What are the most frequent causes of hip pain in women. How can you differentiate between various types of hip discomfort. What treatment options are available for hip pain relief. When should you consult a doctor about hip pain.

Understanding Hip Pain: Location and Diagnosis

Hip pain is a common complaint among women, often more prevalent than in men. However, accurately identifying the source of discomfort is crucial for effective treatment. Many patients may describe hip pain when they’re actually experiencing discomfort in the upper thigh, buttock, or lower back.

Where is true hip pain typically felt? Genuine hip pain is usually localized in two areas:

• The groin region
• Directly over the hip joint (a ball-and-socket joint) on the side of the hip

When diagnosing hip pain, doctors consider several factors:

1. Patient’s age
2. Body type
3. Activity level

These factors help narrow down the potential causes and guide the diagnostic process. For instance, the likely causes of hip pain in a young, slim runner will differ significantly from those in an older, sedentary individual.

Arthritis: A Leading Cause of Chronic Hip Pain

Arthritis, particularly osteoarthritis, is one of the most common culprits behind chronic hip pain in women. This wear-and-tear condition often develops with age and affects the ball-and-socket joint of the hip.

How does arthritis manifest in the hip? Typical symptoms include:

• Pain in the front of the thigh
• Discomfort in the groin area
• Stiffness in the hip joint
• Swelling around the affected area

Why does arthritis cause these symptoms? As the joint deteriorates, it leads to inflammation, reduced range of motion, and pain during movement. Early diagnosis and appropriate management can help slow the progression of arthritis and improve quality of life.

Hip Fractures: A Serious Concern for Older Women

Hip fractures pose a significant risk, especially for older women and those with osteoporosis. These injuries can have serious consequences and often require immediate medical attention.

How can you recognize a potential hip fracture? Key signs include:

• Pain when straightening the leg
• Discomfort when lifting or standing on the affected leg
• Outward turning of the toes on the injured side

Why are older women more susceptible to hip fractures? Several factors contribute to this increased risk:

1. Decreased bone density due to osteoporosis
2. Age-related decline in balance and coordination
3. Reduced muscle strength and flexibility

Preventive measures, such as maintaining a healthy diet rich in calcium and vitamin D, regular exercise, and fall prevention strategies, can help reduce the risk of hip fractures in older women.

Tendinitis and Bursitis: Inflammation-Related Hip Pain

Tendinitis and bursitis are common sources of hip pain, especially among active women. These conditions result from inflammation of the tendons and bursae, respectively, which are crucial components of the hip joint.

Tendinitis in the Hip

Tendinitis occurs when the tendons connecting muscles to the hip joint become inflamed, often due to overuse or strenuous activities. A notable example is iliotibial band syndrome, frequently seen in runners.

What is the iliotibial band? It’s a thick tissue that runs from the outer rim of the pelvis to the outside of the knee. When inflamed, it can cause pain on the outside of the hip and thigh.

Bursitis and Its Impact on Hip Health

Bursitis involves inflammation of the bursae, small fluid-filled sacs that cushion the bony parts of the hip near the surface. This condition can result from irritation or overuse of the hip joint.

How does bursitis affect hip movement? When inflamed, bursae can cause pain during various hip movements, making everyday activities uncomfortable.

To prevent tendinitis and bursitis, consider the following tips:

• Gradually increase the intensity of your workouts
• Incorporate proper warm-up and cool-down routines
• Use appropriate footwear for your activities
• Take regular breaks during repetitive tasks

Hernias: An Often Overlooked Cause of Hip Pain

Hernias, particularly femoral and inguinal hernias, can be a source of anterior hip pain in women. These conditions, sometimes referred to as sports hernias, occur when tissue protrudes through a weak spot in the surrounding muscle or connective tissue.

Why are pregnant women more susceptible to inguinal hernias? The increased pressure on the abdominal wall during pregnancy can weaken the tissues, making hernias more likely to develop.

