What are the common causes of hip pain. How can you differentiate between various conditions causing hip discomfort. What are the most effective treatments for hip pain. When should you seek medical attention for hip pain. How can you prevent hip pain through lifestyle changes and exercises.

Debunking the Bursitis Myth: Common Causes of Hip Pain

Hip pain, particularly on the side of the hip, is often misdiagnosed as bursitis. However, according to Dr. Lauren Elson, a physiatrist at Harvard-affiliated Massachusetts General Hospital, this assumption is incorrect in about 90% of cases. So, what’s really causing that nagging pain in your hip?

Tendinitis: A Common Culprit

Tendinitis, an inflammation of the tendons connecting the gluteal muscles to the hip bone, is a frequent cause of hip pain. This condition often develops due to muscle imbalances, which can result from various factors:

• Lack of physical activity
• Habitually crossing your legs
• Sitting on a wallet (for extended periods)

These seemingly harmless habits can lead to significant discomfort over time. Are you guilty of any of these practices?

Overuse Injuries: When Too Much Is Too Much

Overuse injuries can occur when weak hip and buttock muscles are repeatedly strained during activities like walking or running. This can cause tightening and irritation of the iliotibial (IT) band, a long connective tissue running from the knee to the hip. The IT band works in conjunction with the gluteal muscles to stabilize the leg, making it susceptible to overuse injuries.

Muscle Tightness: The Domino Effect

Tight muscles in the buttocks and hip area can create a domino effect of pain. When the gluteal muscles and IT band become overly tight, they pull on the thighbone at their attachment points, resulting in pain on the side of the hip. This tightness can be exacerbated by prolonged sitting or lack of stretching.

Spine Problems: A Hidden Source of Hip Pain

Interestingly, hip pain doesn’t always originate in the hip itself. Dr. Elson explains that spine-related issues can manifest as hip pain. These may include:

• Spine arthritis
• Pinched nerves
• Bone-on-bone friction in the spine

This phenomenon occurs because the body doesn’t always accurately localize pain, leading to referred pain in the hip area.

Recognizing Hip Pain Symptoms: When to Be Concerned

Identifying the symptoms associated with hip pain is crucial for proper diagnosis and treatment. What are the telltale signs that your hip pain might be more than just a temporary discomfort?

• Pain that worsens when lying on the affected side
• Increased discomfort when sitting with crossed legs
• Pain that eases with activity but returns at rest
• Persistent or worsening pain over time

If left untreated, hip pain can escalate to the point where walking becomes difficult or even impossible. At what point should you seek medical attention for your hip pain?

It’s advisable to consult a healthcare professional if your hip pain:

• Persists for more than a few weeks despite home remedies
• Significantly impacts your daily activities
• Is accompanied by other symptoms like fever or unexplained weight loss

Diagnostic Approaches: Unraveling the Mystery of Hip Pain

Accurate diagnosis is key to effective treatment. How do medical professionals determine the root cause of hip pain?

The diagnostic process typically involves:

1. A thorough medical history review
2. Physical examination
3. Imaging tests (X-rays, MRI, or CT scans)
4. Sometimes, diagnostic injections to pinpoint the pain source

Depending on your specific symptoms and initial findings, you may be referred to a specialist such as a physiatrist, sports medicine doctor, or physical therapist for further evaluation and treatment.

Tailored Treatment Strategies: From Massage to Physical Therapy

The good news is that most hip pain can be effectively managed with targeted treatments. What are the most common and effective approaches to treating hip pain?

Massage Therapy: Easing Muscle Tension

Massage can be an excellent first-line treatment for hip pain, especially when muscle tightness is a contributing factor. It helps to:

• Reduce muscle tension
• Improve blood circulation
• Promote relaxation of tight tissues

Physical Therapy: A Cornerstone of Hip Pain Treatment

Physical therapy plays a crucial role in managing hip pain. The initial focus is often on stretching tight tissues, including:

• Hip flexors
• IT band
• Piriformis muscles in the buttocks

As treatment progresses, the emphasis shifts to strengthening exercises. Why is strengthening so important in hip pain management?

Strengthening Exercises: Building a Foundation for Pain-Free Movement

Strengthening exercises are a critical component of hip pain treatment. They help address muscle imbalances and improve overall hip function. What are the key areas targeted in a hip-strengthening program?

Core Strengthening: The Power of a Stable Center

A strong core is essential for proper hip alignment and function. Physical therapists often focus on strengthening core muscles, particularly the transversus abdominis. This deep abdominal muscle plays a crucial role in:

• Stabilizing the pelvis
• Reducing stress on the hip during standing and walking
• Supporting the spine

Hip-Specific Exercises: Targeting the Source

Once core strength has improved, the focus shifts to exercises that specifically target the hip muscles. These may include:

• Side leg lifts
• Back leg lifts
• Resistance band exercises
• Clamshells

Madhuri Kale, a physical therapist at Harvard-affiliated Brigham and Women’s Hospital, recommends clamshells as a particularly effective exercise. How do you perform clamshells correctly?

1. Lie on your side with knees bent
2. Keep your feet together
3. Raise and lower only your top knee

This exercise helps strengthen the hip abductor muscles, which play a crucial role in hip stability and function.

