How can you tell if your pain is coming from your hip or lower back. What are the key symptoms of hip conditions versus spine issues. When should you seek medical attention for hip or back pain. How do doctors diagnose and treat hip and lower back problems.

Understanding the Complexity of Hip and Lower Back Pain

Distinguishing between hip and lower back pain can be challenging, even for experienced medical professionals. The intricate anatomy of these regions means that injuries or wear and tear in one area can manifest symptoms in another. This complexity often leads to diagnostic difficulties and treatment uncertainties.

Did you know that 80-90% of people experience debilitating back or hip pain at some point in their lives? This prevalence makes it the second most common reason for missed work, surpassed only by the common cold. Given its widespread impact, understanding the nuances of hip and back pain is crucial for effective diagnosis and treatment.

Common Symptoms of Hip Conditions

Hip problems typically present with specific symptoms that can help differentiate them from back issues:

• Pain localized in the front of the hip and groin area
• Discomfort that may radiate to the front of the thigh, rarely extending past the knee
• Difficulty walking after periods of sitting, with pain improving after a few steps

Do hip conditions always cause pain in the hip area? Not necessarily. In some cases, hip problems can mimic back pain or cause referred pain in other areas, making diagnosis more challenging.

Identifying Lower Back Pain Symptoms

Back problems often manifest differently from hip issues:

• Pain in the back of the hip near the buttocks
• Discomfort radiating down the back of the hamstring, past the knee
• Pain extending to the outside or back of the calf

Can back problems cause hip pain? Absolutely. The interconnected nature of the spine and hip means that issues in the lower back can often present as hip pain, leading to potential misdiagnosis if not thoroughly investigated.

Diagnostic Challenges and Solutions

Accurately diagnosing the source of hip or lower back pain can be complex. Imaging studies like X-rays and MRIs are commonly used but may not always reveal the true cause of pain. In some cases, abnormalities shown in these studies may not be the actual source of discomfort.

Diagnostic Injections

When conventional imaging fails to provide a clear diagnosis, doctors may employ diagnostic injections:

• Numbing injections in specific areas to isolate the pain source
• If pain subsides after injection, it indicates the likely problem area
• These injections serve both diagnostic and therapeutic purposes

EMG and Nerve Conduction Tests

Electromyography (EMG) and nerve conduction studies can provide valuable insights:

• Needles inserted into the leg measure nerve activity
• Slow or incorrect nerve signaling may indicate nerve compression or damage
• These tests help identify if nerve issues are causing the symptoms

How accurate are these diagnostic methods? While not infallible, these techniques significantly improve diagnostic accuracy, especially in complex cases where symptoms are ambiguous or misleading.

Treatment Options for Hip Pain

The appropriate treatment for hip pain depends on various factors, including the patient’s age and the specific condition diagnosed:

Conservative Treatments

• Rest and activity modification
• Anti-inflammatory medications
• Physical therapy exercises
• Cortisone injections

Surgical Interventions

For younger patients with hip symptoms, hip arthroscopy is often the preferred surgical option. This minimally invasive procedure allows surgeons to diagnose and treat various hip conditions with smaller incisions and faster recovery times.

In older patients with hip arthritis, hip replacement surgery may be recommended. This procedure involves replacing the damaged hip joint with an artificial implant, significantly reducing pain and improving mobility.

Are there any non-surgical alternatives for severe hip arthritis? While conservative treatments can help manage symptoms, severe hip arthritis often requires surgical intervention for significant long-term relief. However, emerging therapies like stem cell injections and platelet-rich plasma treatments are being studied as potential alternatives or complementary therapies.

Addressing Lower Back Pain

Treatment for lower back pain varies depending on the underlying cause and severity of the condition:

Non-Surgical Approaches

• Physical therapy and targeted exercises
• Pain management techniques, including medication and injections
• Chiropractic care or osteopathic manipulation
• Lifestyle modifications and ergonomic adjustments

Surgical Options

When conservative treatments fail to provide relief, surgical interventions may be considered:

• Minimally invasive decompression procedures for nerve compression
• Spinal fusion for instability or severe degenerative conditions
• Disc replacement surgery for select cases of disc degeneration

How effective are surgical treatments for lower back pain? Success rates vary depending on the specific condition and procedure, but many patients experience significant pain relief and improved function following appropriate surgical intervention. However, surgery is typically considered only after conservative measures have been exhausted.

The Importance of Comprehensive Evaluation

Given the complex nature of hip and lower back pain, a thorough and comprehensive evaluation is crucial for accurate diagnosis and effective treatment. This process often involves:

• Detailed medical history and symptom analysis
• Comprehensive physical examination
• Appropriate imaging studies (X-rays, MRI, CT scans)
• Diagnostic injections or nerve conduction studies when necessary
• Consultation with specialists in orthopedics, neurology, or pain management

Why is early and correct diagnosis so important? Accurate diagnosis allows for targeted treatment, potentially avoiding unnecessary procedures or therapies that may not address the root cause of the pain. It can also prevent the progression of underlying conditions, leading to better long-term outcomes.

Emerging Treatments and Future Directions

The field of orthopedics is constantly evolving, with new treatments and technologies emerging to address hip and lower back pain:

Regenerative Medicine

• Stem cell therapies for tissue regeneration
• Platelet-rich plasma (PRP) injections for accelerated healing
• Gene therapy approaches for degenerative conditions

Advanced Imaging and Diagnostic Tools

• 3D imaging technologies for more precise diagnosis
• Artificial intelligence-assisted image analysis
• Wearable devices for continuous pain and mobility monitoring

Minimally Invasive Techniques

• Endoscopic procedures for spine and hip conditions
• Robot-assisted surgeries for improved precision
• Laser therapies for disc and nerve problems

What impact will these emerging treatments have on patient care? While many of these approaches are still in development or early stages of clinical use, they hold promise for more targeted, less invasive, and potentially more effective treatments for hip and lower back pain in the future.