How can you differentiate hernia pain from other types of hip pain? Hernia-related discomfort often:

• Worsens with physical activity or prolonged standing
• May be accompanied by a visible or palpable bulge
• Can cause a burning or aching sensation in the groin area

If you suspect a hernia, it’s crucial to consult a healthcare professional for proper diagnosis and treatment. In some cases, surgical repair may be necessary to prevent complications.

Gynecological and Back Issues: Hidden Sources of Hip Pain

Hip pain in women isn’t always directly related to the hip joint itself. In some cases, gynecological conditions or back problems can manifest as hip discomfort, making diagnosis more challenging.

Gynecological Causes of Hip Pain

Certain gynecological issues can present as hip pain. One such condition is endometriosis, where tissue similar to the uterine lining grows outside the uterus.

How does endometriosis cause hip pain? The condition can lead to:

• Pelvic tenderness
• Radiating pain to the hip area
• Discomfort during menstruation or intercourse

Back Problems Mimicking Hip Pain

Issues originating in the spine can sometimes be perceived as hip pain. Sciatica, for instance, can cause discomfort that radiates from the lower back to the buttocks and legs, often affecting one side of the body.

What are the characteristics of sciatic pain? Typical symptoms include:

• Sharp, shooting pain along the sciatic nerve path
• Numbness or tingling in the affected leg
• Weakness in the leg or foot

Given the complexity of these conditions, it’s essential to provide your doctor with a detailed description of your symptoms to ensure an accurate diagnosis and appropriate treatment plan.

Treatment Options for Hip Pain: From Conservative to Surgical Approaches

The treatment for hip pain varies depending on the underlying cause. In many cases, especially for overuse injuries or minor sports-related discomfort, conservative approaches can be effective.

Conservative Treatment Methods

What are some non-invasive treatments for hip pain?

• Rest and activity modification
• Application of heat or cold therapy
• Over-the-counter anti-inflammatory medications
• Physical therapy and targeted exercises
• Weight management to reduce stress on the hip joint

Preventive Measures and Lifestyle Changes

How can you prevent hip pain or reduce its impact?

1. Maintain a healthy weight to minimize joint stress
2. Engage in regular, low-impact exercises to strengthen hip muscles
3. Use proper techniques and equipment during physical activities
4. Incorporate stretching routines before and after exercise
5. Wear appropriate footwear, especially when running or walking long distances

Surgical Interventions for Severe Cases

In some instances, such as hip fractures or severe arthritis, surgical intervention may be necessary. The type of surgery depends on the specific condition and may include:

• Hip replacement surgery
• Fracture repair procedures
• Arthroscopic surgery for labral tears or other soft tissue injuries

When should you consider surgical options for hip pain? Typically, surgery is recommended when:

• Conservative treatments have failed to provide relief
• The pain significantly impacts your quality of life
• There’s a risk of further damage without surgical intervention

It’s crucial to discuss all treatment options with your healthcare provider to determine the most appropriate approach for your specific condition.

When to Seek Medical Attention for Hip Pain

While some hip pain may resolve with home care and time, certain situations warrant prompt medical attention. Recognizing these signs can help prevent complications and ensure timely treatment.

When should you consult a doctor about hip pain? Consider seeking medical help if:

• The pain is severe or worsening over time
• You experience sudden, intense hip pain
• The pain is accompanied by fever, redness, or swelling
• You’re unable to bear weight on the affected leg
• The pain persists despite conservative treatment measures
• You notice any deformity or change in the appearance of your hip

How can you prepare for your doctor’s appointment? To help your healthcare provider make an accurate diagnosis:

1. Keep a pain diary noting when and how the pain occurs
2. Be prepared to describe the location and nature of the pain in detail
3. Inform your doctor about any recent injuries or changes in activity level
4. Bring a list of all medications and supplements you’re currently taking
5. Don’t hesitate to ask questions about your condition and treatment options

Remember, early intervention can often lead to better outcomes and prevent the progression of underlying conditions causing hip pain.

5 Common Causes of Hip Pain in Women

Does your hip hurt? As with other types of chronic pain, women tend to experience it more than men. But because hip pain can have a number of different causes, determining the correct one is the key to getting the best treatment.

