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 for the leg. This feature causes the probability of various damages. 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, radiating to the leg and buttock, the cause of the pathology can be:
- Congenital dislocation due to unsuccessful delivery. The damage is diagnosed immediately in newborns. The baby has noticeable irregular folds in the buttocks, shortening 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 area of the joint. Hip dislocation requires immediate treatment from 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 the woman is a banal fall. With a fracture, you feel a sharp pain, 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 compresses a nerve, the hip goes 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 are prone to falling. 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 up, 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, leg numbness has started - immediately rush to the doctor.
systemic diseases
Joint pain can cause systemic connective tissue pathologies. The therapy of such diseases must be carried out constantly, as they are practically incurable. Treatment is complex organized, it must provide an impact on the cause of discomfort.
Such diseases can cause pain:
- Bechterew's disease. Pain is dull, worse at night. More often, the pelvic bones hurt, radiating to the knee, groin, thigh. The movement is difficult, the person is constrained. Inflammation develops within the joint.
- Reiter's Syndrome. The disease is characterized by damage to Organs 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 starts 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 rots. The disease is a precursor of coxarthrosis. Initially, there is swelling, sharp pain, discomfort when walking. Inside the joint, the temperature rises, so stiffness of movement develops. Noticeable pain in hip joint lying on side at night. The pathology manifests itself 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, and quite acute, pulling or burning, are degenerative changes due to such diseases:
- Juvenile varus deformity. There is a dull pulling 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 pain in the joints due to a long walk, run 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 increases sensations, but at rest the discomfort disappears. Due to the long walk, lameness is formed, the joint begins to click. Muscle tone worsens, the work of the tendons is interrupted. 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. Therapy can stop joint destruction.
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 joint pouch, tendons, or muscles can cause discomfort. Infectious diseases also cause 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 snaps. Gradually, a severe pain syndrome develops in the affected joint. Sometimes the pain is sharp, but more often it burns or pulls. Later, suppuration develops in the joint, which increases symptoms.
- Purulent arthritis. With this disease, the temperature rises, the skin around the joint turns red, swelling is noticeable, and a sharp or sharp pain is felt. Any burden (getting out of the banal bed) is painful. The pain shoots. 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 through the leg. It is acute, when getting up the discomfort increases. When the limb is not loaded, the pain is just burning.
- Aseptic necrosis of the femoral head. Mainly the pathology develops in young men. It causes deterioration of blood circulation disease in the hip joint. Tissue cells die due to necrosis. The disease is characterized by sharp pain that radiates to the groin, a sharp burning sensation in the affected area. It hurts so much that the young man loses the ability to stand on his leg, it is difficult for him to get out of bed in the morning. Most of the time, just an injection of pain reliever 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 disorder develops due to lameness.
In infectious pathologies, different pains develop: burning, dull or pulling sensations. The discomfort is so heightened that it interferes with sleep at night. Any such disease requires immediate treatment.
Treatment
Even when hip joint pain is intermittent, it should be treated flawlessly. Therapy methods depend on the symptom triggers.
congenital dislocation
When the dislocation is congenital, the baby is placed in the joint with orthopedic products: supports, stirrups, the use of a Freik pillow is recommended. These funds help to keep the newborn's limbs 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 bone head is put in place in the newborn, while correcting other deficiencies. When the orthopedic appliances are already removed, the child receives 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 in place. After that, the patient should be kept calm. If there is numbness in the limb, it means that the nerve is compressed. In such a situation, you cannot do without an examination by a neurologist.
Bechterew syndrome
Therapy for Bechterew's disease is performed in a complex way. This helps to reduce the intensity of the symptoms that the inflammatory process causes. Treatment consists of taking medication (immunosuppressants, hormonal drugs, anti-inflammatories), physical therapy and therapeutic exercises (muscle stretching is especially helpful). Recommended massage of the affected joint.
Preparations along with therapeutic exercises are prescribed only by a traumatologist, surgeon or orthopedist. To strengthen your pelvic muscles, you should swim more. In difficult situations, the patient receives 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 the operation is impossible, the patient is given a cast from the heel to the lower back. In older people, these damages rarely grow together—the recovery process takes months.
Among the consequences of the disease, there is a reduction in the functionality of the cardiovascular and respiratory systems, since the patient does not have the opportunity to move normally and lead an active lifestyle. Even sitting is problematic for him.
When the joint is fractured, there is a burning sensation within the soft tissues. During the surgical intervention, fixation of the bone body and head with pins or screws is used for the 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. 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 necessary to maintain muscle tone with physical exercises - traditional stretches.
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 fixation of 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. It is recommended that the patient receive non-steroidal anti-inflammatory drugs, chondroprotectors, drugs that improve blood circulation.
In the treatment, heating ointments and analgesics are actively used. In addition, it is recommended that the patient undergo light therapeutic training. Often the joint requires anesthesia, so 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. He needs constant painkillers. In such a situation, only surgery can correct the situation.
Most of the time, arthroplasty is performed, but this procedure is contraindicated for the elderly. Therefore, only auxiliary operations are organized for these patients. Surgical treatment is complemented by a course of recovery: minimal stretching, simple exercises performed under medical supervision.
Proper therapy helps to stop the progression of the disease, eliminates painful symptoms.
Features of therapy for infectious lesions
If hip joint pain 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 soft tissue, 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, simultaneously 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 in a splint or cast.
- Therapy of aseptic necrosis involves restoration of poor 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 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 arthroplasty are used.
- As bursitis causes severe pain, anesthesia must be provided. For this, anti-inflammatories and analgesics are used, introducing them intramuscularly. Steroid drugs are used to quickly eliminate severe discomfort. As the joint is constantly hurting, 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 popular recipes help in this situation.
Alternative treatment
When the patient has severe burning pain, problems with the tendons are noticeable, but the use of drugs is contraindicated - the use of folk recipes is allowed. Although they are not a panacea, however, 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 joint swelling. It is recommended to alternate clay, applying blue first and then black. It is used at night, wrap the compress with a woolen cloth.
- Homemade ointment prepared from the root of white foot and visceral fat. Melt the fat, add the root to it, cutting it first with a meat grinder. Put the mixture on low heat. After boiling, keep 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 eliminates swelling, other unpleasant signs.
- cabbage compresses. Along with them you will need honey. Lubricate the cabbage leaf with a beekeeping product and apply it to the painful area. Cover the top compress with a plastic bag, insulate everything with a woolen cloth. Therapeutic course - one month. It is recommended to give a light massage to 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 well 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 limb numbness, be sure to visit a neurologist. Also, remember that any damage to the joint that causes pain must be promptly identified and treated accordingly.
Light gymnastics, stretching exercises are able to prevent violations of joint functionality.