Diseases of the hip joint usually cause pain in the hip or groin. External pain in the hip, pain that passes through the upper thigh and buttocks, is usually caused by problems with the muscles, ligaments, tendons and other soft tissues surrounding the hip joint.
Sometimes hip pain can be caused by diseases and problems in other areas of your body, for example, in the lumbar spine or in the knees. This type of pain is referred to as "reflected" pain. Most cases of hip pain can be controlled at home.
Pathology of the hip joint
A hip pain can come from structures located within the hip joint, as well as from structures surrounding the hip. The hip joint is a potential space, which means that inside it is the minimum amount of fluid that allows the neck of the thigh to slide into the socket of the hinge. Any disease or trauma associated with inflammation leads to the filling of this space with fluid or blood. As a result, the femoral capsule is stretched, which leads to the appearance of painful symptoms.
The femoral neck and the hinge cavity are covered with articular cartilage, which allows the bones to move inside the joint with minimal friction. In addition, the area of the nest of the acetabulum is covered with hard cartilage, called the "acetabulum". Like any other articular cartilage, these areas can be rubbed or torn, causing pain.
There are groups of thick tissues that surround the hip joint, forming a capsule. They help to maintain the stability of the joint, especially during movement.
The movement in the hip joint is due to the muscles surrounding the thigh and the ligaments attached to the hip joint. In addition to controlling movement, these muscles also act together, maintaining the stability of the joint. There are large synovial bags (closed sacs filled with fluid) that surround the thigh area and allow the muscles and ligaments to easily slide along the bony protrusions. Each of these structures can become inflamed.
Hip pain with intervertebral hernia of the lumbar spine
Hip pain may occur with intervertebral hernia of the lumbar spine. The intervertebral hernia is associated with problems with the mepionic disc located between the bones of the spine (vertebrae), "strung" on each other and forming the spine.
The intervertebral disc resembles a donut with a jelly with a gel-like center enclosed in a more rigid outer shell. Intervertebral hernia occurs when soft contents come out through a hard shell. Hernia can irritate nearby nerves. If we are dealing with a hernia in the lumbar spine, then one of its symptoms may be pain in the hip. The pain goes along the sciatic nerve. Characterized by pain on the back of the front or side of the thigh.
In the presence of a herniated disc, one foot is more often affected. The pain can be of varying intensity from mild to intolerable pain. More often, pain is combined with pain in the lower back, groin, leg, and foot. Also characterized by numbness in the thigh, lower back, lower leg and foot. Usually, improvement occurs when moving, if the hernia of the disk is small or medium in size.
It is believed that the spread of pain in the leg with vertebral hernia (sciatica) speaks of its greater size than if the pain were only in the lower back.
Hip pain with intervertebral hernia is the most common cause of pain in the hip at the age of 60 years, after the age of 60 the primacy goes to coxarthrosis. In second place are various types of injuries. The remaining reasons are rare.
Other types of nerve damage can also cause pain in the hip, for example, during pregnancy often occurs associated with inflammation of the lateral skin nerve of the thigh. The pain of an inguinal hernia can also "resonate" in the thigh.
In any case, hip pain can be caused by various reasons, which requires the doctor to search for the source of the problem, be it an injury or illness. In the absence of traumatic injury, an approach to diagnosing hip pain requires a broad understanding of the situation.
Fall is the most common cause of hip fracture in the elderly. The fracture in this case occurs as a result of two problems associated with aging, osteoporosis (thinning of the bones) and loss of balance. In some cases, the bone may spontaneously break due to osteoporosis, which, in turn, will trigger a fall.
By "hip fracture" is meant a fracture of the proximal or upper thigh.
It is necessary to know the exact location of the fracture, since the surgeon's decision regarding adequate surgical intervention is based on this, allowing the restoration of bone damage.
In addition to falling, any injury can potentially cause a hip fracture. Depending on the mechanism of damage, the femur may not break, on the contrary, a part of the pelvis may be broken (most often, a branch of the pubic bone). Initially, pain may be felt in the femoral region, but an examination and X-rays may reveal another source of pain. Trauma can also cause a hip dislocation where the neck of the thigh comes out of the acetabulum. It is almost always associated with an acetabular (pelvic bone) fracture, however, in people with a replaced hip joint, an artificial hip can shift spontaneously.