Lifestyle Modifications: Simple Changes for Significant Relief

In addition to targeted exercises and treatments, certain lifestyle modifications can help alleviate hip pain. What everyday habits might be contributing to your hip discomfort?

Avoid Prolonged Sitting

Extended periods of sitting can lead to muscle tightness and imbalances. Try to:

• Take regular breaks to stand and stretch
• Use a standing desk for part of your workday
• Practice good posture when sitting

Mind Your Sleeping Position

Your sleeping position can significantly impact hip pain. Consider:

• Using a pillow between your knees when sleeping on your side
• Investing in a supportive mattress
• Avoiding sleeping on the affected side

Maintain a Healthy Weight

Excess weight puts additional stress on your hips. Maintaining a healthy weight through diet and exercise can help reduce hip pain and improve overall joint health.

Preventive Measures: Safeguarding Your Hip Health

Prevention is always better than cure. What steps can you take to protect your hips and prevent future pain?

Regular Exercise: The Key to Hip Health

Consistent, appropriate exercise is crucial for maintaining hip strength and flexibility. Consider incorporating:

• Low-impact aerobic activities like swimming or cycling
• Strength training exercises targeting the hips and core
• Yoga or Pilates for improved flexibility and balance

Proper Footwear: Supporting Your Hips from the Ground Up

The right shoes can make a significant difference in hip health. Opt for:

• Supportive, well-fitting shoes
• Appropriate footwear for your specific activities
• Orthotics if recommended by your healthcare provider

Ergonomic Considerations: Creating a Hip-Friendly Environment

Your home and work environments can impact your hip health. Consider:

• Using an ergonomic chair at work
• Adjusting your desk and computer setup to promote good posture
• Using supportive seating in your home

When to Seek Advanced Treatment: Understanding Your Options

While most hip pain responds well to conservative treatments, some cases may require more advanced interventions. When should you consider seeking specialized care for your hip pain?

Persistent Pain Despite Conservative Treatment

If your hip pain persists after several weeks of physical therapy and lifestyle modifications, it may be time to explore other options. These might include:

• Corticosteroid injections
• Regenerative medicine treatments like platelet-rich plasma (PRP) therapy
• In rare cases, surgical intervention

Signs of Serious Underlying Conditions

Certain symptoms may indicate a more serious condition requiring immediate medical attention. These include:

• Sudden, severe hip pain
• Inability to bear weight on the affected leg
• Signs of infection like fever or redness around the hip
• Symptoms of nerve compression, such as numbness or tingling

In these cases, prompt evaluation by a healthcare professional is crucial to prevent potential complications and ensure appropriate treatment.

The Road to Recovery: Patience and Persistence

Recovering from hip pain is often a gradual process that requires patience and consistent effort. How can you stay motivated during your recovery journey?

Set Realistic Goals

Work with your healthcare provider or physical therapist to set achievable, incremental goals. This might include:

• Gradually increasing your walking distance
• Progressing to more challenging exercises
• Returning to specific activities or hobbies

Track Your Progress

Keeping a journal of your symptoms, exercises, and daily activities can help you visualize your progress and identify any patterns in your pain. This information can be valuable for both you and your healthcare team.

Celebrate Small Victories

Acknowledge and celebrate your progress, no matter how small. Whether it’s being able to climb stairs with less pain or completing a new exercise, these milestones are important markers of your recovery.

Remember, the journey to hip pain relief is often multifaceted, involving a combination of targeted exercises, lifestyle modifications, and sometimes medical interventions. By understanding the true causes of your hip pain and working closely with healthcare professionals, you can develop an effective treatment plan tailored to your specific needs. With patience, persistence, and the right approach, you can overcome hip pain and return to the activities you love.

Think that hip pain is bursitis? Think again.

Pain on the side of your hip is more likely from tendinitis, tight muscles, or another condition.

 Image: © Jan-Otto/Getty Images

Hip bursitis — an inflammation between your thighbone and nearby tendons — is commonly diagnosed when patients have pain on the outer side of the hip. However, several other conditions can cause similar pain, and require different treatments. “Doctors often assume that pain on the outer side of the hip is due to bursitis. But 90% of the time, it’s not bursitis,” says Dr. Lauren Elson, a physiatrist with Harvard-affiliated Massachusetts General Hospital.

What’s causing the pain?

Dr. Elson says pain in the side of your hip most often results from one of the following conditions:

Tendinitis. This is an inflammation of the tendons (fibrous bands of tissue) that connect the gluteal muscles in your buttocks to the hip bone. “Tendinitis develops because of muscle imbalance. It could be from a lack of activity, crossing your legs, or even sitting on a wallet,” Dr. Elson says.

Overuse injury. When you walk or run, weak hip and buttock muscles can tighten and irritate the iliotibial (IT) band — a long band of connective tissue that runs from the knee to the hip. It merges with the gluteal muscles to stabilize the leg.

Tight muscles in the buttocks and hip. If the gluteal muscles and IT band are too tight, they pull at the thighbone where they attach, and that causes pain on the side.

Spine problems. “The body isn’t always smart in recognizing where the pain is coming from,” Dr. Elson explains, “and spine arthritis, a pinched nerve, or bones in the spine rubbing together can create pain in the side of your hip.”

