The hip joint is the junction of the thigh with the pelvis. The joint is arranged in such a way that it provides any direction of movement of the leg. This feature leads to the likelihood of various damage. Disorder causes pain in the hip joint.
The constituent parts of the joint undergo painful changes.
Characteristics of the causes of pain
injuries
In case of pain in the hip joint, radiating to the leg and buttock, the cause of the pathology may be:
- Congenital dislocation due to unsuccessful childbirth. Damage is diagnosed immediately in newborns. The baby has noticeable uneven folds on the buttocks, shortening of the legs. Often there is a pinched nerve.
- Traumatic dislocation. It is characterized by pain when moving the leg to the side, it is impossible to stand or sit. A hematoma and swelling develop in the joint area. Hip dislocation requires immediate treatment of the victim.
- Neck fracture. The diagnosis is more common in women over the age of 60. A provocateur of what hurts the right thigh in the upper part of women is a banal fall. With a fracture, sharp pain is felt, which increases with movement. A very unpleasant discomfort gives the inner thigh. The damaged area swells, a bruise develops on the joint. The injured limb becomes shorter, 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 posture, the symptoms disappear. Such an injury is typical for people prone to falls. The victim is lame, but this condition quickly passes.
- Perforating fracture. The pain is moderate or intense. Movement aggravates the symptom. Probably a pinched nerve, in which pain springs, limbs go numb.
Traumatic injuries are a common cause of back pain in the pelvis. Severe fractures or dislocations often require surgery. If a nerve is pinched, numbness in the legs has begun - immediately rush to the doctor.
Systemic diseases
Pain in the joint can cause systemic connective tissue pathologies. Treatment of these diseases should be carried out constantly, since they are practically incurable. Treatment is organized complex, it must bring an impact on the cause of discomfort.
Such diseases can cause pain:
- Bechterew's disease. The pain is dull, worse at night. More often the pelvic bones hurt, radiating to the knee, groin, thigh. The movements are difficult, the person is constrained. The inflammation develops inside the joint.
- Reiters syndrome. The disease is characterized by damage to the genitourinary organs, joints and inflammation of the conjunctiva. Pathology refers to autoimmune diseases, develops due to 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 region 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 becomes infected. The disease is a precursor to coxarthrosis. Initially, there is swelling, shooting pains, discomfort when walking. Inside the joint, the temperature rises, then the stiffness of movements develops. Noticeable pain in the hip joint when lying on the side at night. Pathology manifests itself on the right and on the left. Due to the destruction of the joint, the nerves are pinched.
Degenerative changes
The causes of pain in the hip joint, and rather sharp, pulling or burning, are degenerative changes due to such diseases:
- Juvenile varus deformity. There is a dull pulling pain radiating into the knee. Sports training increases the intensity of the syndrome.
- Coxarthrosis. Pathology is diagnosed in people of both sexes. It has been 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 passes. Then the inner side of the thigh hurts, the pain is given to the groin. Daily exercise greatly improves sensations, but at rest the discomfort disappears. Due to a long walk, a limp is formed, the joint begins to click. Muscle tone worsens, the work of tendons is disturbed. At an advanced stage of the disease, quite severe pains are observed at night, lameness is already pronounced. Immobility develops as the muscles atrophy, losing volume. The therapy can stop the destruction of the joint.
As a result, such diseases cause constant lameness - a person is limited in his professional activity, is not able to fully train. Even getting out of bed in the morning is difficult.
Inflammatory or infectious causes
In addition to direct damage to the joint, inflammation of the joint bag, tendons or muscles can cause discomfort. Infectious diseases also cause pain in the pelvis in women and men:
- Tuberculous arthritis. The pathology mainly affects young children with weakened immune systems. The child gets tired quickly, runs a little. The thigh muscles begin to atrophy, the leg shortens, the joint snaps. Gradually, an intense pain syndrome develops in the affected joint. Sometimes the pain is sharp, but more often burning or drawing. Later, suppuration develops in the joint, which increases the symptoms.
