The hip joint is the union of the thigh with the pelvis. The joint is arranged in such a way as to provide any direction of movement of the leg. This feature causes the probability of various damage. The problem causes pain in the hip joint.
The constituent parts of the joint 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 may be:
- Congenital dislocation due to failed delivery. The damage is diagnosed immediately in newborns. The baby has noticeable uneven folds on the buttocks, shortening of the legs. There is often a pinched nerve.
- Traumatic dislocation. It is characterized by pain when moving the leg to the side, it is impossible to stand or sit. Bruises 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 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 on the inside of the thigh. The damaged area swells, a hematoma develops over the joint. The injured limb is shortened, 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.
- perforating fracture. The pain is moderate or severe. Movement aggravates the symptom. Probably a pinched nerve, in which the pain shoots out, the limbs go numb.
Traumatic injuries are a common cause of pelvic back pain. Serious fractures or dislocations often require surgery. If a nerve is pinched, numbness in the leg has begun; see a doctor immediately.
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. Most often the pelvic bones hurt, radiating to the knee, groin and thigh. Movement is difficult, the person is restricted. Inflammation develops within 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 that radiates to the groin begins to be felt a few weeks after the infection. 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 joint never rots. The disease is a precursor to coxarthrosis. Initially there is swelling, throbbing pain, discomfort when walking. Inside the joint, the temperature rises, then stiffness of movements develops. Perceptible pain in the hip joint lying on the side at night. Pathology manifests itself 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:
- Juvenile varus deformity. There is a dull drawing pain radiating down to 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 pain in the joints due to a long walk, running or climbing stairs. In other cases, the discomfort passes. Then the inner side of the thigh hurts, the pain is given in the groin. Daily exercise greatly enhances the sensations, but at rest the discomfort disappears. Due to the long walk, a limp forms, the joint begins to click. Muscle tone worsens, the work of the tendons is disrupted. With an advanced stage of the disease, quite severe pains are observed at night, lameness is already pronounced. Immobility develops as muscles atrophy, losing volume. The therapy can stop the destruction of the joint.
As a result, such diseases lead to constant lameness - a person is limited in his work activity, he cannot 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 provoke pelvic pain in women and men:
- Tuberculous arthritis. The pathology mainly affects young children with weakened immune systems. The child quickly gets tired, runs a little. The thigh muscles begin to atrophy, the leg shortens, the joint snaps. Gradually, a strong pain syndrome develops in the affected joint. Sometimes the pain is sharp, but more often it burns or draws. Later, suppuration develops in the joint, which increases the symptoms.
- purulent arthritis. With such a disease, the temperature rises, the skin around the joint reddens, swelling is noted, and a sharp or sharp pain is felt. Any load (banishly getting out of bed) is painful. The pain shoots up. Therapy cannot be delayed because 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 up the discomfort increases. When the limb is not loaded, the pain only burns.
- Aseptic necrosis of the femoral head. Most of the pathology develops in young men. It causes the deterioration of blood circulation disease in the hip joint. Tissue cells die due to necrosis. The disease is characterized by sharp pain radiating to 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 leg, it is difficult for him to get out of bed in the morning. Very often, only an injection of an analgesic helps the patient. After a few days, the pain symptom disappears. 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 sensations, dull or pulling. The discomfort increases so much that it interferes with night sleep. Any such disease requires immediate treatment.
Treatment
Even when the pain in the hip joint is intermittent, it should be treated without fail. The methods of therapy depend on the triggers 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 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 needs surgery. Operatively, the head of the bone is put into place in the newborn, simultaneously correcting other deficiencies. When the braces have already been removed, the child is shown a light massage to strengthen the muscles.
traumatic dislocation
When there is a traumatic dislocation, the doctor prescribes drugs that eliminate muscle tone and then puts the hip back in place. After this, the patient must remain calm. If there is numbness in 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 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 medications, anti-inflammatories), physiotherapy and therapeutic exercises (muscle stretching is especially useful). Recommended massage from the affected joint.
