The hip joint is the junction of the thigh and the pelvis. The articulation is arranged so that it allows any direction of movement of the leg. This feature causes the possibility of various damages. The problem causes pain in the hip joint.
The components of the articulation go through painful changes.
Characteristics of the cause of pain
Injuries
When there is pain in the hip joint, radiating to the leg and buttocks, the cause of pathology can be:
- Congenital dislocation due to unsuccessful childbirth. The damage is diagnosed immediately in newborns. The baby has noticeable uneven wrinkles on the buttocks, shortening of the legs. Nerve entrapment often occurs.
- Traumatic dislocation. It is characterized by pain when moving the leg to the side, it is impossible to stand or sit. Hematoma and swelling develop in the joint area. Hip dislocation requires urgent treatment of the victim.
- Fracture of the neck. The diagnosis is more common in women older than 60 years. The provocateur of what hurts the right thigh in the upper part of a woman is a banal fall. The fracture feels sharp pain, which increases with movement. Very unpleasant discomfort gives the inner side of the thigh. The damaged area swells, bruising develops on the joint. The injured limb becomes shorter, lameness develops. If the injury pinches a nerve, the hip becomes numb.
- Wrist injury. The pain is moderate but intensifies with active movement. In the static position, the symptoms disappear. Such an injury is typical for people who are prone to falls. The victim is lame, but this condition passes quickly.
- Perforating fracture. The pain is moderate or severe. Movement worsens the symptom. Probably a pinched nerve, in which the pain bursts, the limbs numb.
Traumatic injuries are a common cause of pelvic back pain. Serious fractures or dislocations often require surgery. If the nerve is pinched, numbness of the legs has begun - hurry to the doctor immediately.
Systemic diseases
Joint pain can cause systemic connective tissue pathologies. The therapy of such diseases needs to be carried out constantly, because they are practically incurable. The treatment is organized complex, it must provide an impact on the cause of discomfort.
Such diseases can cause pain:
- Bechterew's disease. The pain is dull, stronger at night. Pelvic bones hurt more often, they radiate to the knee, groin, thigh. Movement is difficult, the person is restrained. Inflammation develops inside the joint.
- Reiter's syndrome. The disease is characterized by damage to the genitourinary organs, joints and inflammation of the conjunctiva. Pathology refers to autoimmune diseases, arising from intestinal infection. Pain in the hip joint radiating to the groin begins to be felt a few weeks after the infection. The pain syndrome is acute, the temperature rises. The pelvic area is swollen. Most often, the disease causes symmetrical damage to the joints.
- Rheumatoid arthritis. The problem is characterized by inflammation of the connective tissue. With pathology, the joint never festers. The disease is a precursor to coxarthrosis. In the beginning, there is swelling, shooting pain, discomfort at the moment of walking. Inside the joint, the temperature rises, then stiffness develops. At night noticeable pain in the hip joint when lying on its side. The pathology manifests itself both right and left. Nerve entrapment occurs due to joint destruction.
Degenerative changes
The causes of pain in the hip joint, and quite sharp, pulling or burning, are degenerative changes due to such diseases:
- Varus juvenile deformity. There is dull pain that spreads to the knee. Sports training increases the intensity of the syndrome.
- Coxarthrosis. Pathology is diagnosed in persons of both sexes. It takes a long time to treat, and the therapy is quite complicated. The disease is characterized by the development of degenerative and destructive processes in the joint. Signs of the disease: the patient has pain in the joints due to long walks, running or climbing stairs. In other cases, the discomfort passes. Then the inner side of the thigh hurts, the pain is given in the groin. Daily exercise greatly intensifies the feelings, but at rest the discomfort disappears. Due to the long walk, lameness occurs, the wrist starts to click. Muscle tone deteriorates, tendon function is impaired. In the advanced stage of the disease, quite strong pains are noticed at night, lameness is already pronounced. Immobility develops as muscles atrophy, lose volume. Therapy can stop joint destruction.
Such diseases cause constant lameness, as a result - the person is limited in his work activity, he is not able to fully train. Even getting out of bed in the morning is difficult.
Inflammatory or infectious causes
In addition to direct joint damage, discomfort can be caused by inflammation of the joint sac, tendons or muscles. Infectious diseases also cause pelvic pain in women and men:
- Tuberculous arthritis. The pathology mainly affects young children with a weakened immune system. The child gets tired quickly, runs a little. The thigh muscles begin to atrophy, the leg shortens, the wrist clicks. Gradually, a strong pain syndrome develops in the affected joint. Sometimes the pain is sharp, but more often it is burning or pulling. Later, suppuration develops in the joint, which intensifies the symptoms.