Closed injuries (bruises)
Closed injuries (bruises), sprains and sprains of muscles and tendons can be the result of trauma, and even though the bone remains intact, they can cause severe pain. Sprains occur when ligament injuries occur, while sprains of muscles and tendons are associated with damage to these structures. When walking or jumping, as well as when performing any vigorous activity, there is a significant pressure of the body weight on the hip joint. Muscles, synovial sacs and ligaments are “designed” to protect the joint from stress. When these structures are inflamed, the thigh cannot function properly, leading to pain.
Injury from overload
Hip pain can also be associated with overload injuries that cause inflammation of muscles, tendons and ligaments. These injuries can be caused by normal everyday activities that cause excessive tension in the hip joint, or specific vigorous movement. Overloading can also cause a gradual abrasion of the cartilage in the hip joint, which leads to arthritis (arth = joint + itis = inflammation).
It is also worth mentioning other structures that can become inflamed and cause pain in the hip. The ileo-tibial tract extends from the crest of the pelvic bone down to the outside of the thigh and to the knee. This group of tissues can inflame and cause pain in the hip, knee, or both areas. This type of overload trauma begins gradually and manifests itself in the tension of the muscle groups surrounding the knee and thigh. Pear-shaped muscle syndrome, in which the pear-shaped muscle irritates the sciatic nerve, can also cause pain spreading to the back of the thigh.
Inflammation of the synovial sac (bursitis)
The acetabular synovial bag is a pouch on the outer part of the thigh that protects the muscles and tendons where they cross the skew of the femur (the bone protrusion on the femur).
Acetabular bursitis is associated with inflammation of the synovial sac. A synovial bag may become inflamed due to a variety of reasons, including a slight injury or overload.
Causes of Nontraumatic Hip Pain
Hip pain can be caused by various diseases. Anything that causes systemic inflammation in the body can also affect the hip joint. The synovium is an epithelial ("lining") tissue that covers those parts of the hip joint that are not covered by cartilage. Synovitis (syno = synovial membrane + itis = inflammation) or inflammation of this lining tissue causes fluid to seep into the joint, causing swelling and pain.
Osteoarthritis is the most common cause of hip pain in people over 50, however, there are other types of arthritis. These include:
- rheumatoid arthritis,
- ankylosing spondyloarthritis (ankylosing spondylitis - Strumpell's disease - Marie),
- arthritis associated with inflammatory bowel disease (Crohn's disease or ulcerative colitis).
Some systemic diseases are associated with pain in the hip, for example, sickle cell anemia, in which the joint may become inflamed during a sickle crisis with or without a main infection. The hip joint is not the only joint that can cause hip inflammation. Examples include Lyme disease, Reiter's syndrome and infections caused by food poisoning.
Nonvascular necrosis of the femoral neck may occur in people who take corticosteroids for a long time (for example, prednisone). In this situation, the femoral neck loses blood supply, becomes weakened and causes pain in the hip.
Legg-Calvet-Perthes disease (Perthes disease, osteochondritis of the femoral head) is associated with idiopathic avascular necrosis of the femoral neck in children. Most often, it affects boys aged 4 to 8 years.
Fibromyalgia is a systemic pain associated with pain and tension that can cause severe body discomfort, and also affects the thigh. When fibromyalgia is also observed sleep disturbances, muscle spasms and cramps, soreness of many muscle groups of the whole body and fatigue.
Hip pain symptoms
It is often difficult to describe hip pain, and patients may complain that they just have a hip sore. The location, nature, intensity of pain, factors affecting the improvement / deterioration of the condition depend on the damaged structure and the exact cause of inflammation or injury.
- Hip pain can be felt as an “anterior” pain in the inguinal region or as an anterior pain in the buttocks. Sometimes patients may complain of pain in the knees, which, in fact, comes from the hip.
- Hip injury: when falling, direct impact, dislocation or stretching pain occurs almost immediately.
- Overload injury: pain can appear after minutes or hours when the surrounding hip joint inflamed muscles spasm or the articular surface becomes inflamed, causing fluid to build up.
- Pain: most often, the pain is felt in the front of the thigh, but the joint has three dimensions. The pain can also go along the outer thigh or even be felt in the area of the buttocks.
- Claudication: Claudication is a way to compensate, trying to minimize the amount of weight that the thigh should support when walking. Limping is never normal. Limping causes an irregular load on other joints, including the back, knees, and ankles, and if the lameness persists, these areas can also become inflamed and cause further symptoms.