Symptoms and diagnosis

With all of these conditions, the pain lingers or even worsens when you lie on your side, or when you sit and cross your legs. It may ease with activity. But left untreated, the pain can become so severe that you’re unable to walk.

You may need to seek treatment from a primary care physician or specialist (such as a physiatrist, sports medicine specialist, or physical therapist) who can interpret your symptoms and imaging tests to determine the cause of pain on the side of your hip.

Starting your treatment

The good news: “Pain almost always goes away with targeted exercise and stretching,” says Dr. Elson.

She typically recommends massage and a course of physical therapy, which focuses at first on easing tight tissues by stretching them. These include the hip flexors, the IT band, and the piriformis muscles in the buttocks.

It’s also important to avoid habits that can tighten muscles and add to pain at the side of the hip, such as crossing your legs or sitting too long.

Strengthening the muscles

Along with improving flexibility, physical therapy sessions aim to strengthen the abdominal or core muscles, such as the transversus abdominis muscle. “This helps align the pelvis better, so you won’t stress the hip when you stand or walk. Stronger abdominals also support your spine,” explains Madhuri Kale, a physical therapist at Harvard-affiliated Brigham and Women’s Hospital.

With a stronger core, you can then move on to strengthening the muscles at the hip that let you move your leg in various directions. “We may have you do side or back leg lifts, performed while standing, with a resistance band. And clamshells are also helpful,” Kale says. You do this exercise by lying on your side with your knees bent and raising and lowering only your top knee while keeping your feet together.

In time, you can restore balance to the body and reduce pain. “Pain comes on because of an imbalance from tight or weak muscles,” Dr. Elson says. “If you can restore balance, you can help the body function better and eliminate pain.” For more information, check out the Harvard Special Health Report The Joint Pain Relief Workout (/jprw).

Pain Above Left Hip on the Side, Back and Abdomen: Causes & Treatment

Left-side pain above the hip may be caused by a condition or injury affecting an entirely different part of your body. The causes range from mild injuries that heal quickly with rest to aggressive illnesses that require immediate medical treatment.

To determine the source of the pain above your left hip, it’s usually necessary to take a look at your other symptoms. Doing so can make it easier to know if you should see a doctor.

Here are the possible causes, their symptoms, how they’re diagnosed, and your treatment options.

A few of the less serious causes of pain above the left hip will resolve on their own without treatment. However, many conditions require medical attention.

Arthritis

Arthritis is a condition that causes swelling, stiffness, and sometimes severe pain in one or more of the body’s joints. There are several types of arthritis that can cause pain above the left hip.

Possible causes of arthritis include normal wear and tear or age-related breakdown of bone in the body. In some cases, arthritis is caused by disease.

Arthritis symptoms you may experience include:

• redness
• reduced range of motion
• stiffness
• swelling

Bursitis

Bursitis causes inflammation of small fluid-filled sacs (called bursae) that pad your bones, including those in your hip. Most cases of bursitis in the hip are caused by repetitive motions or positions that irritate a joint’s bursae, such as running.

Other bursitis symptoms include:

• aches
• redness
• stiffness
• swelling

Celiac disease

Celiac disease is caused by an allergic reaction to eating gluten that affects the small intestine, causing pain and discomfort in the abdomen. Gluten is a protein found in wheat, barley, and rye. Doctors aren’t certain exactly what causes celiac disease, but some risk factors include:

• Addison’s disease
• family history of celiac disease or dermatitis herpetiformis
• autoimmune thyroid disease
• Down syndrome or Turner syndrome
• microscopic colitis

Other common symptoms of celiac disease include:

• abdominal pain
• anemia
• bloating
• constipation
• diarrhea
• fatigue
• itchy skin and rashes
• nausea
• nervous system problems
• weight loss
• vomiting

Crohn’s disease

Crohn’s disease causes inflammation of the digestive tract, causing pain in the abdomen. Doctors don’t know the exact cause, but the following factors may put some people at risk of Crohn’s disease:

• autoimmune issues
• being around age 30
• smoking cigarettes
• a family history of Crohn’s disease
• being of Northern European or Anglo-Saxon descent
• being of Jewish European descent, also called Ashkenazi Jewish descent
• living in an urban environment
• nonsteroidal anti-inflammatory (NSAID) medications

Other symptoms of Crohn’s disease include:

• abdominal cramps
• bile duct and liver inflammation
• blood in stool
• delayed growth and sexual development (in children)
• diarrhea
• eye, skin, and joint inflammation
• fatigue
• fever
• fistula
• mouth sores
• reduced appetite
• weight loss

Diverticulitis

Diverticulitis is a condition causing inflammation or infection of the small pouches (called diverticula) that line the digestive system. This often causes pain in the left side of the abdomen. Diverticulitis occurs when these pouches tear.

Causes of diverticulitis include:

• advanced age
• lack of exercise
• obesity
• poor, low-fiber diet
• smoking
• some medications, such as steroids

Other symptoms of diverticulitis include:

• constipation
• diarrhea
• fever
• nausea
• tender abdomen
• vomiting

Muscle strain or stitch

Muscle strains are a severe pulling or overextension of a muscle. If a strain occurs on the left side of the body, it may cause pain above the left hip. So can side stitches, a common and temporary athletic injury.