Preparations along with therapeutic exercises are prescribed only by a traumatologist, surgeon or orthopedist. To strengthen your pelvic muscles, you need to 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, as conservative treatment is rarely effective. However, if it is impossible to perform the operation, the patient is given a 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 sitting is troublesome for him.
When the joint is fractured, there is a burning sensation within the soft tissues. During surgical intervention, fixation of the bony body and head with pins or screws is used for treatment; in difficult cases, an 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 proper treatment does not prevent the probability of a relapse of the disease.
The entire recovery period is required to maintain muscle tone with physical exercises - traditional stretching.
Rheumatoid arthritis
The cause of hip pain in women and men is usually rheumatoid arthritis. Pathology can provoke severe pain, it is impossible to get rid of it completely. However, drug therapy should be used to improve quality of life. Hormonal agents, cytostatics, nonsteroidal 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 joint fixation or arthroplasty. Physical exercises, local ointments are useful.
coxarthrosis
Coxarthrosis therapy seeks to eliminate 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 do 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 cannot get out of bed. You need constant painkillers. In such a situation, only surgery can correct the situation.
Most often, arthroplasty is performed, but this procedure is contraindicated for older people. Because of this, only ancillary operations are arranged for such patients. Surgical treatment is completed with a recovery course: minimal stretching, simple exercises performed under medical supervision.
Proper therapy helps stop the progression of the disease, eliminates painful symptoms.
Features of therapy for infectious lesions
If the pain in the hip joint is caused by an infectious injury, 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 within the soft tissues, it is removed by surgery.
- purulent arthritis. First of all, 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. Also, abscesses are removed. The affected limb must be immobile: the patient is placed in a splint or cast.
- Aseptic necrosis therapy involves the restoration of weak blood flow, the resorption of dead areas. To anesthetize the limb, nonsteroidal anti-inflammatory drugs and vitamin complexes, drugs to reduce blood density, are used. When the thigh hurts, 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 arthroplasties are used.
- Since bursitis causes severe pain, anesthesia must be arranged. For this, anti-inflammatory and analgesic drugs are used, introducing them intramuscularly. Steroid drugs are used to quickly get rid of severe discomfort. Since the joint constantly hurts, it needs to rest.
Limb numbness, burning and pain in the joint, radiating to the limb, are unpleasant sensations that indicate the presence of serious pathology. Sometimes folk recipes help in such a situation.
alternative treatment
When the patient has severe burning pain, problems with the tendons are noted, but it is contraindicated for him to use medications; it is allowed to use popular 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 get rid of pain and reduces swelling of the joint. It is recommended to alternate the clay, applying first blue and then black. It is used at night, wrap the compress with a woolen cloth.
- Homemade ointment made from white foot root and visceral fat. Melt the fat, add the root to it, first chopping it with a meat grinder. Bring the mixture to a simmer. After boiling, keep it on for another 7 minutes. Apply the cooled ointment at bedtime to the affected joint. Be sure to isolate the joint. Such a folk remedy perfectly eliminates puffiness and other unpleasant signs.
- cabbage compressesAlong with them you will need honey. Lubricate the cabbage leaf with a bee product, then apply it to the sore area. Cover the compress from above with a plastic bag, isolate everything with a fleece cloth. Therapeutic course - one month. It is recommended to perform a light massage on the joint in the intervals between 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). Grind the ingredients well with a meat grinder, pour into a container with a tight lid. Pour boiling water over everything, mix. Close the lid and wrap the plate in a blanket. After 12 hours, drink liquid 1 tsp. before a meal for several months.
It must be remembered that the pinched nerve that occurred inside the hip joint, folk remedies cannot be removed. With limb numbness, be sure to visit a neurologist. Also, don't forget that any damage to the joint that causes pain should be promptly identified and treated appropriately.
Light gymnastics, stretching exercises are capable of preventing violations of the functionality of the joint.