Prevention and Self-Care Strategies

While not all cases of hip and lower back pain can be prevented, there are several strategies individuals can employ to reduce their risk and manage mild symptoms:

Lifestyle Modifications

• Maintaining a healthy weight to reduce stress on joints and spine
• Regular exercise to strengthen supporting muscles
• Proper posture and ergonomics in daily activities
• Avoiding prolonged periods of sitting or standing

Exercise and Stretching Routines

• Core strengthening exercises for spine support
• Hip flexibility and mobility exercises
• Low-impact activities like swimming or cycling
• Yoga or Pilates for overall body awareness and strength

Nutritional Considerations

• Adequate calcium and vitamin D intake for bone health
• Anti-inflammatory foods to reduce overall inflammation
• Proper hydration for joint and disc health

Can lifestyle changes really make a difference in preventing hip and back pain? While they may not eliminate all risk, these strategies can significantly reduce the likelihood of developing chronic pain conditions and can help manage existing symptoms more effectively.

When to Seek Medical Attention

While many cases of hip and lower back pain resolve on their own or with conservative measures, certain symptoms warrant prompt medical attention:

• Severe pain that doesn’t improve with rest or over-the-counter medications
• Pain accompanied by fever, unexplained weight loss, or other systemic symptoms
• Numbness, tingling, or weakness in the legs
• Loss of bladder or bowel control
• Pain following a fall or other trauma
• Persistent pain that interferes with daily activities or sleep

How urgent is it to see a doctor for these symptoms? Some of these signs, particularly those involving neurological symptoms or loss of bodily functions, may indicate serious conditions requiring immediate medical evaluation. It’s always better to err on the side of caution and consult a healthcare professional when in doubt.

The Role of Interdisciplinary Care

Effective management of hip and lower back pain often requires a multidisciplinary approach, involving various healthcare professionals:

• Orthopedic surgeons specializing in spine or hip conditions
• Physical therapists for rehabilitation and exercise programs
• Pain management specialists for advanced pain control techniques
• Rheumatologists for systemic inflammatory conditions
• Neurologists for nerve-related issues
• Psychologists or psychiatrists for pain-related mental health support

Why is an interdisciplinary approach beneficial? Complex pain conditions often have multiple contributing factors. A team-based approach ensures that all aspects of the patient’s condition are addressed, leading to more comprehensive and effective treatment strategies.

Patient Education and Empowerment

Educating patients about their condition and treatment options is crucial for successful outcomes. Informed patients are better equipped to:

• Make decisions about their care in collaboration with their healthcare team
• Adhere to treatment plans and rehabilitation programs
• Recognize early signs of potential complications or recurrence
• Implement lifestyle changes to support long-term health

How can patients become more involved in their treatment process? Asking questions, seeking clarification, and actively participating in decision-making are key ways for patients to engage in their care. Many healthcare providers offer educational resources, support groups, or workshops to help patients better understand and manage their conditions.

The Impact of Technology on Diagnosis and Treatment

Advancements in technology are revolutionizing the way hip and lower back pain are diagnosed and treated:

Diagnostic Innovations

• High-resolution imaging techniques for more accurate visualization
• Computer-assisted diagnosis to identify subtle abnormalities
• Genetic testing to assess risk factors for certain conditions

Treatment Technologies

• Virtual reality for pain management and rehabilitation
• 3D-printed implants for personalized joint replacements
• Robotic-assisted surgeries for enhanced precision

Telemedicine and Remote Monitoring

• Video consultations for follow-up appointments
• Wearable devices for tracking movement and pain levels
• Smartphone apps for patient education and exercise guidance

How are these technological advancements changing patient care? These innovations are enabling more precise diagnoses, personalized treatment plans, and improved patient outcomes. They also offer the potential for more accessible care, particularly for patients in remote areas or with mobility limitations.

Long-Term Management and Quality of Life

For many individuals with chronic hip or lower back conditions, long-term management strategies are essential for maintaining quality of life:

Ongoing Pain Management

• Regular check-ins with healthcare providers to adjust treatment plans
• Exploring alternative pain management techniques (e.g., acupuncture, mindfulness)
• Balancing pain control with functional improvement

Adaptive Strategies

• Modifying home and work environments for improved ergonomics
• Using assistive devices when necessary to maintain independence
• Exploring adaptive exercise programs to stay active

Psychological Support

• Addressing the emotional impact of chronic pain
• Developing coping strategies for pain flare-ups
• Participating in support groups or counseling sessions

What role does mental health play in managing chronic hip or back pain? The psychological impact of chronic pain can be significant, affecting mood, sleep, and overall quality of life. Addressing these aspects is crucial for comprehensive pain management and improved overall well-being.

Research and Future Directions

Ongoing research in the field of orthopedics continues to expand our understanding of hip and lower back pain and drive new treatment approaches:

Genetic Research

• Identifying genetic markers for increased risk of specific conditions
• Developing targeted therapies based on genetic profiles
• Understanding the role of epigenetics in pain perception and management

Biomechanical Studies

• Improving our understanding of joint and spine mechanics
• Developing more effective preventive strategies
• Designing improved implants and prosthetics

Pain Science

• Exploring the neurological pathways of chronic pain
• Investigating new pharmacological approaches to pain management
• Studying the effectiveness of non-pharmacological pain interventions

How might these research areas impact future treatment options? As our understanding of the underlying mechanisms of hip and lower back pain grows, we can expect more targeted, personalized, and effective treatment strategies to emerge. This research may lead to breakthroughs in prevention, early intervention, and long-term management of these common and often debilitating conditions.

