Pain left hip area. Pain Above Left Hip: Causes, Symptoms, and Treatments Explained
What are the common causes of pain above the left hip. How is pain above the left hip diagnosed. What are the treatment options for pain above the left hip. When should you see a doctor for pain above the left hip. How can you prevent pain above the left hip.
Understanding Pain Above the Left Hip: An Overview
Pain above the left hip can be a perplexing and concerning symptom, often stemming from various conditions affecting different parts of the body. This discomfort may originate from the side, back, or abdomen, making it crucial to identify the underlying cause for proper treatment. Let’s explore the potential sources of this pain, their associated symptoms, diagnostic methods, and available treatment options.
Common Causes of Pain Above the Left Hip
The pain above your left hip can result from numerous conditions, ranging from mild to severe. Some of the most frequent causes include:
- Arthritis
- Bursitis
- Celiac disease
- Crohn’s disease
- Diverticulitis
- Muscle strain or side stitch
- Pinched nerve
- Polymyalgia rheumatica
Each of these conditions presents unique symptoms and requires different approaches to diagnosis and treatment.
Arthritis: A Common Culprit in Hip Pain
Arthritis is a prevalent cause of pain above the left hip, characterized by joint inflammation and stiffness. But what exactly causes arthritis in this area? Several factors can contribute, including:
- Age-related wear and tear
- Autoimmune disorders
- Previous injuries
- Genetic predisposition
Symptoms of arthritis affecting the hip area may include:
- Redness and swelling around the joint
- Reduced range of motion
- Stiffness, especially in the morning or after periods of inactivity
- Pain that worsens with activity
Diagnosing arthritis typically involves a combination of physical examination, imaging tests like X-rays or MRI, and blood tests to check for inflammatory markers. Treatment options range from lifestyle modifications and physical therapy to medications and, in severe cases, surgery.
Bursitis: When Cushioning Goes Awry
Bursitis occurs when the small, fluid-filled sacs (bursae) that cushion your bones become inflamed. In the hip area, this condition often results from repetitive motions or prolonged pressure on the joint. What activities commonly lead to hip bursitis? Some examples include:
- Running or jogging
- Cycling
- Climbing stairs frequently
- Sitting on hard surfaces for extended periods
Symptoms of bursitis in the hip region may include:
- Aching pain that worsens with movement
- Stiffness in the affected area
- Swelling and warmth around the hip
- Pain that may extend to the outer thigh
Diagnosis of bursitis often involves a physical examination and imaging tests such as ultrasound or MRI. Treatment typically focuses on rest, ice or heat therapy, anti-inflammatory medications, and in some cases, corticosteroid injections.
Gastrointestinal Conditions: Celiac Disease and Crohn’s Disease
Sometimes, pain above the left hip can originate from gastrointestinal issues. Two conditions that may cause such discomfort are Celiac disease and Crohn’s disease.
Celiac Disease: Gluten’s Unwelcome Effects
Celiac disease is an autoimmune disorder triggered by consuming gluten. But how does this relate to hip pain? The inflammation caused by celiac disease can lead to referred pain in various parts of the body, including the left hip area. Symptoms of celiac disease may include:
- Abdominal pain and bloating
- Diarrhea or constipation
- Fatigue and weakness
- Unexplained weight loss
- Skin rashes
Diagnosis typically involves blood tests for specific antibodies and a small intestine biopsy. The primary treatment for celiac disease is a strict gluten-free diet.
Crohn’s Disease: Inflammatory Bowel Trouble
Crohn’s disease is a chronic inflammatory bowel disease that can affect any part of the digestive tract. How might this condition cause pain above the left hip? Inflammation in the colon or small intestine can radiate to the hip area. Common symptoms of Crohn’s disease include:
- Abdominal pain and cramping
- Persistent diarrhea
- Rectal bleeding
- Fatigue
- Reduced appetite and weight loss
Diagnosing Crohn’s disease often requires a combination of blood tests, stool samples, imaging studies, and colonoscopy. Treatment options range from anti-inflammatory medications and immunosuppressants to dietary changes and, in severe cases, surgery.