The Diagnosis: Is It Your Hip?

When you tell your doctor your hip hurts, the first thing she should do is confirm that your hip is actually the problem. Women might say they have hip pain, but what they may mean is that they have pain in the side of the upper thigh or upper buttock, or they may be experiencing lower back pain, says Stephanie E. Siegrist, MD, an orthopedic surgeon in Rochester, New York, and a spokeswoman for the American Academy of Orthopaedic Surgeons. Hip pain is often felt in the groin or on the outside of the hip directly over where the hip joint (a ball-and-socket joint) is located.

Causes of Hip Pain in Women

When a female patient comes to Dr. Siegrist complaining of hip pain, she considers the patient’s age, build, and activity level. If the patient is a thin 20-year-old runner or a heavy, sedentary 80-year-old grandmother, “the possibilities at the top of my list will be different,” she says.

Among the most common causes of hip pain in women are:

1. Arthritis Chronic hip pain in women is often due to arthritis, particularly osteoarthritis, the wear-and-tear kind that affects many people as they age. “The ball-and-socket joint starts to wear out,” Siegrist says. Arthritis pain is often felt in the front of your thigh or in the groin, because of stiffness or swelling in the joint.

2. Hip fractures Hip fractures are common in older women, especially those with osteoporosis (decreased bone density). Symptoms of a hip fracture include pain when you straighten, lift, or stand on your leg. Also, the toes on your injured side will appear to turn out, a sign that can aid your doctor’s preliminary diagnosis.

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3. Tendinitis and bursitis Many tendons around the hip connect the muscles to the joint. These tendons can easily become inflamed if you overuse them or participate in strenuous activities. One of the most common causes of tendinitis at the hip joint, especially in runners, is iliotibial band syndrome — the iliotibial band is the thick span of tissue that runs from the outer rim of your pelvis to the outside of your knee.

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Another common cause of hip pain in women is bursitis, says Marc Philippon, MD, an orthopedic surgeon in Vail, Colorado. Fluid-filled sacs called bursae cushion the bony part of the hip that is close to the surface. Like the tendons, these sacs can become inflamed from irritation or overuse and cause pain whenever you move the hip joint.

4. Hernia In the groin area, femoral and inguinal hernias — sometimes referred to as sports hernias — can cause anterior (frontal) hip pain in women. Pregnant women can be susceptible to inguinal hernias because of the added pressure on the wall of their abdomen.

5. Gynecological and back issues “Hip pain in women can have gynecological causes,” Siegrist says. “It’s important not to just assume that the pain is caused by arthritis, bursitis, or tendinitis. Depending on your age and other health issues, the pain in your hip could be coming from some other system.”

Endometriosis (when tissue similar to the uterus lining tissue grows outside the uterus) can cause pelvic tenderness, which some women describe as hip pain. Pain from the back and spine also can be felt around the buttocks and hip, Siegrist says. Sciatica, a pinched nerve, typically affects one side of the body and can cause pain in the back of the right or left hip — the pain from sciatica can start in your lower back and travel down to your buttocks and legs.

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Treatment Options for Hip Pain

Treatment for hip pain depends on the diagnosis, but pain that’s caused by overuse or sports injuries is often treated with heat, rest, and over-the-counter anti-inflammatory medication. To prevent injuries, it is important to stretch before exercising and wear appropriate clothing, especially good shoes when running, Dr. Philippon says.

If certain activities or overuse are causing hip pain, stop those that aggravate the discomfort and talk to your doctor. Excess weight can put pressure on the hip joint, so losing the pounds can provide relief and help you avoid further problems. Some causes of hip pain, such as fractures or hernias, may need surgical repairs. If your hip pain persists, talk to your doctor about the possible causes and treatments.

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The Joint Pain Relief Workout: Healing exercises for your shoulders, hips, knees, and ankles

Is joint pain holding you back? Perhaps an achy ankle or sore knee is making it difficult to enjoy a run through your favorite park or even a short walk? Or a throbbing hip or shoulder prevents you from driving a golf ball down the fairway or from performing simple tasks like carrying a bag of groceries into your home? The exercises in this report can help relieve ankle, knee, hip, or shoulder pain, and help you become more active again, which in turn can help you stay independent long into your later years. 