How to Tell the Difference Between Hip and Lower Back Pain

Orthopedic treatment of hip and lower back pain is not black and white. As a practicing spine surgeon for the last fifteen years, I’ve found that determining the root issue of someone’s pain in these areas is often grey and filled with ambiguities. The anatomy of the hip and back is comprised of numerous parts that can be injured or wear out, and many problems that occur in this area can display the exact same symptoms or pathology.

To put it plainly, sometimes hip pain comes from the hip, but a lot of times hip pain comes from the back. Sometimes back pain comes from the back, but a lot of times back pain comes from the hip. Eighty to ninety percent of the population develops a debilitating back or hip pain at some point in their life, and this issue is the second most common reason for missed work behind the common cold.

Fortunately, our bodies typically take care of the issue on their own. When a flare up of symptoms occur in our hips or lower back, usually a combination of rest, activity modification, anti-inflammatories, and exercises calms the pain down.

Early and correct diagnosis is key

When seeing a physician for hip or lower back pain, imaging such as x-rays and MRIs are usually conducted at the sight of the symptoms. Yet, these studies can sometimes show abnormalities that are not actually the root cause of the pain. Let me share a quick example.

A fifty-year-old gentleman had severe pain in the outside of his hip. He saw a physician and had an x-ray of the hip area performed. It was determined that he had mild arthritis in the hip, but the arthritis should not have caused the extensive symptoms he was enduring.

So, he started physical therapy for a period of time and saw no improvement. He then received a cortisone shot in the hip, and that didn’t work either. His treatment plan moved on to a stem cell injection with platelet rich plasma in the hip, which also offered no improvement to his symptoms.

This man’s symptoms started in April and proceeded to get worse and worse to the point that he was in a wheelchair when he came to the OrthoVirginia office in August. I looked over his symptoms and decided to have a MRI performed on his lower back, even though he had absolutely zero pain coming from his lumbar spine.

It turned out that the L3 and L4 nerves in his back were being compressed, and the symptoms were appearing in his hip. A minimally invasive surgery was performed, and his pain was gone immediately.

Again, hip and lower back orthopedics is not always straight forward. There is often more than one diagnosis, but an early and an exhaustive physical exam of all potential areas that could be the root cause of the problem is key in determining the correct diagnosis.

What are the symptoms of hip conditions?

In general, people suffering from hip pain from hip pathology have symptoms that appear in the front of the hip and the groin area. Sometimes the pain will radiate into the front of the thigh but very rarely goes past the knee.

After sitting for a period of time, patients suffering from hip pathology find it difficult to walk when they first get up. The pain is worse initially, but after a couple of limping steps, the hip lubrication kicks in, and the pain subsides.

What are the symptoms of lower back conditions?

Patients with debilitating back issues develop symptoms in the back of the hip near the buttocks. The pain goes down the back of the hamstring, past the knee, and to the outside or back of the calf.

What can we do if the diagnosis isn’t clear?

If you are still in pain after trying more conservative treatment options such as anti-inflammatories and physical therapy, and the x-ray or MRI imaging studies aren’t showing us what exactly is wrong, we can do a series of numbing injections to clear the fog. Essentially, we will numb up an area of the hip or lower back and see what happens.

If there is no response to the numbing injection in the hip area for example, then that is obviously not where the root cause of the pain is located. However, if your pain has dispersed after a numbing injection, then we have located the area of the root cause. These injections act as both a therapeutic and diagnostic tool we can use as physicians.

Another route we can take is an EMG or nerve conduction test. Needles can be put into your leg to see the conduction or activity of nerves. If some nerves are slow or are not signaling correctly, then we know that an angry nerve is the culprit of the symptoms.

Treatment options

Hip

• If you are a younger patient with symptoms in the front of the hip and in the groin area, a hip arthroscopy is usually the best surgical option.
• If you are an older patient with hip arthritis, a hip replacement is the best surgical option.

Spine

From a spine standpoint, it is an exciting time in our world. The surgeries we were doing fifteen years ago are completely antiquated. The surgical treatment options of today are much more minimally invasive, and the advancement in robotic technology has become a mainstay for spine surgeries.

However, not all surgeries are perfectly suited for every patient. When consulting with a physician about undergoing spine surgery, you want to make sure that the physician has all types of surgery from open procedures to minimally invasive procedures to robotic procedures in their toolbox.

• If you have a pinched nerve, a small, minimally invasive outpatient procedure is performed to remove the pressure from the nerve.
• If you have instability due to arthritis, or instability is created after the fixing of a pinched nerve, a fusion of the spine will be needed.

So, what are the highlights?

1. If pain is in the front of the hip/groin region and radiates down the thigh to the knee, it is most likely a hip issue.
   If pain is in the back of the hip/buttocks region and radiates down the hamstring to the calf, it is most likely a spine issue.
2. Early physical examination and consultation with an orthopedist is going to get you the right treatment.
3. X-rays and MRI’s can often find asymptomatic, normal degenerative issues, and relying on imaging along can be misleading.

Frequently asked questions

When lying down, what causes pain that shoots from the knee to the ankle?

It all depends on where the pain is shooting from. If the pain starts in the buttocks and shoots down the back of the leg past the knee to the ankle, that is most likely a pinched nerve in the back. Patients with a pinched nerve in the back often can’t lie down flat, and they will have use a recliner or wedged pillow to relieve some pain when laying down.

