What are the common causes of pain above the left hip. How can you identify the symptoms of different conditions causing hip pain. What treatment options are available for 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 originating from various sources within the body. This discomfort may stem from conditions affecting the hip joint itself, the surrounding muscles and tissues, or even organs in the abdominal cavity. To effectively address this pain, it’s crucial to identify its underlying cause accurately.

The complexity of diagnosing pain above the left hip lies in the diverse range of potential causes, from minor injuries to more severe medical conditions. Some cases may resolve on their own with rest and home care, while others require prompt medical attention. Understanding the associated symptoms and risk factors can help determine the appropriate course of action.

Common Causes of Pain Above the Left Hip

Several conditions can lead to pain above the left hip. These range from musculoskeletal issues to digestive and reproductive system disorders. Here are some of the most common causes:

Arthritis

Arthritis is a prevalent cause of joint pain, including in the hip area. What are the main types of arthritis affecting the hip? Osteoarthritis and rheumatoid arthritis are the most common forms. Osteoarthritis results from wear and tear on the joint, while rheumatoid arthritis is an autoimmune condition causing inflammation in the joints.

• Symptoms: Joint stiffness, reduced range of motion, swelling, and redness
• Risk factors: Age, obesity, previous joint injuries, and genetic predisposition

Bursitis

Bursitis occurs when the small, fluid-filled sacs (bursae) that cushion the bones, tendons, and muscles near joints become inflamed. How does bursitis affect the hip area? Hip bursitis typically causes pain on the outer part of the hip and thigh, which can extend to the area above the hip.

• Symptoms: Aching pain, stiffness, and tenderness in the affected area
• Causes: Repetitive motions, prolonged pressure on the hip, injury, or certain medical conditions

Muscle Strain

A muscle strain, also known as a pulled muscle, can occur in the hip area due to overexertion or sudden movements. Can muscle strains cause persistent pain? While most muscle strains heal within a few weeks, severe strains may cause lingering pain and require medical attention.

• Symptoms: Pain, muscle spasms, swelling, and limited mobility
• Risk factors: Poor conditioning, inadequate warm-up before exercise, and overexertion

Digestive System Disorders Causing Left Hip Pain

Sometimes, pain above the left hip may be related to digestive system issues. Understanding these conditions can help in identifying the source of discomfort:

Diverticulitis

Diverticulitis is the inflammation or infection of small pouches (diverticula) that can form in the digestive tract, particularly in the colon. Why does diverticulitis often cause left-sided pain? The sigmoid colon, where diverticula commonly develop, is located on the left side of the abdomen.

• Symptoms: Abdominal pain (usually on the left side), fever, nausea, and changes in bowel habits
• Risk factors: Age (more common after 40), low-fiber diet, obesity, and lack of exercise

Crohn’s Disease

Crohn’s disease is a type of inflammatory bowel disease that can affect any part of the digestive tract. How can Crohn’s disease lead to pain above the left hip? Inflammation in the colon or small intestine can cause pain that radiates to the hip area.

• Symptoms: Abdominal pain, diarrhea, weight loss, fatigue, and fever
• Risk factors: Family history, smoking, and certain genetic mutations

Gynecological Conditions Associated with Left Hip Pain

For women, several gynecological conditions can manifest as pain above the left hip:

Ovarian Cysts

Ovarian cysts are fluid-filled sacs that develop on or inside the ovaries. Can ovarian cysts cause pain on only one side? Yes, if a cyst develops on the left ovary, it may cause pain on the left side of the pelvis and hip area.

• Symptoms: Pelvic pain, bloating, and changes in menstrual patterns
• Risk factors: Hormonal imbalances, endometriosis, and pelvic infections

Endometriosis

Endometriosis is a condition where tissue similar to the uterine lining grows outside the uterus. How does endometriosis affect the hip area? When endometrial tissue grows on organs near the left hip, it can cause pain and inflammation in that region.

• Symptoms: Pelvic pain, painful periods, and pain during intercourse
• Risk factors: Family history, early onset of menstruation, and never having given birth

Urinary System Issues Causing Left Hip Pain

Problems with the urinary system can sometimes manifest as pain above the left hip:

Kidney Stones

Kidney stones are hard deposits of minerals and salts that form inside the kidneys. Why can kidney stones cause pain above the left hip? When a stone moves through the urinary tract, it can cause severe pain that radiates to the lower back and hip area.