Designed by knowledgeable exercise experts, our workouts are intended to strengthen the muscles that support your joints, increase flexibility in your joints, and improve range of motion. Done regularly, these exercises can ease pain, improve mobility, and help prevent further injury.

The Joint Pain Relief Workout includes four workouts targeting your ankles, hips, knees, and shoulders. You’ll find detailed instructions for each exercise, as well as information on how to adapt each exercise to make it either harder or easier, so you can tailor it to your ability. In addition, the report includes mini-workouts to address wrist and elbow problems, a planning worksheet to help you get started and stay motivated, and answers to common exercise questions.

Prepared by the editors of Harvard Health Publishing in consultation with Lauren E. Elson, M.D., Department of Physical Medicine and Rehabilitation Instructor, Harvard Medical School, and Michele Stanten, Certified Fitness Instructor, American Council on Exercise (2021)

If you haven’t been working out regularly, or even if you have, you may have some questions about getting started on the workouts in this report. Here we answer some common questions.

1. Which workout should I do?

That depends on which joints are bothering you. If it’s an ankle, turn to “Ankle workout”; if it’s your hips, turn to “Hip workout.” What if it’s both? It’s safe to do both routines as long as the problems you’re experiencing are described in the workout introductions. If you have more significant joint problems, or if you have any doubts, see your doctor before you start any workout!

Pair the workout or workouts you choose with the weekly walking program or another choice to get the cardio tune-up your body needs.

2. What if I can’t do all the reps or sets suggested?

Quality is much more important than quantity. While you want to challenge yourself, it’s okay if you can’t do all the recommended reps or sets at the start. Begin by trying to finish a single set of each exercise in the workout, then gradually work up to more as you progress. Within any set, only do as many reps as you can manage while following instructions, maintaining good form, and sticking to the specified tempo. If necessary, try lightening up the weight or resistance to make this possible.

3. How much weight or resistance should I use?

It’s wise to have a selection of light weights (1, 2, and 3 pounds) and resistance tubing or bands (light through medium resistance).

Select the highest weight or level of resistance that allows you to accomplish all of the following:

• maintain good form throughout the exercise
• stick to the specified tempo
• complete the suggested number of reps and sets
• achieve a full and pain-free range of motion.

Wait until you find it easy to meet all four requirements before you increase the weight or resistance for a particular exercise. If it’s difficult to meet any of the four, decrease the weight or resistance.

As you try the exercises, you’ll find some muscle groups are stronger than other groups. Thus, you’ll need to vary the amount of weight or resistance used in the course of your workout.

4. How often should I do the exercises in a workout?

A full workout incorporates warm-ups, muscle strengthening exercises, and stretches. We recommend doing full workouts two to three times a week. Strenuous exercise like strength training causes tiny tears in muscle tissue. The muscles grow stronger as the tears knit up. Always allow at least 48 hours between strength training sessions to give the muscles time to recover. Warm-ups and stretches can be done more often—even daily—to enhance flexibility.

When the hip joint hurts and gives to the leg: what to do?

Pain never appears on its own. It is the body’s response to a specific stimulus. Such a symptom is a response to a negative factor. Such manifestations cannot be ignored. If a pain symptom is felt in the lumbar spine or in the pelvis, radiates to other parts of the body, this may indicate developing dangerous diseases.

General description

Pain in the pelvis on the right or left is often accompanied by inflammation, pinching of the sciatic nerve or its irritation. In such a situation, often the pain of a aching nature passes into the leg, thigh and buttocks. It becomes more pronounced during physical activity and when performing certain loads.

Painful sensations appear from the thigh and coccyx, pass to the muscles of the buttocks, to the back of the thigh and calves, radiate to the foot without passing to the phalanges of the fingers. Pain is felt throughout the limb. Most often, such an unpleasant symptom affects only one lower limb. In some cases, sciatica occurs on both limbs.

