pain in the hip joint

The hip joint is powerful, complex in structure and able to withstand large loads. It is exposed to various pathologies that lead to the emergence and development of pain.

Hip pain is caused by:

• injuries;
• contagious infection;
• destructive processes in the joints;
• Inflammation;
• metabolic disorders.

A person may feel "give" in the groin, buttocks, and knees. Perhaps the appearance of lameness, muscle atrophy, their weakness, reduced functionality of the limbs.

Practice shows that the nature and intensity of the pain syndrome can be different:

• beginning (until you "disperse");
• Night;
• Evening;
• constant (light, medium, strong).

Why does the leg hurt in the hip area?

There is a whole range of articular and extra-articular conditions that lead to pain syndrome. Among them:

• coxarthrosis;
• arthritis of various nature;
• pseudogout;
• Kening's disease;
• fractures, dislocations, bruises;
• tendinitis;
• myositis;
• bursitis.

Painful hip joint: which doctor should I go to?

It is obvious that the number of pathologies that cause pain or numbness in the hip cannot be treated by a specialist. Most likely, you should contact a traumatologist or rheumatologist. It is possible that a consultation with a surgeon is required. Due to the fact that the pain "shoots" in the groin, buttocks and lower abdomen, a person can be referred to a neurologist. So, coxarthrosis "masquerades" as sciatica, problems with nerve roots, herniated disc. But the opposite situation is also possible, when neurological pathologies are suspected, but joint disease is detected.

Women often cannot distinguish the cause of pain in the groin - inflammation is appendages or joint diseases. A visit to the gynecologist brings clarity. A urologist helps men determine whether there are prostate pathologies.

diagnostic measures

A well-coordinated scheme has been developed in medical practice, with the help of which one can fully determine why the hip joint hurts, what to do and how to treat it.

During the first visit, the doctor's task is to take an anamnesis. A person is asked about lifestyle and physical activity, whether there are relatives who suffer from joint diseases. An external examination of the joint and its palpation are also performed. If inflammation is present, this will help narrow the circle of hypothetical ailments causing pain.

Various laboratory tests and hardware studies are also commissioned. Typically access:

• Tomography;
• radiography;
• endoscopy.

You need immunological and microbiological blood tests, a test for rheumatoid factor. You may need to examine the synovial fluid of the joint.

treatment methods

Since the pathologies are very diverse, they cannot be treated according to a single scheme. For example, inflammation of the hip joint, its symptoms and treatment are different from working as a doctor with an injury. In the event of a fracture or dislocation, a rheumatologist or surgeon will prescribe immobilisation of the joint. With infectious and purulent diseases, a course of antibiotics is necessary.

Inflammatory and degenerative diseases require the use of the following groups of drugs:

• nonsteroidal;
• diuretics;
• chondroprotectors;
• muscle relaxants;
• vitamin complexes.

In this case, the treatment is long and is carried out in several courses, which can last several years. In addition to drug therapy, a person performs exercises, strives for weight loss and undergoes physiotherapy procedures. If the patient cannot be helped with conservative methods, surgical methods must be resorted to.

How the hip joint hurts, what symptoms characterize diseases that can cause pain, we considered methods of traditional treatment. However, various joint diseases have been known to man for many thousands of years. Therefore, traditional medicine has developed a considerable amount of knowledge on how to help a patient who is worried about the joints. Of course, herbal medicine, lotions, compresses, taking decoctions and tinctures cannot be the main method of treatment, but doctors recommend them as an addition to the main therapy. You cannot drink or apply anything without consulting a specialist, because there is a risk of getting an allergy, a burn, or simply wasting time and effort without getting results.

Treating pain in the hip joint with folk remedies will help to provide an anesthetic effect and strengthen the body. Most often, alternative medicine offers public components: burdock roots, pork fat, garlic, cinquefoil, dandelion, leaves of berry bushes, buds and fruits. For example, the usual rosehip broth is a storehouse of vitamin C and an excellent diuretic, removing excess fluid and unnecessary salts, thereby reducing the load on the legs and heart.

Pain radiates into the leg when walking - causes, symptoms

If you feel pain when walkinglegcovers the bodylower backon the lower leg or localized in the hip area, you need to see a doctor. Diseases of the hip joints, which are exposed to high loads during this periodwalk, running, fitness classes, make rapid progress and can lead to disability. In order for exercise to bring joy and benefit, monitor the health of the musculoskeletal system. If pain symptoms appear, you need to be examined and start treatment as soon as possible. In most diseases, bone tissue, cartilage and joints are destroyed and cannot be restored. You can only remove the inflammatory process, stop or slow down its destruction.

general description

The hip joint is multiaxial, bowl-shaped. It combines the pelvis and femur into a single system that allows a person to walk and liftlegset aside. It works on every step, squat. While the joint is healthy, we don't feel it. But with inflammation, pinchingAnnoy, there are aching, intensifying or stabbing pains. It is located inleg, but as the disease progresses it spreads,returnsinleg, inlower back.

