The hip joint is the connection between the thigh and the pelvis. The joint is arranged in such a way that it allows the leg to move in any direction. This feature causes the likelihood of various damages. Problems cause pain in the hip joint.
The components of the articulation are subject to painful changes.
Features of the causes of pain
injuries
With pain in the hip joint radiating to the leg and buttocks, the cause of the pathology can be:
- Congenital dislocation due to unsuccessful childbirth. Damage to newborns is diagnosed immediately. The baby has noticeable uneven folds on the buttocks, shortening of the legs. A nerve is often pinched.
- 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. A dislocated hip requires immediate attention from the victim.
- broken neckThe diagnosis is more common in women over 60 years of age. A provocateur of what hurts in the right thigh in the upper part of the woman is a banal fall. With a fracture, a sharp pain is felt, which increases with movement. Very unpleasant discomfort in the thigh. The damaged area swells and bruises form over the joint. The injured limb becomes shorter 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 posture, the symptoms disappear. Such an injury is typical for people prone to falls. The victim is lame, but this condition passes quickly.
- penetrating fracture. The pain is moderate or severe. Exercise makes the symptom worse. Probably a pinched nerve, where the pain shoots up, the limbs go numb.
Traumatic injuries are a common cause of pelvic back pain. Severe fractures or dislocations often require surgery. If a nerve is pinched, leg numbness has begun - rush to the doctor immediately.
Systemic diseases
Pain in the joint can provoke systemic pathologies of the connective tissue. Therapy of such diseases must be carried out constantly, since they are practically incurable. The treatment is organized in a complex way, it must have an impact on the cause of the symptoms.
Such diseases can provoke pain:
- Ankylosing spondylitis. The pain is dull, worse at night. More often, the pelvic bones hurt, radiating to the knee, groin and thigh. Movement is difficult, the person is restricted. Inflammation develops in the joint.
- Reiter Syndrome. The disease is characterized by damage to the urogenital organs, joints and conjunctivitis. Pathology refers to autoimmune diseases that develop due to intestinal infection. A few weeks after the infection, pain in the hip joint radiates to the groin. The pain syndrome is acute, the temperature rises. The pelvic area is swollen. Most often, the disease causes symmetric damage to the joints.
- Rheumatoid arthritis. The problem is characterized by inflammation of the connective tissue. With pathology, the joints never fester. The disease is a precursor to coxarthrosis. Initially, there is swelling, stabbing pain, and discomfort when walking. In the joint, the temperature rises, then a rigidity of movement develops. Noticeable pain in the hip joint when lying on one side at night. The pathology is manifested both on the right and on the left. The nerves are pinched by the destruction of the joint.
degenerative changes
The causes of pain in the hip joint and rather sharp, pulling or burning are degenerative changes due to such diseases:
- Varus juvenile deformity. There is a pulling, dull pain that radiates into the knee. Physical training increases the intensity of the syndrome.
- coxarthrosis. Pathology is diagnosed in people of 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. Symptoms: The patient has joint pain from long walks, runs or climbing stairs. In other cases, the complaints pass. Then the inside of the thigh hurts, the pain goes to the groin. Daily exercise greatly increases the sensations, but with rest, the discomfort disappears. Lameness develops from long walking, the joint begins to click. Muscle tone worsens, the work of the tendons is disrupted. With an advanced stage of the disease, fairly severe pain is observed at night, lameness is already pronounced. Immobility develops as muscles atrophy and lose volume. Therapy can stop the destruction of the joint.
Such diseases lead to constant lameness - a person is limited in his work activities and cannot fully exercise. 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 symptoms. Infectious diseases also cause pelvic pain in both women and men:
- Tubercular arthritis. The pathology mainly affects young children with weakened immune systems. The child gets tired quickly, walks a little. The thigh muscles begin to atrophy, the leg shortens, the joint cracks. Gradually, a strong pain syndrome develops in the affected joint. Sometimes the pain is sharp, but more often it is burning or aching. Later, suppuration develops in the joint, which increases the symptoms.
- suppurative arthritis. With such a disease, the temperature rises, the skin around the joint turns red, swelling is noticeable, and a sharp or acute pain is felt. Any load (banal getting out of bed) is painful. pain shoots through. Therapy cannot be delayed because a person develops sepsis.
- Bursitis is inflammation affecting the joint sac. The main symptom is pain that spreads down the leg. It is acute, the discomfort increases when you get up. When there is no weight on the limb, the pain just burns.
- Aseptic necrosis of the femoral head. Most often, the pathology develops in young men. Causes disease worsening of blood flow in the hip joint. Tissue cells die due to necrosis. The disease is characterized by acute pain radiating to the groin, intense burning 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 an injection of a 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 disturbance is caused by lameness.
With infectious pathologies, various pains develop: burning, dull or pulling sensations. The discomfort is amplified to the point that it interferes with sleep at night. Any such disease requires immediate treatment.
treatment
Even if the pain in the hip joint occurs intermittently, it must be treated. The 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: braces, stirrups, it is recommended to use a Freik pillow. Such means help to keep the newborn's limbs in a physiological position. The baby must be in such conditions at least six months.
When conventional treatment fails, the baby needs surgery. Surgically, the bone head is put in place in the newborn while other defects are corrected at the same time. When the orthopedic devices are already removed, the child is shown a light massage to strengthen the muscles.
Traumatic dislocation
With a traumatic dislocation, the doctor prescribes medications that eliminate muscle tone, and then straightens the hip. After that, the patient should be kept still. If the limb is numb, it means the nerve is pinched. In such a situation, you cannot do without an examination by a neurologist.