When a pain syndrome appears, especially if it lasts for a long time, the general condition of the body suffers, the person’s gait changes. He tries to reduce the load on the diseased limb by shifting it to a healthy one. This is how lameness occurs.

Causes of pain not related to the joints

There are many factors that provoke pain in the pelvis, which passes into the lower extremities. In order to carry out the correct therapy, it is necessary not only to establish a diagnosis, but also to determine the reason for which it appeared. Provoking factors for the appearance of pain can be pathologies of the articular apparatus or internal organs, as well as other reasons.

If there are no degenerative-dystrophic changes in the articular apparatus, the following factors can cause pain:

• Childbearing period. Unpleasant symptoms in the pelvis and lower back are provoked by the restructuring of the body, the pressure of the uterus on the internal organs, and the compression of the joints. Often women during this period of life suffer from aching pain that radiates to the limbs.
• Diseases of an inflammatory or infectious nature, in which soft tissues and nerve fibers are affected. The pain is sharp or aching in nature.
• Obesity. In this case, the spine experiences increased stress, while unpleasant symptoms occur in the pelvis and lower back.
• Hypothermia. Against the background of hypothermia, diseases of the articular and bone apparatus often begin to develop.
• Tumor-like processes in the spinal column of a benign or malignant nature.
• Diseases of the muscular system.
• Diseases associated with impaired metabolic processes. These are diabetes, gout, rheumatism.

Pain in the lumbar or pelvis that radiates to the lower extremity can be caused by sciatica. This pathology is accompanied by pinching of the sciatic nerve. Cause sciatica can be a long stay in an uncomfortable position, constant sedentary work, hypothermia. Diseases of the spine can also provoke such a problem.

Varieties of pain sensations

Painful sensations during walking are of different intensity and type. This is due to the provoking factor in the development of diseases, the individual pain threshold, the stage of development of the disease.

Pain may be severe or moderate. By nature, the pain is aching, sharp, stabbing, dull, pulling. When visiting a doctor, it is very important to establish the nature of this symptom, this will help to make a more accurate diagnosis and begin timely treatment.

The main types of unpleasant symptom are:

• Acute pain. It is intense but short lived. It is most pronounced in the pathologically altered area. The leg and buttock in this case hurts slightly. It is easier to deal with such pain.
• Pain of a aching nature. In this case, discomfort is evenly given to the entire limb, especially to those areas that are in close proximity to the damaged area. The pain is aching and pulling, in this case, the diagnosis is difficult.
• Chronic pain. It is long-term, present for a long period. It is very difficult to get rid of it.

Diseases of the joints and their characteristic symptoms

With the development of diseases of the joints, pain occurs that radiates to the lower limb.

Arthritis of the hip joint

This disease is typical for the elderly. The main symptom is aching pain in the pelvis. If arthritis develops in the bone apparatus, a person feels discomfort, discomfort. With the development of arthritis of the periarticular structures, pain of an acute, cutting nature appears during walking. Localization – front of the thigh. Complemented by stiffness of movements. In this case, the use of hormonal drugs, non-steroidal anti-inflammatory drugs is required, then physiotherapy, massage, manual therapy are prescribed.

Coxarthrosis of the hip joint

This pathology begins to develop after the age of 45 years. At the initial stages of development, symptoms are practically not manifested. This is the insidiousness of the disease, since it will be possible to determine it already at the stage of irreversible changes.

Initially, mild pain in the pelvic region occurs, which gradually spreads to the limbs during walking. As the disease progresses, the destruction of intra-articular cartilage structures occurs, pain sensations are given to the limb. The pathological process is supplemented by compression and infringement of the nerve endings and ligaments in the pelvis. Soreness is permanent, supplemented by shootings in the groin and knee area. In addition to conservative treatment of hip pain, physiotherapy is prescribed depending on the cause.

