The Reasons behind Hip Pain

Symptoms and diagnosis for Hip Pain
Neuro

By Neurosurgery Singapore

Hip pain info

What is define by a Hip Pain?

Hip pain is the general term for pain felt in or around the hip joint. It isn’t always felt in the hip itself but may instead be felt in the groin or thigh.

It is on the outside of your hip, upper thigh or outer buttock is usually caused by problems with muscles, ligaments, tendons and other soft tissues that surround your hip joint.

Hip pain can sometimes be caused by diseases and conditions in other areas of your body, such as your lower back. This type of pain is called referred pain.

The following are common  causes of hip pain:

  • Osteoarthritis – degenerative joint condition where the cartilage that cushions the hip joint gradually wears away, leading to pain, stiffness, and reduced range of motion, primarily affects the hip joint
  • Inflammatory Arthritis – involves inflammation of the hip joint, which can affect several structures within the joint
  • Fracture – severe pain in the hip or groin area, inability to move the leg or put weight, swelling and bruising, leg may appear shorter and turned outward
  • Iliopsoas Bursitis – pain is often felt in the front of the hip and may radiate into the groin, one may feel stiff or difficult to move fully
  • Hip Flexor Strain – sharp or aching pain and is usually felt in the area where the hip flexor muscles are located
  • Osteonecrosis of the Hip – loss of blood supply to the bone tissue in the hip joint, leading to bone death and potential joint collapse, pain is typically felt in the groin area but can also radiate to the thigh, buttock, or knee
  • Hip Labrum Tear– pain is usually felt in the front of the hip or groin, though it can radiate to the buttocks or thigh, may feel or hear a clicking or locking sensation when moving their hip
  • Trochanteric Bursitis – activities such as walking, running, climbing stairs, or standing up from a sitting position can aggravate the pain, pain may radiate down the outside of the thigh, sometimes as far as the knee
  • Snapping Hip Syndrome – one may experience sharp or dull pain, particularly when the snapping becomes more frequent, there may be weakness or difficulty in fully moving the hip socket
  • Hamstring Muscle Strain – sudden sharp pain usually felt in the back of the thigh, especially during activities that involve sprinting or sudden acceleration
  • Piriformis Syndrome – pain can travel along the path of the sciatic nerve, down the back of the thigh and sometimes into the calf or foot, tingling or pins-and-needles sensation may be felt in the buttock and hip, or lower leg

What are some symptoms of a Hip Pain?

You should contact our doctor immediately if the hip is bleeding or you can see exposed bone or muscle, a popping noise occurs, or you can’t bear weight.

Also, seek immediate help if your hip joint appears deformed or is swollen, or if you have hip joint pain.

Prompt medical attention is necessary and if hip pain causes any of the following condition:

  • swelling
  • tenderness
  • soreness
  • warmth
  • redness

These may be signs of serious conditions, including septic arthritis, which is a joint infection. If it’s left untreated, septic arthritis can lead to deformed joints and osteoarthritis.

Sometimes, hip pain may radiate through the nerves from the back of the hip down to the front, back, or side of the legs. This type of pain may be caused due to the irritation of certain lumbar and/or sacral nerve roots, also called sciatica. Musculoskeletal conditions, such as sacroiliac joint dysfunction or piriformis syndrome, may also cause sciatica-like pain.

“For more serious conditions on hip pain, such as arthritis, fractures, and necrosis, the symptoms are likely to worsen until you receive treatment.”

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What types of diagnosis?

We highly recommend seeking professional help instead of self diagnosis in order to identify the source of the issue and to receive faster recovery. Our Specialist may ask and conduct one or more of the following tests to determine your condition:

    • History of symptoms. To diagnose hip pain, our doctor will first want to get your full medical history. This includes whether you have had any recent injuries, where you feel the pain, and how the pain feels.
    • Physical examination. Our doctor will include testing your muscle strength and reflexes. He might also ask you to do some stretching and moving exercises to determine which activities cause more pain.
    • X-rays. An ankle X-ray is to determine whether there are any broken bones. In addition to an ankle X-ray, your doctor may ask for X-rays of the hip area to determine whether there may be other related injuries.
    • MRI, CT scan. This scan can help to determine if there is a stress fracture. This will will show more detail about the injury.

Possible treatment methods?

Physical therapy

Step 1: RICE

RICE stands for rest, ice, compression and elevation.

Step 2: Rehabilitation

To prevent permanent damage to the hip, take steps to achieve better range of motion (flexibility), balance and strength. It is better to work out with our trained Physical Therapist to prevent further injuries and strengthen the muscles.

Step 3: Supportive devices

When back to playing sports, previously injured athletes should probably wear a hip brace, no matter how much they have rehabilitated their ankle or how good their sneakers. An injured hip will never have the same support again, so a brace should be considered.

Step 4: Lifestyle Modifications

Low-impact exercises (like swimming or cycling), avoiding high-impact activities, and incorporating regular stretching can help manage symptoms.

Surgery

Surgery may be performed when the damage to the ligaments is severe and there is evidence of instability, or when the injury doesn’t improve with nonsurgical hip pain treatment. These conditions typically are significant fractures, labral tears, or advanced arthritis. The surgical options include:

  • Arthroscopy: During an arthroscopy, our surgeon looks inside the joint to see if there are any loose fragments of bone or cartilage.
  • Reconstruction: For reconstruction surgery, our surgeon will repair the torn ligament with stitches. They may also use other ligaments or tendons around the hip to repair the damaged ligaments.

Recovery from hip pain may take several weeks. Some conditions may take up to 6 months or longer. This is especially the case for elderly. Our team has the expertise and treatment to speedy recovery.

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