Unlesstreatinflammatory process:

• the size of the joint bag is reduced, which contains synovial fluid - an intra-articular lubricant that reduces friction and slows the wear and tear of the joints;
• the membranes protecting the joint are damaged;
• Cartilage and bone tissue is destroyed.

prevention

It is possible to protect the hip joints from destruction and maintain mobility to old age if you monitor your health. Diseases of the musculoskeletal system provoke obesity. This puts more stress on the joints and wears them out faster. Not only body weight in kilograms and height are important, but also the ratio of muscle and fat tissue. Strong, trained in the gym, the muscles form a muscular corset that supports the body in an upright position, reducing stress on the spine, hip and knee joints, and feet.

Destruction of cartilage, bone tissue occurs with a lack of calcium and other trace elements. Include more vegetables, lean fish, dairy and cheese in the menu. Take the mineral-vitamin complex recommended by your doctor. avoid injuries. Don't wear uncomfortable shoes. Walk more, 2-3 times a weekdoExercises to strengthen and stretch the muscles.

causes of pain

Hipsmay bebecome sick:

• blow after an unpleasant fall - if the pain does not go away in 2-3 days, you need to see a traumatologist,makeradiography;
• with the development of arthrosis - the joint becomes inflamed, the pain is felt at rest and intensifies with itwalk;
• with arthritis - aching pain, aggravated at night;
• when there is a violation of metabolism, blood circulation - the tissues do not receive enough nutrients, oxygen, the removal of toxins is delayed;
• when infection occurs - abrasions, scratches, purulent rashes on the thigh can become a gate of infection, penetrating the joint and causing acute infectious bursitis with acute unbearable pain;
• with diabetes mellitus, other systemic diseases;
• with inflammatory processes in the body, accompanied by fever or with the risk of spreading to the joint.

It is impossible to make an accurate diagnosis yourself. For pain that does not go away for 2-3 days, you need to see a doctor.makeOpinion poll.

varieties of pain

Acute pain in the hip joint occurs with injuries and local inflammatory processes. It can start withTo the rightorLeftside, but with the development of inflammation, covers the perimeterhips,returnsinlower back, inLegs. After the examination, the doctor will prescribe anti-inflammatory drugs that will quickly relieve the pain. But sometimes it is necessary to continue treatment after its disappearance in order to eliminate the causes that caused the inflammation.

When the pain is aching, it is more difficult for a doctor to make a correct diagnosis. It can arise in one place and give in another. If it appears regularly, then you need to pay attention to what its manifestations are associated with: at rest, withwalk, squats, sudden movements.

If pain symptoms persist for more than 6 months, the disease has become chronic. Hardware examinations are carried out to establish the diagnosis: X-ray, ultrasound, MRT,will be doneblood analysis.

Diseases and their characteristic symptoms

pain insidelegoccur in various diseases:

• bursitis;
• Arthrosis;
• coxarthrosis;
• Arthritis;
• inflammation of the ligaments;
• Neuralgia.

bursitis

Bursitis is an inflammatory process in the joint bag. It is manifested by acute pain, fever, deterioration in general well-being. A painful, hot bump forms under the skin.healsThis disease is an orthopedic traumatologist.

arthrosis

A chronic disease that destroys the bone and cartilage of the joint. It develops after injuries, during menopause in women, with metabolic disorders, with excessive loads in athletes and with heavy physical work. Fatigue in the early stageswalkPain with sudden movementsFoot.If you start treatment early, the progression of arthrosis can be greatly slowed down and motor skills can be maintained into old age. In the second stage, destructive processes affect the jointAnnoy. The pain appears in the morning and disappears in the afternoon. she cangive awayon the knees,lower back. Tissue swelling occurs. As arthrosis progresses, the pain persists around the clock and mobility is restricted.

coxarthrosis

With coxarthrosis, the composition of the synovial fluid changes. It does not lubricate the joint components, and severe pain is felt with every movement, the head of the femur is displaced and deformed. The disease develops in old age or after injuries. At the initial stage, an aching pain is feltTo the rightorLeftside while walking. When deformedpinched nerves, pain intensifies, lameness appears. In the third stageLeftorTo the rightThe leg is shortened due to the deformity of the femoral head, the difference can be 1-1. 5 cm.

arthritis

Drawing pain on the outsidehipsButtocks Many consider symptomsosteochondrosis. However, when making the diagnosis, it is necessary to rule out or confirm arthritis with hardware diagnostics. Different types of arthritis are diagnosed: purulent, rheumatoid, tuberculous, psoriatic, reactive.