Diverticulitis: When Intestinal Pouches Become Problematic
Diverticulitis occurs when small pouches (diverticula) in the lining of the digestive system become inflamed or infected. This condition frequently causes pain in the lower left abdomen, which can be mistaken for hip pain. What factors increase the risk of developing diverticulitis?
- Age (more common in people over 40)
- Low-fiber diet
- Obesity
- Lack of exercise
- Smoking
Symptoms of diverticulitis may include:
- Persistent pain in the lower left abdomen
- Fever and chills
- Nausea and vomiting
- Changes in bowel habits
- Bloating and gas
Diagnosis typically involves a physical exam, blood tests, and imaging studies such as CT scans. Treatment depends on the severity of the condition and may range from antibiotics and dietary changes to surgery in complicated cases.
Musculoskeletal Issues: Strains and Pinched Nerves
Pain above the left hip can also result from musculoskeletal problems, such as muscle strains or pinched nerves.
Muscle Strain: When Overexertion Takes Its Toll
A muscle strain occurs when a muscle is overstretched or torn. In the context of hip pain, this often involves the muscles around the hip and lower back. What activities commonly lead to muscle strains in this area?
- Lifting heavy objects improperly
- Sudden twisting movements
- Sports injuries
- Falls or accidents
Symptoms of a muscle strain may include:
- Sharp pain or dull ache in the affected area
- Swelling and bruising
- Limited range of motion
- Muscle spasms
Diagnosis is typically based on physical examination and patient history. Treatment usually involves rest, ice or heat therapy, gentle stretching, and over-the-counter pain relievers.
Pinched Nerve: When Nerves Get Compressed
A pinched nerve occurs when surrounding tissues compress a nerve, leading to pain, numbness, or tingling sensations. In the hip area, this often involves nerves in the lower back. What conditions can lead to a pinched nerve?
- Herniated discs
- Bone spurs
- Spinal stenosis
- Injuries or trauma
Symptoms of a pinched nerve may include:
- Sharp, burning pain that may radiate down the leg
- Numbness or tingling sensations
- Muscle weakness
- Increased pain with certain movements
Diagnosis often involves a combination of physical examination, imaging studies (such as MRI), and nerve conduction studies. Treatment options range from physical therapy and pain medications to more invasive procedures in severe cases.
When to Seek Medical Attention for Pain Above the Left Hip
While some causes of pain above the left hip may resolve on their own, others require prompt medical attention. When should you consult a healthcare professional? Consider seeking medical help if:
- The pain is severe or worsening
- You experience fever, chills, or night sweats
- The pain is accompanied by unexplained weight loss
- You notice blood in your stool or urine
- The pain persists for more than a few days despite home remedies
- You have difficulty performing daily activities due to the pain
Early diagnosis and treatment can prevent complications and improve outcomes for many conditions causing pain above the left hip.
Diagnostic Approaches for Pain Above the Left Hip
Determining the cause of pain above the left hip often requires a comprehensive diagnostic approach. Healthcare providers may use various methods to identify the underlying condition:
Physical Examination
A thorough physical exam allows the doctor to assess the area of pain, check for swelling or tenderness, and evaluate your range of motion. They may also perform specific tests to rule out certain conditions.
Medical History
Your doctor will likely ask detailed questions about your symptoms, when they started, and any factors that worsen or alleviate the pain. Providing a comprehensive medical history can help narrow down potential causes.
Imaging Studies
Depending on the suspected cause, your healthcare provider may order various imaging tests:
- X-rays: To visualize bone structures and detect fractures or arthritis
- MRI (Magnetic Resonance Imaging): For detailed images of soft tissues, including muscles, ligaments, and nerves
- CT (Computed Tomography) scan: To provide cross-sectional images of the body, useful for diagnosing conditions like diverticulitis
- Ultrasound: To examine soft tissues and detect fluid accumulation or inflammation
Blood Tests
Blood tests can help identify infections, inflammatory conditions, or autoimmune disorders that may be causing the pain. They may include:
- Complete blood count (CBC)
- Erythrocyte sedimentation rate (ESR)
- C-reactive protein (CRP)
- Rheumatoid factor (RF)
Specialized Tests
In some cases, additional tests may be necessary:
- Nerve conduction studies: To evaluate nerve function and diagnose pinched nerves
- Colonoscopy: To examine the colon for conditions like Crohn’s disease or diverticulitis
- Bone scans: To detect bone abnormalities or infections
The specific diagnostic approach will depend on your symptoms, medical history, and the suspected underlying condition.
