage between the bones or an infection.Symptoms other than pain include:
- increased local temperature of the painful area;
- edema;
- Severe pain when moving.
Arthritis can be primary or secondary infection, due to injury or arthritis.
Sympathetic inflammation in pregnant women
A pregnant woman's body prepares to give birth, the bones gradually move away from each other in the sympathetic joint area.The disease can only occur during pregnancy and is most common in the 2nd or 3rd trimester. Symptoms are as follows:
- pain in the pubic bone;
- swelling in the affected area;
- severe pain when walking;
This often causes women to have severe pain when moving and changing positions.When resting, there is no pain.
sterile 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 a number of reasons:
- compression due to trauma;
- loss of messages due to injury;
- blood clots;
- blood thickening disease.
The disease progresses quite quickly and affects young people more because they are more active.
Cancer
Unfortunately, something started to cause damage because the tumors were already in their late stages.The first stage has almost no symptoms.But once the pain appears, it cannot be relieved with regular painkillers.Risk factors for developing sarcoma or myeloma are trauma and prolonged inflammation.The pain may be accompanied by swelling and fever.
Truth!The pain may subside for a while and return with renewed vigor.The severity of pain in the hip joint will be 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 a small number of cases, it can be another cause.
Diagnose
When experiencing hip pain, the best thing to do is contact your general practitioner or rheumatologist.The specialist will examine, palpate the joint and choose a diagnostic method.Possible diagnostic methods are as follows:
- blood tests to detect inflammation and infection;
- Ultrasound of the hip joint;
- CT scan;
- X-ray;
- Bone scan in cases of suspected cancer;
- magnetic resonance test.
Once diagnosed, your doctor will begin treating your hip pain on its own or will refer you to a more specialized doctor if the specific case is not within your doctor's jurisdiction.
Some specialists treat conditions that cause hip pain:
- neurologist;
- orthopedist;
- allergic people;
- cancer doctor.
Once the cause is known, the answers to questions when choosing a treatment method will become clear.
Treatment
When the hip joint hurts, many different treatments may be needed, and this depends directly on the diagnosis.
In case of injury, the patient must immobilize the limb and wait for further instructions from the doctor.If a fracture or dislocation is detected, then, if necessary, the damaged area is reduced and fixed with a plaster or knitting needle.Then drugs are prescribed that promote rapid regeneration and complete rest.
When arthritis occurs during pregnancy, supplementation with calcium and vitamin D, whose reserves are depleted by the growing fetus, is often effective.
Cancer is treated:
- radiotherapy;
- valence;
- bone marrow transplant.
In cases of osteoarthritis, they often begin with conservative methods.
medicine
The following medications are used to treat coxarthrosis:
- Anti-inflammatory.To reduce the inflammatory process, in most cases it is necessary to eliminate the cause of inflammation.However, in addition to using local ointments.
- Anti-inflammatory hormone.
- Chondoprotectors.They are designed to accelerate the regeneration of fluid between joints and hyaline cartilage.
- Analgesic.Anti-inflammatory ointments almost always contain pain relievers, but for severe pain they may not help.Then stronger medications 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.
work
In the advanced stages of coxarthrosis, when the layer between the bones is practically gone and the person can no longer walk, surgical intervention may be necessary.During that time the following operations will be performed:
- replacement of parts of the joint or cartilage;
- remove tumors;
- fusion of bones.
The following treatments are often used as an adjunct to drug therapy or during rehabilitation after surgery:
- Therapeutic exercises.Both its classic version and the author's class system.
- Physical therapy.Mud bath, electric medicine infusion and laser light.
- 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, then wound healing will occur faster.But at first it seemed like your health was getting worse.
Class
The author's method of therapeutic exercise is increasingly popular.At its core, this is the same physiotherapy, exercises are based on the mobilization of the body's own resources, in addition to the physical, also at the psychological level.
Attractive!The author of this technique firmly believes that the patient must believe that his bones do not hurt, because they cannot hurt - the muscles hurt and they 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 need to know that the following points are contraindications for degenerative changes in the pelvis:
- acute pain;
- cancer;
- pre-infarction and post-infarction status;
- high temperature;
- Post-operative rehabilitation;
- inflammatory process;
- significant excess weight.
There are several other unproven techniques used to treat conditions that cause hip pain:
- hirudotherapy;
- osteopathy;
- traditional methods;
- ozone therapy;
- acupuncture;
- Su-jok therapy.
Maybe they helped many people, but relying solely on such methods is very dangerous, because time is often wasted, which is invaluable in such a matter.