The hip joints experience the greatest load in the body. They are formed by weight while walking, jumping, running, lifting and carrying heavy objects. Patients often feel pain in the hip joint. BonePathologists determine its cause using modern diagnostic equipment. Doctors determine the degree of joint damage, which allows them to make an accurate diagnosis and develop optimal treatment tactics.
Professional doctors provide complex therapy for diseases that cause pain in the hip joint. Patients are individually selected effective drugs that affect the cause and mechanism of pain development. Rehabilitation clinic specialists use the latest physiotherapeutic procedures, physicalProvide rehabilitation therapy using therapy and acupuncture. The presence of special simulators allows you to reduce the load on the joint during training.
In the process of treating pain in the hip joint, doctors from many fields of medicine are involved: endocrinologists, rheumatologists, orthopedists, physiotherapists, chiropractors, acupuncturists. A multidisciplinary approach to the treatment of pain in the hip joint fast painProvides relief from. Patients suffering from hip joint deformities often require outpatient care.
Reason
Pain in the hip joint is caused by the following pathological processes:
- tendinitis (inflammation of the tendon);
- muscle breakdown;
- iliotibial band syndrome;
- Other local changes in surrounding tissues;
- Systemic diseases (rheumatoid arthritis, polymyalgia).
Because the gluteus medius and minimus muscles play a major role in hip abduction, their damage leads to hip pain. The gluteus medius and minimus tendons attach to the greater trochanter. If an inflammatory process develops in them due to microtrauma resulting from excessive load, If it occurs, the patient will be bothered by pain in the hip joint. Such disorders can be caused by an infectious process (tuberculosis), sports or orthodontic professional stress, or deposition of crystals.
Hip pain is a symptom of the following diseases:
- Osteoarthrosis;
- Radicular syndrome;
- rheumatoid arthritis;
- Coxita.
Pain in the hip joint can bother people who are overweight, who have different leg lengths or who have flat feet. The pain syndrome can occur after a lower limb amputation or hip replacement. With avascular necrosis and fractures of the femoral neck, patients complain of intense pain in the hip joint. Pain syndrome often develops with dysplasia (disorder of the anatomical structure) of the hip joint. Acute pain in the hip joint, whichSpread to the leg, occurs in cases of compression of the nerves due to diseases of the spine, malignant bone tumors and age-related changes.
test methods
During the first consultation, the rheumatologist conducts a comprehensive examination of the patient:
- Collection of complaints, clarification of the nature of pain in the hip joint;
- Obtaining information about the course of the disease, the onset of pain, the progression of pain, household and professional factors that, in the patient's opinion, caused the pain;
- An external examination allows the doctor to determine visible deviations from the norm. To understand the nature of the pain and the area of its spread, the doctor asks the patient to perform various movements of the lower limb in the hip joint. The hip jointThe presence of a deformity may be indicated by poor posture;
- Palpation (feeling). The doctor can detect rheumatoid and rheumatic nodules, find the exact location of pain when moving the leg, determine the moisture and temperature of the skin in the hip joint area.
Next, the doctor conducts goniometry - an examination using a goniometer device. This allows you to determine the range of joint mobility. Then the rheumatologist prescribes clinical and biological blood tests and a general urine test. Technicians conduct research using high-quality reagents and modern equipment, which allows you to get accurate test results.
With inflammation of the hip joint, the number of leukocytes in the blood increases and the erythrocyte sedimentation rate increases. An increase in the amount of C-reactive protein in the blood serum indicates the inflammatory nature of the disease.
An immunological blood test shows the presence of antinuclear antibodies in the blood in rheumatic inflammatory diseases. In patients suffering from arthritis, the concentration of uric acid in the blood serum increases rapidly. In patients with gout, psoriatic polyarthritis, gout and ankylosing spondylitisThe content of lysosomal enzymes (acid proteinase, acid phosphatase, cathepsin, deoxyribonuclease) in the blood serum and synovial fluid changes. In severe forms of deformity of the hip joint, significant deviations from the norm are observed in urine analysis.
Clinic doctors perform X-ray examinations of patients with hip pain. It is indicated in the following cases:
- The presence of chronic or acute pain in the hip joint at rest and while walking;
- Occurrence of difficulties when moving the lower limb;
- The presence of swelling and discoloration of the skin in the hip joint area.
