What causes sharp pain from hip to knee. How to differentiate between hip arthritis and bursitis. What are the key symptoms of hip osteoarthritis and hip bursitis. How are hip arthritis and bursitis treated. What other conditions can cause hip pain.

Understanding Hip Pain: Arthritis vs. Bursitis

Hip pain can be a debilitating condition that affects millions of people worldwide. When experiencing discomfort in the hip area, it’s crucial to identify the underlying cause to receive proper treatment. Two common culprits behind hip pain are osteoarthritis and bursitis. While these conditions may share similar symptoms, they have distinct causes and characteristics.

What is hip osteoarthritis?

Hip osteoarthritis is a degenerative joint disease that occurs when the protective cartilage in the hip joint wears down over time. This deterioration leads to friction between the bones in the hip’s ball-and-socket joint, causing pain and reduced mobility.

What is hip bursitis?

Hip bursitis, on the other hand, is the inflammation of the bursa, a small fluid-filled sac that acts as a cushion between bones, tendons, and muscles. In the hip, the trochanteric bursa is most commonly affected, leading to pain and tenderness on the outer part of the hip.

Key Symptoms of Hip Osteoarthritis

Recognizing the symptoms of hip osteoarthritis is crucial for early diagnosis and treatment. Here are the main indicators:

• Pain originating from inside the hip joint, often felt in the groin, thigh, and sometimes the buttock
• Increased stiffness and decreased range of motion in the hip joint
• Grating or creaking sensations (crepitus) during movement
• Referred pain in the knee

These symptoms typically develop gradually and worsen over time as the condition progresses.

Identifying Hip Bursitis Symptoms

Hip bursitis, often referred to as “the great mimicker,” can share symptoms with other hip conditions. However, there are some distinguishing features:

• Pain localized to the outer part of the lower hip
• Increased pain and tenderness when pressure is applied to the affected area
• Discomfort when lying on the affected side

It’s important to note that hip bursitis can occur alongside other conditions, including hip osteoarthritis, making diagnosis more challenging.

Comparing Arthritis and Bursitis: Key Differences

While both conditions can cause hip pain, there are several key differences between osteoarthritis and bursitis:

1. Location of pain: Osteoarthritis pain typically originates from inside the joint, while bursitis pain is felt on the outer part of the hip.
2. Onset and progression: Osteoarthritis usually develops gradually over time, whereas bursitis can have a more sudden onset.
3. Movement-related symptoms: Osteoarthritis often causes stiffness and reduced range of motion, while bursitis pain may be more pronounced during specific movements or when pressure is applied.
4. Associated conditions: Bursitis is often accompanied by tendonitis in the hip abductor tendons, while osteoarthritis can lead to the formation of bone spurs.

Diagnosis and Treatment Options

Accurate diagnosis is crucial for effective treatment of hip pain. A healthcare professional will typically perform a physical examination, review your medical history, and may order imaging tests such as X-rays or MRI scans to confirm the diagnosis.

How are hip osteoarthritis and bursitis treated?

Treatment options for both conditions often include:

• Ice or heat therapy to reduce pain and inflammation
• Anti-inflammatory medications to manage pain and swelling
• Physical therapy to improve strength and flexibility
• Therapeutic injections, such as corticosteroids, to provide targeted relief
• In severe cases, surgery may be recommended

The specific treatment plan will depend on the severity of the condition and individual patient factors.

Other Possible Causes of Hip Pain

While osteoarthritis and bursitis are common causes of hip pain, several other conditions can lead to discomfort in this area:

• Hip labral tear
• Tight iliotibial (IT) band
• Low back arthritis
• Tendonitis
• Hip fracture
• Femoral acetabular impingement (FAI)

Given the complexity of hip anatomy and the various potential causes of pain, it’s essential to consult a healthcare professional for an accurate diagnosis.

Prevention and Self-Care Strategies

While some factors contributing to hip pain may be beyond our control, there are steps we can take to maintain hip health and potentially prevent or manage conditions like osteoarthritis and bursitis:

• Maintain a healthy weight to reduce stress on the hip joint
• Engage in low-impact exercises to strengthen hip muscles and improve flexibility
• Practice good posture and ergonomics
• Use proper technique when lifting heavy objects
• Avoid repetitive motions that put excessive strain on the hip
• Stay hydrated to support joint health

Incorporating these strategies into your daily routine can help promote overall hip health and potentially reduce the risk of developing hip pain.