Bursitis of the hip joint

The hip bone is surrounded by a special cavity – the articular bag. With its inflammation, bursitis is diagnosed. There are two types of the disease – vertical and ischio-buttock bursitis. It is difficult for a person to lie on the side where the bag of the joint has become inflamed, as he experiences severe pain and discomfort. Treatment of bursitis is the introduction of glucocorticosteroids by injection. It is also necessary to limit motor activity during an acute pathological process.

Tendinitis

Most often, this pathological process develops in people who are engaged in heavy physical exertion or in those involved in professional sports. In this case, the ligaments are affected, the mobility of the articular apparatus is limited. A person experiences severe pain when trying to lean on the affected limb.

Osteomyelitis

The disease is characterized by damage to the long tubular bones of the limb. This is an infectious process, which is accompanied by swelling, joint deformity, local hyperthermia, redness of the inflamed area and severe pain.

Diagnosis of pathology

Painful sensations can occur in the presence of various diseases. It is not recommended to try to get rid of unpleasant symptoms on your own. It is very important to establish the correct diagnosis, and then undergo the prescribed treatment of hip joints in Moscow in a specialized clinic.

To determine the provoking factor in the development of unpleasant symptoms, doctors use various diagnostic methods. First, a visual examination and palpation of the painful area is performed. The doctor also collects anamnestic data.

Based on the patient’s complaints, diagnostic procedures are prescribed:

• Laboratory analysis of blood and urine.
• Biochemical blood test.
• Radiography.
• Tests for rheumatoid factor.
• Proteinogram.
• Computed tomography.
• Magnetic resonance imaging.
• Determination of vascular patency.
• Ultrasound.

Peculiarities of pain management of different nature

Methods of therapy are selected depending on the established diagnosis. To temporarily get rid of the pain syndrome, you can take an anesthetic drug. It will only work for a short time. Since the cause is not eliminated, the discomfort returns again.

Most often, in diseases of the articular apparatus, doctors prescribe conservative therapy. Medications are prescribed – steroid or non-steroidal anti-inflammatory drugs, vasodilators, chondroprotectors, vitamin complexes. Additionally, physiotherapy procedures are prescribed.

If the disease is at an advanced stage of development, conservative therapy may not be effective. In such a situation, doctors consider the feasibility of surgery. With bursitis, the removal of fluid from the periarticular sac is indicated. In infectious diseases, in addition to the main therapy, antibiotics are prescribed.

Treatment of pain syndrome in the hip joints

Therapy is prescribed by a doctor after a preliminary diagnosis. For drug treatment of diseases of the hip joint, the following scheme is used:

• Non-steroidal anti-inflammatory drugs. Their main goal is to stop the acute inflammatory process, reduce the severity of the pain syndrome, eliminate swelling. These drugs include Indomethacin, Ibuprofen, Dicrofenac.
• Muscle relaxants. Designed to eliminate muscle spasms, to get rid of pinched sciatic nerve. These drugs include Movalis, Tolperil, Meloxicam.
• Glucocorticosteroids. Designed to stop the inflammatory process and get rid of pain. This is Prednisolone, Dexamethasone.
• Chondroprotectors. The task of these drugs is to restore damaged cartilage structures. These are Artra, Chondroxyl, Chondroitin Glucosamine, Teraflex.
• Vitamin complexes – Milgamma, Neurobeks.

If conservative treatment fails, surgery may be used. At the advanced stage of diseases of the articular apparatus of the hip area, joint arthroplasty is performed, which consists in the complete replacement of the damaged part of the thigh. After such treatment, rehabilitation is carried out. Its result is getting rid of pain, unpleasant symptoms that occur with the development of degenerative diseases.

With proper and timely treatment, it is possible to cure diseases of the hip joint, which are accompanied by severe pain.

Drawing pain in the thigh, buttock and groin

Drawing pain in the thigh, buttock or groin is a common symptom that makes people immediately seek treatment from doctors of various specialties. Most people at least once in their lives have experienced such complaints. Self-administration of medications, application of anesthetic ointments, warming up can aggravate the development and manifestation of pain without an accurate diagnosis.

