The hip joint is the meeting point of the thigh and the pelvis. The articulation is arranged to provide any direction of movement of the foot. This feature causes various probabilities of damage. The problem causes pain in the hip joint.
The components of articulation go through painful changes.
Characteristics of the causes of pain
Injuries
If there is pain in the hip joint that radiates to the legs and buttocks, the pathology may be caused by:
- Congenital dislocation due to missed delivery. In newborns, the lesion is diagnosed immediately. There are noticeable uneven folds on the bottom of the baby, the legs are shortened. There is often a pinched nerve.
- Traumatic dislocation. It is characterized by pain when moving the foot to the side, unable to stand or sit. Hematomas and swelling develop in the joint area. Displacement of the hip requires immediate treatment from the victim.
- Neck fracture. The diagnosis is more common in women over 60 years of age. A provocative to what hurts the right thigh in women’s upper body is a banal fall. A fracture can cause sharp pain that intensifies with movement. Very uncomfortable discomfort inside the thigh. The damaged area swells and bruises develop over the joint. The injured limb is shortened and lameness develops. If the injury pinches a nerve, the hip becomes numb.
- Joint injury. The pain is moderate but increases with active movement. In a static position, the symptoms disappear. Such an injury is common in people prone to falling. The victim is lame, but this condition quickly goes away.
- Perforating fracture. The pain is moderate or severe. Movement aggravates the symptom. Probably a pinched nerve in which the pain shoots, the limbs numb.
Traumatic injuries are a common cause of pelvic back pain. Severe fractures or dislocations often require surgery. If a nerve gets stuck, numbness in the leg has started - rush to the doctor immediately.
Systemic diseases
Joint pain can provoke systemic pathologies of the connective tissue. Such diseases must be treated continuously because they are virtually incurable. The treatment is complex and must have an effect on the cause of the discomfort.
Such diseases can cause pain:
- Bechterew's disease. The pain is dull, the night worse. More often, the pelvic bones hurt, radiating to the knees, groin, thighs. Movement is cumbersome, man is restricted. Inflammation develops inside the joint.
- Reiter's syndrome. The disease is characterized by damage to the urinary tract, joints and conjunctivitis. The pathology refers to autoimmune diseases and develops as a result of intestinal infection. The pain radiating to the groin in the hip joint is felt a few weeks after the infection. Pain syndrome is acute, the temperature rises. The pool 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 is never pus. The disease is a precursor to coxarthrosis. Initially, swelling, shooting pain, and discomfort occur while walking. Within the joint, the temperature rises and then the stiffness of the movements develops. Noticeable pain in the hip joint at night lying on the side. The pathology is manifested on both the right and left sides. Due to the destruction of the joint, the nerves become pinched.
Degenerative changes
Degenerative changes due to such diseases are the causes of pain and a fairly sharp, pulling or burning effect on the hip joint:
- Varus juvenile deformity. There is a dull pain in the knee. Exercise increases the intensity of the syndrome.
- Coxarthrosis. Pathology is diagnosed in both sexes. It is treated for a long time 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 joint pain due to long walking, running or climbing stairs. In other cases, the discomfort goes away. Then the inside of the thigh hurts, the pain is given to the groin. Daily exercise greatly enhances feelings, but at rest, the discomfort disappears. Due to the long gait, lameness is formed and the joint starts to click. Muscle tone deteriorates, tendon work is disrupted. In the advanced stage of the disease, rather severe pain is observed at night, the lameness is already pronounced. Immobility develops when muscles atrophy, losing volume. Therapy can stop the destruction of the joint.
Such illnesses cause constant lameness, and as a result - one is limited in one’s work activity, unable to train fully. It’s hard to get out of bed in the morning.
Inflammatory or infectious causes
In addition to direct damage to the joint, inflammation of the joint sac, tendons, or muscles can also cause discomfort. 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 little. The thigh muscles begin to atrophy, the leg shortens, and the joint clicks. Gradually, severe pain syndrome develops in the affected joint. Sometimes the pain is sharp, but more often burning or pulling. Later, pus develops in the joint, which intensifies the symptoms.