When to Seek Medical Attention

While some hip pain may resolve on its own with rest and self-care measures, there are instances where medical attention is necessary. Consider consulting a healthcare professional if:

• Pain persists for more than a few weeks despite home remedies
• Pain is severe or interferes with daily activities
• You experience sudden, intense pain in the hip
• There is visible swelling or deformity in the hip area
• You have difficulty bearing weight on the affected leg
• You notice fever, redness, or warmth around the hip joint

Early intervention can lead to more effective treatment and better outcomes, so don’t hesitate to seek medical advice if you’re concerned about your hip pain.

The Role of Imaging in Diagnosing Hip Pain

Imaging studies play a crucial role in accurately diagnosing the cause of hip pain. Different imaging techniques can provide valuable information about the structures within and around the hip joint:

X-rays

X-rays are often the first imaging test ordered when evaluating hip pain. They can reveal:

• Joint space narrowing, indicative of cartilage loss in osteoarthritis
• Bone spurs or other bony abnormalities
• Fractures or dislocations

Magnetic Resonance Imaging (MRI)

MRI scans provide detailed images of soft tissues and can help diagnose:

• Labral tears
• Bursitis
• Tendon injuries
• Early stages of osteoarthritis not yet visible on X-rays

Ultrasound

Ultrasound imaging can be particularly useful for diagnosing soft tissue conditions such as:

• Bursitis
• Tendonitis
• Fluid accumulation in the joint

The choice of imaging technique will depend on the suspected condition and the information needed to make an accurate diagnosis.

Emerging Treatments for Hip Pain

As medical research advances, new treatments for hip pain continue to emerge. Some innovative approaches currently being explored or used in certain cases include:

Regenerative Medicine

Regenerative therapies aim to stimulate the body’s natural healing processes. Examples include:

• Platelet-rich plasma (PRP) injections
• Stem cell therapy

These treatments show promise in managing osteoarthritis and certain soft tissue injuries, although more research is needed to fully understand their long-term efficacy.

Minimally Invasive Surgical Techniques

Advancements in surgical techniques have led to less invasive procedures for treating hip conditions:

• Hip arthroscopy for labral repairs and treatment of femoral acetabular impingement
• Robotic-assisted hip replacement surgery for improved precision

These techniques often result in faster recovery times and less post-operative pain compared to traditional open surgeries.

Targeted Drug Delivery Systems

Researchers are developing new ways to deliver pain-relieving and anti-inflammatory medications directly to the affected area. This approach may provide more effective relief with fewer systemic side effects.

While these emerging treatments show promise, it’s important to discuss their potential benefits and risks with a healthcare professional before considering them as part of your treatment plan.

The Impact of Lifestyle on Hip Health

Our daily habits and lifestyle choices can significantly influence hip health and the development or progression of conditions like osteoarthritis and bursitis. Understanding these factors can help individuals take proactive steps to maintain healthy hips:

Exercise and Physical Activity

Regular exercise is crucial for maintaining hip strength and flexibility. However, the type and intensity of exercise matter:

• Low-impact activities like swimming, cycling, and yoga can help strengthen hip muscles without putting excessive stress on the joints
• High-impact activities or repetitive motions may increase the risk of hip injuries or exacerbate existing conditions

It’s important to find a balance and choose activities appropriate for your fitness level and any existing hip conditions.

Diet and Nutrition

What we eat can affect joint health and inflammation levels in the body:

• Anti-inflammatory foods like fatty fish, leafy greens, and berries may help reduce inflammation associated with conditions like osteoarthritis
• Maintaining a healthy weight through proper nutrition can reduce stress on the hip joints
• Adequate calcium and vitamin D intake is essential for bone health

Occupational Factors

Certain occupations or work-related activities can impact hip health:

• Jobs requiring prolonged standing or heavy lifting may increase the risk of hip problems
• Sedentary work environments can lead to muscle weakness and reduced flexibility

Implementing ergonomic solutions and taking regular breaks to move and stretch can help mitigate these risks.

Sleep Posture

How we sleep can affect hip comfort and alignment:

• Side sleepers may benefit from placing a pillow between their knees to maintain proper hip alignment
• A supportive mattress can help reduce pressure on the hips during sleep

By considering these lifestyle factors and making appropriate adjustments, individuals can take an active role in promoting hip health and potentially reducing the risk of developing painful conditions like osteoarthritis or bursitis.

