The hip joint is the junction 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 likelihood of various damage. The problem causes pain in the hip joint.
The constituent parts of the joint undergo painful changes.
Features of the causes of pain
Injuries
When there is pain in the hip joint, which radiates to the leg and buttocks, the cause of the pathology can be:
- Congenital dislocation due to unsuccessful delivery. Damage is diagnosed immediately in newborns. The child 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. Hematoma and swelling develop in the joint area. Hip dislocation requires immediate treatment of the victim.
- Neck fracture. 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 trivial fall. With a fracture, severe pain is felt, which increases with movement. The very unpleasant discomfort it gives on the inside of the 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. Pain is moderate, but increases with active movement. In a static posture, the symptoms disappear. Such an injury is typical for people who tend to fall. 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, the 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 - run to the doctor immediately.
Systemic diseases
Joint pain can cause systemic connective tissue disorders. Therapy of such diseases must be carried out constantly, as they are practically incurable. Treatment is organized in a complex way, it must provide an impact on the cause of the discomfort.
Such diseases can provoke pain:
- Bechterew's disease. The pain is dull, it gets worse at night. More often the pelvic bones hurt, radiating to the knee, groin, thigh. Movement is difficult, the person is forced. 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, it develops due to an 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 symmetrical damage to the joints.
- Rheumatoid arthritis. The problem is characterized by inflammation of the connective tissue. With pathology, the joint never gets worse. The disease is a precursor of coxarthrosis. Initially, there is swelling, excruciating pain, discomfort at the time of walking. Inside the joint, the temperature rises, so stiffness of movements develops. Noticeable pain in the hip joint lying sideways at night. The 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 acute, pulling or burning, are degenerative changes due to such diseases:
- Juvenile varus deformity. There is a dull pulling pain that radiates into the knee. Sports training increases the intensity of the syndrome.
- Coxarthrosis. The 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, a run or a climb of 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 improves the sensations, but at rest the discomfort disappears. Due to the long walk, a limp is formed, the joint begins to click. Muscle tone worsens, the work of the tendons is disrupted. With an advanced stage of the disease, rather severe pains are observed at night, the lameness is already pronounced. Immobility develops when 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, he is unable to fully train. Getting out of bed in the morning is also 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 quickly gets tired, 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 it burns or tingles. Subsequently, 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 (trivial getting out of bed) is painful. The pain explodes. Therapy cannot be delayed, because a person develops sepsis.
- Bursitis is 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 is only burning.
- Aseptic necrosis of the femoral head. Mostly the pathology develops in young men. It causes the deterioration of the disease of the blood circulation in the hip joint. Tissue cells die from 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 the leg, it is difficult for him to get out of bed in the morning. Most often, only an injection of analgesic helps the patient. After a few days, the pain symptom disappears. As the disease progresses, changes occur in the tendons and muscles that atrophy. Gait disturbance develops due to lameness.
In infectious pathologies, various pains develop: burning sensations, opacity or traction. The discomfort is so increased that it interferes with sleep at night. Any such disease requires immediate treatment.
Treatment
Even when hip joint pain 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 child is placed on the joint with orthopedic products: struts, brackets, it is recommended to use a Freik pillow. Such funds help to keep the limbs of the newborn in a physiological position. The child must be in such condition for at least six months.
When traditional treatment fails, the child needs surgery. Operationally, the head of the bone is placed in its place in the newborn, simultaneously correcting other deficiencies. When the orthopedic devices have already been removed, the child is shown a gentle massage to strengthen the muscles.
Traumatic dislocation
When there is a traumatic dislocation, the doctor prescribes drugs that eliminate muscle tone and then places the hip in place. After this, the patient should be kept 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 syndrome
Therapy for Bechterew's disease is carried out in a complex way. This helps to reduce the intensity of the symptoms caused by the inflammatory process. Treatment consists of taking medications (immunosuppressants, hormonal drugs, anti-inflammatory drugs), physiotherapy and therapeutic exercises (muscle stretching is particularly useful). Massage recommended by the affected joint.
Preparations along 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 a joint replacement.
Fracture of the hip
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 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, impaired 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. Just sitting down is problematic for him.
When the joint is fractured, there is a burning sensation within the soft tissues. During surgery, 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 proper treatment does not prevent the likelihood of a relapse of the disease.
The entire recovery period is needed 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 get rid of it completely. However, drug therapy should be used to improve the quality of life. Hormonal, cytostatics, non-steroidal anti-inflammatory drugs, antirheumatic drugs are used.
Surgery is used only when the disease is advanced, when the patient is practically unable to walk and sit. He recommends fixing the joint or its arthroplasty. Physical exercises, local ointments are useful.
Coxarthrosis
Coxarthrosis therapy seeks to eliminate the causes of unpleasant symptoms. The pathology is initially treated with conservative methods. The patient is recommended to show non-steroidal 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 considerable 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 pain relievers. In such a situation, only surgery can correct the situation.
Most often, arthroplasty is performed, but this procedure is contraindicated for older people. For this reason, only auxiliary operations are organized for such patients. The surgical treatment is completed by a recovery path: minimal stretching, simple exercises performed under medical supervision.
Adequate 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 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 mainly treated conservatively. The patient is required to limit mobility by applying a tight bandage. When an abscess develops within the soft tissue, it is surgically removed.
- Purulent arthritis. First, anesthesia of the affected joint is performed. An intra-articular injection of an analgesic is used for this. Against infections, antibiotics and antibacterial drugs are used, simultaneously using several groups of them, which are prescribed only by a doctor. In addition, the abscesses are removed. The affected limb must be immobile: the patient is placed on a splint or plaster cast.
- Therapy of aseptic necrosis involves the restoration of weak blood flow, the resorption of dead areas. To anesthetize the limb, non-steroidal anti-inflammatory drugs and vitamin complexes are used, drugs to reduce blood density. When the thigh hurts, 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 causes severe pain, it is necessary to arrange anesthesia. For this, anti-inflammatory and analgesic drugs are used, introducing them intramuscularly. Steroid drugs are used to quickly eliminate severe discomfort. Since the joint is constantly sore, it needs rest.
Numbness of the limb, burning and pain in the joint, which radiates to the limb, are unpleasant sensations that indicate 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 noted, but it is contraindicated for him to use medicines - 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 any folk remedies, medical approval for such a procedure must be obtained.
Here are some tips:
- Clay pack. Such a folk remedy helps to eliminate pain and reduce swelling of the joint. It is advisable to alternate the clay, applying blue first and then black. It is used at night, wrap the compress with a woolen cloth.
- Homemade ointment prepared with 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 on the stove for another 7 minutes. Apply the cooled ointment before going to bed on the affected joint. Make sure you insulate the joint. Such a folk remedy perfectly eliminates swelling, 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, isolate everything with a woolen cloth. Therapeutic course - one month. It is recommended to do a light massage for the joint in the intervals between compresses.
- The remedy based on lemon, garlic and celery relieves intense 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 an airtight 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, don't forget that any joint damage that causes pain must be promptly identified and properly treated.
Light gymnastics, stretching exercises are able to prevent violations of the functionality of the joint.