However, if the pain is just from the knee down, the issue could be from a knee pathology.

After a long-distance run, why is my lower back in pain?

As a long distance runner myself, I have experienced this issue firsthand. Running is an extremely beneficial exercise both mentally and physically, but long-distance running takes a toll on the body.

Long-distance running can actually be great for your back. The discs located in your spine have poor oxygen supply. By running, you get your heart rate up, and this increases circulation to those discs. However, after running a certain distance, your muscles become fatigued, and you begin to compensate by shifting your weight from your hip abductors to your back.

You will notice that a runner’s gait at the beginning of their run looks a little different compared to the end of their run. As their hip abductors become fatigued and weaken, their running gait becomes more labored, and the muscles in their spine start to carry more weight than they are used to.

Before running, you should always stretch your muscles so they are prepared for the workout. You can also do activation exercises before a long distance run such as short jogs and sprints. Lastly, hip abductor exercises with or without a resistance band can help strengthen your core and get you over that fatigue in those later miles of your run.

What are some reasons that back pain is significantly worse at night or in the morning?

Back pain is often perceived as one general term, but in my world back pain can mean a thousand different things. So your specific pathology will play a significant role in what time of day your pain is at its peak. I think the hormonal shifts that wakes us up in the morning and then makes us more tired by the end of the day contributes to inflammation.

If the pain is waking you up in the middle of the night, that is more of a red flag and should be assessed earlier.

What is your opinion on acupuncture if surgery is not an option?

Back pain often has low success rates when it comes to surgery compared to buttocks pain that has high success rates. So if surgery is not an option for you, I think the answer is yes try everything else.

Everything else can range from physical therapy to acupuncture to chiropractic care to stem cell therapy. I have had patients respond to every version of therapy, and I have had patients respond to none of these options.

I would absolutely recommend trying acupuncture to see how much relief that provides you.

6 Causes of Lower Back and Hip Pain

Published by AtlanticSpine. Breezy
January 16, 2022

Category: Back Injuries

Your lower back and hip are co-dependent on each other. They share many muscle groups, so it’s no wonder that disruption or pain in one tends to cause problems in the other. If you suffer from lower back pain or hip pain, you risk experiencing abnormalities in muscle function or movement.

Let’s take a look at 6 causes of lower back and hip pain:

Sharp Pain in the Lower Back and One Side of the Hip

It’s common to experience a sharp, shooting pain on one side of your lower back and hip. This pain can be caused by muscle spasms, joint dysfunction, or nerve compression. Conditions that can cause this are:

 Piriformis Syndrome

Piriformis syndrome causes a spasm of the piriformis muscle in the buttocks. It can cause moderate to severe pain in the lower back, hip, buttocks, and extend to the back of the thigh. This condition can make it hard to sit at times. You’ll find this pain typically on one side and movement of the hip can worsen it. Even getting out of bed can prove to be problematic. 

This condition is caused by the overactivity of the hip rotator muscles or sitting on hard surfaces for long periods. 

 Sacroiliac Joint Dysfunction

Sacroiliac joint dysfunction is brought on by inflammation with the joint that connects your lower spine to your pelvis. This condition will cause you to feel a sharp, stabbing pain over the lower part of your back, hip and buttocks. That pain could extend down the back of your thigh. Constant movement, like standing, sitting, or climbing stairs, may cause the pain to worsen. 

The sacroiliac joint can become common in pregnant women or with someone who suffers from arthritis, trauma, or constant stress within the joint. Pain can affect both sides of the lower back and hip, but most often it’s only problematic on one side.

 

Chronic Lower Back Pain

Pain that lasts for more than a few months is considered chronic. Chronic pain in the lower back usually involves a disc problem, a joint problem, or an irritated nerve root. Some common causes for this type of pain are:

Lumbar Herniated Disc

Our lumbar spine is made up of about 17 bones stacked on top of one another, that consist of the vertebrae. A disk lies between each set of vertebrae to absorb pressure placed on the bones. Each disk is made up of an outer ring and an inner gel. When the inner gel of one of the disks in your lumbar spine slips or squishes beyond the outer ring, the inner gel presses on surrounding nerves. This causes pain known as a herniated disk. As for the slippage, that can be due to trauma or gradual, age-related wear and tear.

Spinal Stenosis

Lumbar spinal stenosis occurs when the spinal canal in your lower back narrows and places pressure on nearby nerve roots. This condition is associated with degenerative changes that occur as a result of aging, being more common in individuals over 60 years old. Initially, symptoms include pain or cramping in the legs. Over time it can become more constant or severe. Additional symptoms such as numbness and weakness may occur.

Scoliosis

The spine area is naturally curved. The upper back curves backward; the lower back curves forward. A side view will show this perfect curvature of the bone structure. If your spine curves sideways when viewed from behind, that’s not perfect. It’s called scoliosis, and it’s a deformity that can lead to back pain.

Although the majority of scoliosis cases don’t require treatment, severe curvature can place significant stress on the lower back and lead to more pain.

Spondylolisthesis

Spondylolisthesis, often caused by Spondylolysis, occurs when one vertebra slips forward over the one below it. This condition typically causes pain in the low back and leg due to the disks irritating the nerves closest to them.

 

How We Can Help

Back pain is one of the most common reasons for doctor and emergency room visits in the U.S. It’s a leading cause of lost workdays and long-term disability. Not seeking medical attention and allowing the pain to persist will only cause the condition to worsen. 

Atlantic Spine Specialists are board-certified and specialize in the diagnosis and treatment of back pain. We are dedicated to relieving and restoring function to help our patients have the best quality of life. No matter what the cause of your pain, receiving an extensive spinal examination and accurate diagnosis are the first steps to resolving the issue. At Atlantic Spine Specialists our doctors will prescribe the best treatment plan for you.  

