The hip joint is where the thigh meets the pelvis. The joints are arranged in such a way that it provides any direction of movement of the leg. This feature causes the possibility of various damages. Trouble causing hip joint pain.
The constitutive parts of the joint undergo painful changes.
Characteristics of the cause of pain
Hurt
When there is pain in the hip joint, spreading to the legs and buttocks, the cause of the pathology can be:
- Congenital dislocation due to unsuccessful delivery. Lesions are diagnosed immediately in infants. The baby has noticeable uneven folds on the bottom and shortened legs. There is usually a pinched nerve.
- Dislocation due to trauma. Characterized by pain when moving the leg to the side, standing or sitting is also not possible. Hematoma and swelling develop in the joint area. Hip dislocation requires immediate emergency care.
- Breakneck. The diagnosis is more common in women over 60 years of age. A provocateur about what hurts in the right thigh in a woman's upper body is a trivial fall. When a bone is broken, a sharp pain is felt, which increases with movement. Very uncomfortable discomfort to the inner thighs. The damaged area swells, bruising develops on the joint. The injured limb becomes shorter, developing a limp. If the injury compresses the nerve, the hip will be numb.
- Joint damage. The pain is moderate, but increases with active movement. In a static position, the symptoms disappear. Such an injury is typical for people prone to falls. The victim was lame, but this quickly passed.
- Broken chisel. Moderate or severe pain. Movement aggravates symptoms. Perhaps the nerve is pinched, according to which the pain shoots, the limbs go numb.
Crash injuries are a common cause of pelvic back pain. Severe fractures or dislocations often require surgery. If the nerve is pinched, leg numbness has already begun - seek medical attention immediately.
Whole body disease
Pain in the joints can cause systemic diseases of the connective tissue. The treatment of such diseases is imperative to be carried out continuously, since they are practically incurable. Treatment is complex, it must provide impact on the cause of discomfort.
Such diseases can cause pain:
- Bechterew disease. The pain is dull, worse at night. More often the pelvic bones are painful, spreading to the knees, groin, and thighs. Difficulty moving, restrained person. Inflammation develops inside the joint.
- Reiter's syndrome. The disease is characterized by damage to the genital organs, joints and inflamed conjunctiva. Pathology refers to autoimmune diseases, which develop as a result of intestinal infections. Pain in the hip that radiates down the groin begins to be felt a few weeks after the infection. Acute pain syndrome, elevated temperature. Pelvic area swelling. Usually, the disease causes symmetrical lesions in the joints.
- Rheumatoid arthritis. The problem is characterized by inflammation of the connective tissue. With pathology, the joint never festers. This disease is a precursor to coxarthrosis. Initially swelling, shooting pain, discomfort when walking. Inside the joint, the temperature rises, then develops stiffness of movements. Hip pain when lying on the side at night. Pathology is manifested both on the right and left side. Due to the destruction of the joint capsule, the nerves are compressed.
Degenerative change
The cause of pain in the hip joint, and quite sharp, pulling or burning, are degenerative changes due to diseases such as the following:
- Varus deformed the young. There was a dull ache up to the knee. Sports training increases the intensity of the syndrome.
- Coxarthrosis disease. The disease is diagnosed in people of both sexes. It is treated for a long time, and the therapy is quite complex. The disease is characterized by the development of degenerative and destructive processes in the joints. Signs of the disease: the patient has joint pain from walking, running or climbing stairs. In other cases, the discomfort will pass. Then the inside of the thigh hurts, the groin hurts. Daily exercise greatly improves sensation, but with rest the discomfort disappears. Due to long walking, a limp is formed, and the joints begin to sound. Muscles are weak, the function of tendons is interrupted. At the severe stage of the disease, rather intense pain is observed at night, manifesting lameness. Immobility develops as the muscles atrophy, reducing their volume. Therapy can prevent joint destruction.
Such diseases cause a constant limp, as a result - a person is limited in his working activities, is not able to fully exercise. Even getting out of bed in the morning is difficult.
Caused by inflammation or infection
In addition to direct damage to the joint, inflammation of the joint, tendon, or muscle can cause discomfort. Infectious diseases also cause pain in the pelvis in women and men:
- Tuberculosis arthritis. The disease mainly affects young children with weakened immune systems. Children get tired quickly, rarely run. Thigh muscles begin to atrophy, legs shorten, joints creak. Gradually, a strong pain syndrome develops in the affected joint. Sometimes the pain is sharp, but more often it is burning or pulling. Then, deterioration develops in the joint, increasing symptoms.