Treatment Options for Pain Above the Left Hip
Treatment for pain above the left hip varies depending on the underlying cause. Here are some common approaches:
Conservative Treatments
Many conditions causing hip pain can be managed with conservative methods:
- Rest and activity modification
- Ice or heat therapy
- Over-the-counter pain relievers (e.g., ibuprofen, acetaminophen)
- Gentle stretching and exercises
- Physical therapy to improve strength and flexibility
Medications
Depending on the diagnosis, your doctor may prescribe:
- Nonsteroidal anti-inflammatory drugs (NSAIDs)
- Muscle relaxants
- Corticosteroids for reducing inflammation
- Disease-modifying antirheumatic drugs (DMARDs) for conditions like rheumatoid arthritis
- Antibiotics for infections like diverticulitis
Lifestyle Modifications
Some conditions may require long-term lifestyle changes:
- Dietary adjustments (e.g., gluten-free diet for celiac disease)
- Weight management to reduce stress on joints
- Regular exercise to improve overall health and joint function
- Stress reduction techniques
Interventional Procedures
For more severe or persistent cases, your doctor might recommend:
- Corticosteroid injections to reduce inflammation
- Nerve blocks for pain management
- Radiofrequency ablation for chronic nerve pain
Surgery
In some cases, surgery may be necessary:
- Hip replacement for severe arthritis
- Disc surgery for herniated discs causing nerve compression
- Bowel resection for complicated cases of diverticulitis or Crohn’s disease
The specific treatment plan will be tailored to your individual needs and the underlying cause of your pain.
Preventing Pain Above the Left Hip: Proactive Measures
While not all causes of pain above the left hip can be prevented, there are steps you can take to reduce your risk:
Maintain a Healthy Lifestyle
- Exercise regularly to strengthen muscles and improve flexibility
- Maintain a healthy weight to reduce stress on joints
- Eat a balanced diet rich in fruits, vegetables, and whole grains
- Stay hydrated to support joint health
Practice Good Posture and Body Mechanics
- Use proper lifting techniques to avoid strains
- Maintain good posture when sitting and standing
- Take breaks and stretch during prolonged periods of sitting
Manage Underlying Conditions
- Follow your treatment plan for chronic conditions like arthritis or Crohn’s disease
- Attend regular check-ups with your healthcare provider
- Take medications as prescribed
Listen to Your Body
- Don’t ignore persistent pain or discomfort
- Avoid overexertion during physical activities
- Allow adequate time for rest and recovery after exercise
By implementing these preventive measures, you can reduce your risk of developing pain above the left hip and maintain overall health and well-being.
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.
Less serious causes | Serious causes | Female-only causes | Male-only causes |
Arthritis | Bone cancer | Ectopic pregnancy | Prostate cancer |
Bursitis | Hernia | Endometriosis | |
Celiac disease | Iliopsoas abscess | Menstrual pain | |
Crohn’s disease | Ilium fracture | Ovarian cyst | |
Diverticulitis | Kidney stones | Pelvic inflammatory disease (PID) | |
Muscle strain (side stitch) | Left-sided appendicitis | ||
Osteomyelitis | Leukemia | ||
Pinched nerve | Pancreatic cancer | ||
Polymyalgia rheumatica | |||
Sacroiliac joint dysfunction |
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.
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.
Less serious causes | Serious causes | Female-only causes | Male-only causes |
Arthritis | Bone cancer | Ectopic pregnancy | Prostate cancer |
Bursitis | Hernia | Endometriosis | |
Celiac disease | Iliopsoas abscess | Menstrual pain | |
Crohn’s disease | Ilium fracture | Ovarian cyst | |
Diverticulitis | Kidney stones | Pelvic inflammatory disease (PID) | |
Muscle strain (side stitch) | Left-sided appendicitis | ||
Osteomyelitis | Leukemia | ||
Pinched nerve | Pancreatic cancer | ||
Polymyalgia rheumatica | |||
Sacroiliac joint dysfunction |
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.