• Symptoms: Severe pain in the side and back, pain when urinating, and nausea
• Risk factors: Dehydration, high-sodium diets, and certain medical conditions

Serious Conditions That May Cause Left Hip Pain

While less common, some serious conditions can present with pain above the left hip and require immediate medical attention:

Bone Cancer

Primary bone cancer or metastatic cancer that has spread to the bones can cause pain in the hip area. How is bone cancer pain different from other types of hip pain? Bone cancer pain is often described as deep, aching, and may worsen at night or with activity.

• Symptoms: Persistent pain, swelling, and unexplained weight loss
• Risk factors: Previous radiation therapy, certain genetic conditions, and a history of Paget’s disease of bone

Abdominal Aortic Aneurysm

An abdominal aortic aneurysm is a dangerous enlargement of the main blood vessel that supplies blood to the abdomen and lower body. Can an abdominal aortic aneurysm cause left-sided pain? Yes, as the aneurysm enlarges, it can cause pain in the left side of the abdomen and hip area.

• Symptoms: Pulsating feeling near the navel, deep constant pain in the abdomen or side of the abdomen
• Risk factors: Smoking, high blood pressure, and family history

Diagnostic Approaches for Left Hip Pain

Accurately diagnosing the cause of pain above the left hip often requires a comprehensive approach:

Physical Examination

A thorough physical examination is usually the first step in diagnosing hip pain. What does a physical exam for hip pain involve? The doctor will assess the range of motion, look for signs of swelling or tenderness, and may perform specific tests to evaluate hip function.

Imaging Studies

Various imaging techniques can provide detailed information about the structures in and around the hip:

• X-rays: To visualize bone structures and detect arthritis or fractures
• MRI: Provides detailed images of soft tissues, useful for diagnosing muscle, tendon, or ligament injuries
• CT scan: Offers cross-sectional images, helpful in diagnosing complex fractures or tumors
• Ultrasound: Can detect fluid-filled structures like bursitis or cysts

Blood Tests

Blood tests can help identify systemic conditions that may be causing hip pain. Which blood tests are commonly used? Complete blood count (CBC), erythrocyte sedimentation rate (ESR), and C-reactive protein (CRP) can indicate inflammation or infection.

Treatment Options for Pain Above the Left Hip

The treatment for pain above the left hip depends on its underlying cause. Here are some common approaches:

Conservative Treatments

Many cases of hip pain can be managed with conservative measures:

• Rest and activity modification
• Ice or heat therapy
• Over-the-counter pain medications (NSAIDs)
• Physical therapy exercises

Medications

Depending on the cause, various medications may be prescribed:

• Stronger pain relievers
• Anti-inflammatory drugs
• Muscle relaxants
• Disease-modifying drugs for conditions like rheumatoid arthritis

Interventional Procedures

For more severe or persistent cases, interventional procedures may be necessary:

• Corticosteroid injections
• Nerve blocks
• Radiofrequency ablation

Surgery

In some cases, surgery may be required to address the underlying cause of hip pain. What are some common surgical procedures for hip pain? Hip replacement, arthroscopy, and fracture repair are among the surgical options, depending on the specific condition.

Prevention and Self-Care for Left Hip Pain

While not all causes of left hip pain can be prevented, certain measures can reduce the risk or manage existing pain:

Lifestyle Modifications

Making certain lifestyle changes can help prevent or manage hip pain:

• Maintaining a healthy weight to reduce stress on the hip joint
• Regular exercise to strengthen muscles supporting the hip
• Proper posture and ergonomics to avoid unnecessary strain
• Avoiding repetitive motions that may lead to overuse injuries

Stretching and Strengthening Exercises

Specific exercises can help improve hip flexibility and strength. Which exercises are beneficial for hip health? Gentle stretches, hip flexor exercises, and low-impact activities like swimming or cycling can be beneficial.

Proper Nutrition

A balanced diet can support overall joint health and reduce inflammation. What nutrients are important for hip health? Calcium, vitamin D, and omega-3 fatty acids are particularly beneficial for bone and joint health.

Pain above the left hip can be a complex symptom with various potential causes. By understanding the possible underlying conditions, their symptoms, and available treatment options, individuals can make informed decisions about their health care. If you experience persistent or severe pain above your left hip, it’s important to consult with a healthcare professional for an accurate diagnosis and appropriate treatment plan. Remember, early intervention can often lead to better outcomes and prevent the progression of underlying conditions.

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.

What’s Causing Your Hip Pain?

