The hip joint is the junction of the thigh and the pelvis. The articulation is arranged in such a way that it provides every direction of movement of the foot. This feature causes a variety of damages. The problem causes pain in the hip joint.
The components of the articulation undergo painful changes.
Characteristics of the causes of pain
Injuries
When there is pain in the hip joint radiating to the legs and buttocks, the cause of the pathology may be:
- Congenital dislocation due to unsuccessful birth. The damage is diagnosed immediately in newborns. The baby has noticeable uneven folds on the buttocks, shortening the legs. Nerve pinching is common.
- Traumatic dislocation. It is characterized by pain when moving the legs to the side, it is impossible to stand or sit. Hematoma and swelling develop in the area of the joints. Dislocation of the hip joint 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 the right thigh in the upper part of women is a banal fall. In case of a fracture, sharp pain is felt, which increases with movement. Very unpleasant discomfort gives inside the thigh. The damaged area swells, a bruise forms above the joint. The injured limb becomes shorter, lameness develops. If the injury pinches a nerve, the thigh becomes numb.
- Damage to the joints. The pain is moderate, but intensifies with active movement. In a static position the symptoms disappear. Such an injury is typical of people who are prone to fall. The victim is lame, but this condition passes quickly.
- Perforating fracture. The pain is moderate or severe. Movement worsens the symptom. Probably a pinched nerve in which the pain shoots, the limbs tingle.
Traumatic injuries are a common cause of pelvic back pain. Serious fractures or dislocations often require surgery. If a nerve is pinched, numbness of the legs has begun - rush to the doctor immediately.
Systemic diseases
Joint pain can provoke systemic connective tissue pathologies. The treatment of such diseases should be carried out constantly, as they are practically incurable. The treatment is organized comprehensively, it must have an impact on the cause of discomfort.
Such diseases can provoke pain:
- Bechterew's disease. The pain is dull, stronger at night. Pelvic bones radiating to the knee, groin, thigh are more common. The movement is difficult, the person is constricted. Inflammation develops inside the joint.
- Reiter's syndrome. The disease is characterized by damage to the genitourinary system, joints and inflammation of the conjunctiva. Pathology refers to autoimmune diseases that develop 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. In pathology, the joint never festers. The disease is a precursor to coxarthrosis. Initially there is swelling, shooting pain, discomfort while walking. Inside the joint, the temperature rises, then stiffness develops. Noticeable pain in the hip joint lying on its side at night. The pathology is manifested both on the right and on the left. Due to the destruction of the joint, the nerves are compressed.
Degenerative changes
The causes of pain in the hip joint, quite sharp, pulling or burning, are degenerative changes due to such diseases:
- Varus adolescent deformity. There is a dull aching pain radiating to 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 long walks, running or climbing stairs. In other cases, the discomfort passes. Then the inner side of the thigh hurts, the pain is attributed to the groin. Daily exercise significantly enhances the sensations, but at rest the discomfort disappears. Due to long walking lameness is formed, the joint begins to click. Muscle tone deteriorates, tendon function is impaired. At an advanced stage of the disease there is quite severe pain at night, lameness is already pronounced. Immobility develops as muscles atrophy, lose volume. Therapy can stop the destruction of the joint.
Such diseases provoke constant lameness, as a result - a person is limited in their work, is not able to train fully. 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 sac, 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 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 intensifies the symptoms.
- Purulent arthritis. In such a disease, the temperature rises, the skin around the joint turns red, swelling is observed and sharp or sharp pain is felt. Any load (banal getting out of bed) is painful. The pain goes through. Therapy cannot be delayed because the person develops sepsis.
- Bursitis is an inflammation that affects the joint sac. The main symptom is pain that spreads down the legs. It is acute, when straightening the discomfort increases. When the limb is not loaded, the pain is only burning.
- Aseptic necrosis of the femoral head. Most often the 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 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 feet, in the morning it is difficult for him to get out of bed. Most often, the patient is only helped by an injection of an analgesic. After a few days, the pain symptom disappears. As the pathology progresses, changes occur in the tendons and muscles that atrophy. Gait disturbance develops due to lameness.
Infectious pathologies develop various pains: burning, dull or pulling sensations. The 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 periodic, it must be treated without fail. The methods of therapy depend on the provokers of the symptom.
congenital dislocation
When the sprain is congenital, the baby is placed on the joint with orthopedic products: props, stirrups, the use of a Freik pillow is recommended. Such means help to keep the limbs of the newborn in a physiological position. The baby should be in such conditions for at least six months.
When traditional treatment fails, the baby needs surgery. The bone head is surgically placed in place in the newborn, while other defects are corrected. 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 drugs that remove muscle tone, and then puts the thigh in place. The patient should then remain calm. If there is tingling in the limb, it means that the nerve is compressed. In such a situation you can not do without an examination by a neurologist.
Bechterew's syndrome
The treatment of Bechterew's disease is complex. This helps to reduce the intensity of the symptoms that provoke the inflammatory process. Treatment consists of medication (immunosuppressants, hormonal drugs, anti-inflammatory drugs), physiotherapy and therapeutic exercises (muscle stretching is especially useful). Recommended massage of the affected joint.