To learn more about diagnosis and treatment, request a consultation at Atlantic Spine Specialists in Morristown, New Jersey. Or call us at (973) 971-3500 to schedule your appointment.

 

How to diagnose hamstring injury

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How to Diagnose a Hamstring Injury : Initial diagnosis of a hamstring injury will require an MRI of the hip and/or CT of the knee followed by a consultation with an orthopedist.

Which doctor treats sprained hip muscles : In case of symptoms of sprained muscles of the hip joints, you should first consult an orthopedist, based on the results of the initial examination, the doctor may prescribe an additional consultation with the surgeon.

The muscles of the hamstring are located on the back of the thigh, starting from the thigh and ending at the knee. The tendons of the muscles of the back of the thigh attach them to the bones of the pelvis, knee and lower leg. The muscles of the hamstrings include the biceps femoris, the semimembranosus, and the semitendinosus. The biceps femoris is the muscle closest to the outside of the body. The function of this hamstring muscle is to flex the knee, extend the hip, and rotate the lower leg from side to side while flexing the knee. Semicondylar tendon – a tendon located closer to the middle of the body. This tendon flexes the knee joint, extends the femur at the hip joint, and provides medial rotation of the femur and tibia. Semitendon located between the semitendon and the biceps femoris. The function of this hamstring is the same as that of the semitendinosus muscle. With the help of muscles, movement, climbing stairs, squats are carried out. These muscles are very prone to injury, especially in runners and sprinters. A sudden stop, slowdown or change in direction of movement puts a lot of stress on these muscles. Extending the leg while running also overstresses these structures.

Symptoms of hamstring injury

The hamstring muscles perform many functions, including:

• knee flexion
• hip extension
• rotation of the hip joint.

Therefore, if they are damaged, the movement of both the knee and hip joints can be limited. Pain can be felt in the hip, hip and knee. A hamstring injury is often referred to as a “hamstring strain” and is associated with a popping sound and sharp pain in the knee.

Injuries to the muscles of the hamstrings causing:

• abnormal bump or depression behind the thigh
• bruising or discoloration of the skin on the back of the leg
• Burning or tingling behind the thigh, sometimes called sciatica
• Difficulty shifting weight onto the leg
• hamstring muscle weakness
• inability to bend the knee, resulting in walking with a rigid straight leg
• tingling sensation in the back of the thigh
• sudden sharp pain in the back of the thigh
• swelling immediately after injury.

Hamstring injury

Hamstring strain

Hamstring strain is the result of overextension of muscle fibers. The strain ranges from mild to severe:

• Grade 1 strain: The muscle fibers are overstretched but not torn. The patient may feel a slight pain in the popliteal muscle or swelling. Leg movement is not difficult
• stage 2 sprain: One or more hamstring muscles are partially torn. Pain and swelling interfere with leg movement
• Stage 3 sprain: Muscle tissue is detached or torn from a tendon or bone. Sometimes a tendon ruptures. Swelling and pain are severe; patients have difficulty using their legs.

Hamstring injuries

Hamstring injuries are the most common sports injury. They account for about 37% of all football injuries, according to one study. Injuries to the hamstring muscles are common in athletes who run at high speeds. These include sprinters and athletes playing football, basketball. They also occur in skiers, skaters, dancers, and other athletes who often bend their knees into deep squats. The risk of developing hamstring injuries is increased in the following patients:

• young athlete
• had a previous hamstring injury
• has muscle weakness in the hamstrings
• has weak or tight hamstrings or quads
• does not properly warm up and stretch before class.

Diagnosis of hamstring injury

An orthopedic traumatologist is responsible for the diagnosis and treatment of hamstring injury. The patient should immediately consult a doctor if he:

• cannot move his leg
• hip pain persists for more than 3 days
• has constant difficulty walking
• feel numbness in your lower back, thighs, or legs.

The initial diagnosis of the injury will require a complete orthopedic examination. According to its results, the doctor may additionally prescribe an MRI of the hip joint

• MRI of the knee joint
• Ultrasound of the knee joint.

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Where does the reception: MC March

Kazakov Alexey Alexandrovich

Specialization: Orthopedist, Traumatologist, Surgeon

Medical experience: since 2001

Where does the reception: MC Energo Kyiv

Abzianidze Alexey Vadimovich

Specialization: Orthopedist, Traumatologist

Medical experience: since 2001

Where does the reception: MC Riorit, SM-Clinic on Vyborgsky

Tkachenko Maxim Viktorovich

Specialization: Orthopedist, Traumatologist

Medical experience: since 2004

Where does the reception: MC Riorit

Martynov Victor Borisovich

Specialization: Orthopedist, Traumatologist

Medical experience: since 2012

Where does the reception: MC Long Vita, Clinic of the scientific and practical center. Albrecht

Ibragimov Dmitry Sergeevich

Specialization: Orthopedist, Ultrasound Doctor, Vertebrologist, Traumatologist, Surgeon

Medical experience: since 1999

Where does the reception: MC Longa Vita, MC Consilium Med

Danilova Olga Andreevna

Specialization: Orthopedist

Medical experience: since 2005

Where does the reception: SM-Clinic on Marshal Zakharov, MC Leksmed

Kozlov Igor Andreevich

Specialization: Orthopedist, Traumatologist

Medical experience: since 2020

Where does the appointment: SM-Clinic on Marshal Zakharov, SM-Clinic on Vyborgsky

