HealthDiseases and Conditions

Pain in the hip joint, giving in the leg. Pain in the hip: causes, treatment

In the modern world of hypodynamia, pain in the hip joint, giving up in the leg, has become a common phenomenon. Such a painful symptomatology characterizes a number of pathological ailments. And, unfortunately, it has serious consequences. After all, this joint feels the entire weight of the body in an upright position. Any pathologies that arise in this area, provoke a restriction of mobility, and sometimes loss of efficiency. Sometimes violations in the hip joint become the main cause of disability.

Factors that provoke pain

The hip joint has significant loads. That is why the risk of wear and injury is highest. Pain in the hip joint, giving up in the leg, develops, as a rule, due to the following factors:

  1. Pathology in the joint itself or in the muscle-ligament apparatus. Discomfort occurs after trauma, as a result of an inflammatory or degenerative process.
  2. Anatomical change of the hip joint. The pain is caused by an incorrect location in the acetabulum of the head of the femur. This pathology is diagnosed with a hip dislocation, subluxation, both congenital and traumatic origin.
  3. Pathology of other systems and organs. Often the pain in the hip joint, giving up in the leg, is manifested as a result of inflammation of the lobial and sacroiliac joints, pelvic organs, gluteus muscles. This discomfort is caused by a neurological disorder. Pain can appear with neuritis of the sciatic nerve, sciatica lumbosacral, pear-shaped muscle syndrome .

Types of pain

Discomfort in the hip joint can not be ignored. After all, there is a risk of serious consequences. By the nature of manifestation, pain in the hip joint is very noticeable. Symptoms can be pronounced or gradually increase. Doctors share the pain in several ways:

  1. Sharp pain. In most cases, it is short-lived. The patient easily identifies the source of discomfort. Such pain signals a developing ailment in the body or indicates organic damage. Initially, discomfort is localized in a certain area, and only then spreads further. Heals this kind of the easiest.
  2. Naked. This species often connects to acute pain. Characterized by a more extensive distribution. Discomfort may increase and periodically disappear. To define a painful site at such kind of a pain is difficult enough. In connection with this, treatment is difficult.
  3. Chronic. In this category, pain occurs for more than 6 months. This is the most difficult form in terms of treatment. It is often chronic pain that leads to surgery.

Diseases of the joint

If you periodically feel pain in the hip joint, there is a possibility of developing one of the unpleasant pathologies of this joint. Even in the event that there is no acute sensation, but sometimes you experience discomfort with simple movements, you should consult your doctor.

Physicians identified several of the most common diseases, which, in most cases, cause discomfort in the joint. Having information about their course and accompanying symptoms, you can easily determine which doctor to apply to.

In this case, it is not necessary to cure the disease on its own. An accurate diagnosis can only be made by a specialist.

Arthritis

The disease is most common in people of age. With this disease, there is pain in the hip joint, giving up in the leg, the groin area. Often unpleasant sensations extend to the anterior part of the thigh, sometimes reach the knee. During walking, the symptomatology intensifies. The same picture is observed when supporting the damaged side. It is difficult for a patient to rise from a sitting position. There is a sharp pain in the joint.

Discomfort significantly increased in the morning. Physical activity reduces it. However, excessive loads increase the pain severalfold. A person experiences stiffness in his movements.

The treatment depends solely on the diagnosis. In most cases, the doctor prescribes a course of exercise therapy, anti-inflammatory and hormonal drugs.

Coxarthrosis

Such an ailment occurs in middle-aged people. He is also called deforming arthrosis. The disease develops imperceptibly. At an early stage a person feels pain in the right hip joint or left. Very rarely discomfort occurs immediately in both joints. Pain sensations are greatly enhanced during exercise. At rest, they weaken.

The patient's suffering increases gradually. Severe discomfort occurs only in the last stages. It becomes painful for a person to get up, move, turn around. Strong chamber gives into the groin area, sometimes to the knee. Since the muscles in the affected area are constantly strained, often patients feel pain in the hip joint at night.

Unfortunately, coxarthrosis in the advanced stage of treatment practically does not lend itself.

Bursitis

Above the projection of the femur is a vertical bag. Its inflammation is called bursitis. Initially, the patient experiences an ache in the buttock area. If the patient lies on the injured side, unpleasant sensations become worse. Exposed to bursitis and other liquid bags of the above joint:

  • Ileo-scallop;
  • Ischial.