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Life’s daily challenges may be referred to colloquially as a “pain in the butt,” but in reality, a pain in the hip is more like it. As it turns out, experiencing a jabbing or aching sensation in your hip, pelvis, or abdomen is just about as common as bad bosses, annoying in-laws, and broken appliances. “Hip and pelvic area pain is widespread among adults. Generally, the cause is over-exertion and it often resolves in a few days to a week. However, longer-term hip and pelvic pain can also be caused by many conditions,” says Deepti Agarwal, M.D., anesthesiologist and pain management specialist at Case Integrative Health in Chicago.

For one thing, says Dr. Agarwal, cartilage wears down as you get older, placing more strain on muscles and tendons. “Additionally, conditions that lead to pelvic and hip pain, such as arthritis, become more common,” he notes. “Hip pain is generally, but not universally, an orthopedic issue, but pelvic and abdominal pain can result from various underlying problems and something more severe needs to be ruled out.” If any pain persists for more than two weeks, check in with your primary care provider. Here’s a rundown of possible causes for hip pain, from relatively benign to more serious.

Bursitis

What it is: Bursae are small fluid-filled sacs that cushion and reduce friction in the areas of your body between bones and tissues. There are two major bursae—near the bony point of the hip and the groin side of the hip—that typically become irritated and inflamed due to repetitive motions like running or cycling and even standing, explains Benjamin McArthur, M. D., orthopedic surgeon and assistant professor at the University of Texas Dell Medical School in Austin.

What it feels like: Sharp and intense pain at the point of the hip that usually extends to the outside of the thigh. Over time the pain may spread over a larger area of the hip and become more of an ache.

How it’s treated: Usually avoiding the activities that caused the irritation and taking over-the counter non-steroidal anti-inflammatories (NSAIDs) are enough to clear up bursitis in a few weeks. Physical therapy exercises can also help, and sometimes a corticosteroid injection may be given. Another newer option: Regenerative therapy injections, also known as prolozone injections, which consist of oxygen (ozone), anti-inflammatories, vitamins, and minerals delivered to the area of pain, Dr. Agarwal notes. A recent comprehensive study in the International Journal of Molecular Sciences found that this safe, minimally invasive cocktail can provide pain relief for a variety of osteoarthritis and musculoskeletal conditions.

Arthritis

What it is: Arthritis refers to inflammation and pain in one or more joints around the body, explains Dr. Agarwal. There are different types of arthritis, but the most common is osteoarthritis, which occurs due to “wear and tear” on the joints overtime, causing the breakdown of the cartilage that cushions the end of bones within joints, so they end up rubbing against each other. Osteoarthritis can occur in any joint, but it most often develops in weight-bearing joints like the hip.

What it feels like: Osteoarthritis hip pain usually develops slowly and worsens over time. You may feel pain in your groin or thigh that radiates to your buttocks or knee, stiffness in the hip joint that makes it difficult to walk or bend, locking or sticking of the joint which may cause a grinding sound, decreased range of motion in the hip, and increased pain after vigorous activity or during rainy weather.

How it’s treated: There are a number of non-surgical osteoarthritis treatments available, including NSAIDs, corticosteroid injections, prolozone injections, plasma infusions, physical therapy, supplements to strengthen the hip joint, and weight loss. However, if you get to the point where the pain is too great to move around, know this: Total hip replacement is considered one of the most successful surgeries in medicine today, Dr. McArthur notes. Not only do patients report satisfaction rates as high as 90% to 95%, but a Swedish study published in Clinical Orthopedics and Related Research found hip replacement is also associated with increase life expectancy compared to people of similar age and gender. In other words, having a hip replacement not only adds “life” to your years, it also may add years to your life.

Strained or Sprained Muscle

What it is: Also known as a “pulled muscle,” muscle strain occurs when a muscle or adjoining tendon is overstretched or torn as a result of overuse or improper use, as well as fatigue, explains Dr. Agerwal. Muscle strain occurs most commonly in the lower back and the hamstrings (the muscles behind the thighs) and pain might be referred to the hip (meaning you feel it there although the strain is elsewhere) or you might strain a ligament near the hip.

What it feels like: Most people with muscle strain report pain and tenderness when they move, limited motion, swelling, and muscle cramping or spasms.

How it’s treated: Resting the afflicted muscle and icing it to reduce inflammation are usually enough to avoid a trip to the doctor, Dr. Agerwal notes. Over-the-counter pain medications should relieve any acute pain over the first few days, and if pain continues to persist, prolozone injection therapy is another option.