The Psychological Impact of Chronic Hip Pain

Chronic hip pain, whether from osteoarthritis, bursitis, or other conditions, can have significant psychological effects on individuals. Understanding and addressing these impacts is crucial for comprehensive care and improved quality of life.

Mental Health Considerations

Persistent hip pain can lead to various mental health challenges:

• Depression: Chronic pain and reduced mobility can contribute to feelings of hopelessness and sadness
• Anxiety: Worry about pain worsening or the ability to perform daily activities can increase anxiety levels
• Sleep disturbances: Pain can interfere with sleep, leading to fatigue and further mood disturbances
• Social isolation: Difficulty participating in social activities due to pain may lead to feelings of loneliness

Coping Strategies

Developing effective coping mechanisms is essential for managing the psychological impact of chronic hip pain:

• Mindfulness and relaxation techniques to reduce stress and improve pain management
• Cognitive-behavioral therapy to address negative thought patterns associated with chronic pain
• Support groups to connect with others experiencing similar challenges
• Engaging in enjoyable activities within one’s physical limitations to maintain a sense of purpose and joy

Holistic Approach to Treatment

A comprehensive treatment plan for hip pain should address both physical and psychological aspects:

• Integrating mental health support alongside physical treatments
• Educating patients about the mind-body connection in pain perception
• Encouraging open communication between patients and healthcare providers about emotional well-being

By recognizing and addressing the psychological impact of chronic hip pain, healthcare providers can offer more effective, patient-centered care that improves overall outcomes and quality of life for those affected by conditions like osteoarthritis and bursitis.

Is My Hip Pain From Arthritis or Bursitis?

When something goes wrong in the hip joint, there are a lot of possible culprits: bones, muscles, tendons, ligaments, and more. Just as with low back pain, the source of hip pain can be difficult to pinpoint.

One common pain, two different problems

Two likely causes of hip pain are osteoarthritis and bursitis. They have similar symptoms, but very different reasons for causing pain.

Hip osteoarthritis develops as the joint’s cartilage wears down. Watch Hip Osteoarthritis Video

1. Hip osteoarthritis occurs when the slippery, protective cartilage in the hip joint thins or disappears. When the cartilage is damaged, there can be painful friction between the bones that make up the hip’s ball-and-socket. Bone spurs may form as the cartilage degenerates, which can make the bone-on-bone friction worse.

   See What Is Hip Osteoarthritis?

2. Hip bursitis occurs when the bursa in the hip become inflamed. Throughout the body, bursae provide cushion and reduce friction between bones and the soft tissues that run over them during joint movement. In the hip, the bursa most likely to become inflamed is the trochanteric bursa.

   Inflammation of the trochanteric bursa typically occurs alongside inflammation in the hip’s abductor tendons (called tendonitis).

   ¹
   Redmond JM, Chen AW, Domb BG. Greater Trochanteric Pain Syndrome. J Am Acad Orthop Surg. 2016 Apr;24(4):231-40. doi: 10.5435/JAAOS-D-14-00406. Review. PubMed PMID: 26990713.
   Both the trochanteric bursa and abductor tendons are located at the bony knob near the top of the thighbone (medically known as the femur bone’s greater trochanter), near the outward curve of the upper thigh.

   See Hip (Trochanteric) Bursitis

Because of its tendency to share symptoms with hip osteoarthritis and other hip conditions, hip bursitis is sometimes called “the great mimicker.”

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Comparing arthritis and bursitis symptoms

Is your hip pain caused by osteoarthritis, bursitis, or something else? A closer look at the symptoms of osteoarthritis and bursitis may provide you clues.

Symptoms that suggest hip osteoarthritis include:

• Pain that originates from the inside of the hip joint and may also be felt in the groin and thigh, and occasionally the buttock
• Increased hip joint stiffness and/or decreased range-of-motion
• Grating or creaking sensations, known as crepitus
• Referred pain in the knee

Read more about Hip Osteoarthritis Symptoms

Symptoms that suggest hip bursitis include:

• Hip pain that is felt on the outside of the lower hip
• Pain and tenderness that increases when pressure is put on the affected hip, such as when lying on your side

Read more about Hip Bursitis Symptoms

Keep in mind that it’s possible to have hip osteoarthritis and hip bursitis at the same time. It is also possible to have hip osteoarthritis or hip bursitis alongside another condition, such as a tight IT band, a hip labrum tear, or low back arthritis. A doctor can provide you with a definitive diagnosis and recommend treatment.