- Purulent arthritis. With such a disease the temperature rises, the skin around the joint becomes red, swelling is visible, sharp or acute pain is felt. Every load (banal getting out of bed) is painful. It breaks the pain. Therapy cannot be delayed because the person develops sepsis.
- Bursitis is an inflammation that affects the joint sac. The main symptom is pain that spreads down the legs. It is acute, the discomfort increases when getting up. When the limb is not loaded, the pain is only burning.
- Aseptic necrosis of the femoral head. Pathology mainly develops in young men. It causes disease, worsening of blood circulation in the hip joint. Tissue cells die due to necrosis. The disease is characterized by acute pain radiating to the groin, a strong burning sensation of the affected area. It hurts so much that the young man loses the ability to lean on his leg, it is difficult for him to get out of bed in the morning. Usually, only the injection of analgesics helps the patient. After a few days, the pain symptoms disappear. As the pathology progresses, changes occur in tendons and muscles that atrophy. Gait disturbance is caused by lameness.
Infectious pathologies develop various pains: burning, dullness or withdrawal. The discomfort is so strong that it interferes with a good night's sleep. Any such disease requires urgent treatment.
Treatment
Even when the pain in the hip joint is occasional, it must be treated without error. The methods of therapy depend on the provoker of the symptoms.
congenital dislocation
When the dislocation is congenital, the baby is placed on the wrist with orthopedic products: supports, stirrups, the use of Freik pillows is recommended. Such remedies help keep the limbs of the newborn in a physiological position. The baby should be in such conditions for at least six months.
When traditional treatment fails, the baby needs surgery. Operatively, the head of the bone is placed in place in the newborn, while correcting other defects. When the orthopedic devices have already been removed, the child is shown a light massage to strengthen the muscles.
Traumatic dislocation
When a traumatic dislocation occurs, the doctor prescribes medications that remove muscle tone and then puts the hip in place. After that, the patient should be calm. If there is numbness of the extremities, it means that the nerve is tight. In such a situation, you cannot do without an examination by a neurologist.
Bechterew's syndrome
Therapy of Bechterew's disease is performed in a complex way. This helps reduce the intensity of the symptoms caused by the inflammatory process. Treatment consists of taking medications (immunosuppressants, hormonal medications, anti-inflammatory drugs), physiotherapy, and therapeutic exercises (muscle stretching is especially helpful). Recommended massage of the affected joint.
Preparations together with therapeutic exercises are prescribed only by a traumatologist, surgeon or orthopedist. To strengthen your pelvic floor muscles, you should swim more. In difficult situations, the patient is prescribed joint replacement.
Hip fracture
The treatment of such an injury is performed by a traumatologist. Surgery is recommended for the patient, because conservative treatment is rarely effective. However, if the operation is impossible to perform, the patient is given a cast from the heel to the lower back. In older people, such damage rarely grows together - the recovery process takes months.
Among the consequences of the disease, the reduced functionality of the cardiovascular and respiratory system stands out, because the patient does not have the possibility of normal movement and an active lifestyle. Even just sitting is problematic for him.
When a joint fracture occurs, there is a burning sensation inside the soft tissues. During the treatment, fixation of the body and head of the bone with wedges or screws is used for treatment, and in severe cases, an endoprosthesis is performed.
Reiter's disease
In the treatment of Reiter's pathology, antibiotics, glucocorticosteroids, anti-inflammatory drugs, drugs that reduce the immune system, local fats are used. The therapy lasts more than four months. Even adequate treatment does not prevent the possibility of disease recurrence.
The entire recovery period is needed to maintain muscle tone with physical exercises - traditional stretching.
Rheumatoid arthritis
Rheumatoid arthritis is often the cause of hip pain in women and men. Pathology can cause severe pain, it is impossible to get rid of it completely. However, drug therapy should be used to improve quality of life. Hormonal agents, cytostatics, nonsteroidal anti-inflammatory drugs, anti-rheumatic drugs are used.
Surgery is used only when the disease has progressed, when the patient is practically unable to walk and sit. Recommend joint fixation or arthroplasty. Exercises and local fats are useful.