Hip Fracture

What it is: A hip fracture refers to a break in the upper quarter of the femur (thighbone). “Hip fractures usually occur in postmenopausal women and older men with weaker bones,” notes Dr. McArthur. “It takes more force to break a hip when you’re younger, so a fracture earlier in life is usually due to an existing bone health issue or severe trauma.” In fact, older people with osteoporosis can sustain a hip fracture spontaneously by walking or standing or from a simple twist or trip.

What it feels like: Patients usually report very sharp, severe pain in the hip or groin, bruising, swelling, and an inability to stand or bear weight on the affected hip, or move the upper part of leg, even if it’s not a displaced (more serious) fracture, Dr. McArthur says.

How it’s treated: Most hip fractures require surgical repair to relieve the acute pain and get the patient moving as soon as possible after the break.

Appendicitis

What it is: “The appendix is a small, mostly useless, pouch on the lower right side of your abdomen,” explains Dr. Agarwal. “When the appendix becomes inflamed and infected, it is referred to as appendicitis.”

What it feels like: Sudden pain that begins or migrates to your lower right abdomen, particularly pain that worsens with sudden movements, nausea, vomiting, and low-grade fever. Sometimes, it can be close enough to your hip to make identifying the origin of the pain confusing.

How it’s treated: Appendicitis requires immediate medical attention so get to your doctor or emergency room. Appendicitis is almost universally treated with surgery, although it can be performed laparoscopically with smaller incisions, making for an easier recovery.

Hernia

What it is: Hernias occur when an internal organ pushes through a weak spot in your muscle or tissue, Dr. Agarwal says. There are many different types of hernias, but the vast majority occur when a part of the intestine or fatty tissue pokes into the groin at the top of the inner thigh.

What it feels like: The main symptoms of a hernia are a bulge, usually in the groin or scrotum, pain while lifting, and a dull ache at the afflicted site.

How it’s treated: Hernias don’t disappear on their own, and can grow larger and more painful over time, so surgery is usually recommended. No need to panic, however: Hernia repairs are one of the most common surgeries performed in the U.S. and can often be done laparoscopically as well.

IBD-Related Gastrointestinal Pain

What it is: “IBD stands for inflammatory bowel disease and includes two conditions, Crohn’s disease and ulcerative colitis,” says Dr. Agarwal. “Both conditions are characterized by chronic gastrointestinal inflammation, leading to GI damage.” The symptoms of IBD include pelvic or abdominal pain, but here’s another big clue: It’s usually accompanied by diarrhea or constipation, bloody stools, weight loss, and fatigue.

What it feels like: Bloating, abdominal pain that can be mild or severe, and cramping, often in the lower right abdomen. Add that discomfort to the other GI symptoms and IBD can have you feeling pretty sick.

How it’s treated: If you are diagnosed with IBD, your treatment toolkit may include several medications and, occasionally, surgery to remove damaged parts of the gastrointestinal tract. “Since this is an inflammatory condition, lifestyle therapy—like switching to an anti-inflammatory diet, avoiding caffeine, and mindfulness practices (mediation, yoga)—is another crucial step in managing this condition,” adds Dr. Agarwal.

Gynecologic Issues

What it is: From period cramps to more serious reproductive issues, pelvic pain is common among women and can sometimes appear as hip pain. “Masses such as fibroids or ovarian cysts and endometriosis can damage an important network of muscles and nerves that support us,” according to Kelsey Kossl, M.D., assistant professor of obstetrics and gynecology at NYU Langone Grossman School of Medicine in New York City.

What it feels like: Masses may cause pressure on nearby organs resulting in changes to urinary frequency or bowel movement, and pain with intercourse. If an ovarian cyst ruptures, it may cause sudden and intense pain that needs to be checked out. Often a ruptured cyst will resolve on its own but a more serious condition—the twisting or “torsion” of an ovarian cyst—requires immediate medical attention. Endometriosis, a condition when the uterine lining grows outside of the uterus, causes painful periods, pain with intercourse, and painful bladder or bowel symptoms. Pelvic floor issues can result in pain with activities such as exercise, intercourse, bowel movements, and urination. “Pelvic floor pain is sometimes described as deep or throbbing, and if it involves certain nerves, it can change with sitting positions or travel into the legs,” notes Dr. Kossl.