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Luckily, the pain and symptoms of both hip bursitis and hip osteoarthritis can be treated. Common nonsurgical treatments for both conditions include ice or heat therapy, anti-inflammatory medications, therapeutic injections, and physical therapy. Occasionally, severe cases are treated with surgery.

See Hip Osteoarthritis Treatment and Hip Bursitis Treatment

Learn more:

What’s Causing My Hip Pain?

Hip Bursitis Causes

Dr. J. Stuart Melvin is an orthopedic surgeon specializing in orthopedic trauma and joint replacement surgery. He practices at Washington Orthopaedics and Sports Medicine. Dr. Melvin is a reviewer for the Journal of Arthroplasty, has contributed chapters to several medical textbooks, and has had numerous scientific papers published in academic journals.

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Editor’s Top Picks

• Hip Osteoarthritis Symptoms

• Hip Bursitis Symptoms

• Hip Osteoarthritis Treatment

• Hip Bursitis Treatment

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• Hip Bursitis Video

What’s Causing My Hip Pain?

It supports our weight. It allows us to sit, walk, and run. The hip is one of the most crucial joints in our body, so when it causes you pain, it can be a big problem.

Hip osteoarthritis is the most common form of arthritis in the hip.
Watch: Hip Osteoarthritis Video

Your hip may be painfully stiff in the morning, ache only when you sit down, or cause sharp pain during a deep bend or squat. The symptoms provide clues about the underlying problem.

One of the most common causes of hip pain is osteoarthritis, but several other conditions can also cause hip pain.

Hip osteoarthritis

As we age, the hip joint can start to deteriorate due to osteoarthritis. The cartilage that covers and protects the bones at the point of contact can degenerate and disappear, causing friction, inflammation, and pain.

See What Is Hip Osteoarthritis?

Hip osteoarthritis is a degenerative disease that is signaled by the deterioration of the joint cartilage.

Common symptoms of hip osteoarthritis
If you have hip osteoarthritis, you may notice:

• Aching pain in the groin, the side or back of the hip
• Stiffness or limited range of motion in the hip
• Hip crunching, grinding, or popping sensations
• Difficulty bending at the hip

Symptoms may be most noticeable in the morning or after sitting for a long period and worsen with activity.

Read more about Hip Osteoarthritis Symptoms

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Hip bursitis

Inflammation of a bursa near the hip joint causes hip bursitis. This condition may happen for a variety of reasons, such as an old injury or a low-back problem that affects the hip’s biomechanics.

See Hip (Trochanteric) Bursitis

Hip bursitis is commonly referred to as trochanteric bursitis and greater trochanter pain syndrome

Common symptoms of hip bursitis
If you have hip bursitis you may notice:

• Pain on the side of the hip
• Hip pain that is worse after repetitive activity, such as climbing stairs
• Tenderness when pressure is applied to hip, which may make lying on your side uncomfortable

Hip bursitis can become chronic if you do not treat it and address the underlying cause.

Read more about Hip Bursitis Symptoms

Labral tear

The hip labrum is a ring of strong, flexible cartilage that rims the outer edge of the hip socket (acetabulum). It can fray and tear over time or be injured by acute trauma.

Read about Coping with Hip Labral Tears on Sports-health.com.

Common symptoms of a hip labral tear
If you have a labral tear, you may experience:

• A constant, deep, dull ache in the groin, buttock and/or thigh when sitting down
• Occasional, sharp, stinging pain that gets worse during activities, such as turning, walking, and running

  ¹
  Groh MM, Herrera J. A comprehensive review of hip labral tears. Curr Rev Musculoskelet Med. 2009;2(2):105-17.

• Hip catching or locking that prevents a smooth range of motion

When asked to locate the pain, patients often make a “C” shape by cupping their hand around the side of the hip.

Read more about Hip Labral Tear Symptoms on Sports-health. com.

Hip impingement

Bony growths can develop on the bones that form the hip’s ball and socket. These growths can cause abnormal contact between the bones and affect the hip’s range of motion. This condition, known as femoroacetabular impingement (FAI) or hip impingement, can be painful.

Read more about Hip Impingement on Sports-health.com

Depending on the location of the bony growth, there are three types of hip impingement that lead to hip pain: cam, pincer, and combined.