- Purulent arthritis. With such a disease, the temperature rises, the skin around the joint turns red, swelling is noticeable, and sharp or sharp pain is felt. Any load (ordinary getting out of bed) is painful. The pain goes through. Therapy cannot be delayed, as a person develops sepsis.
- Bursitis is an inflammation that affects the joint bag. The main symptom is pain that spreads down the leg. It is acute, when standing the discomfort increases. When the limb is not loaded, the pain only burns.
- Aseptic necrosis of the femoral head. Most of the time, the pathology develops in young men. Causes deterioration of blood circulation in the hip joint. Tissue cells die by necrosis. The disease is characterized by sharp 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. Most often, only an injection of painkiller helps the patient. After a few days, the pain symptom disappears. As the pathology progresses, changes occur in the tendons and muscles that atrophy. Gait disturbances develop due to lameness.
In infectious pathologies, different pains develop: burning, dull or pulling sensations. The discomfort is so increased that it interferes with sleep at night. Any such disease requires immediate treatment.
Processing
Even when the pain in the hip joint is intermittent, it must be treated without fail. Methods of therapy depend on the provocateurs of the symptom.
congenital dislocation
When the dislocation is congenital, the baby is placed on the joint with orthopedic products: spacers, stirrups, it is recommended to use a Freik pillow. These funds help to keep the limbs of the newborn in a physiological position. The baby must be in such conditions for at least six months.
When traditional treatment fails, the baby must be operated on. Operatively, the head of the bone is put in its place in the newborn, simultaneously correcting other defects. When the braces are already removed, the child is shown a light massage to strengthen the muscles.
Traumatic dislocation
In case of traumatic dislocation, the doctor prescribes drugs that eliminate muscle tone, and then puts the hip in place. After that, the patient should remain 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
Treatment of Bechterew's disease is carried out in a complex way. This helps reduce the intensity of symptoms caused by the inflammatory process. Treatment consists of taking medications (immunosuppressants, hormonal drugs, anti-inflammatories), physiotherapy and therapeutic exercises (muscle stretching is especially useful). Recommended massage of the affected joint.
Preparations as well as therapeutic exercises are prescribed only by a traumatologist, surgeon or orthopedist. To strengthen the pelvic muscles, you need to swim more. In difficult situations, the patient is prescribed joint replacement.
Hip fracture
Treatment of such an injury is carried out by a traumatologist. Surgery is recommended for the patient, as conservative treatment is rarely effective. However, if it is impossible to do the operation, the patient is given a cast from the heel to the lower back. In older people, this damage rarely develops together - the recovery process takes months.
Among the consequences of the disease, the reduced functionality of the cardiovascular and respiratory systems is distinguished, since the patient does not have the opportunity to move normally and lead an active lifestyle. Even the simple act of sitting is problematic for him.
When the joint is fractured, there is a burning sensation inside the soft tissues. During surgery, fixation of the bone body and head with pins or screws is used for treatment; in difficult cases, a stent is made.
Reiter's disease
In the treatment of Reiter's pathology, antibiotics, glucocorticosteroids, anti-inflammatory drugs, drugs that depress the immune system, and local ointments are used. The therapy lasts more than four months. Even adequate treatment does not prevent the likelihood of a relapse of the disease.
The entire recovery period is necessary to maintain muscle tone with physical exercises - traditional stretching.
Rheumatoid arthritis
The cause of hip pain in women and men is often rheumatoid arthritis. Pathology can cause severe pain, it is impossible to completely get rid of it. However, drug treatment should be used to improve quality of life. Hormonal agents, cytostatics, nonsteroidal anti-inflammatory drugs, antirheumatics are used.
Surgical intervention is used only when the disease is advanced, when the patient is practically unable to walk and sit. Recommend fixation of the joint or its arthroplasty. Physical exercises, local ointments are useful.
Coxarthrosis
Treatment of coxarthrosis is aimed at eliminating the causes of unpleasant symptoms. Pathology is initially treated with conservative methods. The patient is recommended to be shown nonsteroidal anti-inflammatory drugs, chondroprotectors, drugs that improve blood circulation.
In the treatment, warming ointments and painkillers are actively used. In addition, the patient is recommended to perform light therapeutic training. Often the joint requires anesthesia, therefore, with significant discomfort, intramuscular injections are used.