- At fracture of the femoral neck, acute pain arises instantly and worsens with almost every movement. The muscles of the thigh cause displacement of the fracture, while the leg may appear smaller or turned outward. If there is no offset, then the leg may look normal. Pelvic fractures cause the same pain as hip fractures, but the leg looks normal.
- Herniated disc: the pain usually begins in the lumbar spine and radiates to the buttocks and the front, back or side of the thigh. It can be described in different ways due to the infringement of the nerve. Some typical terms used to describe sciatica include: acute or cutting pain and burning. The pain may worsen when straightening the knee, because this action causes the tension of the sciatic nerve, making it difficult to get up from a sitting position or fast walking. There may also be numbness and tingling. Loss of control over urination and defecation may indicate the presence of horsetail syndrome. If this condition is not recognized and is not treated, there is a risk of irreparable damage to the spinal cord.
- Arthritis: Arthritis pain tends to worsen after a period of inactivity and decrease with activity, but if the activity increases, the pain returns.
Diagnosis of hip pain
If there is no traumatic history and the pain is combined or previously combined with back pain, then the first type of study should be a magnetic resonance imaging of the lumbosacral spine and consult a neurologist.
After injury, you must consult a traumatologist.
If coxarthrosis is suspected, consult a surgeon.
Hip injuries include:
- bruises of the pelvis, hip, upper thigh,
- fracture in the field of the skewers of the femur,
- fracture of the sacrum,
- dislocations of the femur,
- stretching and tearing of muscles and ligaments,
- femoral neck fracture
- compression fracture of the 5th lumbar vertebra.
It should be noted that the rupture of the ligaments of the hip may occur not only due to injury, but also because of the onset and development of degenerative processes in them. For the rupture is characterized by acute pain and impaired mobility of the joint.
Osteoarthritis of the hip joint
Coxarthrosis, or hip joint arthrosis, is a disease in which hip joint wear occurs. It is one of the most common reasons why the right and / or left hip hurts. A distinctive feature of this disease is pain, localized in the groin and extending down the lateral and anterior femoral surface. Often, sensations can be projected on the buttock or radiating to the knee, they appear when walking or rising from a chair. Other clinical manifestations of coxarthrosis include:
- a significant limitation of the mobility of the affected limb (the inability to perform rotational movements, pull the leg to the chest or take it to the side),
- crunch in the hip joint
- shortening of the leg (appears in advanced stages of the disease).
Arthritis of the hip joint
There are a number of arthritis that can cause inflammatory processes in the hip joints. Despite the fact that this phenomenon is quite rare, it exists and is subject to it, mostly people aged 15 to 40 years.
Pain symptoms are most strongly felt at night, and their intensity is quite high. They do not subside even with a change in body position. When walking, the pain subsides somewhat, and in the evening (after the patient has “dispersed”) they can completely disappear, but at night they will again make themselves felt.
Heart attack of the hip joint - aseptic necrosis of the femoral head
Heart attack of the hip joint - this is exactly the diagnosis made to five percent of patients who complain of pain in the hip. This disease is characterized by rapid development, pain symptoms are increasing within 1-3 days and become almost unbearable at night. Their weakening is observed at 4–5 in the morning. Men suffer from this disease 8 times more often than women.
Inflammation of the femoral tendons
This disease is diagnosed by 25 - 30% of the number of patients who complain of pain symptoms. Most often, women suffer from this disease, with the peak of the disease occurring during menopause, during which weakening of muscles and tendons is often observed. The development of the disease occurs rapidly - in a period of 3 to 15 days. The thigh hurts laterally in soft tissues on the outer surface either on one side or on two. Unpleasant sensations are quite intense, they appear when walking or lying on the affected side. Restriction of movement in the hip joint is not observed.
Pear Muscle Syndrome
Another very common cause of pain in the hip is the pear-shaped muscle syndrome. It occurs during pathological processes in the lumbar spine and, as a rule, is one-sided. The increase in pain occurs within 1 to 3 days due to:
- lifting weights
- sharp unsuccessful movement.
The pain is localized in the buttock and lumbar region, and the sacrum is often sore. Sometimes painful sensations descend along the back of the lower limb to the heel.
In addition, the thigh can ache inside or outside and for a number of other reasons:
- endocrine system pathologies leading to the destruction of cartilage and bone tissues,
- pathology of arterial vessels
- infectious processes in the bones of the thigh and pelvis,
- malignant bone tumors.