Preparations together with therapeutic gymnastics are prescribed only by a traumatologist, surgeon or orthopedist. To strengthen your pelvic floor muscles, you need to swim more. In difficult situations, the patient is prescribed joint replacement.
Thigh fracture
The treatment of such an injury is performed 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 placed a plaster bandage from heel to waist. In older people, such injuries rarely grow together - the recovery process takes months.
Among the consequences of the disease is the reduced functionality of the cardiovascular and respiratory systems, as the patient is unable to move normally and lead an active lifestyle. Even sitting is problematic for him.
When the joint is broken, there is a burning sensation inside the soft tissues. During the surgical intervention, fixation of the body and the head of the bone with pins or screws is used for treatment, in difficult cases endoprosthesis is performed.
Reiter's disease
Antibiotics, glucocorticosteroids, anti-inflammatory drugs, drugs that suppress the immune system, and topical ointments are used to treat Reiter's pathology. The therapy lasts more than four months. Even adequate treatment does not prevent the likelihood of recurrence of the disease.
The whole recovery period is necessary to maintain muscle tone with exercise - traditional stretching.
Rheumatoid arthritis
Rheumatoid arthritis is often the cause of hip pain in women and men. 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, non-steroidal anti-inflammatory drugs, antirheumatic drugs are used.
Surgery is used only when the disease is advanced, when the patient is virtually unable to walk or sit. Fixation of the joint or its arthroplasty is recommended. Exercise and local ointments are useful.
Coxarthrosis
Coxarthrosis therapy seeks to eliminate the causes of unpleasant symptoms. Initially, the pathology is treated with conservative methods. The patient is recommended to show non-steroidal anti-inflammatory drugs, chondroprotectors, drugs that improve blood circulation.
Warming ointments and painkillers are actively used in the treatment. In addition, the patient is advised to undergo light therapeutic training. The joint often requires anesthesia, which is why intramuscular injections are used for significant discomfort.
In advanced disease, conservative therapy does not have the desired effect. Any strain on the joints impairs the well-being of the patient. Without the help of a stranger, the patient cannot get out of bed. He needs constant painkillers. In such a situation, only surgery can correct the situation.
Arthroplasty is most often performed, but this procedure is contraindicated for the elderly. Therefore, only ancillary operations are organized for such patients. Surgical treatment ends with a recovery course: minimal stretching, simple exercises performed under medical supervision.
Proper therapy helps to stop the progression of the disease, to eliminate painful symptoms.
Characteristics of the therapy of infectious lesions
If the pain in the hip joint is provoked by an infectious lesion, then you should first contact a specialist in infectious diseases. How to relieve pain in the hip joint with such pathology? It all depends on the type of disease:
- Tuberculous arthritis is mostly treated conservatively. The patient is required to limit mobility by applying a tight bandage. When an abscess develops in the soft tissues, it is removed by surgery.
- Purulent arthritis. Anesthesia of the affected joint is performed first. Intra-articular analgesic injection is used for this. Antibiotics and antibacterial drugs are used against the infection, using different groups of them at the same time, which are prescribed only by a doctor. In addition, abscesses are removed. The affected limb must be immobile - the patient is placed a splint or plaster bandage.
- Treatment of aseptic necrosis includes restoration of poor blood flow, resorption of dead zones. Non-steroidal anti-inflammatory drugs and vitamin complexes, drugs to reduce blood density are used to anesthetize the limb. When the thigh hurts, anesthetic ointment and massage procedures are additionally prescribed. The disease is still treated with physiotherapy, healing exercises. In complex situations, minimally invasive surgery or joint replacement is used.
- As bursitis provokes severe pain, anesthesia should be arranged. For this, anti-inflammatory drugs and analgesics are used, administered intramuscularly. Steroid drugs are used to quickly eliminate severe discomfort. Because the joint hurts constantly, 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 serious pathology. Sometimes folk recipes help in such a situation.
Alternative treatment
When the patient has severe burning pain, tendon problems are noticed, but it is contraindicated to use drugs - 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 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. Used at night, wrap the compress with woolen cloth.
- Homemade ointment made from white leg 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, leave on the 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 removes puffiness, other unpleasant symptoms.
- cabbage compresses. Along with them you will need honey. Smear the cabbage leaf with bee product, then apply it on the sore spot. Cover the compress on top with a plastic bag, insulate everything with woolen cloth. Therapeutic course - one month. It is recommended to do a light massage of the joint in the intervals between compresses.
- The drug with lemon, garlic and celery 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-fitting lid. Pour boiling water over everything, stir. Close the lid and wrap the container with a blanket. After 12 hours, drink 1 teaspoon of liquid before meals for several months.
It should be remembered that pinched nerve, arising inside the hip joint, folk remedies can not remove. Be sure to see a neurologist if your limb tingles. Also, remember that any joint damage that provokes pain must be identified in a timely manner and adequately treated.
Light gymnastics, stretching exercises are able to prevent dysfunction of the joint.