Causes of muscle strains and stitches include:

• poor form during sports activities
• repetitive movements such as running

Other symptoms of a muscle strain or stitch include:

• bruising
• limited motion
• muscle spasms
• muscle weakness
• pain when breathing
• redness
• swelling

Pinched nerve

A pinched nerve in the lower back occurs when a nerve becomes compressed by surrounding body tissues, often causing pain near the hip and in the legs.

Common causes of a pinched nerve include:

• arthritis
• herniated disc
• injury
• obesity
• repetitive motions
• sciatica

Pinched nerve symptoms may also include:

• burning sensation
• feeling your foot has fallen asleep
• muscle weakness
• numbness
• tingling or pins and needles sensation

Polymyalgia rheumatica

Polymyalgia rheumatica is an inflammatory condition that causes muscle pain and stiffness, which often worsens in the mornings. Causes aren’t clear but are likely to include:

• advanced age
• environmental factors
• genetic history of polymyalgia rheumatica

Other symptoms of polymyalgia rheumatica include:

• depression
• fatigue
• mild fever
• limited range of motion
• loss of appetite
• weight loss

Sacroiliac joint dysfunction and sacroiliitis

The sacroiliac joints are found where your lower spine and pelvis meet, near the hips. Sacroiliac joint dysfunction occurs when there is flawed movement in at least one of the sacroiliac joints.

Causes of sacroiliac joint dysfunction include:

• arthritis
• infection
• pregnancy
• traumatic injury

Symptoms may be worsened by

• bearing extra weight on one leg
• climbing stairs
• running
• standing for long periods
• taking long strides when walking or running

Sacroiliitis is the inflammation of the sacroiliac joint. This can cause pain along the buttocks, hip, lower back, and sometimes down the leg.

Osteomyelitis

Osteomyelitis is a bone infection that can occur when bacteria enters a bone inside the body. Common causes of bone infection include:

• infection through the bloodstream
• injuries such as puncture wounds
• unsterile surgery

Besides pain in the affected bone, symptoms of a bone infection include:

• fatigue
• fever
• redness, swelling, and warmth at the infection site

Bone cancer

Bone cancer, or unusual growth in the bone, is often benign. However, in some cases the growth can become aggressive and spread to other parts of the body. This can cause pain and a palpable hard mass in the bones.

There are different types of bone cancer, all of which can be painful. Genetics, disease, and radiation therapy for other cancers may be risk factors for bone cancer. Additional symptoms of bone cancer include:

• fatigue
• swelling
• unintended weight loss
• weakened bones that fracture easily

Hernia

An inguinal hernia is a condition caused by the protrusion of part of the intestine through a weak spot in the abdominal muscles. This can cause a lot of pain.

Causes include:

• chronic sneezing or coughing
• increased abdominal pressure
• intense activity
• pregnancy
• strain during bowel movements or during urination
• weak spots in the abdominal wall

Iliopsoas abscess

Iliopsoas abscess is a very uncommon but serious condition causing an infected mass to form along the upper part of the hip bone (ilium). Other symptoms may include:

• fever
• pain in the groin
• visual deformity on the hip

The most common cause of iliopsoas abscess is Crohn’s disease. Other causes include:

• HIV and AIDS
• diabetes
• intravenous drug abuse
• kidney failure
• suppressed immune system

Ilium fracture

An ilium fracture is a break in the large upper part of the hip bone. Fractures may be mild, moderate, or severe. Symptoms may include:

• fatigue
• fever
• redness and swelling at the fracture site

Causes include:

• advanced age
• physical stress that is repetitive, such as long-distance running
• trauma, such as a fall or car accident
• weakened bones, such as in osteoporosis

Kidney stones

Kidney stones are hard mineral deposits that form in the kidneys, located at the back side of your body above your hips. Kidney stones may cause the following symptoms:

• excessive urination
• nausea
• painful urination
• persistent urge to urinate
• radiating pain in the lower abdomen and groin
• smelly or cloudy urine
• urine that is pink, red, or brown
• urine that comes out in small amounts
• vomiting

Causes include:

• special diets, especially those high in protein, salt, and sugar
• dehydration
• digestive issues
• family history
• obesity
• other medical conditions

Left-sided appendicitis

Appendicitis causes sudden painful inflammation of the appendix, which can be deadly if untreated. The appendix is located on the right side of the abdomen, but in very rare cases, it can cause pain on the left side. Other symptoms include:

• bloating in the abdomen
• constipation
• diarrhea
• fever that worsens over time
• flatulence
• loss of appetite
• nausea
• pain worsened by movement or coughing
• vomiting

Appendicitis is caused by a blockage in the appendix lining that causes infection.

Leukemia

Leukemia is cancer of the body’s blood-forming tissues, which can cause pain in the bones. Other symptoms may include:

• bruises or bleeding that occurs easily
• chills
• enlarged liver or spleen
• fever
• frequent infections
• nosebleeds
• red spots on the skin called petechiae
• sweating, especially at night
• swollen lymph nodes
• unintentional weight loss
• weakness

There are several types of leukemia. Doctors think leukemia is caused by mutations in blood cells in the body.