Let’s try to understand the causes, possible diseases associated with the manifestation of such symptoms, as well as methods of diagnosis and treatment.

The main causes of pulling pain in the thigh, buttock or groin

The search for the starting point of such a complaint often causes difficulties in differential diagnosis, since the causes of unpleasant sensations in these areas may be the result of a number of pathological conditions of the human musculoskeletal system. There are everyday causes (lifestyle, postures at work), acute diseases (traumas, exacerbations of chronic conditions), functional deviations in the work of the muscular corset.

Among the provocateurs of this pain syndrome, it should be noted:

– excessive physical activity associated with labor activity

– “sedentary” work;

– overweight problems;

– the period of bearing a child.

Conditions and diseases of the musculoskeletal system, the symptom of which may be drawing pain in the lower limb.

1. Lesions of the lumbosacral spine.

Degenerative-dystrophic processes in the spine often become the main cause of pain in the thigh and buttock. This is due to the pathological cascade of changes in the state of the intervertebral discs, intervertebral joints of the ligamentous-muscular corset. With the progression of intervertebral protrusion or hernia, compression and irritation of the nerves may occur, resulting in pain symptoms. Depending on the level of this influence, the localization of the problem will also change.

2. Arthropathy of the hip joint

Among the lesions of the hip joints, coxarthrosis should be highlighted in the first place. The prevalence of this pathology, according to scientific literature, reaches 18% in the group of diseases of the musculoskeletal system. Clinical manifestations of coxarthrosis, namely, limited mobility in the joint, sparing of the leg when walking, pain when probing soft tissues, muscle spasm can cause pain both in the back and in the hip area. Second defeat

3. Femoral neuropathy

Femoral neuropathy is a fairly common mononeuropathy of the lower extremities. There are several areas in which the anatomical and topographic features of the femoral nerve predispose it to an increased risk of compression or injury – in the region of the iliopsoas muscle, under the inguinal ligament, in the region of Gunther’s canal and when exiting it. Depending on the level of the lesion, the clinical manifestations of femoral neuropathy vary significantly.

4. Physical injuries of the thigh area

Any traumatic impact on the muscle structures of the lower limb gives a range of pain symptoms. Bruises, sprains and overstrain of the musculoskeletal system, the consequences of femoral fractures should be considered as a possible cause of pain. Even remote manifestations are often the result of trauma.

5. Trochanterite

This is inflammation of the upper point of the femur, called the trochanter, to which tendons and muscle fibers are attached. Given the inflammatory nature of tronchateritis, this disease is often mistaken for arthrosis. This condition is characterized by pain during verticalization, movement. The anterior-lateral surface of the thighs is most often affected. Unlike coxarthrosis, movement in the joint is not objectively limited.

6. Myofascial pain syndromes

Musculoskeletal disorders are also one of the factors of pain in the thigh and buttocks. Most clearly, such a pathology is reflected by myofascial pain syndromes, characterized by the development of muscle dysfunction and the formation of local painful seals in the muscle tissue. The most common of these syndromes are piriformis syndrome and iliac-tibial tract syndrome.

Piriformis syndrome is a condition that is particularly associated with pain in the buttock and/or thigh. In some articles this syndrome is defined as peripheral neuritis of the branches of the sciatic nerve caused by non-physiological overexertion of the piriformis muscle. Women with CGM are diagnosed more often than men (the ratio is 6:1)

lying from the top of the pelvis down the outer surface of the thigh, crossing the outer part of the knee and attached to the very top of the tibia. This anatomical structure serves as a link between the main muscles of the pelvis and the knee. The main function of this tract during running is to stabilize the knee during the impact of the foot on the ground. The syndrome of the iliac-tibial tract most often develops against the background of its damage. The pain is localized in the area of ​​the outer part of the knee or just above it, although it can extend up to the top of the femur.