Common symptoms
If you have hip impingement you may feel:

• Pain in the groin area and sometimes outer hip
• Pain that becomes stabbing with motions such as twisting or squatting

Hip impingement may develop along with osteoarthritis, a labral tear, or both.

Read more about Hip Impingement Symptoms on Sports-health.com

Ankylosing Spondylitis

Because it affects the sacroiliac (SI) joint, which connects the base of the spine to the pelvis, ankylosing spondylitis often causes pain in the lower back and/or hips.

See What Is Ankylosing Spondylitis?

Often the first symptom of ankylosing spondylitis is inflammation of the sacroiliac joints at the base of the spine. Watch: Ankylosing Spondylitis Video

Common symptoms of ankylosing spondylitis
The symptoms of ankylosing spondylitis can vary a lot, but typically include one or more of the following:

• Buttock, low back, or hip pain that can radiate down to the thigh
• Pain in other joints, such as the knees, shoulders, or ankles
• Joint pain and stiffness in the early morning, which may affect sleep
• Fatigue or a general feeling of being unwell

Ankylosing spondylitis is a type of systemic inflammatory arthritis that causes the immune system to attack the joints. Two other types of inflammatory arthritis that can cause joint pain, including hip pain, are rheumatoid arthritis and psoriatic arthritis.

Read more about Ankylosing Spondylitis Symptoms

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Muscle and other soft tissue injuries

The hip is surrounded and crisscrossed by a network of muscles, tendons, and ligaments that can be stretched or injured, causing hip pain.

Read about how Iliotibial Band Syndrome and Snapping Hip Syndrome can cause hip pain on Sports-health.com.

If pain in your hip is chronic and/or interfering with your everyday life, talk with your doctor and explain your symptoms, so the problem can be diagnosed.

Once a hip disorder is correctly diagnosed, a physician can put together a treatment plan to alleviate pain and correct the condition or slow down its progression.

Learn more:

Hip Osteoarthritis Causes and Risk Factors

Is My Hip Pain From Arthritis or Bursitis?

Dr. Herman Botero is a board-certified orthopedic surgeon at the Knoxville Orthopedic Clinic. He specializes in minimally invasive hip, knee, and partial knee replacements as well as revision surgeries and fracture care.

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Editor’s Top Picks

• Hip Osteoarthritis Causes and Risk Factors

• Hip Bursitis Treatment

• Ankylosing Spondylitis Causes and Risk Factors

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• Hip Osteoarthritis Video

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Knees hurt: what to do and how to treat, causes of severe pain in the knees

Articles

Reading time 10 min

Men and women of different ages and even children face pain in the knee joints. It can be combined with other symptoms and be due to the pathology of the joint itself or periarticular tissues. Sometimes pain is a sign of a serious illness. Therefore, when a symptom appears, it is necessary to make an appointment with a specialist. Temed Clinic doctors conduct a comprehensive diagnosis to identify the cause of knee pain during flexion and extension, as well as prescribe an individual therapy and rehabilitation plan.

The knee joint is a complex joint that is heavily loaded and allows the leg to flex and extend. The knee has a complex structure, in order to understand the causes of pain in the joint, it is necessary to know its structural elements.

The knee joint is formed by the femur, tibia and patella. The articular surfaces of the bones are covered with cartilage, and two menisci are located in the cavity of the knee. The joint cavity is lined with a synovial membrane that produces lubrication, which ensures smooth movement. The shell forms inversions and bags – small cavities with liquid, which increase the volume of the joint and are a place of accumulation of pus and blood in pathological conditions. The knee is reinforced with ligaments that connect the bones to each other. It is also important to mention the tendon of the quadriceps femoris, which attaches to the patella and passes into a ligament, connecting it to the tibia.

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• Men and women of all ages and even children experience knee pain. It can be combined with other symptoms and be due to the pathology of the joint itself or periarticular tissues. Sometimes pain is a sign of a serious illness. Therefore, when a symptom appears, it is necessary to make an appointment with a specialist. Temed Clinic doctors conduct a comprehensive diagnosis to identify the cause of knee pain during flexion and extension, as well as prescribe an individual therapy and rehabilitation plan.

  The knee joint is a complex joint that is heavily loaded and allows the leg to flex and extend. The knee has a complex structure, in order to understand the causes of pain in the joint, it is necessary to know its structural elements.