Tendonitis

This disease affects the majority of athletes. The disease occurs in people engaged in heavy labor. The defeat of ligaments significantly limits the mobility of a person. The patient with difficulty withdraws his leg, as the sharp pain binds the limbs. The patient experiences difficulties during walking, if desired, to lean on his leg.

Infections

Arthritis is characterized by rapid flow. In a short time the patient begins fever. The joint swells. The patient experiences severe pain even when touching the affected area. The source of infectious arthritis is a variety of viral diseases:

  • streptococcus;
  • flu;
  • Staphylococcus aureus.

If the pain in the joint is initially weak and does not appear immediately, you can suspect tuberculous arthritis. During walking, the patient experiences unpleasant sensations that spread to the knee or mid-thigh area. The ability to move with time is limited, a swelling appears in the damaged area.

Tumors of soft tissues and bones

Aching pain can signal about neoplasms. It should be remembered that the tumor can be benign, but sometimes it is malignant. In this case, it is difficult to talk about the symptoms. Place of localization and the nature of discomfort for each person are individual.

Characteristic features

A patient who has had pain in the hip joint symptoms may signal the following:

  1. When combined discomfort with fever, inflammation of other joints or a rash, rheumatoid arthritis can be diagnosed.
  2. Uncertain pain, giving to the buttock, back of the thigh, lower back, knee, can signal the avascular necrosis of the head of the femur. The ailment is very serious. Rapidly developing. The result is the necrosis of the head of the bone.
  3. If the discomfort progresses slowly, increases significantly when walking or prolonged standing, somewhat changes the gait, most likely, the cause was osteoarthritis.
  4. Sensations, accompanied by lumbar pain, extending to the knee, the back of the thigh, can signal the lumbosacral radiculitis.

Discomfort during pregnancy

When a baby is born, the body of a woman undergoes a restructuring. Changes are observed in the musculoskeletal system. Hormones lead to softening of ligaments and cartilage. The body of a pregnant woman increases the intake of calcium. As a result, there is a deficit, which in turn provokes loosening of bone tissue. In addition, the increasing weight of a woman creates a significant strain on the joints.

Such factors often lead to a divergence of the bones. In this case, a woman may have a "duck" gait. She eloquently characterizes such a pregnancy.

Pain in the hip joints is easily eliminated by anti-inflammatory drugs prescribed by a doctor. As a rule, these are preparations:

  • Diclofenac.
  • Voltaren.
  • "Indomethacin".

Medicines may be given in the form of tablets, ointments or suppositories.

Diagnosis of ailments

As can be seen from the foregoing, many pathological conditions can cause pain in the aforementioned joint. That is why to make the correct diagnosis it is necessary to conduct special examinations:

  • X-ray of the hip joint;
  • MRI or CT;
  • Dopplerography (examination of vascular patency);
  • Biochemical, immunological, general, bacteriological analyzes;
  • Electromyography (examination of tendon reflexes).

Sufficiently popular studies are the x-ray of the hip joint. If necessary, a whole spine can be assessed.

Medication Therapy

It should be remembered that all medications should be prescribed by the attending physician on the basis of thorough diagnosis. In most cases, the following medicines are included in drug therapy:

  1. Anti-inflammatory drugs - Diclofenac, Indomethacin, Ibuprofen, Meloksikam.
  2. Glucocorticosteroids - "Methylprednisolone", "Dexamethasone", "Prednisolone".
  3. Chondroprotectors - "Chondroitin sulfate", "Glucosamine".

In this case, it should be remembered that most drugs are detrimental to the body, with many side effects. Therefore, these drugs should be taken only after the appointment of a doctor and under his supervision.

Surgical intervention

Endoprosthetics of the hip joint is a complicated operation. In the course of it, the damaged thigh is replaced by an artificial joint. This is a biologically compatible durable prosthesis. It consists of a concave bowl and a spherical head. The cost of the hip varies from 90 000 rubles to 100 000.

The purpose of such an operation is to alleviate the pain of discomfort caused by degenerative joint diseases or traumatic injuries.

In most cases, hip arthroplasty is indicated under conditions:

  • Posttraumatic arthrosis;
  • rheumatoid arthritis;
  • Aseptic necrosis of the femoral head;
  • Degenerative-dystrophic arthrosis and arthritis;
  • Bechterew's disease;
  • Dysplastic arthrosis;
  • Improper intergrowth of intraarticular fracture;
  • False joint of the neck of the thigh.

Today's operation is precise, high-tech, effective surgical interventions. As a result of which the patient again returns to his habitual life, getting rid of a painful condition and limited mobility.

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