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Hip Pain

Hip Pain. Hip pain is a common complaint that can be caused by a wide variety of problems. The precise location of your hip pain can provide valuable clues about the underlying cause.

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Hip Pain

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  1. HipPain Hippainisacommoncomplaintthatcanbecausedbyawidevarietyofproblems.Thepreciselocationofyourhippaincanprovidevaluablecluesabouttheunderlyingcause. Problemswithinthehipjointitselftendtoresultinpainontheinsideofyourhiporyourgroin.Hippainontheoutsideofyourhip,upperthighorouterbuttockisusuallycausedbyproblemswithmuscles,ligaments,tendonsandothersofttissuesthatsurroundyourhipjoint. Hippaincansometimesbecausedbydiseasesandconditionsinotherareasofyourbody,suchasyourlowerbackoryourknees.Thistypeofpainiscalledreferredpain.Mosthippaincanbecontrolledwithself-careathome.

  2. HipAnatomy • Yourhipjointisdesignedforbothmobilityandstability.Thehipjointallowsyourentirelowerextremitytomoveinthreeplanesofmotion: • forwardandbackward • sidetoside • rotatingrightandleft • Yourhipjointprovidesvitalshockabsorptiontothetorsoandupperbodyaswellasstabilityduringstandingandotherweight-bearingactivities. • Yourhipiscomprisedoffourmaincomponents: • Bones • Cartilage • Ligaments • Muscles • HipBones • Thehipisactuallyaballandsocketjoint,unitingtwoseparatebones,thefemur(thighbone)withthepelvis.Thepelvisfeaturestwocup-shadeddepressionscalledtheacetabulum,oneoneithersideofthebody.Thefemuristhelongestboneinthebodyandconnectstothepelvisatthehipjoint.Theheadofthefemur,shapedlikeaball,fitstightlyintotheacetabu-lum,formingtheballandsocketjointofthehip,allowingthelegtomoveforwardandbackward,sidetoside,androtaterightandleft.

  3. HipAnatomy HIPCARTILAGE Theacetabulumislinedwithcartilage,whichcushionsthebonesduringweightbearingactivitiesandallowsthejointtorotatesmoothlyandfreelyinallplanesofmovementwithminimalfriction. HIPLIGAMENTS Thecomplexsystemofligamentsthatconnectthefemurtothepelvisareessentialforstability,keepingthehipfrommovingoutsideofitsnormalplanesofmovement. HIPMUSCLES Themusclesofthehipjointhavedualresponsibilitiesworkingtogethertoprovidethepowerforthehiptomoveinalldirections,aswellastostabilizetheentirelowerextremityduringstanding,walking,orotherweight-bearingactivities. HIPBURSAS Therearelargebursas(fluid-filledsacs)thatsurroundareasofthehipandallowthemusclesandtendonstoglidemoreeasilyoverbonyprominences.Anyofthesestructurescanbecomeinflamed.

  4. Symptoms • Dependingontheconditionthat'scausingyourhippain,youmightfeelthediscomfortinyour: • Thigh • Insideofthehipjoint • Groin • Outsideofthehipjoint • Buttocks • Sometimespainfromotherareasofthebody,suchasthebackorgroin(fromahernia),canradiatetothehip. • Youmightnoticethatyourpaingetsworsewithactivity,especiallyifit'scausedbyarthritis.Alongwiththepain,youmighthavereducedrangeofmotion.Somepeopledevelopalimpfrompersistenthippain.

  5. Causes • Hippainmaybecausedbyarthritis,injuriesorotherproblems. • OSTEOARTHRITIS • Thesymptomsofosteoarthritiscanvarygreatlyfrompersontoperson,butifitaffectsthehipitwilltypicallycause: • mildinflammationofthetissuesinandaroundthehipjoint • damagetocartilage–thestrong,smoothsurfacethatlinesthebones • bonygrowths(osteophytes)thatdeveloparoundtheedgeofthehipjoint • Thiscanleadtopain,stiffnessanddifficultydoingcertainactivities. • Thereisnocureforosteoarthritis,butthesymptomscanbeeasedwithseveraldifferenttreatmentsandsurgeryisoftennotnecessary. • Osteoarthritisisthemostcommoncauseofhippaininthoseovertheageof50;however,othertypesofarthritiscanbepresent. • Thesemayinclude • rheumatoidarthritis, • ankylosingspondylitis, • Reiter'ssyndrome • BURSAINFLAMMATION(HIPBURSITIS) • Thetrochantericbursaisasacontheoutsidepartofthehipthatservestoprotectmusclesandtendonsastheycrossthegreatertrochanter(abonyprominenceonthefemur).Trochantericbursitisdescribestheinflammationofthisbursa.Thebursamaybecomeinflamedforavarietyofreasons,oftenduetominortraumaoroveruse.

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