  The knee joint is formed by the femur, tibia and patella. The articular surfaces of the bones are covered with cartilage, and two menisci are located in the cavity of the knee. The joint cavity is lined with a synovial membrane that produces lubrication, which ensures smooth movement. The shell forms inversions and bags – small cavities with liquid, which increase the volume of the joint and are a place of accumulation of pus and blood in pathological conditions. The knee is reinforced with ligaments that connect the bones to each other. It is also important to mention the tendon of the quadriceps femoris, which attaches to the patella and passes into a ligament, connecting it to the tibia.

Fig. 1 Structure of the knee joint

Virtually any of these structures of the knee joint, when pathological, can cause pain and other symptoms.

Pain in the knees is divided into three types according to duration:

• 1

  Acute, lasting up to 4 weeks

  Often occurs on the background of an acute injury. Has an abrupt onset and pronounced pain that subsides as tissues heal

• 2

  Subacute, 4 to 12 weeks

  Usually associated with excessive stress on the joint, increasing gradually and usually mild

• 3

  Chronic, lasting more than 12 weeks

  Usually due to an untreated cause of acute pain. In chronic pain, two periods alternate: exacerbation and remission. In the first period, the symptoms are pronounced and bring significant discomfort to the daily life of the patient, and in the second period there are no obvious manifestations, an imaginary recovery occurs

Causes

There is no single cause of knee pain in women and men. The symptom occurs in various diseases and pathological syndromes. Below we describe the most common causes of knee pain and other associated symptoms.

• Injuries

  Pain occurs against the background of an acute injury that leads to damage to the structural elements of the joint. The most common injuries are:

  • knee ligament rupture
  • patella fracture
  • intra-articular fracture
  • meniscus rupture
  • patella tendon rupture 9001 1
  • dislocation or subluxation of the patella
  • dislocation of the knee joint – tibia and femur
  • head fracture or neck of the fibula

• Excessive stress on the joint

  • Osteoarthritis – thinning and destruction of articular cartilage
  • Inflammation of the apophysis of the tibial tuberosity – the attachment site of the patellar ligament. This is Osgood-Schlatter disease
  • Tendinitis – inflammation – of the quadriceps tendon and patellar ligament. The so-called “jumper’s knee”

• Metabolic disorders

  Due to metabolic disorders, crystalline arthropathy develops – deposition of calcium pyrophosphate crystals in the joint. This pathology is called pseudogout.

• Infectious arthritis

  Occurs when a pathogen enters the joint cavity.

• Systemic autoimmune diseases

  Rheumatoid arthritis, systemic lupus erythematosus. Diseases are associated with the body’s production of antibodies against its own cells.

• Bursitis

  Inflammation of the synovial bursa. The condition often develops after a joint injury or arthritis, especially an infection.

• Synovitis

  Inflammation of the synovium of the joint.

• Myofascial pain syndromes

  This is a large group of musculoskeletal pains that occur in the soft tissues surrounding the knee joint. Their main feature is a steady aching thickening in the muscle fibers and the presence of a point, when pressed, the pain intensifies and spreads to neighboring areas. In some cases, seizures occur.

• Patellofemoral Pain Syndrome

  This is the term for pain that occurs between the kneecap and the femur. This symptom is often found in professional athletes, the elderly and young people with a deformity of the patella.

The likelihood of pain in the right, left or both knee joints increases with:

• Obesity. Being overweight puts extra stress on your joints. Even ordinary walking and staying in an upright position puts a strain on the knees, as a result of which their cartilage structures are gradually destroyed
• Weakness of the muscles of the lower limb as a result of their lack of training. Sufficient muscle strength provides stabilization and protection of the joints, and their extensibility allows you to perform movements in the maximum allowable amplitude
• Professional sports. Some sports involve a lot of stress on the knees and are also associated with the risk of injury
• Standing work. This type of activity involves a constant load on the knee joints. Most often faced with the problem: surgeons, sales assistants, cooks, production workers
• Previous trauma. Quite often, even a new microtrauma complicates the previously received injury, as a result of which the pain not only returns, but also intensifies. Surgery is a potential risk factor for injury. Often, athletes who have injured their knee, underwent surgical treatment and a rehabilitation course, are injured again after returning to sports. This is due to the deterioration of the functional state of the knee and the predisposition to a new injury. The operated knee joint does not always cope with the usual physical activity

This article is advisory in nature. Treatment is prescribed by a specialist after consultation.