7. Joint dysfunction and flat feet.

Tracing the direct muscular-fascial relationship of the distal and proximal parts of the lower limb, it is necessary to take into account pathological changes in the ankle joints and feet. Regular physical overload, as well as deformation of the anatomical structure of the feet, give ascending causes of the development of pain symptoms in the upper legs, in the hip joint, ligaments and muscles. The scientifically proven myofascial kinematic chain with a high frequency leads to the development of pain in the area of ​​the previously mentioned regions. However, such a clinical picture does not always have organic lesions in the joints, muscles or bone and ligamentous elements. Localization of pain sensations may vary depending on the violation in a particular biomechanical motor chain.

Diseases and pathological conditions not associated with damage to the musculoskeletal system and capable of causing similar pain 03

– Diseases of an infectious or parasitic nature, accompanied by fever, severe intoxication, damage to the vascular membranes of the brain and spinal cord (bacterial or viral infections, tick-borne encephalitis, borreliosis, botulism, trichinosis)

– Damage to the vascular and lymphatic bed of the pelvic region and lower extremities (varicose veins, atherosclerotic changes in the walls of blood vessels, lymphostasis)

– Conditions characterized by deficiency of vitamins and microelements formations in muscle tissues and connective tissues (rhabdomyosarcomas, leiomyosarcomas,

– Side effects of drugs (glucocorticosteroids, lipid-lowering drugs)

– Endocrinological diseases (diabetes mellitus)

– Physiological pain symptoms during pregnancy against the background of postural restructuring of the vertical axis of the body

– Ecombe syndrome (restless legs syndrome)

– Autoimmune diseases

901 41 Diagnosis

Correct diagnosis is the key to effective and quality treatment. Therefore, there is a certain examination algorithm, the volume of which can be determined by the doctor. The diagnostic path of a patient is built from the following steps:

1. Consultative examination and history taking.

2.Manual-muscle testing, assessment of motor stereotypes, detection of violations of the biomechanical chain of the musculoskeletal system.

3.Performance by the patient of specific tests and samples

4.Passage of additional laboratory and instrumental research methods: general and biochemical blood tests, laboratory tests for specific markers, radiography, ultrasound, Electroneuromyography, MRI, MSCT.

5. Consultation of doctors of related specialties for verification of differential diagnosis.

This amount of diagnostics allows you to accurately determine the pathology and the cause that caused pain, since pain in the thigh, buttocks, groin can have different etiological factors. A well-designed diagnostic strategy allows the doctor to prescribe the necessary range of therapeutic measures in a short time.

Treatment

Any physical discomfort that changes the quality of life and movement will force a person to look for ways to solve and get rid of the disease. Often the lack of clinical thinking and trust in the media have a negative impact on the development and progression of the pain syndrome. Long-term refusal to visit a doctor, self-administration of medications and various procedures can lead to chronicity and difficulty in conservative treatment, turning to radical, surgical methods of treatment, followed by loss of functions and limitations.

At the “Freedom of Movement” medical center, an experienced team of qualified doctors will help you accurately diagnose and create an individual set of treatment procedures for achieving recovery. The staged reception of doctors allows the patient to ensure the smoothness and softness of the impact of therapeutic instruments.

Stage 1 is the initial appointment and diagnostics.

Stage 2 – treatment.

After the final diagnosis is made, a treatment plan is formed, which may include the following procedures:

– manual therapy

– osteopathy

– medical massage

– acupuncture

– physiotherapy

– medical therapy (therapeutic intra-articular and paravertebral injections, P RP-therapy, ACF-therapy, droppers)

Stage 3 – stabilization of the result

After achieving a stable improvement in previously impaired function, reducing pain, the patient proceeds to the stabilization phase. The basis of such consolidation of the result is a complex of means of therapeutic physical culture (LFK). The goals of exercise therapy are to strengthen the muscular corset, improve balance and coordination of movements, increase the range of motion in the joints, develop the flexibility and elasticity of the muscular-ligamentous apparatus.

Returning to possible provocateurs of the pain syndrome, in particular pain in the buttocks, thighs or groin, the patient is clearly and easily explained the need to form healthy habits and an optimal lifestyle: 02 – preventive check-ups

– procedures that support the result of treatment

– performing home individual exercises.