The hip joint is the junction of the thigh with the pelvis. The articulation is arranged in such a way that it provides any direction of movement of the leg. This feature causes the likelihood of various damages. Trouble causes pain in the hip joint.
The constituent parts of the articulation undergo painful changes.
Characteristics of the causes of pain
Injuries
When there is pain in the hip joint, radiating to the leg and buttock, the cause of the pathology can be:
- Congenital dislocation due to unsuccessful delivery. 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. Hematoma and swelling develop in the joint area. Dislocation of the hip requires immediate treatment of the victim.
- Neck fracture. The 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 women is a banal fall. With a fracture, a sharp pain is felt, which increases with movement. Very unpleasant discomfort gives inside the thigh. The damaged area swells, a bruise develops over 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 who are prone to fall. The victim is lame, but this condition quickly passes.
- Perforating fracture. The pain is moderate or severe. Movement aggravates the symptom. Probably a pinched nerve, in which the pain shoots, the limbs go numb.
Traumatic injuries are a common cause of back pain in the pelvis. Serious fractures or dislocations often require surgery. If a nerve is pinched, leg numbness has begun - immediately rush to the doctor.
Systemic diseases
Pain in the joint can provoke systemic pathologies of the connective tissue. Therapy of such diseases is required to be carried out constantly, since they are practically incurable. Treatment is organized complex, it must provide an impact on the cause of discomfort.
Such diseases can provoke pain:
- Bechterew's disease. The pain is dull, worse at night. More often the pelvic bones hurt, radiating to the knee, groin, thigh. Movement is difficult, the person is constrained. 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, develops due to intestinal infection. Pain in the hip joint radiating to the groin begins to be felt a few weeks after 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 fester. The disease is a precursor of coxarthrosis. Initially, there is swelling, shooting pain, discomfort at the time of walking. Inside the joint, the temperature rises, then stiffness of movements develops. Noticeable pain in the hip joint lying on the side at night. Pathology is manifested both 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:
- Varus juvenile deformity. There is a pulling dull pain radiating into the knee. Sports 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. Signs of the disease: the patient has joint pain due to a long walk, running or climbing up the 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 enhances the sensations, but at rest the discomfort disappears. Due to the long walk, lameness is formed, the joint begins to click. The muscle tone worsens, the work of the tendons is disturbed. With 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. Therapy can stop the destruction of the joint.
Such diseases provoke constant lameness, as a result - a person is limited in his work 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 articular bag, tendons or muscles can cause discomfort. Infectious diseases also provoke pain in the pelvis in women and men:
- Tuberculous arthritis. 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 clicks. Gradually, a strong pain syndrome develops in the affected joint. Sometimes the pain is sharp, but more often burning or pulling. 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 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 an inflammation that affects the joint bag. The main symptom is pain spreading down the leg. It is acute, when standing up the discomfort increases. When the limb is not loaded, the pain is only burning.
- Aseptic necrosis of the femoral head. Mostly pathology develops in young men. Causes disease deterioration 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. Most often, only an injection of an analgesic helps the patient. After a few days, the pain symptom goes away. When the pathology progresses, changes occur in the tendons and muscles that atrophy. Gait disturbance develops due to lameness.
In infectious pathologies, different pains develop: burning, dull or pulling sensations. Discomfort is so increased that it interferes with sleep at night. Any such disease requires immediate treatment.
Treatment
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: struts, stirrups, it is recommended to use a Freik pillow. Such funds help maintain the limbs of the newborn 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. Operatively, the head of the bone is set in its place in the newborn, simultaneously correcting other shortcomings. When the orthopedic devices are already removed, the child is shown a light massage to strengthen the muscles.
Traumatic dislocation
When there is a traumatic dislocation, the doctor prescribes medications that eliminate muscle tone, and then sets the hip into place. After this, the patient should be kept calm. If there is numbness of the limb, it means that the nerve is pinched. In such a situation, you can not 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 that the inflammatory process provokes. Treatment consists of taking medications (immunosuppressants, hormonal drugs, anti-inflammatory drugs), physiotherapy, and therapeutic exercises (muscle stretching is especially useful). Recommended massage from the affected joint.
Preparations together with 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 prescribed joint replacement.
Hip fracture
Therapy of such an injury is carried out by a traumatologist. Surgery is recommended for the patient, since conservative treatment is rarely effective. However, if it is impossible to do the operation, the patient is given a plaster 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, 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 just sitting is problematic for him.
When the joint is fractured, there is a burning sensation inside 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 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 period of recovery is required 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 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, non-steroidal anti-inflammatory drugs, antirheumatic drugs are used.
Surgical intervention is used only when the disease is advanced, 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 seeks to eliminate the causes of unpleasant symptoms. 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.
In the treatment, warming ointments and painkillers are actively used. Additionally, 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 not able to get out of bed. He needs constant painkillers. In such a situation, only surgery can correct the situation.
Most often, arthroplasty is done, but this procedure is contraindicated for older people. Because of this, only auxiliary operations are organized for such patients. The surgical treatment is completed by a recovery course: minimal stretching, simple exercises performed under medical supervision.
Proper therapy helps to stop the progression of the disease, eliminate painful symptoms.
Features of therapy for infectious lesions
If the pain in the hip joint is provoked by an infectious lesion, then 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 predominantly treated conservatively. The patient is required to limit mobility by applying 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, an intra-articular injection of an analgesic is used. Antibiotics and antibacterial drugs are used against infection, using simultaneously different groups of them, which are prescribed only by a doctor. Additionally, abscesses are removed. The affected limb must be immobile - the patient is put on a splint or a plaster cast.
- Therapy of aseptic necrosis involves the restoration of weak blood flow, resorption of dead areas. To anesthetize the limb, non-steroidal anti-inflammatory drugs and vitamin complexes, drugs to reduce blood density are used. When the thigh aches, an anesthetic ointment and massage procedures are additionally prescribed. The disease is still treated with physiotherapeutic agents, therapeutic exercises. In complicated situations, minimally invasive operations or joint arthroplasty are used.
- Since bursitis provokes severe pain, anesthesia should be arranged. For this, anti-inflammatory drugs and analgesics are used, introducing them intramuscularly. Steroid drugs are used to quickly eliminate severe discomfort. Since the joint is constantly aching, it needs rest.
Numbness of the limb, burning and pain in the joint, which radiates 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 has severe burning pain, problems with the tendons are noticeable, but it is contraindicated for him to use medicines - it is allowed to use folk recipes. Although they are not a panacea, however, 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 eliminate pain and reduce swelling of the joint. Clay is recommended to alternate, first applying blue and then black. It is used at night, wrap the compress with a woolen cloth.
- Homemade ointment prepared from white foot root and visceral fat. Melt the fat, add the root to it, chopping it first with a meat grinder. Put the mixture on low heat. After boiling, keep on fire 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. Together with them you will need honey. Lubricate the cabbage leaf with a bee product, then apply it to the painful area. Cover the compress from above with a plastic bag, insulate everything with a woolen cloth. Therapeutic course - a month. It is recommended to do a light massage for the joint in the intervals 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). Grind the 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 wrap the dish with a blanket. After 12 hours, drink liquid 1 tsp. 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 visit a neurologist. Also, do not forget that any damage to the joint that provokes pain must be promptly identified and adequately treated.
Light gymnastics, stretching exercises are capable of preventing violations of the functionality of the joint.