Causes due to which hip joints ache
The hip joint is the strongest joint, it can withstand many repetitive movements and is durable. If the aching pain in the hip area is not the result of injury, and is a long problem, the answer must be sought in the body. Finding out the cause of the discomfort is the first step in the treatment of pathology. Localization of unpleasant sensations are different, there may be pain in the upper thigh, from the outside, side, in the groin or on the inside of the thigh.
Any injury can result in a fracture. Often the femur does not break, but an injury appears that does not violate the integrity of the soft tissues, increases their length, activating pain in the left thigh or on the inner surface of the right. Such injuries relate to strain, which occurs during sudden unnatural movement. The following types of injuries are most common in the right or left thigh:
Pain in the tailbone injury may be reflected in the femoral part of the lower limb.
- hip injury
- closed injury of the upper thigh,
- tailbone damage,
- displacement of the bones of the hip joint,
- stretching or tearing of the soft tissues on the sides,
- trauma to the femoral neck.
The consequence of stretching is a dull pain in the thigh when walking. Inflamed soft tissues that protect the joint do not fully perform their work. Unpleasant feelings increase from the load: the leg hurts, the pain pulsates, pulls and gives to the buttock. At the turn of the pain is much stronger, they can not be tolerated.
In the joint there is a congenital dislocation, which is found in the newborn even at the stage of examination. To determine the final diagnosis you need to take a radiography.
Abnormalities in the femur cause discomfort, sometimes causing pain in the femoral neck. Since the diseases of one part of the skeleton always provoke the deterioration of the condition of the other, they are connected to the group of such pathologies:
The cause of pain may be inflammation in the joint.
- Coxarthrosis. The disease provokes degenerative changes in bone and cartilage tissue in the joint area. When moving the bone rub against each other, stabbing appears - jerking pain. Sore left thigh or right, shoots in the area of the buttocks or knee.
- Idiopathic necrosis. Violation of the blood supply to the head destroys bone, cartilage structures. The tissue is replaced by connective, then bone. The hip joint loses mobility, a sharp pain appears. The upper thigh, the groin area, the knee area - the place where it irradiates.
- Hip dysplasia. Diagnosed at an early age, asymmetric gluteal fold - a characteristic feature. Without treatment, the articular bones become deformed, because of pain in the upper thigh it is difficult to walk. Sore hip joint when walking.
- Arthritis. The inflammatory process on the background of immunity failure leads to accumulation of fluid in the articular cavity. The bones are destroyed and deformed, the joints constantly hurt, the right or left thigh. The area on the front of the thigh may ache, and the back and side may ache.
- Trohanteritis. In women, pathology is more common. Because of the inflammation of the tendons, the outer surface of the thigh hurts. The disease affects only one hip from the outside, or inflammation affects both tendons.
- Pear muscle syndrome. The combination of symptoms, which includes pain in the hip, causes painful changes in the lumbar region. The signs appear on one side, focusing in the buttock, lower back and sacrum.
Infections causing pain in the joint area
Pathogenic bacteria are activated in the soft tissues of the thighs, getting through open wounds after injury or spreading with blood from other organs. This leads to activation of the immune system and the development of an inflammatory process in the bone cells of the hip and pelvis, which is accompanied by acute pain syndrome. The following infectious pathologies are distinguished:
In rheumatism, the heart and the musculoskeletal system suffer the most.
- Abscess. A strong, sharp pain is held during the maturation of the suppurative focus in the soft tissues. The subsidence of inflammation reduces the severity of pain, but if it breaks through, the painful sensations resume with a new force.
- Rheumatism. It develops almost immediately after the transfer of streptococcal infection, which affects several mobile connections at once. It hurts and aching hip joint when walking.
- Phlegmon. Purulent process covers the hypodermis (subcutaneous fat). The pain covers the entire thigh: left, right, front and back. Outside there is swelling and redness.
- Necrotizing fasciitis. With the disease affects the fascia in the femoral muscle, skin and hypodermis. There is a blockage of blood vessels, which leads to tissue death. A sharp pain in the hip as the cells die off is aggravated.
- Osteomyelitis. Due to suppuration in the deepening of the bone pressure increases, pulling, pressing pain appears. Any touching of the affected bone, and especially tapping, increases pain.
Tumors and other educations
The appearance of pain in the hips may be due to the formation of a tumor: benign or malignant. The beginning of the development of neoplasms with pronounced symptoms is no different, therefore it is difficult to notice the pathology. The pain appears in later stages, when the size of the tumor increases, and it puts pressure on the surrounding surfaces.