How it’s treated: Hormonal meds (read: birth control) can help with period discomfort and endometriosis. Endometriosis symptoms can be further improved with surgery and cysts can also be removed, although most don’t have to be. (And yes, some masses can be cancer, but there are far more benign and common masses that are easily treated.) “We have a big toolbox for managing fibroids that ranges from medications, procedures to shrink fibroids, and surgeries to remove them,” notes Dr. Kossl.

What it is: This little gland has a big job: It cranks out the fluid that, when combined with sperm cells from the testicles, makes up semen. The prostate muscles then get to work during ejaculation. Unfortunately, trouble sometimes brews down there, too. “Prostate cancer is a commonly diagnosed cancer in men and is usually relatively slow-growing,” notes Dr. Agarwal.

What it feels like: Early symptoms of prostate cancer are hard to spot. The cancer can grow silently for years. Eventually a man may begin to experience difficulty urinating, blood in the urine or semen, and erectile dysfunction. Pain doesn’t really enter into the picture until prostate cancer is advanced, and may include dull, deep pain or stiffness in your pelvis and lower back, as well as pain in areas where the cancer may have spread, such as the hip bone.

How it’s treated: The best treatment for prostate cancer is prevention! The American Cancer Society recommends prostrate cancer screening every two to three years starting at age 50 for men of average risk, and 40 to 45 for men of higher risk. For those diagnosed with the disease, your doctor will discuss various treatment approaches.

At the end of the day, it’s difficult to pinpoint the exact cause of hip pain by yourself. See your doctor, review your habits and hobbies, and figure out together whether your lifestyle—or something more serious—may be leading to discomfort, so you can get to work finding the right path to treatment!

Notes: This article was originally published March 24, 2010 and most recently updated March 8, 2023.

Bursitis Overview: OrthoInfo. (2022.) “Hip Bursitis.”
https://orthoinfo.aaos.org/en/diseases–conditions/hip-bursitis/

Regenerative Therapy Injections: International Journal of Molecular Science. (2022.) “Oxygen-Ozone Therapy for Reducing Pro-Inflammatory Cytokines Serum Levels in Musculoskeletal and Temporomandibular Disorders: A Comprehensive Review.”
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8910188/

Hip Osteoarthritis Overview: OrthoInfo. (2021.) “Osteoarthritis of the Hip.” https://medlineplus.gov/genetics/condition/androgenetic-alopecia/#frequency

Total Hip Replacement: Clinical Orthopaedics and Related Research. (2018.) “Do Patients Live Longer After Total Hip Replacement and Is the Relative Survival Diagnosis-Specific?” https://journals.lww.com/clinorthop/Fulltext/2018/06000/Do_Patients_Live_Longer_After_THA_and_Is_the.10.aspx

Hip Fractures Overview: OrthInfo. (2020.) “Hip Fractures.” https://orthoinfo.aaos.org/en/diseases–conditions/hip-fractures/

Prostate Screening: American Cancer Society. (2021.) “American Cancer Society Recommendations for Prostate Cancer Early Detection.” https://www.cancer.org/cancer/prostate-cancer/detection-diagnosis-staging/acs-recommendations.html

Our Review Process

Hip dysplasia – clinic “Family Doctor”.

“Your child has hip dysplasia” – very often this phrase from the mouth of an orthopedic doctor causes a state close to emotional shock in the parents of the baby. But is everything so gloomy and scary, and what kind of pathology is this?

Dysplasia – this term means a violation of the formation of any organ or body system. In this material we will talk about hip dysplasia.

Hip dysplasia is understood as a violation of the formation of the hip joint, which captures all the elements that make up the joint: the bone and cartilage base, the ligamentous-capsular apparatus and the muscle component. This definition is quite broad and includes the physiological immaturity of the hip joint, preluxation, subluxation and dislocation of the hip.

Physiological immaturity consists in the incomplete formation of the joint components without violating the congruence (correct matching) of the articular surfaces of the bones and, as a rule, requires minimal treatment or only dynamic observation, and it is this form of hip joint pathology that is mainly assigned the diagnosis of “dysplasia”, although this is not entirely correct. terminologically. With pronounced immaturity of the hip joint, treatment is necessary to create favorable conditions for the proper maturation of the joint components.

Predislocation of the hip is already a pathology of the joint associated with the lack of stability of the femoral head in another component of the hip joint – the acetabulum and already requires close attention. In the absence of adequate treatment, hip predislocation can lead to the development of joint deformity (arthrosis), which leads to pain and impaired joint mobility, and can also lead to hip dislocation after the start of walking.