Coxarthrosis
Coxarthrosis therapy seeks to eliminate the causes of unpleasant symptoms. The pathology is initially treated with conservative methods. The patient is recommended to be shown non-steroidal anti-inflammatory drugs, chondroprotectors, drugs that improve blood circulation.
Warming ointments and painkillers are actively used in treatment. In addition, the patient is recommended to perform light therapy. Often the joint requires anesthesia, so intramuscular injections are used with considerable discomfort.
In advanced disease, conservative therapy does not have the desired effect. Any load on the joints worsens the patient's well-being. Without the help of a stranger, the patient cannot get out of bed. He needs constant pain medication. In such a situation, only surgery can correct the situation.
Arthroplasty is most often performed, but this procedure is contraindicated for the elderly. Therefore, only auxiliary operations are organized for such patients. Surgical treatment ends with a course of recovery: minimal stretching, simple exercises performed under medical supervision.
Proper therapy helps to stop the progression of the disease, eliminate painful symptoms.
Features of infectious lesion therapy
If the pain in the hip joint is caused by an infectious lesion, then you should first consult a specialist in infectious diseases. How to relieve pain in the hip joint with such pathology? It all depends on the type of disease:
- Tuberculous arthritis is mostly treated conservatively. The patient is asked to limit mobility by applying a tight bandage. When an abscess develops inside the soft tissues, it is removed by surgery.
- Purulent arthritis. Anesthesia of the affected joint is performed first. Intraarticular injection of analgesics is used for this. Antibiotics and antibacterial drugs are used against infections, using different groups of them at the same time, which are prescribed only by a doctor. In addition, abscesses are removed. The affected limb must be immobile - the patient is given a splint or plaster.
- Treatment of aseptic necrosis includes restoration of poor blood flow, resorption of dead areas. Nonsteroidal anti-inflammatory drugs and vitamin complexes, drugs to reduce blood density, are used for limb anesthesia. When the thigh hurts, anesthetic ointment and massage procedures are additionally prescribed. The disease is still treated with physiotherapeutic agents, therapeutic exercises. In complex situations, minimally invasive surgery or arthroplasty of the joint is used.
- Since bursitis causes severe pain, it is necessary to arrange anesthesia. For this, anti-inflammatory drugs and analgesics are used, which are administered intramuscularly. Steroid medications are used to quickly remove severe discomfort. Since the joint hurts constantly, he needs rest.
Numbness of the extremities, tingling and pain in the joint, which radiates to the extremity, are unpleasant feelings that indicate the presence of serious pathology. Sometimes folk recipes help in such a situation.
Alternative treatment
When the patient has severe burning pains, tendon problems are noticeable, but it is contraindicated to use medication - it is allowed to use folk recipes. Although they are not a cure, in complex therapy they can help correct the situation. Before using any folk remedy, you must obtain medical approval for such a procedure.
Here are some recommendations:
- Clay compress. Such a folk remedy helps to relieve pain and reduce swelling of the joints. Clay is recommended alternately, first by applying blue and then black. Used at night, wrap the wrap with a woolen cloth.
- Homemade ointment prepared from white foot root and visceral ointment. Melt the fat, add the root to it, chop first with a meat grinder. Put the mixture on low heat. After boiling, keep on the fire for another 7 minutes. Apply the cooled ointment to the affected joint before going to bed. Be sure to insulate the joint. Such a folk remedy perfectly removes swelling, other unpleasant signs.
- cabbage wraps. Along with them you will also need honey. Spread the cabbage leaf with the bee product, and then apply it to the sore spot. Cover the top with a plastic bag, insulate everything with a woolen cloth. Therapeutic course - one month. It is recommended to do a light massage of the joint in the intervals between wraps.
- The remedy of lemon, garlic and celery relieves severe pain. To prepare, take 2 lemons, 130 g of garlic and 300 g of celery (root). Grind the ingredients well with a meat grinder, pour into a bowl with a tight lid. Pour boiling water over everything, stir. Close the lid and wrap the bowl with a blanket. After 12 hours, drink 1 teaspoon of liquid. before meals a few months.
It should be borne in mind that the pinched nerve that occurred inside the hip joint, folk remedies can not eliminate. Be sure to see a neurologist if your limbs are numb. Also, remember that any joint damage that causes pain must be immediately identified and adequately treated.
Light gymnastics, stretching exercises are able to prevent violations of joint function.