- Purulent arthritis. With such a disease, the temperature rises, the skin around the joint turns red, swelling can be noticed and feels sharp or acute. Any load (trivial out of bed) is painful. The pain pierced through. Therapy can not be delayed, because a person develops sepsis.
- Bursitis is an inflammation of the joint capsule. The main symptom is pain that radiates down the leg. It is acute, when standing up the discomfort increases. When I can't download it, I only feel pain.
- Sterile necrotic femoral head. Primarily the pathology develops in young men. Causes the disease to reduce blood circulation in the hip joint. Tissue death due to necrosis. The disease is characterized by acute pain radiating down the groin, burning sensation in the affected area. The pain was so bad that the young man lost the ability to lean on his legs and could hardly get out of bed in the morning. Usually, the patient is only given an injection to relieve the pain. After a few days, the pain will go away. As the disease progresses, changes in tendons and muscle atrophy appear. Developmental gait disorder due to limping.
In infectious pathologies, various pains develop: a burning, dull or pulling sensation. The discomfort increases to the point of interfering with sleep at night. Any such disease requires immediate treatment.
Treatment
Even if hip pain is intermittent, it must be treated completely. Treatment depends on the cause of the symptoms.
congenital dislocation
When congenital dislocation, the baby is placed in the joint by orthopedic products: struts, braces, Freik pillows should be used. These funds help maintain the infant's limbs in a physiological position. The baby needs to be in such conditions for at least six months.
When traditional treatment fails, the baby needs surgery. In other words, the tip of the bone is put in place in the newborn, while other defects are corrected. Once the orthopedic devices are removed, the child will be given a gentle massage to strengthen the muscles.
Dislocation due to trauma
When a dislocation is caused by an injury, doctors prescribe medications that cause muscle tone loss, then put the hip in the correct position. The patient should then be kept calm. If there is numbness in the limbs, it means that the sciatic nerve is compressed. In such a situation, there is nothing you can do without being examined by a neurologist.
Bechterew's syndrome
Therapy for Bechterew's disease is carried out in a complex manner. This helps to reduce the intensity of the symptoms caused by the inflammatory process. Treatment is with medications (immunosuppressants, hormonal drugs, anti-inflammatory drugs), physical therapy, and therapeutic exercises (stretching is especially helpful). Recommended massage from the affected joint.
Preparation and therapeutic exercises are prescribed only by a traumatologist, surgeon or orthopedist. To strengthen the pelvic muscles, you should swim more. In difficult situations, the patient is indicated for joint replacement.
Hip fracture
Treatment of such injuries is carried out by a traumatologist. Surgery is recommended for the patient, as conservative treatment is rarely effective. However, if this is not possible, the patient is placed in a cast from the heel to the lower back. In older people, such lesions rarely develop together - the healing process takes months.
Among the consequences of the disease, a decrease in the functioning of the cardiovascular and respiratory systems is distinguished, since the patient does not have the opportunity to exercise normally and lead an active lifestyle. Even just sitting was problematic for him.
When a joint is broken, there is a burning sensation inside the soft tissues. During surgical intervention, treatment is used to fix the stem and ends of the bones with pins or screws; In difficult cases, perform endoscopy.
Reiter's disease
In the treatment of Reiter's pathology, antibiotics, glucocorticosteroids, anti-inflammatory drugs, drugs that suppress the immune system and local ointments are used. Therapy lasts more than four months. Even adequate treatment does not prevent the recurrence of the disease.
Full recovery time needed to maintain muscle tone with traditional physical exercises - stretching.
Rheumatoid arthritis
The most common cause of hip pain in women and men is rheumatoid arthritis. The disease can cause severe pain that cannot be completely cured. However, drug treatment should be used to improve quality of life. Hormonal agents, cytostatics, non-steroidal anti-inflammatory drugs, anti-arthritic drugs are used.
Surgical intervention method is only applied when the disease has progressed to a severe stage, when the patient is really unable to walk and sit. It is recommended to fix the joint or shape its joint. Physical exercises, local ointments are very useful.