Dislocation of the hip is the most severe form of the pathology of the development of the hip joint, which consists in the almost complete discrepancy between the articular surfaces of the femoral head and the acetabulum. Such a malformation of the joint requires maximum efforts for a thorough diagnosis and active and prompt treatment. Late diagnosis or inadequate treatment leads to gross impairment of the hip joint mobility and, ultimately, leads to disability.

Now we understand why so much attention is paid to hip dysplasia by pediatricians and orthopedists. Why is it the hip joint that is most susceptible to these misfortunes?

The fact is that the hip joint, due to its anatomical and physiological characteristics, is the most loaded joint in our body, and a failure in one of its constituent components leads to dysfunction of the joint and, ultimately, to a deterioration in the quality of life of the patient. That is why the diagnosis of hip dysplasia can so often be heard from the lips of an orthopedist, although one cannot but recognize the fact of some overdiagnosis of this pathology, but given the severity of the consequences in the absence of treatment, this is still justified.

According to statistics, the incidence of hip dysplasia is 4-6 cases per 1000 newborns, in girls it occurs 6-7 times more often. Unilateral lesion predominates over bilateral (more often the left hip joint is affected). There is inheritance from mother to daughter. Quite a lot of factors leading to disruption of intrauterine joint formation have been noted, among them are breech presentation of the fetus, narrowness of the uterus, oligohydramnios, toxic and biological (primarily viral diseases of the mother during pregnancy) factors and much more.

When and by what methods can and should hip dysplasia be diagnosed? Can a mother herself suspect the presence of hip dysplasia in a child and, if so, with what methods? The answer to this question depends on the severity of the joint injury. Let’s try to answer this question by tying the timing and methods of diagnosis to the age of the baby.

When conducting ultrasound diagnostics during pregnancy, it is possible to diagnose only gross violations – subluxation and dislocation of the hip, that is, those changes in which the articular surface of the femoral head does not correspond to the surface of the acetabulum of the child’s pelvis.

In the first 7-10 days of a child’s life, an examination can reveal a “click symptom” or “slipping symptom” – dislocation and reduction of the hip in the joint. These symptoms are revealed in a child as follows: in the supine position, the legs are bent at the knee and hip joints at an angle of 90 degrees. The thumbs are located on the inner surface of the child’s thighs, the index and middle fingers on the outer. With careful abduction and traction of the hips, the femoral head is set into the acetabulum with a characteristic click.

After the 2nd – 3rd week of a child’s life, limitation of hip abduction comes to the fore in the diagnosis of hip dysplasia. To identify it, the legs of the child bent at the knee and hip joints in the supine position are bred without violence. Normally, it is possible to spread the hips to an angle of 85-90 degrees to the surface. With increased muscle tone and spasm of the muscles adducting the thigh, abduction can be limited to an angle of about 70 degrees, but such a restriction of hip abduction can also be caused by impaired joint formation. Limitation of hip abduction on one side in most cases is a sign of pathology from the hip joint.

In favor of the pathology of the hip joint, symptoms such as shortening of one limb, turn of the foot on the side of the lesion outward from the middle position (external rotation of the foot) also speak.

The most widely known in parents (so to speak, “mommy symptom”) – the asymmetry of the subgluteal folds – is not absolute and can be caused by many factors, but its importance in the diagnosis of hip dysplasia should not be underestimated, since this is the most common question that is addressed to orthopedic doctor.

To confirm the diagnosis of hip dysplasia and control the dynamics of treatment, ultrasound diagnostics are currently widely used. The positive aspects of this method of examination include painlessness, non-invasiveness, relative safety and a sharp increase in recent availability. Also, with the help of an ultrasound examination of the joint, minimal changes in the structure of the hip joint can be detected. But, unfortunately, this examination method does not always give accurate results (its reliability is about 85-90%. Nevertheless, to date, ultrasound diagnostics is the main method of screening for the diagnosis of hip dysplasia.

In the case when the clinical picture differs from the data of the ultrasound examination or in case of late diagnosis of the pathology of the hip joint, the X-ray method is used. With a correctly performed radiograph, the picture of the structure of the joint and the position of the femoral head in the joint become completely clear. But due to the rather large radiation exposure during radiography, this examination method is used as rarely as possible.

In children older than a year, the main symptom is lameness on the affected side when walking or a “duck” gait with a bilateral process. Diagnosis at this age is belated. The clinical picture in this case almost always requires confirmation by x-ray, since it is necessary to accurately determine the relative position of the joint components.