The following situations cause pain syndrome:
If a sciatic nerve is pinched, numbness of the limb may appear.
- Squeezing soft tissue. An enlarged neoplasm significantly weighs on adjacent tissues. There are aching pains in the muscles of the thigh and arching in the area of the tumor.
- Pinching the nerve. Regardless of size, education can put pressure on nerves. The pain occurs inside the affected area, gives in a place that is innervated by the nerve.
- Constriction of the blood vessels. As a result, blood circulation is disturbed in the veins and arteries, which causes severe pain.
The following types of neoplasms are distinguished:
The presence of a traumatic history will not cause difficulties in the formulation of a correct diagnosis. Much more complicated when the causes of hip pain are unknown. In such a situation, you need to do a comprehensive survey, which consists of such methods:
In addition, you will need an inspection of such specialists as:
What to do?
Treatment of folk remedies can be used as an additional method, but not the main one.
How to treat, the doctor decides separately in each individual case. The choice of therapeutic procedures depends on the diagnosis and the complexity of damage to the articular joints, bones. After determining the cause of pain, all treatment is aimed at exactly eliminating it. If there is no severe pain, therapeutic procedures can be done at home. In a difficult situation, hospitalization is indicated.
Following simple recommendations will help reduce pain:
- Limit physical activity. If there are unpleasant feelings during exercise or when walking, it will take a few minutes to rest. When you resume pain, you need to consult a doctor.
- Rest in a prone position. Adopting a horizontal position helps in the case of compression of the spinal canal.
- Hip massage. Muscle pain is well relieved by massaging, but with the defeat of nerve fibers or blood vessels, it is ineffective.
- Applying cold. This method of reducing swelling and pain can be used in cases where the muscles hurt (with injuries, sprains). Cold helps reduce sensitivity, prevent inflammation and bruising.
Any cause that causes pain, is accompanied by an inflammatory process. To reduce the activity of inflammation, and thus reduce pain, the following drugs are used:
- Anti-inflammatory drugs (NSAIDs):
- Analgesic (non-narcotic):
- Narcotic Drugs:
How long it takes a course of treatment will depend on the disease that provoked the pain syndrome. After pain relief and removal of the underlying pathology, physiotherapy procedures, massage, manual therapy can be prescribed. Surgery - this is an extreme measure, which is resorted to only in the case when conservative therapy does not have the desired result.
Do you still think that it is impossible to cure the joints?
Judging by the fact that you are reading these lines now - the victory in the fight against cartilage tissue inflammation is not on your side yet.
And you already thought about inpatient treatment? This is understandable, because pain in the joints is a very dangerous simtom that, if not treated promptly, may result in limited mobility. Suspicious crunch, stiffness after a night of rest, the skin around the problem area is stretched, swelling in a sore spot. All these symptoms are familiar to you firsthand.
But perhaps it is more correct to treat not the effect, but the cause? We recommend reading the article on modern methods of treatment of joints. Read the article >>
Medical expert articles
The occurrence of pain in the hip can be caused by heavy physical exertion, as well as with their complete absence. Often they are seen directly after getting out of bed, they can be permanent. They can also be accompanied by a feeling of stiffness, limitation and instability in movement. Hip pains are chronic, lasting for months, and sometimes years, and acute and short.
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Where is the pain in the thigh
Localization of acute or aching pain in the thigh:
- The front upper part of the thigh hurts due to abnormalities in the hip joint. Sources of pain - the muscles in the hip and right hip joint, disorders in the intervertebral discs, joints. Femoral artery and vein, lymph nodes in the groin, pelvic organs in women. The cause of the pain in the groin is a fracture of the femoral head in older people, dislocation of the head of the hip joint with the head displaced forward to the pubic bone.
- The thigh muscles ache due to abnormalities in the lower back and sacral spine.
- The back of the thigh hurts because of problems with the gluteus maximus muscle, its fascia, sciatic nerve pathology, the sacroiliac joint.
- With hernias, fractures, dislocations of the hip joint, pain in the groin appears.
The pain is aching, pulling, worse at night. It is associated with neurological disorders. Perhaps, in the oncopathology of soft tissue or bone. The pain is associated with physical exertion, such pain subsides at night, during rest. Common causes of pain are deforming arthrosis of the hip or knee joint. When neurological pathology observed violations of sensitivity to temperature changes, skin paresthesias.