- Purulent arthritis. In such a condition, the temperature rises, the skin around the joint becomes red, swelling is noticeable, and sharp or acute pain is felt. Any load (banal getting out of bed) is painful. The pain breaks through. Therapy cannot be delayed because a person develops sepsis.
- Bursitis is an inflammation that affects the joint sac. The main symptom is pain that spreads to the legs. Acute discomfort on standing up. When the limb is not loaded, the pain is just burning.
- Aseptic necrosis of the femoral head. The pathology most often develops in young men. It causes deterioration of the blood circulation in the hip joint. Tissue cells die due to necrosis. The disease is characterized by acute pain in the groin, a strong burning sensation in the affected area. It hurts so much that the young man loses the ability to lean on his feet, having difficulty getting out of bed in the morning. Most often, only one painkiller injection helps the patient. After a few days, the symptoms of pain go away. As the pathology progresses, changes occur in the tendons and muscles that atrophy. Due to lameness, gait disturbances develop.
In infectious pathologies, various pains develop: burning, dull, or pulling sensation. The discomfort has increased so much that it interferes with sleep at night. All such diseases require immediate treatment.
Treatment
Even if the pain in the hip joint is intermittent, it should be treated flawlessly. Methods of therapy depend on the provocateurs of the symptom.
congenital dislocation
If the dislocation is congenital, the baby is placed on the joint with orthopedic products: with a support, a bracket, the use of a Freik pillow is recommended. Such funds help maintain the limbs of the newborn in a physiological position. The baby should be in these conditions for at least six months.
If the traditional treatment fails, the baby needs surgery. Operatively, the bone head is replaced in the newborn, while at the same time correcting other deficiencies. Once the orthopedic devices have been removed, the child is given a light massage to strengthen the muscles.
Traumatic dislocation
In the event of a traumatic dislocation, your doctor will prescribe medications that eliminate muscle tone and then replace the hip. After that, the patient should be calm. If there is numbness in the limb, it means that the nerve is pinched. In such a situation, you cannot do without an examination by a neurologist.
Bechterew's syndrome
Therapy for Bechterew's disease is performed in a complex manner. This helps to reduce the intensity of the symptoms caused by the inflammatory process. The treatment consists of medication (immunosuppressants, hormonal drugs, anti-inflammatory drugs), physiotherapy, physiotherapy (muscle tension is especially useful). Recommended massage from the affected joint.
Preparations in conjunction with therapeutic exercises should only be prescribed by a traumatologist, surgeon, or orthopedist. You need to swim more to strengthen your pelvic floor muscles. In difficult situations, the patient requires a joint replacement.
Hip fracture
Such injuries are treated by a traumatologist. Surgery is recommended for the patient as conservative treatment is rarely effective. However, if the surgery is not feasible, the patient will receive a plaster cast from the heel to the lower back. In the elderly, such lesions rarely grow together - the recovery process takes months.
Among the consequences of the disease, a distinction is made between decreased cardiovascular and respiratory function, as the patient does not have the opportunity to move normally and lead an active lifestyle. Even the meeting is problematic for him.
When the joint breaks, there is a burning sensation in the soft tissues. During the surgical procedure, the bone body and head are fixed with pins or screws, in severe cases with endoprosthesis.
Reiter's disease
Antibiotics, glucocorticosteroids, anti-inflammatory drugs, immunosuppressants and topical ointments are used to treat Reiter's disease. The therapy lasts for more than four months. Even proper treatment does not prevent the disease from recurring.
Muscle tone with physical exercises - traditional stretching - requires a full period of healing.
Rheumatoid arthritis
Rheumatoid arthritis is often the cause of hip pain in women and men. The pathology can cause severe pain, making it impossible to get rid of it completely. However, drug therapy should be used to improve quality of life. Hormonal drugs, cytostatics, non-steroidal anti-inflammatory drugs, antirheumatic drugs are used.
Surgery is used only in the advanced state of the disease, when the patient is practically unable to walk and sit. It is recommended to fix the joint or its arthroplasty. Physical exercises and local ointments are useful.