And so, the child was diagnosed with hip dysplasia, what to do next and how to help the baby?

Treatment of hip dysplasia should be started as early as possible. The goal of the treatment is to center the femoral head in the joint and create conditions for the formation of the entire acetabulum. Early, most gentle, but systematic treatment allows you to completely restore the anatomy and function of the underdeveloped hip joint.

The centering of the hip in the joint in the early stages of treatment is achieved by wide swaddling – two diapers are placed between the divorced hips of the child and fixed with a third. In severe degrees of hip dysplasia, special splints are used to center the femoral head (Pavlik’s stirrups, Freik’s pillow, etc.). When using these tires, parents may have questions and difficulties in caring for their baby, here are some tips to help you and your baby adjust during this period:

1. Only a baby diaper (disposable or gauze) should be under the stirrups or pillow. If you prefer to use gauze diapers, wear oilcloth panties that have zippers on the sides.

2. When changing a diaper, do not lift the child by the legs, but put your hand under the buttocks.

3. The vests can be changed without removing the stirrups: unfasten the shoulder straps from the chest strap and remove the vest over your head.

Over the tires you can wear loose pants, suits, dresses.

4. During the splint period, bathing the child is less frequent, so it is necessary to examine the skin under the straps, under the knees and around the neck 2-3 times a day to make sure there are no signs of inflammation (redness) of the skin. During this period, it is necessary to wipe the baby’s skin with a soft cloth soaked in warm water. When carrying out water procedures, you can unfasten one foot part of the stirrup, but do not remove it, and keep the leg in a bent and retracted position.

5. It is also necessary to monitor the hygienic condition of the tire itself, it must always remain dry, avoid getting powders and lotions under the belts, this can cause inflammation on the baby’s skin.

6. When feeding, be especially careful to ensure that the baby’s hips do not come together.

The wearing of these devices (orthoses) is long-term – from 3 months to a year, and it is extremely important for the parents of a child who has been diagnosed with hip dysplasia to be patient and not be cowardly during the treatment period and meticulously follow the doctor’s prescriptions.

After centering the femoral head, they begin massage and therapeutic exercises aimed at creating the correct ratio of the articular surfaces. We can recommend some exercises that are easy to do at home.

1. In the position of the child lying on his back, we bend the child’s legs at the knee and hip joints as much as possible, and then fully straighten them.

2. In the previous starting position, we bend the child’s legs at the knee and hip joints at a right angle, moderately spread the hips and, giving a moderate load along the axis of the hips, perform rotational movements with the hips.

3. In the position of the child lying on his back, we breed the legs of the child bent at the knee and hip joints as much as possible to the surface of the table.

All exercises are performed 8-10 times 3-4 times a day.

Also during this period, physiotherapy (paraffin baths, electrophoresis with calcium and phosphorus preparations) is used to improve the nutrition of the joint components and complex orthopedic massage.

In cases of late diagnosis of hip dysplasia or in the absence of adequate treatment in the early stages, treatment is carried out by long-term staged plastering, as well as surgical treatment, but in these cases there are no standard treatment regimens and patient care tactics are developed individually.

After treatment of hip dysplasia, the child should be kept under dispensary registration with an orthopedist for a long time – from 3 to 5 years until the end of growth. If necessary, control radiographs are performed once every 2 years to monitor the correct development of the joint. Also, restrictions on the load on the joint are often imposed. For children treated for hip dysplasia, it is desirable to visit specialized orthopedic groups in preschool institutions.

In severe degrees of hip dysplasia, functional disorders are, as a rule, lifelong in nature, even with timely and properly conducted treatment.

So what do the parents of the baby need to do in order to recognize hip dysplasia in time and, if this diagnosis was made to the child, to prevent serious complications?

First of all, it is necessary to show the child to the orthopedist in time. The recommended terms of examination by an orthopedist are 1 month, 3 months, 6 months and 1 year.

If the orthopedist nevertheless made a diagnosis of hip dysplasia, then the effectiveness of treatment by 50 percent depends on the correct and timely fulfillment by the child’s parents of the doctor’s prescriptions. It is important to remember that the sooner treatment is started, the better the results and the less chance of severe complications. With early diagnosis of hip dysplasia and correct and timely treatment, a positive result is achieved in 96-98% of cases. You should not be AFRAID of this diagnosis, but it is necessary to treat the child, he needs your help and care!