With advanced disease, conservative therapy does not have the desired effect. Any joint load worsens the patient's well-being. Without the help of a stranger, the patient is unable to get out of bed. He needs constant painkillers. In such a situation, only surgery can correct the situation.
Most often, arthroplasty is performed, but this procedure is contraindicated for the elderly. For this reason, only auxiliary operations are organized for these patients. The surgical treatment is completed by a recovery course: minimal stretching, simple exercises performed under medical supervision.
Appropriate therapy helps to stop the progression of the disease, eliminate painful symptoms.
Features of the therapy of infectious lesions
If pain in the hip joint is caused by an infectious lesion, you should first contact an infectious disease specialist. How to relieve pain in the hip joint with such a pathology? It all depends on the type of disease:
- Tuberculous arthritis is mostly treated conservatively. The patient is required to limit his mobility by applying a tight bandage. When an abscess develops inside the soft tissues, it is surgically removed.
- Purulent arthritis. First, anesthesia of the affected joint is performed. For this, an intra-articular injection of an analgesic is used. Antibiotics and antibacterial drugs are used against infection, simultaneously using different groups of them, which are prescribed only by a doctor. Additionally, abscesses are removed. The affected limb should be immobile - the patient is put on a splint or cast.
- Treatment of aseptic necrosis involves the restoration of low blood flow, the resorption of dead zones. To anesthetize the limb, nonsteroidal anti-inflammatory drugs and vitamin complexes, drugs to reduce blood density are used. When the thigh hurts, anesthetic ointment and massage procedures are also prescribed. The disease is always treated with physiotherapeutic agents, therapeutic exercises. In complicated situations, minimally invasive operations or joint arthroplasties are used.
- Since bursitis causes severe pain, anesthesia should be arranged. For this, anti-inflammatory and analgesic drugs are used, introducing them intramuscularly. Steroids are used to quickly eliminate severe discomfort. Since the joint is constantly painful, it needs rest.
Numbness of the limb, burning and pain in the joint, which radiate to the limb, are unpleasant sensations indicating the presence of a serious pathology. Sometimes folk recipes help in such a situation.
Alternative treatment
When the patient suffers from intense burns, problems with the tendons are noticeable, but it is contraindicated for him to use drugs - it is permissible to use folk recipes. Although they are not a panacea, however, in complex therapy they can help correct the situation. Before using a folk remedy, you must obtain medical approval for such a procedure.
Here are some recommendations:
- Clay compress. Such a folk remedy helps to eliminate pain and reduce swelling in the joint. It is recommended to alternate the clay, first applying blue and then black. It is used in the evening, wrap the compress in a woolen sheet.
- Homemade ointment prepared from white foot root and visceral fat. Melt the fat, add the root to it, first chop it with a meat grinder. Put the mixture on low heat. After boiling, keep the heat on for another 7 minutes. Apply the cooled ointment before going to bed on the affected joint. Be sure to insulate the joint. Such a folk remedy perfectly eliminates puffiness, other unpleasant signs.
- cabbage compresses. Along with them you will need honey. Lubricate the cabbage leaf with a beekeeping product, then apply it to the painful area. Cover the compress from above with a plastic bag, isolate everything with a woolen cloth. Therapeutic course - a month. It is recommended to do a light massage of the joint in the intervals between the compresses.
- The lemon, garlic and celery remedy relieves severe pain. To prepare it, take 2 lemons, 130 g of garlic and 300 g of celery (root). Thoroughly grind the ingredients with a meat grinder, pour into a container with a tight-fitting lid. Pour boiling water over everything, mix. Close the lid and wrap the dish with a blanket. After 12 hours, drink liquid 1 tbsp. before a meal for several months.
It should be remembered that the pinched nerve that occurred inside the hip joint, folk remedies are not able to eliminate. With numbness of the limb, be sure to consult a neurologist. Also remember that any damage to the joint that causes pain should be quickly identified and adequately treated.
Light gymnastics, stretching exercises are able to prevent violations of the functionality of the joint.