With a hernia of the inguinal ligament on the right side, pathology of the vessels of the femoral and iliac region develops a pulling pain in the groin.
The main etiological factors
Causes of hip pain:
- Injuries to the femur or hip joint after a fall or impact. Professional athletes, people associated with physical activity are subject to injury.
- Fracture of the upper or middle part of the femoral neck. Elderly people are susceptible, occurring in women, due to climacteric disorders. Hormonal changes in women of mature and elderly age lead to the development of osteoporosis. Fractures appear after careless movement, falling from a height of its own growth. The treatment is long, does not always bring the desired effect. In some cases, the formation of a false joint.
- Fracture of the sacral part of the pelvic bone, the pubic bone. It is characterized by a sharp pain in the groin. An X-ray image is taken, for differential diagnosis of dislocation in the hip joint.
- Compression injury in the first lumbar vertebra after a fall from a great height, landing on the buttocks.
- Pelvic injuries.
Hip pain is caused by physical exertion that destroys cartilage and soft tissue. Inflammation in the soft tissues, after injury, irritates the sciatic nerve. This causes pain in the gluteus maximus and the back of the thigh. The pain reaches the heel area. The patient cannot stand or sit for a long time.
Pulling pain may be caused by features of the hip joint, changes in the soft tissues. Pain in the hip above the middle third or in the groin is caused by pathology in the spine — osteochondrosis, arthrosis of the discs, narrowing of the spinal canal. Curvature of the spine causes spasm, pain in the muscle of the front of the thigh.
If the pain in the legs is not treated, the frequency and nature of the pain worsens.
Treatment of injuries of the hip and thigh is often performed surgically. At a fracture with an offset, fragments of the bone are fixed with special needles, titanium plates. In the postoperative period, conduct gymnastics. Perform exercises for the upper body and a healthy limb.
For fractures in the elderly, surgical treatment in some cases is not carried out, due to contraindications. Patients are treated and prevented for bedsores.
What causes hip pain
The cause of hip pain, especially on the right, is osteochondrosis of the lumbar or sacral spine. Deterioration due to sitting work, poor posture. Curvature of the spine causes pain in the left hip joint.
A nagging pain in the leg, on the inside and the front, is caused by varicose disease.Its localization is much lower, closer to the inner surface of the thigh and lower leg.
If the leg hurts on the outer and back side of the thigh, under the knee and up to the foot, the cause is the pinching of the sciatic nerve with a mass of inflamed and spasmodic muscle. The pain bothers the patient behind the outer surface of the leg and has the character of lumbago along the length. When moving, the nature of the pain changes.
Treat such pains in a complex with physiotherapeutic procedures:
- Electrophoresis with medicinal substances.
- Ultra high frequency currents.
- Paraffin applications.
- Massage and therapeutic exercises.
This treatment will improve the blood flow in the thigh area, relieve swelling and inflammation.
If the right part of the thigh hurts and there is numbness in the leg from behind and higher in the outer gluteal region even with slight movement, this is due to abnormalities in the spine. With curvature of the spine due to scoliosis, a degenerative change occurs in the hip joints. Infringement of the nerve roots is accompanied by numbness or paresthesias in the left side.
Spinal curvature is treated with gymnastic exercises. Therapeutic exercises strengthens the muscular corset of the femoral and vertebral areas. Do exercises immediately after removing the acute state.
If hip hurts when walking
Often complain of pain in the hip region when walking, discomfort and difficulty with movements. Most often, this pathology is caused by a lesion in the soft tissues. The pain is localized on the surface and deep in the soft tissues.
It does not always hurt the joint, often affects the outer surface of the thigh and lower leg above the middle.
Causes of discomfort in the femoral region when walking:
- Fracture of the head or neck of the femur.
- Arthritis of the hip joint.
- Rheumatoid arthritis.
- Inflammatory processes in the tendons.
- Tuberculosis in the hip joint. In this case, purulent leaks are formed in the hip joint and under the knee. Regional groups of lymph nodes increase and fester. Local joint temperature is reduced.
Comprehensive treatment of hip and buttock pain is performed by a neurologist or vertebrologist. For the diagnosis of conduct x-ray examination, CT, MRI. If degenerative or dystrophic disorders, bone or soft tissue injuries are detected, consultation with an orthopedic surgeon, rheumatologist, infectious disease specialist is necessary.