inflammation of the ligaments

Tenditis - inflammation of the ligaments, tendons is manifested by unbearable pain, swelling, reddening of the skin, creaking noises when walking, fever. Inflamed tissue canprizenerve endings, which increases the pain symptom. It is forbiddentreathis own painkillers. Such treatment can lead to complications - the development of tendinosis, when the inflamed ligaments begin to collapse.

neuralgia

When aHip hurts, gives way in legburning pain along its lateral surface, additional examinations are done to confirm neuralgia,Causes of a pinched nerve.

other symptoms

To understand if there is a pathology in the hip joint or if the pain is caused by itOsteochondrosis gives way in the leg, the following symptoms will help:

• the joint grinds or clicks when walking, running, stooping;
• flexibility is lost, range of motion is reduced - it is difficult to bend down, climb stairs, sit down;
• body temperature rises,osteochondrosisthere is no such symptom;
• gear change;
• Symptoms of pain are manifested when walking, when trying to raise, take the leg aside, but the movements of the body, hands do not cause discomfort.

diagnosis of pathology

atosteochondrosisand pathologies of the hip joint similar symptoms. In order to make an accurate diagnosis, the doctor examines the patient, clarifies complaints, the type and localization of pain. Determine,how to treat diseasesWhat drugs are contraindicated for the patient, additional examinations are prescribed:

• a blood test - it shows whether there is an inflammatory process in the body, how strong it is;
• urinalysis - reveals hidden edema, disorders in the excretory system, the degree of intoxication of the body;
• blood test for the amount of fibrinogen, other non-specific markers;
• Rheumatism tests - determine the rheumatoid factor;
• proteinogram - shows inflammatory processes, malignant and benign neoplasms, characterizes the composition of protein compounds in the blood;
• radiography - shows the condition of bones, cartilage, tendons, shows fractures, cracks, fractures, dislocations, the degree of destruction or deformation;
• Magnetic resonance or computed tomography is required to see the pathology of soft tissues: muscles, ligaments;
• Ultrasound - shows the condition of the joints, an increase in the volume of their membranes during inflammation, the presence of synovial fluid in different parts of the joint.

Features of the treatment of pain of a different nature

There is no unified scheme for the treatment of pathologies of the hip joint. Arthritis only needs medication, thoughtrappedNerve endings are different. The doctor, after diagnosis, prescribes treatment, taking into account the stage of the disease, gender, age of the patient, other chronic diseases and possible allergic reactions.

Painful sensations, inflammation in arthritis are suppressed by anti-inflammatory drugs. To prevent the disease from progressing, patients take hormonal drugs. In addition to drug therapy, physiotherapy is carried out.

Bursitis is treated with nonsteroidal anti-inflammatory drugs. If the tests show a strong inflammatory process, an injection is made directly into the joint. The doctor chooses a solution for injection, having examined the characteristics of the course of the disease and the general condition of the patient's body. With a high risk of complications, a severe course of the disease, treatment with a corticosteroid is carried out.

At the initial stage of coxarthrosis, treatment with anti-inflammatory drugs is effective. But if the patient did not go to the doctor when he felt thishurtsLeg when walking and advanced disease requires total or partial joint replacement. To restore cartilage tissue, chondroprotectors are prescribed.

For diseases of the connective tissue, glucocorticosteroids are prescribed.

It is impossible to use strong drugs alone without the supervision of a doctor. During therapy, the doctor monitors the general condition of the body and periodically prescribes blood and urine tests.

Inflamed hip joint what to do, how to treat

Septic arthritis of the hip. diagnosis and treatment

septic arthritis- a disease of childhood, and for the hip joint the average age is even lower than for arthritis of other localization: 70% of cases occur in children under 4 years. The smaller the child, the worse the course of hip arthrosis. A child's refusal to walk is often associated with bacterial infections of the hip joint.

In oneresearch, in which the authors excluded all patients who refused to walk because of an apparent underlying medical condition, they found that bacterial infection was the cause in 21 of 22 patients. Osteomyelitis and septic arthritis occurred with equal frequency, accounting for 14 of 22 cases. Discitis also occurred in a significant number of cases.
Elevatedtemperatureoccurred in 82% of patients with a bacterial infection, but only 17% of those without an infection. The number of leukocytes in the blood and the ESR were not increased.

Pathogenesis of septic arthritis of the hip joint

atseptic arthritis of the hipIn the inflammatory process, Staphylococcus aureus is most often seeded. The infection usually affects the joint cavity from an osteomyelitic focus within the joint capsule. Osteomyelitis is usually hematogenous in origin and affects the metaphysis of the thigh, penetrating through the supply vessels. The infection may surface in the form of a subperiosteal abscess.