Coxarthrosis
Therapy for coxarthrosis seeks to eliminate the causes of unpleasant symptoms. The pathology is initially treated using conservative methods. It is recommended that the patient be shown non-steroidal anti-inflammatory drugs, chondroprotectors, and drugs that improve blood circulation.
Warming ointments and painkillers are actively used during treatment. In addition, it is recommended that the patient undergo light therapeutic training. The joint often requires anesthesia, so intramuscular injections are used with considerable discomfort.
In advanced disease, conservative therapy does not produce the desired effect. Any joint load worsens the patient's well-being. Without outside help, the patient cannot get out of bed. You need constant painkillers. In such cases, only surgery can improve the situation.
Joint surgery is most commonly performed, but this procedure is contraindicated in the elderly. For this reason, only auxiliary surgeries are organized for such patients. The surgical treatment is completed by a cure course: minimal stretching, simple exercises performed under medical supervision.
Appropriate therapy will help stop the progression of the disease, eliminate painful symptoms.
Characteristics of therapy for infectious lesions
If hip pain is caused by an infectious lesion, consult an infectious disease specialist first. How to relieve pain in the hip joint with such pathology? It all depends on the type of disease:
- Tuberculous arthritis is treated predominantly conservatively. The patient should restrict mobility by using a tight bandage. When an abscess develops in the soft tissues, it is removed with surgery.
- Purulent arthritis. Anesthesia of the affected joint is performed first. For this, analgesic intraarticular injection is used. Antibiotics and antibacterial agents are used to treat infections, and different groups of them are used at the same time and are prescribed only by a doctor. In addition, the abscesses are removed. The affected limb should be immobile - the patient should be placed on a splint or plaster.
- Therapy for aseptic necrosis involves restoring poor blood flow and resorption of dead areas. Non-steroidal anti-inflammatory drugs and vitamin complexes and drugs used to reduce blood density are used to anesthetize the limbs. When the thigh hurts, anesthetic ointment and massage treatments are prescribed. The disease is still treated with physiotherapeutic agents and therapeutic practices. Minimally invasive surgeries or arthroplasty are used in complex situations.
- Because bursitis causes severe pain, anesthesia should be performed. To do this, anti-inflammatory drugs and painkillers are used, administered intramuscularly. Steroid medications are used to quickly eliminate severe discomfort. Because the joint is constantly sore, it needs rest.
Limb numbness, a burning sensation and pain in the joint radiating to the limb is an unpleasant sensation that indicates the presence of a severe pathology. Sometimes folk recipes help in this situation.
Alternative treatment
If the patient has severe burning pain, tendon problems are noticeable, but the use of drugs is contraindicated - the use of folk prescriptions is allowed. Although not a panacea, they can help correct the situation with complex therapy. Before using any folk remedies, you must obtain medical permission for such a procedure.
Here are some recommendations:
- Clay compress. Such a folk remedy helps to relieve pain and reduce swelling in the joint. It is recommended to alternate the clay, using blue first and then black. Used at night, wrap the compress in a woolen cloth.
- Homemade ointment made from white root and visceral fat. Melt the fat, add the roots, chopping them first with a mincer. 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 connection. Such a folk remedy perfectly eliminates bloating and other unpleasant signs.
- cabbage wrap. You will need honey with them. Spread the cabbage leaf with a bee product and apply it to the painful area. Cover the compress from the top with a plastic bag, insulating everything with a woolen cloth. Therapy course - one month. At intervals between compresses, a light massage of the joint is recommended.
- Lemon, garlic and celery cure relieve severe pain. To prepare, take 2 lemons, 130 g of garlic and 300 g of celery (root). Grind the ingredients thoroughly with a mincer and pour into a container with a tight-fitting lid. Pour everything into boiling water, mix. Close the lid and cover the container with a blanket. After 12 hours, drink 1 tsp of liquid. for several months before eating.
It should be recalled that the pinched nerve occurring inside the hip joint cannot be eliminated by folk remedies. Be sure to see a neurologist if you have numbness in your limb. Also, keep in mind that any pain-causing joint damage should be identified immediately and treated appropriately.
Light gymnastics and stretching exercises can prevent violation of joint function.