Belousov Evgeny Ivanovich

Specialization: Orthopedist, Traumatologist

Medical experience: since 1990

Where does the reception: SM-Clinic on Udarnikov

Giniyatov Anvar Rinatovich

Specialization: Orthopedist, Traumatologist

Medical experience: since 2017

Where does the reception: SM-Clinic on Danube

Grebenyuk Mikhail Viktorovich

Specialization: Orthopedist, Traumatologist, Surgeon

Medical experience: since 2006

Where does the reception: SM-Clinic on Vyborgsky

Danilkin Alexey Valerievich

Specialization: Orthopedist, Traumatologist

Medical experience: since 2006

Where does the reception: SM-Clinic on Udarnikov, Children’s Clinic No. 17

Panfilov Artem Igorevich

Specialization: Orthopedist, Traumatologist

Medical experience: since 2012

Where does the reception: SM-Clinic on Marshal Zakharov

Uchurov Igor Fedorovich

Specialization: Orthopedist, Traumatologist

Medical experience: since 2009

Where does the reception: SM-Clinic on Vyborgsky

Angelcheva Tatyana Avramovna

Specialization: Orthopedist, Traumatologist

Medical experience: since 2015

Where does the reception: SM-Clinic on Udarnikov

Ilya Antonov

Specialization: Orthopedist, Traumatologist

Medical experience: since 2015

Where does the reception: SM-Clinic on Marshal Zakharov

Akhmedov Kazali Muradovich

Specialization: Orthopedist, Traumatologist

Medical experience: since 2018

Where does the appointment: SM-Clinic on Malaya Balkanskaya, SM-Clinic on Danube, CMRT Petrogradsky

Borisova Olga Mikhailovna

Specialization: Orthopedist, Traumatologist, Surgeon

Medical experience: since 2007

Where does the reception: SM-Clinic on Danube

Garifulin Marat Sagitovich

Specialization: Orthopedist, Traumatologist

Medical experience: since 2004

Where does the appointment: SM-Clinic on Danube, SM-Clinic on Malaya Balkanskaya

Dergulev Igor Olegovich

Specialization: Orthopedist, Traumatologist

Medical experience: since 2012

Where does the reception: SM-Clinic on Danube

Zimin Denis Vitalievich

Specialization: Orthopedist, Traumatologist

Medical experience: since 2017

Where does the appointment: SM-Clinic on Vyborgsky, Clinic TT Life

Islamov Magomedgadzhi Magomedkhabibovich

Specialization: Orthopedist, Traumatologist

Medical experience: since 2016

Where does the reception: SM-Clinic on Danube

Kazak Roman Alekseevich

Specialization: Orthopedist, Traumatologist

Medical experience: since 2017

Where does the reception: SM-Clinic on Malaya Balkanskaya, Trauma Center on Kolomyazhsky

Karapetyan Sergey Vazgenovich

Specialization: Orthopedist, Traumatologist

Medical experience: since 2007

Where does the appointment: SM-Clinic on the Danube, SM-Clinic on Malaya Balkanskaya, Children’s Clinic No. 5, Children’s Rehabilitation and Rehabilitation Center. G.A.Albrecht on the Bolshoi Sampsonevsky

Karpushin Andrey Alexandrovich

Specialization: Orthopedist, Traumatologist

Medical experience: since 1967

Where does the reception: SM-Clinic on Danube

Kikaev Adlan Olkhozurovich

Specialization: Orthopedist, Traumatologist

Medical experience: since 2016

Where does the reception: SM-Clinic on Marshal Zakharov, SM-Clinic on Udarnikov

Kolyadin Maxim Alexandrovich

Specialization: Orthopedist, Traumatologist

Medical experience: since 2008

Where does the appointment: SM-Clinic on Danube, SM-Clinic on Malaya Balkanskaya

Kustikov Anton Alexandrovich

Specialization: Orthopedist, Traumatologist, Surgeon

Medical experience: since 2012

Where does the reception: SM-Clinic on Marshal Zakharov

Lortkipanidze Ruslan Badrievich

Specialization: Orthopedist, Traumatologist

Medical experience: since 2016

Where does the appointment: SM-Clinic on the Danube, Children’s Clinical Hospital No. 5 named after. Filatov

Mitin Andrey Viktorovich

Specialization: Orthopedist, Traumatologist, Surgeon, Urologist

Medical experience: from 1999 years old

Where does the appointment: SM-Clinic on Udarnikov, SM-Clinic on Danube, SM-Clinic on Vyborgsky

Nikitin Alexander Vladimirovich

Specialization: Orthopedist, Traumatologist

Medical experience: since 2008

Where does the appointment: SM-Clinic on the Danube, MC “Dynasty” on Lenin, Reaclinic on Lenin, City Hospital No. 40 of the Kurortny District

Petrov Artem Viktorovich

Specialization: Orthopedist, Traumatologist

Medical experience: since 2007

Where does the reception: SM-Clinic on the Danube, Research Institute of Emergency Medicine. Janelidze

Popov Evgeny Sergeevich

Specialization: Orthopedist, Traumatologist

Medical experience: since 2001

Where does the reception: SM-Clinic on Vyborgsky

Urbanovich Sergey Ivanovich

Specialization: Orthopedist, Traumatologist

Medical experience: since 2011

Where does the appointment: SM-Clinic on Marshal Zakharov, SM-Clinic on Vyborgsky