Bechterew syndrome
Bechterew's disease is treated in a complex manner. This helps reduce the intensity of the symptoms that the inflammatory process produces. The treatment consists of taking medication (immunosuppressants, hormone preparations, anti-inflammatory drugs), physiotherapy and remedial gymnastics (muscle stretching is particularly useful). Recommended massage from the affected joint.
Preparations along with therapeutic exercises are prescribed only by a traumatologist, surgeon or orthopedist. To strengthen the pelvic floor muscles, you should swim more. In difficult situations, the patient is prescribed a joint replacement.
hip fracture
Therapy of such an injury is carried out by a traumatologist. Surgery is recommended for the patient because conservative treatment is rarely effective. However, if the operation is not possible, the patient is given a plaster cast from the heel to the lower back. In older people, such damage rarely coalesces - the recovery process takes months.
Among the consequences of the disease, 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 sitting is a problem for him.
When the joint is broken, there is a burning sensation in the soft tissues. During surgical intervention, fixation of the bone body and head with pins or screws is used for treatment, in difficult cases endoprosthesis is performed.
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. The therapy lasts more than four months. Even adequate treatment does not prevent the likelihood of a recurrence of the disease.
The entire recovery period is required to maintain muscle tone through physical exercises - traditional stretching.
Rheumatoid arthritis
Rheumatoid arthritis is a common cause of hip pain in both men and women. The pathology can provoke severe pain, it is impossible to completely get rid of it. However, drug therapy should be used to improve quality of life. Hormonal agents, cytostatics, nonsteroidal anti-inflammatory drugs, anti-inflammatory drugs are used.
Surgical interventions are performed only when the disease has progressed, when the patient is practically unable to walk and sit. Recommend fixing the joint or its arthroplasty. Physical exercises, local ointments are useful.
coxarthrosis
Therapy of coxarthrosis is aimed at eliminating the causes of unpleasant symptoms. Pathology is initially treated using conservative methods. The patient is recommended to show nonsteroidal anti-inflammatory drugs, chondroprotectors and drugs to improve blood circulation.
Actively warming ointments and painkillers are used in the treatment. In addition, the patient is recommended to carry out light therapeutic training. Often the joint requires anesthesia, therefore, with significant discomfort, intramuscular injections are used.
In advanced disease, conservative therapy does not show the desired effect. Every joint load worsens the well-being of the patient. Without the help of a stranger, the patient cannot get out of bed. He needs painkillers all the time. In such a situation, only surgery can correct the situation.
Arthroplasty is most often performed, but this procedure is contraindicated for the elderly. For this reason, only auxiliary operations are organized for such patients. Surgical treatment is complemented by a recovery course: minimal stretching, simple exercises under the supervision of a doctor.
Proper therapy will help stop the progression of the disease and eliminate painful symptoms.
Features of therapy for infectious lesions
If the pain in the hip joint is provoked by an infectious lesion, you should first consult 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 must limit mobility by applying a tight bandage. If an abscess develops in the soft tissues, it is removed through surgery.
- suppurative arthritis. First, the affected joint is anesthetized. For this, an intra-articular injection of an analgesic is used. Antibiotics and antibacterial drugs are used against infections, at the same time using different groups of them, which are prescribed only by a doctor. In addition, abscesses are removed. The affected limb must be immobile - the patient is placed on a splint or cast.
- Therapy of aseptic necrosis involves restoring poor blood flow and resorption of dead areas. To anesthetize the limb, nonsteroidal anti-inflammatory drugs and vitamin complexes, as well as drugs to reduce blood density, are used. If the thigh hurts, anesthetic ointment and massage procedures are additionally prescribed. The disease is still treated with physiotherapeutic means, therapeutic exercises. In complicated situations, minimally invasive operations or joint prostheses are used.
- Since bursitis causes severe pain, anesthesia should be prescribed. For this, anti-inflammatory drugs and analgesics are used, which are introduced intramuscularly. Steroid drugs are used to quickly get rid of severe ailments. Since the joint hurts constantly, it needs rest.
Numbness of the limb, burning and pain in the joint radiating to the limb are unpleasant sensations that indicate the presence of a serious pathology. Sometimes folk recipes help in such a situation.
alternative treatment
If the patient has severe burning pains, problems with the tendons will make themselves felt, but it is contraindicated to use medicines - it is allowed to use folk recipes. Although they are not a panacea, in complex therapy they can help to correct the situation. Before using any folk remedy, you must obtain a doctor's approval for such a procedure.
Here are some recommendations:
- Clay compress. Such a folk remedy will help eliminate pain and reduce swelling in joints. It is recommended to alternate tone, first applying blue, and then black. It is used at night, wrap the compress with a woolen cloth.
- Homemade tarsal and visceral fat ointment. Melt the fat, add the root and first chop it with a meat grinder. Put the mixture on low heat. After boiling, let it burn for another 7 minutes. Apply the cooled ointment to the affected joint before bedtime. Be sure to insulate the connection. Such a folk remedy perfectly eliminates swelling and other unpleasant signs.
- cabbage compresses. Along with them you need honey. Lubricate the cabbage leaf with a bee product, and then apply it to the painful area. Cover the compress with a plastic bag from above, isolate everything with a woolen cloth. Therapeutic course - a month. It is advisable to lightly massage the joint between compresses.
- 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 and 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 of liquid drink 1 tsp. before a meal for several months.
It should be remembered that folk remedies cannot eliminate the pinched nerve that has appeared in the hip joint. If you experience numbness in the limbs, be sure to consult a neurologist. Also, don't forget that any damage to the joint that causes pain must be recognized immediately and treated appropriately.
Light gymnastics, stretching exercises can prevent violations of the functionality of the joint.