Which doctor to contact

Pain in the knee when straightening the leg or bending it is a reason to make an appointment with an orthopedic traumatologist. Temed Clinic doctors use a comprehensive examination to identify the exact cause of a pathological symptom. Specialists draw up an individual treatment plan for each patient, taking into account the main diagnosis and the current condition of the knee. A physical therapy specialist may also be involved to relieve pain and normalize the mobility of the knee joint.

Make an appointment with an orthopedic doctor

Appointment lasts 60 minutes, includes diagnostics, analysis of your MRI and preparation of a treatment plan, takes place both in person and online.

Diagnostics

Severe pain in the knee when bending and walking, and especially at rest, is an indication for contacting an orthopedic traumatologist. At the first appointment, the doctor conducts:

• Poll. The specialist clarifies complaints, features and time of their occurrence. The doctor always asks the patient about past injuries, illnesses and operations
• Inspection. Assesses the visual condition of the knee joints and skin: the presence of damage, deformation, redness, swelling. The doctor assesses the patient’s gait, whether he leans more on one leg, whether he is limping
• Palpation. The doctor palpates the knees for the presence of seals, integrity violations, reveals areas of pain. The doctor evaluates the amplitude of active and passive movements in the joints, during which the appearance of crepitus – a crunch is possible. Also performs special diagnostic tests

Laboratory tests may be ordered for suspected joint infections, autoimmune and systemic diseases. Most often these are:

• complete blood count
• biochemical blood test
• C-reactive protein
• rheumatoid factor
• serum uric acid level blood cell

Instrumental diagnostic methods allow visualization of soft and hard structures of the knee joint and surrounding areas. Commonly used:

• Radiography . This is the most accessible and fairly informative method of examination. An x-ray image makes it possible to detect a fracture, dislocation and other pathologies of the bones of the knee joint
• Ultrasound examination . Ultrasound is often used to detect excess fluid in the knee joint. It also allows assessing the condition of soft tissues of the knee: menisci, ligaments, tendons
• Magnetic resonance imaging . The most informative study for knee pain, therefore, is the preferred diagnostic method. MRI makes it possible to detect pathological changes in almost all joint structures that are not visualized on an X-ray image
• Computed tomography . They are used if you need to get more information than x-rays provide, and if there are contraindications to MRI

For medical reasons, the patient may be prescribed arthrocentesis – puncture of the knee joint. The procedure involves puncturing the joint with a puncture needle and taking its contents for further examination. You may also need arthroscopy – an examination of the joint cavity with a special flexible probe. The method is also used for therapeutic purposes – for the treatment of some intra-articular injuries. The Temed Clinic does not perform surgical procedures. Patients who need these methods are referred to a surgical hospital.

Treatment

After diagnosing and identifying the cause, the doctor will tell you how to treat if your knee hurts inside. Depending on the clinical case and the duration of the disease, different types of therapy are used:

• 1

  etiological – eliminates the cause of pain

• 3

  prophylactic – prevents a recurrence of the disease and a new attack of pain

In most cases, the treatment of painful sensations in the knee is carried out conservatively. It is aimed at the underlying disease and the removal of symptoms. In acute pain, the patient is recommended to reduce physical activity: for a while, refrain from running, jumping. Analgesics, such as non-steroidal anti-inflammatory drugs (NSAIDs), may be prescribed as symptomatic therapy to relieve pain and swelling. Applying ice to the front of the knee can also be effective – this relieves pain and swelling and is especially effective for injuries.

After acute pain is relieved, the patient is recommended exercises that are selected and controlled for the first time by an exercise therapy instructor. To unload the knee joint, it may be recommended to apply kinesiotapes – special adhesive tapes, as well as the selection of orthopedic insoles. They contribute to the stabilization of the knee and the correct distribution of the load on the legs when walking.

For a number of diseases, one of which is osteoarthritis, intra-articular injections can be used. The procedure involves the introduction of a drug into the joint cavity. Most often these are glucocorticosteroids and hyaluronic acid. PRP therapy is also used – the introduction of platelet-rich own blood plasma. Injections help accelerate the healing of joint tissues.