I hope this material helped you understand what kind of incomprehensible and frightening diagnosis it is – hip dysplasia, and it became clear to you how to deal with this pathology.

We recommend that you seek advice from the orthopedists of the Family Doctor clinic by calling the contact center in Moscow +7 (495) 775 75 66, or through the online appointment form.

Pain in the hip joint – causes, diagnosis, treatment » Clinic of Dr. Ignatiev

Clinic of Dr. Ignatiev » Pain » Pain in the hip joint – causes, diagnosis, treatment

Contents:

• Causes of hip pain
• Diagnosis of a pathological condition
• Treatment of pain in the hip joint (sciatica)

Pain in the hip joint – a particularly painful manifestation, characteristic of a number of pathological conditions, since it is this joint that bears the weight of the whole body in its vertical position. Therefore, any violations that occur in this area lead to restriction of movements up to a complete loss of efficiency. Often, the pathology of the hip joint becomes the cause of the patient’s disability.

Doctors-vertebroneurologists of the “Clinic of Dr. Ignatiev” in Kyiv quite often encounter this symptom – pain in the hip joint.

It almost always accompanies lumbosacral osteochondrosis and its consequences – protrusion and herniation of the intervertebral discs. In this case, a pinching of the roots of the largest nerve in the human body, the sciatic nerve, is formed. It is this link of pathogenesis that gives pain syndrome – sciatica, one of the localizations of which is hip joint . To find out in detail all the nuances of the pathology, you need to go through a complete examination – the clinic’s specialists conduct daily appointments, by appointment.

In lumbosacral osteochondrosis, pinching of the sciatic nerve leads to its inflammation, which can spread along its entire length.

One of the causes of pain in the hip joint

Therefore, the pain syndrome occurs over a long distance – it starts in the lumbar region, goes to the buttocks, hip joint, thigh and reaches the lower leg. Pain – sciatica or sciatica – can be very pronounced, aggravated by movements of the torso, legs, and even with laughter, sneezing and coughing.

Other causes of pain syndrome include:

• Injuries of the hip, pelvic bones, articular joint;
• Arthritis, arthrosis, osteomyelitis, inflammation of the tendons, etc.
• Systemic diseases – psoriasis, Paget’s disease, ankylosing spondylitis and others;
• Tuberculosis of the spine, bones, joints;
• Diseases of the blood, including oncological;
• Excessive stress on the lower limbs, especially in athletes, obese people, etc.

Diagnosis of a pathological condition ↑

Since pain in the hip joint is observed in many pathological conditions, it is necessary to conduct a thorough differential diagnosis of each case. Particularly valuable information is provided by the following types of examination of patients:

• Radiography of the spine, hip joint and femur;
• Computed and nuclear magnetic resonance imaging of the spine, pelvis, hip;
• Examination of vascular patency – dopplerography, angiography and other techniques;
• Electromyography, examination of tendon reflexes;
• General, biochemical, bacteriological, immunological tests.

Treatment of pain in the hip joint (sciatica) ↑

Only after receiving the most reliable examination results, you can establish an accurate diagnosis and proceed to the main treatment. But symptomatic methods, especially for reducing severe pain, can be applied almost immediately. For this, highly effective analgesics are used, which are usually administered as injections. If the pain is caused by a herniated disc, then the doctor can carry out novocaine blockade in the zone of pinching of the sciatic nerve.

Among other methods of sciatica treatment are:

• Anti-inflammatory therapy – non-steroidal drugs are used for this – indomethacin, diclofenac and others. Severe symptoms of pathology may require the use of steroid drugs – prednisolone, cortisone and others;
• Muscle relaxants – allow you to relax the reflex muscle spasm that occurs in response to pain. After all, spasmodic muscle fibers increase the degree of pinching of the sciatic nerve in sciatica.
• Means that improve microcirculation – help reduce hypoxic manifestations in the affected area, as well as reduce edematous syndrome.
• Chondroprotectors, vitamins and minerals improve trophism in the field of pathology;
• Diuretics – reduce the degree of inflammatory edema involved in the compression of the sciatic nerve;
• Manual therapy promotes the release of the nerve from a pinched state by releasing muscle and joint blocks in the lumbosacral zone;
• Therapeutic gymnastics helps to develop the mobility of muscles and joints, improving blood flow in the affected area, strengthens the muscles around the spine;
• Physiotherapy, acupuncture, hirudotherapy and other techniques reinforce the success of the main treatment.