Using computed tomography, the doctors of the clinic evaluate the bones that participate in the formation of the hip joint. On the computed tomogram, the radiologist finds changes in the structure of bone tissue, cartilaginous growths and osteophytes.
Using magnetic resonance imaging, doctors evaluate the condition of the soft tissues that surround the hip joint.
Radionucleotide research methods make it possible to recognize pathology using radiopharmacological drugs.
Ultrasound examination of the hip joint is performed for injuries, inflammatory diseases, arthritis and rheumatism. The attending physician in each case individually selects the necessary research methods to determine the cause of pain in the hip joint.
differential diagnosis
Pain in the hip joint while walking is the main complaint for which patients consult a doctor. It can be located in the joint area or spread to the thigh, buttocks or knee joint. If there is pain in the hip joint while walking, If pain occurs, the patient is forced to use a cane. Often, due to pain, there is limitation of mobility when moving the hip joint, especially when rotating the leg externally and internally.
Pain in the area of the hip joint, buttocks and groin is a symptom of aseptic necrosis of the femoral head. This disease is often associated with long-term use of hormonal drugs and alcohol abuse. With the development of deformity of the femoral head, Mobility of the hip joint becomes limited. In the early stages of the disease process, range of motion may be normal.
Pain in the front part of the hip joint and a clicking sound when moving the joint bother patients suffering from iliopsoas bursitis. It spreads to the thigh and is accompanied by paresthesia (tingling, burning, crawling sensation) due to compression of the femoral nerve. Occurs. The patient feels pain in the hip joint when flexing and extending the lower limb. On deep palpation in the area of the femoral triangle (a formation limited by the inguinal ligament, the outer edge of the long adductor muscle, the inner edge of the sartorius musclePain is also detected.
Pain in the outer hip joint is a sign of iliotibial band syndrome. It is accompanied by a clicking sound when walking, pain in the outer part of the knee joint, which intensifies with movement.
Roth myalgia is manifested by a burning pain in the hip joint and the anterior outer part of the thigh, which intensifies when walking and straightening the leg. Dysplasia is accompanied by pain in the hip joints. Over time, the patient inA characteristic "duck" gait develops (he walks, swaying from side to side).
pain with coxarthrosis
Pain in the hip joint occurs with coxarthrosis, a disease characterized by degenerative processes in the bones that form the joint. More often this disease affects older people. With age, the cartilage tissue of the joint loses its elasticity, become thin and begin to wear out. When the load on the joint increases, the thin cartilage tissue is destroyed. The articular surfaces of the bones rub against each other, resulting in aseptic inflammation.
Growths begin to appear on the bones. They significantly limit movement in the joint. Deformity of the articular surfaces develops, resulting in severe pain. Treatment of the disease depends on the severity of the joint damage. Doctors offer drug therapy. If it is ineffective, endoprosthetics are performed or palliative treatment is used.
After determining the cause of pain in the hip joint, doctors begin to treat the disease that caused the pain syndrome. Severe cases of diseases in which the patient is bothered by pain in the hip joint, he is treated by professors, doctors andThe discussion is carried out at a meeting of the Expert Council with the participation of candidates of medical sciences, doctors of the highest category.
Treatment
An important condition for the successful treatment of diseases that cause pain in the hip joint is the elimination of factors that cause structural changes in the bone, cartilage and soft tissues in the joint area. For acute pain, hospital rheumatologists use non-Prescribe steroidal anti-inflammatory drugs. The well-being of patients is significantly improved by the use of local treatment methods - external application of gels and ointments, patches that contain non-steroidal anti-inflammatory drugs. They help in the treatment of soft tissues after injuries (tendinitis, bursitis, epicondylitis) reduce pain in the hip joints during inflammatory processes.
If such therapy is not effective enough, doctors inject glucocorticoids into the cavity of the hip joint. With deforming coxarthrosis the joint space becomes narrowed, it is difficult to enter it. For this reason, a rheumatologist in a specialized clinic-The procedure is carried out under radio control. In the presence of pain caused by inflammation of muscles and tendons, glucocorticoid hormones are injected into the periarticular tissues.