Coxarthrosis
Coxarthrosis therapy seeks to eliminate the cause of unpleasant symptoms. The pathology is initially treated with conservative methods. Patients are recommended to see non-steroidal anti-inflammatory drugs, chondroprotectors, drugs that improve blood circulation.
In treatment, warming ointments and analgesics are actively used. In addition, patients should perform light therapy exercises. Often the joint requires anesthesia, so if there is significant discomfort, an intramuscular method is used.
With the disease in the advanced stage, conservative therapy does not bring the desired effect. Any joint load worsens the patient's health. Without the help of strangers, the patient cannot get out of bed. He needs constant pain medication. In such a situation, only surgery can correct the situation.
Usually, arthroplasty is performed, but this procedure is contraindicated for older adults. Because of this, only ancillary activities are organized for such patients. The course of surgical treatment is completed by a restorative course: minimal stretching, performing simple exercises under medical supervision.
Appropriate therapy helps to stop the progression of the disease, eliminating painful symptoms.
Features of therapy for infectious lesions
If the pain in the hip is caused by an infectious lesion, then you should first contact an infectious disease specialist. How to relieve hip pain with such pathology? It all depends on the type of disease:
- Tuberculosis arthritis is mainly treated conservatively. The patient is asked to limit movement with a tight bandage. When an abscess develops inside the soft tissues, it is removed through surgery.
- Purulent arthritis. First, anesthesia of the affected joint is performed. For this, injections of pain relievers in the joints are used. Antibiotics and antibacterial drugs are used to fight infections, with the simultaneous use of different groups of drugs, only prescribed by a doctor. In addition, the abscess is removed. The affected limb must be immobilized - the patient is splinted or cast.
- Aseptic therapy of necrosis involves restoring weak blood flow, resorption of dead areas. For anesthesia of the extremities, non-steroidal anti-inflammatory drugs and vitamin complexes, hypotensive drugs are used. When thighs are painful, anesthetic ointments and massage procedures will be prescribed. The disease is still treated with physical therapy drugs, therapeutic exercises. In complex situations, minimally invasive surgery or arthroplasty is used.
- Since bursitis causes severe pain, anesthesia should be administered. For this, anti-inflammatory drugs and analgesics are used, which bring them into the body. Steroid drugs are used to quickly eliminate severe discomfort. Since the joint is constantly in pain, it needs rest.
Numbness in the limbs, burning and pain in the joints, radiating to the extremities, are unpleasant sensations that indicate the presence of a serious pathology. Sometimes folk recipes help in such a situation.
Alternative treatment
When the patient has severe burning pain, tendon problems are easily noticed, but the drug is contraindicated - it is permissible to use folk recipes. Although they are not a panacea, nevertheless, in complex therapy they can help to correct the situation. Before using any folk remedy, you must get medical approval for such a procedure.
Here are some recommendations:
- Compress clay. Such a folk remedy eliminates pain and reduces joint swelling. Clay is recommended to alternate, first blue and then black. It is used at night, wrapped compresses with woolen cloth.
- Homemade ointment is prepared from white leg root and visceral fat. Melt the fat, trim the roots, chop it first with a meat grinder. Place the mixture over low heat. Once boiling, keep the heat for another 7 minutes. Apply the cooled ointment before going to bed on the affected joint. Make sure to insulate the joint. Such a folk method perfectly eliminates puffiness, other signs of discomfort.
- compressed cabbage. Along with them you will need honey. Lubricate the cabbage leaves with a bee product, then apply it to the painful area. Cover the compression from the top with a plastic bag, insulating everything with wool. Therapeutic course - one month. It is advisable to gently massage the joint in the interval between applications.
- The lemon, garlic, and celery remedy helps relieve severe pain. To prepare it, take 2 lemons, 130 g of garlic and 300 g of celery (root). Blend ingredients thoroughly with a meat grinder, pour into a container with a tight-fitting lid. Pour boiling water over everything, mix. Close the lid and cover the plate with a blanket. After 12 hours, drink 1 teaspoon of the liquid. several months before meals.
It should be remembered that the pinched nerve occurs inside the hip joint, folk remedies cannot get rid of it. When experiencing numbness in the limbs, be sure to see a neurologist. Also, don't forget that any damage to the joint that causes pain must be identified promptly and treated appropriately.
Gentle exercises, stretching exercises have the ability to prevent violations of joint function.