Comprehensive treatment includes:
- Nonsteroidal anti-inflammatory drugs. These include Diclofenac, Ortofen, Voltaren and several others.
- Hormonal anti-inflammatory drugs. Often in rheumatological practice, use the drug of prolonged action in the injection form Diprospan. Intra-articular drug Kenalog.
- Chondroprotectors. Preparations for restoring the structure and function of cartilage are Chondroitin and Glucosamine. Perhaps the introduction of drugs intramuscularly or oral administration. The treatment is long and regular.
- Compresses to the affected thigh. Relieves pain and inflammation Dimeksid. Compresses with Dimexide do on the affected areas.
- Physiotherapy treatment.
- Massage and physical therapy. Therapeutic gymnastics is conducted in the early recovery period under the guidance of an instructor in physiotherapy exercises.
After the elimination of acute inflammation, therapeutic massage, manual therapy techniques, stretching exercises of the quadriceps femoris, the back and internal muscles and ligaments are performed.
When tuberculosis is treated surgically. At the same time prescribed anti-TB drugs spectrum. Treatment of tuberculous coxitis is long and systematic. After surgery, an orthosis is prescribed, physiotherapy treatment, and a long course of anti-tuberculosis drugs.
Hip pain can be caused by thrombosis or thrombophlebitis of the femoral or iliac artery. Acute ileal artery thrombosis is manifested by pain in the lower abdomen or in the groin. When thrombosis of the femoral artery pain spreads on the inner surface of the thigh. Leg, often left, while swells and turns blue, especially the inside.
The patient must be urgently hospitalized. In the acute period, he is injected with Heparin, thrombolytic drugs. In order to prevent infectious complications and the development of sepsis, antibacterial drugs are prescribed with a broad spectrum of action.
Acute thrombosis and thromboembolism are treated by surgery. Above the area of localization of a blood clot the vessel is tied up or a device is installed inside it that prevents the blood clot from moving further along the vascular bed. Wearing compression garments or bandaging limbs with elastic bandages is recommended. Bandage the leg from the ankle up, to prevent blood stagnation in the venous network and the formation of blood clots.
Methods of traditional medicine
Supplement to medical, physiotherapeutic and surgical treatment - means and methods of traditional medicine. Folk treatment offers a prescription using infusion of pine buds for the treatment of inflammatory processes in the hip and hip region. In a jar of dark glass, fold a little young pine buds and pour sugar. The can is filled in half. The top of the jar should be free. It is tightly closed and placed in heat for 7 days. When the mixture is infused, the bank will get a syrup, which is rubbed into the diseased area. Do the grinding of the thigh, and take the mixture inside. It is necessary to drink 3 spoons daily. The duration of treatment is up to three months.
Pain and inflammation in the leg is removed with the help of tincture from the plant sabelnik. Pour a few spoons of dried grass of cinquefoil with half a liter of vodka, tightly close the container and place in a dark place for a month. After filtering the mixture and drink it before meals, 30 drops. Also used tincture for rubbing into the thigh.
Relieves pain in the hip joint, the spine and hip area tincture of ficus alcohol. To cook it, you need three fresh leaves of ficus. Grind them thoroughly, put them in a dark glass container and pour 500 ml of vodka. Insist on for two weeks. Strain the mixture and rub into those places where acute sharp pain is concerned.
Biological supplements are used to treat pain and inflammation in the joints. Topical treatment is carried out with the help of “Collagen Ultra” cream. This cream relieves pain and inflammation, serves as an additional source of collagen for joints.
To restore the structure of the affected cartilage, include in the diet meals rich in collagen and gelatin - jelly, jellies, jelly. Take in the morning on an empty stomach a spoonful of gelatin dissolved in warm water. To improve the taste, add honey and lemon juice.
Those who are forced to stand on their feet for a long time need to warm up every hour and change the position of their legs. When sitting, you can take off your shoes and walk barefoot around the room. Roll a rubber ball with spikes over the thigh surface. These balls are sold in the pharmacy network.
In the morning, self-massage of the legs is done. It is made light stroking movements of the palms on the thigh surface. Massage from the knee to the groin, avoiding the place of accumulation of lymph nodes.
Take care of comfortable shoes, not constraining movements. If you are overweight, you need to think about its correction with the help of diet and gymnastic exercises. In case of pronounced metabolic disorders, consult an endocrinologist, undergo examination and treatment for weight correction.