Prevention

Help prevent knee pain: obesity – weight loss

Abstracts

9002 2

1

Knee pain is a common symptom of a large number of joint diseases

• 2

  To identify the cause of pain in the knee, a comprehensive examination is necessary: ​​physical, laboratory and instrumental. Based on the diagnostic data, the doctor establishes a diagnosis and prescribes treatment

• 3

  Treatment for knee pain depends on the cause of the symptom. Conservative therapy is usually used: medication, physical therapy and lifestyle correction

.V., Shamuilova M.M., Knorring G.Yu. Comorbidity and pain in the lower back: topical issues. Reference book of the polyclinic doctor. 2016

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What to do if the thigh hurts and gives to the leg

Clinic of Dr. Ignatiev » Pain » What to do if the hip hurts and gives to the leg – treatment, causes

Contents:

• Causes of hip pain
• What to do if there is pain?!
• What is the treatment for diseases of the spine that cause pain in the legs?!

Pain in the thigh radiating to the leg

Pain in the thigh radiating to the leg in most cases indicates serious problems with the spine. This is a symptom of a rather advanced disease that causes walking disorders. In most cases, symptoms are preceded by intermittent low back pain, and a serious aggravation occurs after exercise or exposure to cold. In extreme cases, there is weakness in the leg, numbness, paralysis.

Clinic of Dr. Ignatiev specializes in the diagnosis and treatment of diseases of the spine and nervous system. A correct diagnosis is the key to correct treatment.

Pain in the leg from the hip in most cases indicates damage to the nerve roots coming from the lumbar spine. Departing from the spinal cord, the nerve passes near the intervertebral disc and goes to the innervated area through the canal. Pain may occur due to irritation of the fibers of the spinal cord, brain or directly to the nerve – the intervertebral disc, narrowing of the canal.

Diagnosis of pain in the thigh radiating to the leg

Most often, pain is caused by such diseases as osteochondrosis of the lumbar spine, disc protrusion, intervertebral hernia, various tunnel syndromes.

Osteochondrosis – although it does not cause immediate pain in the hip, it causes narrowing of the intervertebral canals, while reducing the supply of space for nerves passing near. Over time, protrusions may occur, which cause pain, and if they are not treated, an intervertebral hernia is formed. Diseases are typical for the age from 17 to 55 years. The pain usually begins in the lower back, and then begins to give to the leg, aggravated by exertion, movement.

Herniated disc, MRI

Plain x-ray is not enough to make a correct diagnosis, MRI of the lumbar spine is performed, less often CT.

If pain occurs after the age of 55, the patient should be examined for inflammatory processes in the bones, diseases of the hip joint (coxarthrosis), fractures, oncology.

At any age, varicose veins should be ruled out by visual examination. The presence of injuries or acute inflammatory diseases.

Medical name for pain that radiates from the hip to the leg, but does not indicate the cause of the pain – sciatica, sciatica, or sciatic nerve inflammation/entrapment.

What to do if there is pain?! ↑

If pain occurs during some kind of movement or after work, you should immediately stop it and lie down on a flat surface, lie down for 5-10 minutes. If after this time the pain does not completely disappear, you need to limit any load on the spine during the next day. To relieve pain, ibuprofen, nurofen, or any available non-steroidal anti-inflammatory drug is used. In this case, hypothermia, overheating should be avoided.

Pain that does not go away after a day requires immediate diagnosis and examination by a doctor. If you do not turn to the doctor in time, you may experience weakness in the leg, numbness, tingling, muscle atrophy, or complete paralysis of the limb.

The doctor who is most competent in these matters – vertebrologist or chiropractor .

What is the treatment for diseases of the spine that cause pain in the legs?! ↑

With timely treatment, the first task that the doctor faces is to determine the cause of the pain. Even if it is relieved by pain medication, this is a serious symptom that may require emergency surgery.

After examining, checking reflexes, sensitivity, you can determine the area of ​​the lesion and assign a targeted diagnosis. Once the cause is determined, the appropriate treatment is selected.

Massage, warming ointments, or self-medication are not allowed without an accurate diagnosis.

In most cases, a course of treatment is required, which will consist of spinal correction, elimination of infringements, the appointment of therapeutic exercises, reflexology, etc. This will help not only to eliminate the pain, but also to avoid similar problems in the future.

Case study!

The patient suffered intermittent back pain, especially in the morning. After physical exertion (loading the refrigerator into the car), there was an acute pain in the lower back, which sharply gave in the leg to the thigh, buckled my legs. When I got home, the pain increased when walking, raising a straight leg, and even tilting my head. A week later, the pain forced her to see a doctor, and an MRI of the lumbar spine showed an intervertebral hernia between the fifth lumbar vertebra and the sacrum. A course of conservative treatment was prescribed, lasting from 1.5 months, no surgical intervention was required.

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