Pancreatic cancer

Pancreatic cancer is cancer of the organ that lies behind the bottom of your stomach (the pancreas). If left untreated, pancreatic tumors can cause hip pain. Other symptoms include:

• blood clots
• depression
• diabetes that’s newly developed
• fatigue
• loss of appetite
• unintentional weight loss
• yellowed skin and eyes (jaundice)

Doctors aren’t sure what causes pancreatic cancer, but it appears smoking can increase your risk of the disease.

There are some causes of pain above the left hip that can only affect females. These include:

Ectopic pregnancy

Ectopic pregnancy happens when a fertilized egg attaches itself to the outside of the uterus instead of the inside. This condition can lead to an emergency if left untreated. Besides intense abdominal and side pain, symptoms include:

• early pregnancy symptoms
• light vaginal bleeding that worsens over time
• positive pregnancy test

Risk factors of ectopic pregnancy include:

• getting pregnant while using an intrauterine device (IUD)
• having a damaged fallopian tube
• having a sexually transmitted infection
• having had a previous ectopic pregnancy
• having undergone fertility treatments
• smoking

Endometriosis

Endometriosis is a painful condition causing the lining of the uterus to grow outside rather than inside the uterus. It can affect the ovaries, fallopian tubes, pelvic tissue, and other organs in the pelvis. Other signs of endometriosis include:

• bloating
• constipation
• diarrhea
• excessive bleeding during or between periods
• infertility
• nausea
• pain during sexual intercourse
• pain during urination or bowel movements
• painful periods (dysmenorrhea)

A clear cause of endometriosis isn’t known. But risk factors include:

• atypical reproductive tract
• female relatives with endometriosis
• going through menopause late
• having short menstrual cycles (less than 27 days)
• heavy periods
• high levels of estrogen in the body
• low body mass index
• not giving birth
• starting menstruation at a young age

Menstrual pain

Menstrual pain (dysmenorrhea) affects many women who menstruate, sometimes causing widespread abdominal pain. Other signs include:

• cramping or throbbing sensation
• dizziness
• dull ache
• headache
• loose stools and diarrhea
• pain that hits 1 to 3 days before your period and stops in 2 to 3 days

Menstrual cramps are triggered by hormonal changes associated with menstruation. However, some conditions affecting the female reproductive tract, including endometriosis, may worsen menstrual pain.

Ovarian cyst

Ovarian cysts are sacs filled with fluid that may grow on a woman’s ovaries and cause pain in the abdomen. In most cases, these cysts are harmless and may not even cause symptoms. However, some women experience pain as well as:

• aches
• bloating
• heaviness in the abdomen

You may be at risk of developing an ovarian cyst if you have:

• endometriosis
• hormonal issues
• pelvic infection
• pregnancy
• previous ovarian cysts

Pelvic inflammatory disease (PID)

Pelvic inflammatory disease is a serious infection affecting the female reproductive system. Often it causes no symptoms at first, but if untreated it can cause severe abdominal pain. Other possible symptoms include:

• abnormal bleeding between cycles or after sex
• fever with chills
• heavy and unpleasant smelling vaginal discharge
• pain and bleeding during sex
• painful urination or problems urinating

There is one cause of pain above the left hip that can only affect men:

Prostate cancer

Prostate cancer is a growth that affects the prostate gland, which produces sperm. Some cases of prostate cancer are slow-growing and cause few symptoms. Others are more painful, serious, and aggressive.

Some symptoms include:

• blood in semen
• bone pain
• difficult urination
• erectile dysfunction
• lowered urine stream

The cause of prostate cancer is unknown. However, some risk factors include:

• advanced age
• being of African descent
• family history
• obesity

To diagnose the cause of pain above your left hip, a doctor will start by asking you about your symptoms and medical history. They will also perform a physical exam, looking closely at your left hip area.

They may run tests to better determine the cause of your pain. These include:

• Blood, joint fluid, and urine tests. Testing the body’s fluids can reveal abnormalities that indicate disease in the blood, bones, and urinary tract.
• Endoscopy. An endoscopy involves sending a long camera tube down a person’s throat to look inside the small intestine. This can reveal signs of infection or digestive disorders.
• Imaging tests. CT scans, ultrasounds, MRIs, and X-rays can reveal cancers, cysts, deformities, and bone fractures.

Depending on what the doctor finds, they may refer you to a specialist who can better diagnose and treat the cause of your pain above your left hip. These specialists may include:

• gastroenterologist (specializes in digestive health)
• obstetrician-gynecologist (specializes in women’s health)
• oncologist (cancer doctor)
• orthopedist (specializes in bone health)
• urologist (specializes in male reproductive and urinary tract health)

The kind of treatment you need for the pain above your left hip depends on the cause. Treatment may include:

• antibiotics to clear infections such as diverticulitis and PID
• chemotherapy and radiation to treat cancer
• lifestyle changes such as a change in diet, quitting smoking, and increased exercise to treat conditions like Crohn’s disease and side stitches
• medications like NSAIDs to reduce symptoms of dysmenorrhea
• rest for mild causes of pain above the left hip, such as muscle strains and side stitches
• surgery to treat certain cancers, remove cysts or the appendix, and repair fractures

In some cases, pain above the left hip is a major cause for concern. However, in most cases, it can be treated easily with rest or an over-the-counter NSAID.