Fil Stepan Yurievich

Specialization: Orthopedist, Traumatologist

Medical experience: since 2018

Where does the reception: SM-Clinic on Vyborgsky

Shikhzagirov Arsen Zagidinovich

Specialization: Orthopedist, Traumatologist

Medical experience: since 2003

Where does the reception: SM-Clinic on Malaya Balkanskaya

Author: Viktor Evgenievich Tolnikov

Specialization: Orthopedist, Traumatologist, Sports doctor Vredena

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Literature

1. Aliyev G. A. Clinical and functional outcomes of total hip arthroplasty and their significance for VTE: Abstract of the thesis. dis. cand. honey. Sciences. L., 1990. -28 p.
2. Buachidze O.Sh. Surgery of the hip joint / O.Sh. Buachidze and others – M., 2002.-135 p.
3. Voronovich A.I. Endoprosthesis replacement of the hip joint in acetabular defects: Dis. .cand. honey. Sciences. Minsk, 1999. -132 p.
4. Kuslik M.I. Hypoplastic arthrosis of the hip joint // Orthopedics. Traumatology and prosthetics. 1955. – 1. – S. 7-11.
5. Nadeev Al.A. Rational hip arthroplasty / Al.A. Nadev, A.A. Nadeev, S.V. Ivannikov, N.A. Gear // M.: BINOM. Knowledge Laboratory, 2004. 239s.

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Hip Pain: Causes, Symptoms and Treatment

Content

• 1 Hip Pain
  • 1.1 Hip Anatomy
  • 1.2 Causes of Hip Pain
  • 1.3 Osteoarthritis 900 13
  • 1.4 Sprains and muscle injuries
  • 1. 5 Trochanteritis
  • 1.6 Piriformis Syndrome
  • 1.7 Neurological causes of hip pain
  • 1.8 Symptoms of hip pain
  • 1.9 Diagnosis of hip pain
  • 1 .10 Treatment of hip pain
  • 1.11 Prevention of hip pain
  • 1.12 Related videos:

An article about the causes and treatment of hip pain. Find out what are the diseases associated with diseases of the joints, muscles and nerves and what methods help to cope with them. Useful tips to improve the condition and prevent the recurrence of pain.

Hip pain can be a serious problem for anyone. It can result from injury or disease. Usually, hip pain is accompanied by other symptoms, such as numbness, pain moving down the leg, or skin inflammation.

The causes of hip pain can be different. One of the most common may be due to injury or muscle strain. Also, the cause of pain can be a disease of the musculoskeletal system, such as osteoarthritis or gout.

In addition, hip pain may also be indicative of a nervous condition, such as numbness or burning sensations in the legs. In any case, it is important to get professional advice from a doctor to diagnose and treat this problem.

In this article, we’ll look at how to diagnose and treat hip pain, and what steps you can take to prevent it from happening in the future.

Hip Anatomy

The hip is the largest bony part of the human body and is involved in the major movements of the body. It consists of the femur, femoral head, cruciate eminence, and femoral neck.

Femur is a long, tubular bone of the upper limb that forms a strong pretzel junction with the pelvic bones. It consists of the diaphysis and epiphyses and serves as a support base for the muscles that move the leg and foot.

The femoral head sits at the apex of the femur and assembles with the pelvic bone through the femoral neck. This area of ​​the thigh contains many blood vessels and nerve endings, so it is often the site of pain.

Cruciate eminence is a rough tuberosity that is found on the posterior surface of the femur. This is the site of attachment of the muscles that lift the thigh back. It also serves as protection for the cardiovascular and nervous structures.

Femoral neck is located between the femoral head and cruciate eminence. The angle between the femoral neck and the femur is a key indicator for assessing the risk of hip fracture in the elderly.

Causes of hip pain

Being overweight — One of the main risk factors for hip pain associated with osteoarthritis is being overweight. This is especially noticeable in people who are obese.

Injury and overwork — In addition, pain in the thigh area can be caused by injury or overwork of the leg muscles. Often this happens when playing sports, especially when running, jumping rope, etc.

Osteoarthritis – This disease, which is characterized by joint damage, often leads to pain in the hip area. Since this disease is now becoming more common, the causes of hip pain associated with osteoarthritis are also increasing.

Oncological diseases — Pain in the hip area may also indicate the development of an oncological disease that affects bone tissue. It is very important to consult a doctor if such pain occurs in order to exclude the presence of a dangerous disease.

Osteoarthritis

Osteoarthritis is a disease characterized by the destruction of cartilage tissue in the joints. It is the most common cause of hip pain.

Causes:

• Decreased physical activity on the hip joint;
• Failure to maintain correct posture and posture;
• hereditary predisposition;
• Systemic connective tissue diseases.

Symptoms:

• Slow onset pain in the thigh;
• Pain on movement and pressure on the hip joint;
• Limited movement.

Treatment:

1. Lifestyle changes: exercise, proper nutrition;
2. Use of anti-inflammatory drugs;
3. Massage and physiotherapy;
4. Surgical treatment in cases where conservative treatment fails.

Prevention:

Actions
Recommendations

Exercise	Regular exercise to strengthen the hip and pelvic muscles.
Eating	Maintaining a balance in the diet, giving up bad habits.
Thigh load	Correct posture, furniture and footwear.

Sprains and muscle injuries

Sprains and muscle injuries are common causes of hip pain. These injuries can occur as a result of various kinds of physical exertion or traumatic effects.

Symptoms of muscle strain and injury in the thigh area may include soreness, swelling, spasms, and decreased mobility. Often, these symptoms are mild in the first stage of the injury, but may worsen as the injury progresses.

Treatment for sprains and muscle injuries includes rest and reduced physical activity in the area of ​​the injury, as well as the use of an ice pack to relieve swelling and soreness. For additional pain relief, pain medications may be used, but a doctor’s consultation is necessary.