Chondroprotectors are used to improve the condition of the cartilage and reduce pain in the hip joint. The therapeutic course lasts for several months. When the muscles participating in the movement in the hip joint spasm, the skeletonMuscle relaxants are prescribed to reduce muscle tone.
Drug therapy is complemented with physiotherapeutic procedures. They are of secondary importance for pain in the hip joint. The effectiveness of physiotherapeutic treatment methods is reduced due to the deep location. Hip after ultraviolet irradiation with medium length wavesThe severity of pain in the joint reduces.
In the presence of an inflammatory process, high intensity centimeter wave therapy, infrared laser treatment and low intensity UHF are carried out. High intensity high frequency magnetic therapy, ozone therapy, shock wave therapy stimulate tissue restoration. Causes of disorders and nutrition of the hip joint, is reduced under the influence of various types of electrotherapy (exposure to currents) and ultrasound.
To reduce the load on the hip joint, rheumatologists recommend patients to use a stick when there is acute pain. After reducing the severity of the pain syndrome, rehabilitators perform therapeutic exercises. An individual set of exercises has been developed for each patient to restore. When the structures participating in the formation of the hip joint are destroyed, the pain can be so severe that the only way to eliminate it is toTo be replaced with endoprosthesis.
Non-steroidal anti-inflammatory drugs are prescribed for pain relief. Treatment depends on the disease that affects the hip joints. Chondroprotectors are prescribed to the patient for cartilage tissue damage. An orthopedic doctor inPrescribes effective treatment, diet and exercise to improve blood circulation, restore cartilage tissue and maintain joint mobility. In severe cases, joint replacement with endoprosthesis is required, which significantly improves the quality of life. and eliminates pain.
treatment with exercise therapy
The use of rehabilitation techniques in the treatment of the hip joint allows you to maintain its mobility, improve blood circulation in the joint and accelerate the restoration of cartilage tissue. Specialists of the rehabilitation department carry out physicalChoose a set of therapy exercises. Rehabilitation classes are held daily under the supervision of an instructor. For rehabilitation therapy, special simulators are used, and physiotherapeutic procedures are prescribed in combination with physical education.
Which diseases cause joint pain?
Pain in the hip joint on the right or left side may be a manifestation of avascular necrosis. The disease develops mainly in men and affects only one joint. Treatment consists in eliminating pain, restoring blood supply to the joint area. To do this, including maintaining the normal condition of the muscles of the limb and the functionality of the joint. The patient is prescribed pain-relieving and anti-inflammatory drugs, vitamins, physiotherapeutic procedures and therapeutic exercises. The patient is provided with wearing orthopedic shoes and additional support when walkingIt is recommended to use.
The cause of pain in the hip joint may be a purulent process. Primary purulent arthritis develops when a wound or injury occurs and infectious agents enter the joint cavity. A secondary purulent process develops when sepsis or aThe infectious agent penetrates the joint from the surrounding tissues affected by the inflammatory process. To treat purulent arthritis, professional specialists carry out antibacterial therapy. If pus accumulates in the joint cavity, a puncture of the hip joint is performed, the contents are evacuated, and antibacterial agents are injected into the joint cavity.
Bursitis is an inflammation of the membrane of the joint. To relieve pain, doctors prescribe injections of anti-inflammatory drugs and glucocorticoids. If purulent inflammation develops, the cavity of the periarticular bursa is cleaned. In severe cases, surgical endoscopicUsing the technique, the joint capsule, which has undergone irreversible changes, is removed.
In osteoporosis, fractures of the femoral neck often occur. Patients are troubled by sharp, severe pain when moving the hip joint, which spreads to the groin and inner thigh. The leg turns outward. Injuries and swelling appear in the area of the hip joint. In this case, treatment is carried out by professional orthopedists.
Traumatic hip dislocation is accompanied by pain in the hip joint. The hip is shortened under general anesthesia. Congenital hip dislocation is diagnosed soon after birth. It causes severe pain when extending the legs and bending the knees. Manifests as. Treatment is carried out using special orthopedic structures.
If you or a loved one has hip joint pain, you should not self-treat. Seek professional medical attention immediately. Patients with acute pain are usually hospitalized for at least a week in a clinic. . If the pain is not intense, patients can be offered treatment at home with examination by a professional doctor for hip joint diseases and strict adherence to all the rules.