Most causes of pain above the left hip are not immediate emergencies and are easily treatable. Paying attention to all of your symptoms can help lead you and your doctor to a treatment that will resolve your pain.

If you’re concerned about your pain above the left hip and don’t already have a primary care provider, you can view doctors in your area through the Healthline FindCare tool.

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The main causes of pulling pain in the leg, caused by damage to the musculoskeletal system

Most often, pain in the thigh, buttocks, groin is accompanied by many diseases with damage to the spine, muscles, tendons, nerve trunks and blood vessels of the lower extremities.

Osteochondrosis of the lumbosacral spine

With dystrophic processes in the cartilage tissue that occur with osteochondrosis, there is a decrease in the height of the intervertebral discs. As a result, pressure increases on the radicular nerve trunks, which combine to form the sciatic nerve. Since the nerve passes along the back of the buttocks and thighs, its irritation leads to unpleasant sensations in this area in the form of pulling pains and cramps in the leg. The pain is aggravated by walking and exertion.

Compressive pressure on the sciatic nerve can be caused by disc protrusion and herniated disc.

Arthrosis of the hip joint

Deforming osteoarthritis — coxarthrosis appears in old age as a result of degenerative changes in the cartilaginous tissues of the hip joint. Women are more often affected.

A characteristic sign of coxarthrosis is the restriction of motor activity of the affected limb. The pain increases with active movements, calming down at rest.

Arthritis of the hip joint

Disease in the hip joint is rare, is autoimmune in nature and is secondary to current rheumatism or psoriasis. The pain is severe and usually bilateral.

Trochanteritis

This is inflammation or damage to the tendons surrounding the hip joint. The most common cause of the disease is an injury or overload of the legs (excess weight, carrying weights, running). Characterized by pain during movement, localized on the outer surface of the thighs – the area of ​​\u200b\u200b”breeches”. Pain is aching constant, but unlike coxarthrosis, there is no restriction in the mobility of the leg.

Aseptic necrosis of the femoral head

The symptoms of this pathology are in many respects similar to the manifestations of coxarthrosis – a significant difference is only the duration of the development of the disease. With coxoarthrosis, the symptoms develop gradually – over the years, and with necrosis, the pathological process progresses rapidly, in a few days the intensity of pain increases rapidly, haunting the patient even at night. In addition, aseptic necrosis of the femoral head often affects young men aged 20-45 years, and women suffer from this pathology 7-8 times less often.

Piriformis syndrome

Manifestations of this syndrome are associated with compression of the sciatic nerve trunk and blood vessels when they pass through the hole in the ilium. Compression occurs due to contraction of the piriformis muscle.

The disease develops as a complication of previous injuries, with incorrect injections into the buttock or as a result of hypothermia. The main symptom of nerve compression is constant pulling pain (sometimes with shooting), which is localized along the back of the thigh from the buttock to the foot. The pain may be accompanied by a feeling of numbness or weakness in the leg.

Potential causes of pulling pain in the thighs, not associated with damage to the musculoskeletal system

• Feverish syndrome with hyperthermia, accompanying colds, bacterial and viral infections.
• Iron deficiency and hemolytic anemia.
• Cerebral circulation disorders occurring with paralysis of the lower extremities.
• Damage to blood vessels in the pelvic area and soft tissues of the thigh: varicose veins, obliterating endarteritis, atherosclerosis of the vessels of the legs.
• Lymphostasis and secondary damage to the lymph nodes.
• Complications of diabetes mellitus in the form of angio- and neuropathies.
• Migration in the muscles of larvae of intestinal parasites.
• Diseases affecting the arachnoid (arachnoid) membranes of the brain and spinal cord: tick-borne encephalitis, poliomyelitis and other infections.
• Muscle dystrophy as a result of prolonged lack of motor activity (immobility).
• Nutritional deficiency of essential trace elements: potassium, magnesium, calcium.
• Fibromyalgia.
• Convulsive syndrome.
• Pelvic tumors.
• Pain in the hip in pregnant women is physiological in nature due to deformation of the axial skeleton and resolves on its own after childbirth.

Treatment success is 90% dependent on experience
and physician qualifications.

Free medical consultation and diagnostics

• Chiropractor
• Vertebrologist
• Osteopath
• Neurologist

At the consultation, we carry out a thorough diagnosis of the entire spine and each segment. We are for sure
we determine which segments and nerve roots are involved and cause symptoms of pain. As a result of the consultation
We give detailed recommendations for treatment and, if necessary, prescribe additional diagnostics.

1

Perform functional diagnostics of the spine

2

Let’s perform a manipulation that significantly relieves pain

3

We will create an individual treatment program

Book a free appointment

Diagnosis

In Dr. Length’s clinic, to make a correct diagnosis, a patient with complaints of pain in the thighs, buttocks and groin is prescribed the following examination methods:

• History taking.
• External examination with assessment of neurological status.
• Analysis of the biomechanics of the musculoskeletal system: range of motion in the joints, movement restrictions.
• Kinesiology testing of joints and musculoskeletal system.
• General and biochemical blood tests, rheumatic tests.
• Instrumental methods: radiography, ultrasound, CT, MRI.