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 increase 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 greatly 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 thighs, in particular 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 for Pain
*American 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 (inflammation of joint capsules). 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. You can relieve pain and improve joint mobility with the help of therapeutic exercises. But if your hip still hurts badly or doesn’t feel better after taking pain medication, you should see a doctor. Be sure to see your doctor if you fall, the pain gets worse, you have a fever, or you feel unwell.
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ACUTE hip pain can cause many reasons – from banal overexertion of the limbs to very serious diseases.
Therefore, if the pain recurs and becomes regular, it is necessary to urgently consult a specialist in order to establish a diagnosis and prescribe treatment. After all, some diseases of the limbs directly lead to permanent disability. One of them is Perthes disease – aseptic necrosis of the femoral head in adults (ANGBK). As a rule, it affects men of quite working age – 30-50 years old, and in half of the cases both legs are affected. The causes of the disease can be very different: trauma to the femoral neck, taking certain medications (most often high doses of glucocorticoid hormones), prolonged exposure to high pressure (divers, miners), frequent alcohol consumption (it damages blood vessels, which can cause necrosis) , chronic metabolic disorders (diabetes mellitus, obesity, acute and chronic pancreatitis, fat embolism, Gaucher’s disease, decompression sickness, etc.). The result of this most dangerous disease is the necrosis of a part of the bone substance of the femoral head, followed by its destruction.
More details about the development and diagnosis of aseptic necrosis of the femoral head were told by the doctor-specialist of the Floris Medical Center MIROSLAV STARKIV:
– The first symptom of ANFH is pain in the hip joint when transferring body weight to the affected leg. The pain can spread to the inguinal, gluteal region, give along the front of the thigh. Then lameness and impaired function (mobility) of the joint appear. In the later stages, the patient feels severe pain even at rest, which causes sleep disturbances. At this time, one leg becomes shorter than the other, a pronounced lameness appears, the need for a cane or crutches – and it is no longer possible to change the situation. Therefore, it is very important that the patient consult a doctor at an early stage – when pain occurs from time to time, and the joint still retains full mobility.
Unfortunately, the diagnosis of ANHF at an early stage is difficult – traditional X-ray examination does not reveal incipient pathological changes, the spherical surface of the femoral head is preserved, the joint space remains of normal width. X-ray does not always allow answering the question about the exact localization and size of the pathological process, the state of the cartilage and periarticular tissues, and to track the dynamics of restoration of the bone lesion after treatment.
But the solution to this problem was found – the study of soft tissue and cartilage elements of the hip joint became possible thanks to such a highly informative, non-invasive, fast and affordable method as ultrasound sonography. Ultrasound examination of the hip joints using high-precision equipment at the Floris Medical Center allows diagnosing manifestations of necrosis of the femoral head and its severity. In addition, ultrasound can be used repeatedly without risk to the health of patients, unlike radiography.
At the stage of vascular disorders, the process of development of bone necrosis can be not only slowed down, but also reversed. Violations of regional blood supply in various pathologies helps to detect ultrasound with dopplerography. Today, the doctors of the Floris Medical Center master this technique. In April 2009, they prepared a report on the early diagnosis of ANGBK at the international conference on ultrasound diagnostics in Kiev. According to statistics, in our center for 2009-2010 produced more than 220 ultrasound examinations of the femoral head with dopplerography. Of these, in 25% of the examined patients, the disease was detected at an early stage, which made it possible to prescribe treatment in time and monitor its effectiveness.
Patient reviews
Julia
Otolaryngologist Reznik Alina Sergiivna, just a charmer. You won’t be given a diagnosis of what you have…
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Oleksandr
I want to thank my family doctor, Olena Georgievna, for help, professional assistance. It’s nice to…
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Katerina
Floris on Sirka, ultrasound doctor Oleksandr Anatoliyovich Shevchenko is the best in his right.