Inflammation of the hip jointusually occurs when the pathogen invades the joint capsule from the focus of osteomyelitis in the neck of the femur. There is a significant difference between the development of the disease in older and younger children. In older children, this disease is usually the result of osteomyelitis of the femoral neck. In infants, it may be the result of hematogenous dissemination in generalized septicemia.

articular cartilagecannot withstand the increased intra-articular pressure caused by pus produced by staphylococci. In addition, staphylococci produce an activator of staphylokinase, which contributes to the destruction of articular cartilage. The cartilage can withstand these forces for 4-5 days before destructive changes begin. Other organisms that can cause septic arthritis of the hip in children include pyogenic streptococci and Pfeiffer's bacillus.

streptococcal infectionusually accompanied by a much more rapid increase in signs and symptoms. Pfeiffer bacillus infection is usually responsible for septic arthritis, which develops in children within the first 12 months of life, although it can occur as early as 2 years of life. Gonococcal arthritis should be suspected in young adults.

Clinical picture of septic arthritis of the hip joint

General,childYou are admitted to the emergency room with a high fever, irritability, and severe pain in the affected hip joint, accompanied by significant limitation of movement in all directions and muscle spasms. The child walks with a limp or refuses to walk at all. The affected hip is flexed, externally rotated, and abducted. During the examination, the patient has pain in the groin and above the hip joint, intoxication.

numberleukocytesin synovial fluid the average is 57, 000 µl, but it can vary between 10, 000 and 250, 000 µl. A shift of the formula to the left is characteristic, blood cultures are positive in more than 50% of cases. The mucin level in the synovial fluid was reduced in all cases, as was the glucose level compared to its level in the blood in most of the patients examined. The erythrocyte sedimentation rate is usually increased.

In one study, all patients had some degree of soft tissue swelling in the hip area. The smaller the child, the more likely it is to see widening of the joint space. In another study, many patients initially had plain X-rays. Most typical was a pathologic subluxation of the hip with widening of the joint space. Some patients had osteomyelitis of the proximal femur.

Differential diagnosis of septic arthritis of the hip

Septic arthritis of the hipdifferentiated from a number of other diseases. Transient synovitis can present with severe pain, severe lameness, and restricted movement of the hip joint. Radioisotope scanning helps distinguish this disease from septic arthritis. If it cannot be performed, a skin pull on the bed in the hospital helps to make a differential diagnosis. A significant improvement in the condition with a decrease in symptoms within 24 hours indicates a transient synovitis.

If the doctor suspectsseptic arthritis, the joint should be punctured, the effusion removed, and antibiotic treatment instituted. Hemophilia can be difficult to differentiate, but such patients are usually registered for the disease. If this condition is suspected, urgent decompression is indicated to prevent damage to the femoral head from increased intra-articular pressure.

rheumatic attackcan be associated with significant pain and limited range of motion in the hip joint. As a rule, with this disease there are fleeting arthritis and arthralgia, which helps in the differential diagnosis.

Treatment of septic arthritis of the hip

Maybe the most importantmomentWhat the emergency physician should be aware of is that delaying diagnosis of this disease and starting treatment late worsens the prognosis and outcome of this disease. In one study, a poor outcome was found in almost all cases when treatment was started more than 4 days after the onset of symptoms.

purpose of treatment- Removal of effusion from the joint to prevent destruction of the articular cartilage and formation of adhesions, and decompression of the joint to prevent interference with the blood supply to the epiphysis. An adequate dose of parenteral antibiotics is required. Initially, it is recommended to use antibiotics from the penicillin group, but recently other drugs are preferred. An important component of the treatment is the puncture of the joint cavity and its washing. The physician should select the appropriate antibiotic based on the most likely suspected microorganism based on the patient's age and disease symptoms. Vaccination and Gram stain play an important role in antibiotic choice.

Most commonly foundStaph arthritis, amenable to therapy with methicillin or oxacillin. If gonococcal arthritis is suspected in adults, it is recommended to prescribe penicillin intravenously at a dose of 10 million IU / day.

Unfortunately, a way to completely get rid of coxarthrosis has not yet been found. Even joint arthroplasty does not guarantee that dystrophic changes will stop in it. Of course, the earlier the diagnosis is made, the easier it is to keep the disease under control and prevent recurrence. With a stage 1-2 disease, it is quite possible to live and be comfortable if you follow a few rules and restrictions.

Treatment is effective only after a comprehensive diagnosis. The task of osteoarthritis treatment in this case is to enlarge the joint space, restore the performance of the joint and, as far as possible, regenerate cartilage tissue.

If you experience frequent or recurring hip pain, don't close your eyes to it. Will it be possible to detect the disease at an early stage? You can stop the disease and prevent its development. If the doctor satisfies you with the lack of a serious diagnosis, all the better! Continue to lead a healthy lifestyle and don't forget to visit the orthopedist regularly - after all, the first alarm bell has already rung.