Since pulling pains in the thighs, buttocks and groin can be caused not only by the pathology of the musculoskeletal system, but also by other diseases, the patient is assigned a number of additional studies and consultations of various specialists as part of the differential diagnosis.

Treatment

Pain is a signal of the development of pathological changes in the body. If the patient ignores the growing symptoms for a long time, tries to get rid of pain with the help of various painkillers and does not turn to specialists in time, this can lead to serious consequences in the form of disability with loss of independent movement.

Doctors at Dr. Length’s clinic successfully treat diseases of the musculoskeletal system with conservative methods that not only relieve the symptoms of the disease, but can also slow down the further progression of the pathological process.

The scheme of complex therapy is compiled for each patient individually, depending on the diagnosis, stage of the disease, clinical manifestations.

Dr. Length’s clinic, which specializes in the treatment of the spine and joints, includes both traditional methods of therapy (medication) and innovative methods of manual therapy.

Taking as a basis the achievements of foreign and Russian scientists in the field of manual therapy, Dr. Dlin developed his own method of Di-Tazin therapy, consisting of three components: soft manual technique, multicomponent electrophoresis and photodynamic laser therapy.

Using Di-Tazin therapy, the doctor achieves the following results in the treatment of patients:

• pain intensity decreases;
• relieves inflammation;
• blood microcirculation increases, and, consequently, the trophism of damaged tissues;
• improves lymph outflow;
• metabolic processes are normalized;
• further destruction of cartilage and bone tissue is suspended;
• regenerative processes are activated in the area of ​​damage;
• links of local immune protection are stimulated.

The therapeutic effect of soft manual therapy is that painfully altered muscles and ligaments do not stretch as in the classical technique, but come closer, which leads to a rapid cessation of pain, removal of spasm in the muscles, elimination of restrictions in the movement of the joints.

Due to electrophoresis, pharmacological preparations are introduced into the lesion through intact skin, and the therapeutic effect of the drug lasts for several days.

Photodynamic phototherapy is performed as an application to the skin of a special substance (photoditazine) in the area of ​​pain localization. This photosensitive drug, activated under the action of a certain spectrum of waves emitted by the LED installation, penetrates deep into the tissues and acts at the cellular level, accelerating the regeneration processes.

The technique has proven its effectiveness, has no contraindications , can be used in the treatment of pregnant women, children and the elderly.

In addition, the program of active rehabilitation includes physical therapy, massage, kinesiotherapy.

We are recommended by 94% of patients.
Thank you for your trust and your choice.

Material verified by an expert

Mikhailov Valery Borisovich

Manual therapist, vertebrologist, neurologist

Work experience – 25 years

Video testimonials of patients

Articular block in the neck 90 006 Hernia in the lower back and neck

I came to Dr. Length’s clinic with spinal problems. With two intervertebral lower hernias and two intervertebral hernias in the neck. I was assigned a comprehensive 10 step program. For 4 months, my lower vertebrae completely disappeared and crunches in my neck disappeared …

Lumbo-sacral hernia

“After the first time, my back stopped hurting. I felt relieved. Now 7 sessions have already passed and the back really does not hurt. I began to forget about it. And at first it hurt a lot. ”

Inflammation of the sciatic nerve

“For 4 months I suffered from severe inflammation of the sciatic nerve on the right side. After the first visit, relief came immediately within six hours. After 6 courses, the pain was almost gone.

Pain in the lower back and leg

Yakovleva Natalya Mikhailovna
Head of the department, surgeon of the highest category, oncologist-mammologist
I want to express my deep gratitude for the fact that I was put on my feet in the truest sense of the word. I came to the clinic a month and a half ago with severe pain in the lower back and leg. These complaints were long enough and the treatment that I used in the past was ineffective. Fortunately, I ended up in the clinic of Dr. Length and his team of super professionals!

Osteochondrosis of the cervical spine

“I applied 2 months ago with osteochondrosis of the cervical spine. I have a sedentary job and my neck muscles were very cramped. It was impossible to work. Before that, I went to other doctors, but this did not solve my problem. For 2 months I have a fairly positive dynamics. Every week it gets better and better.”

Bechterew’s disease

“I have had Bechterew’s disease for 10 years. The vertebrae began to move out, I began to slouch. I turned to other chiropractors, very famous, media ones. In the end, I didn’t get any results. After 2 sessions I felt much better. Now I don’t have any pain.”

Pain in the spine

“I came in with problems in my back, cervical, thoracic and lumbar spine. I was prescribed procedures, had a massage, and was assigned to do physical education at home. This made it much easier for me. I’m already turning my head. I have no pain.”

Shoulder shoulder periarthrosis

I went to the clinic with severe pain in my shoulder. My hand did not rise, I could not sleep at night, I woke up from pain. After the first treatment session, I felt much better. Somewhere in the middle of the course, my hand began to rise, I began to sleep at night.

Arthrosis of the knee joint, 2nd degree

She came in with a very serious illness. I could not walk, I have arthrosis of the 2nd degree of the knee joint. I went through a course of treatment at the Clinic and now I am going 100%.

Herniated disc

“I came to the clinic after I had back pain and it turned out to be a herniated disc. I went to other places, but they only relieved attacks of pain. Hope for a return to normal life was given only by Sergei Vladimirovich, his golden hands!