• To prevent strain and injury to the muscles in the thigh area, regular stretching and strengthening of the leg muscles is essential.
• It is also worth paying attention to the correct technique when performing physical exercises and exercising according to your level of training.
• It is important to maintain a healthy lifestyle, including eating well and avoiding smoking and drinking alcohol.

Trochanteritis

Trochanteritis – inflammation of the muscles and tendons that attach to the trochanter – the upper part of the femur. This is a fairly common problem among people involved in sports or just leading an active lifestyle.

The main symptoms of trochanteritis are pain and discomfort in the thigh area, which may increase during movement or when the leg is loaded. There may also be swelling and morning stiffness in the hip area.

Causes of trochanteritis can be various: overload of muscles and joints, injuries, deformities of the legs that provoke an incorrect distribution of weight when walking, as well as concomitant diseases, such as arthritis.

Treatment for trochanteritis involves addressing the causes of the disease (such as proper footwear or correcting leg deformities) and prescribing drugs to help reduce inflammation and pain. Some patients may also receive advice on exercise and therapy sessions to restore muscle function and become more accustomed to normal exercise.

It is important to see a doctor if you have hip pain in order to get a proper diagnosis and treatment.

Piriformis Syndrome

Piriformis Syndrome is a disorder associated with compression of the middle buttock nerve that runs through the Piriformis muscle in the buttock region. This can cause sharp pain in the buttock area, which can spread throughout the leg.

Symptoms of Piriformis syndrome include pain in the buttocks, difficulty moving, and isolated cases of numbness in the leg and calf.

There are several causes of Piriformis syndrome, including buttock injuries, other disorders of the buttock muscles, trauma, lack of stretch, prolonged sitting on hard surfaces, developmental abnormalities, or injections of vaccinated vaccines into the buttock area.

Treatment for Piriformis syndrome may include stretching, physical therapy, massage of the Piriformis muscle, and anti-inflammatory drugs to reduce pain and inflammation. In more severe cases, surgery may be required.

It is important to see a doctor if you have symptoms of Piriformis syndrome. The doctor will perform a physical examination to identify the cause of the pain and suggest appropriate treatment.

Neurological causes of hip pain

Neurological causes of pain in the hip area can be associated with disorders of the nervous system or pathologies of the spine that put pressure on the nerve endings. Various diseases of the nervous system, such as multiple sclerosis, Parkinson’s disease, epilepsy, etc., can lead to pain in the hip area.

One of the most common neurological conditions that can cause hip pain is a herniated disc. This condition is associated with the loss of part of the intervertebral disc outside the spinal canal, which leads to compression of the nerve roots and the appearance of pain.

Another cause of hip pain can be pirformis syndrome, a condition in which the pirformis muscle, located deep in the gluteal region, puts pressure on the sciatic nerve, resulting in pain in the thigh, buttocks, and leg.

Another neurological cause of hip pain may be neuropathy, which is associated with damage to the peripheral nerves. This condition can lead to pain, numbness, and numbness in the hip and leg area.

• Conclusion: Neurological causes of pain in the hip area can be associated with diseases of the nervous system, herniated disc, pirformis syndrome and neuropathies.

Hip pain symptoms

Hip pain can manifest itself in a variety of ways. They may be acute or blunt, localized or spread over a wider area. They may also be accompanied by other symptoms such as numbness, tingling, weakness, decreased mobility, or discomfort in the hip area.

One common symptom of hip pain is pain on movement. This can happen when lifting, lowering or turning the leg. You may also notice that the pain increases when sitting or standing on one leg.

Sharp pain in the thigh area may indicate an injury such as a broken bone or muscle strain. Dull pain can result from diseases of the bones and joints, such as arthritis or osteoporosis. If hip pain is accompanied by fever, loss of appetite, or other symptoms, it may indicate a serious condition, such as a tumor or infection.

If you have hip pain, it is important to see a doctor for an accurate diagnosis and treatment. Seeing a specialist early can help prevent serious complications and speed up the recovery process.

Hip Pain Diagnosis

Accurate diagnosis is essential for the successful treatment of hip pain. The doctor may prescribe the following procedures:

• X-ray. This method allows you to identify fractures, bone abnormalities and changes in the joints.
• Ultrasound. Ultrasound allows the doctor to identify problems with ligaments, tendons, blood vessels, and precious nerves.
• Magnetic resonance imaging (MRI). This method shows a detailed picture of adjacent tissues and organs within the thigh, including muscles, bones, and joints.
• Computed tomography (CT). This gives a 3D view of the inside of the thigh, which can help find the possible cause of the pain.
• Blood tests. In some cases, the doctor may ask the patient to be tested for infection or inflammation.

After the doctor receives the results of all the necessary procedures, he can make an accurate diagnosis and prescribe the appropriate treatment.

Treatment of hip pain

The treatment of hip pain depends on the underlying cause. If the cause is an injury or muscle strain, treatment may include ice packs, rest, and pain medication in the early stages of recovery.

If pain is associated with osteoarthritis or rheumatoid arthritis, treatment may include immediate physical therapy, which can help reduce inflammation and improve joint function. Anti-inflammatory drugs are also prescribed, but always after consulting a doctor.

In severe cases where treatment fails, surgery may be required. Surgery may involve replacing a hip joint or removing damaged tissue.

In addition to treatment, it is important to maintain a healthy lifestyle that includes proper nutrition, exercise appropriate for health conditions, and avoidance of activities that cause pain in the hip area.

Prevention of hip pain

To avoid hip pain, attention should be paid to the following points:

1. Regular physical activity. Stress on the legs helps to increase muscle mass, increase tone, improve blood circulation and helps to avoid compression of nerve endings.