Scoliosis

“Since I was a teenager, I have suffered from scoliosis in the thoracic region. I felt a feeling of discomfort, tension, periodic pain in the spine. I turned to various specialists, a massage therapist, an osteopath, but I did not feel a strong effect. After treatment, Length S.V. I almost have a straight spine. Currently, I do not feel any problems and discomfort.”

Intervertebral hernia

“At the 5th-6th session there was an improvement. I felt much better. The pain is gone. Improvement progressed more and more each time. Lesson 10 today. I feel great.”

Pain in the lumbar and cervical region

“I am 21 years old. I went to the clinic with discomfort in the lumbar and cervical region. I also sometimes had sharp pains. After undergoing therapy, I felt a significant improvement in my back. I have no pain. The condition as a whole has improved.”

Pain in the back

“At the beginning of the path of treatment, my back hurt very badly. I could no longer walk. I take 5 steps and stop. My entire journey consisted of such stops. In the very first procedure, I left the office with no pain in my spine.”

Cervical hernia

“I came in with a problem in my neck and my right arm was very sore. The neck did not turn, the hand did not rise. After the 3rd session, I felt better. After the 5th, all this pain began to decrease. It turns out I have 2 hernias in my cervical vertebrae. After the sessions, I did an MRI and one hernia decreased. Now he began to move, his hand earned.

Pain in the neck

“I went to Dr. Long because I had a very bad pain in my neck on the right side. I fell on a snowboard 5 years ago, even went to an osteopath, but somehow it didn’t really help. Now everything is fine, there are some consequences left, the muscles were spasmodic. When I came, I had steel muscles, now my neck is very soft.”

Pain in the thoracic region

“I came to the clinic with back pain, namely in the thoracic region. After 10 sessions of treatment, I could already calmly go about my usual business, stay at work until lunch, without howling in pain. Now I’ve come back for an adjustment after 2 months. I’m fine, my back doesn’t hurt.”

Hernia and protrusion

“I came to the clinic with L4-L5 hernia and L5-S1 protrusion. Today the course of treatment has ended. Lower back hurt, it was difficult to bend down. After completing the course and receiving instructions in the form of physical exercises, it became much easier. After a month of treatment, I do not feel any stiffness of movements. ”

Pain in the lower back and hip joint

“I have been suffering from back pain since I was young. When they became unbearable, I went to Dr. Length’s clinic. Already after the first procedure, the pain in the hip joint was gone. After the third procedure, the shooting pains in the lower back stopped.

Applying today will help

avoid surgery tomorrow!

Relieve pain and inflammation

After 2-3 treatments, exhausting pain goes away, you feel better.

Eliminate the cause of the disease

Comprehensive rehabilitation of the spine improves well-being: you feel a surge of strength and energy.

Let’s start the process of regeneration

The process of restoration of damaged tissues begins, hernias and protrusions decrease.

Let’s strengthen the muscular corset

Strong back muscles support the spinal column, preventing the recurrence of the disease.

We treat

• Cubital tunnel syndrome: symptoms, diagnosis, treatment
• Intertibial syndesmosis: how to get rid of the disease
• Spinal osteophytes
• Subluxation of the hip joint
• Hypermobility of the spine
• Back pain between shoulder blades

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Hip pain | Voltaren

Hip pain symptoms

Hip pain can be felt as pain in the thighs, groin, buttocks and hip joint.

Sometimes the only symptom of hip problems is knee pain. Such pain is called reflected; it occurs quite often.

Pain in the hip may worsen with physical exertion, such as after sports, long walks and runs.

With pain in the hip, it becomes more difficult for a person to move the leg in the hip joint due to a decrease in the range of motion. In severe cases, lameness develops.

How does hip pain affect us?

The hip joints provide freedom of movement, which is why hip pain affects our lives. With hip pain, even getting out of bed, climbing stairs, and walking, not to mention jogging, is a problem. In severe cases, a person cannot move the leg at the joint and transfer body weight to it. In such cases, you should consult a doctor.

Ease the pain

DID YOU KNOW?

There are blood vessels and nerves in the thigh area, particularly the sciatic nerve (at the back of the thigh) and the femoral nerve (at the front of the thigh).*

50% of people have experienced hip pain.**

Get rid of pain

*Amer Icahnian National Association of Joint Patients: http://www.arthritis.org/about-arthritis/where-it-hurts/hip-pain/hip-anatomy. php
**Global Pain Index 2014: GSK-supported study, full report, p. 62

Why does hip pain occur?

The structure of the hip joint provides it with freedom of movement and reliability during constant work. But due to constant stress over the years, the muscles, nerves, ligaments and tendons of the thigh can become inflamed, resulting in pain.

Find the cause of the pain

Pain can be felt in various parts of the thigh. The location of the pain helps to understand its causes. Pain in the groin area and inside the thigh can be a sign of problems with the hip joint. Hip pain outside the hip joint, in the upper thigh and buttocks, usually indicates a soft tissue problem.

More serious causes of hip pain

More serious causes of hip pain include osteoarthritis, fractures, dislocations due to trauma, and bursitis. In these cases, you should consult a doctor.

Treatment

If you have been diagnosed with hip pain due to muscle or tendon damage or tendon inflammation (tendonitis), over-the-counter medications can help relieve pain and swelling.