Your hip joint is integral in keeping your body in motion. But, when your hip joint causes pain, every move you make can cause pain in other areas of the body.
At Crystal Clinic, our physicians treat a wide range of both common and complex hip problems. The most frequently seen conditions are described below.
This common condition affects many people who are middle-aged or older. The pain and stiffness that results from osteoarthritis makes it difficult for you to do routine activities like bending over to tie a shoe, getting up from a chair or taking short walks. While there is no cure, the sooner you seek treatment the more likely you can minimize how it affects your life.
The surface of the hip joint is covered by articular cartilage that serves as a cushion to allow the bones to move without friction. Articular cartilage disorders can be caused by trauma, overuse or degenerative conditions such as osteoarthritis. Symptoms often include pain in the hip when moving, restricted movement, and discomfort after walking or sitting for an extended period of time.
Bursitis is inflammation of a bursa that temporarily limits motion. It’s often the result of injury, overuse, spinal abnormalities, arthritis or surgery. Symptoms include pain, swelling and tenderness in the hip. Rest and over-the-counter anti-inflammatory medications are usually effective in providing relief. In some cases, you may actually have a gluteal tendon tear, if you don’t respond to the treatment for bursitis.
Congenital Hip Disorders
Both children and adults can be affected by congenital hip problems. Developmental dysplasia of the hip (DDH) occurs when the ball and socket of the hip don’t form normally, causing an improper fit. When detected at birth, DDH can usually be corrected by a harness or brace. If it goes undetected during infancy or childhood, DDH can cause pain in the groin area that may increase with frequency and intensity over time. It can also lead to early onset osteoarthritis.
A fracture is a partial or complete break in the bone. There are many different types of fractures.
Bone fractures are often caused by falls, trauma, or as a result of a direct blow or kick to the body. Overuse or repetitive motions can cause stress fractures. Fractures can also be caused by diseases that weaken the bone. These include osteoporosis or cancer in the bones. The main goal of treatment is to put the pieces of bone back in place so the bone can heal. This can be done with a splint, cast, surgery, or traction.
Ischiofemoral impingement (IFI) is an uncommon cause of hip pain, resulting from the narrowing of the space between the ischium and femur due to trauma or surgery. Symptoms include pain in the lower buttock, groin and inner thigh, often accompanied by a locking or snapping sensation. Cortisone injections can help to manage pain effectively in many cases.
Pain in the Hip
Generalized hip pain is another common complaint that our hip specialists see. This pain can be caused by a wide range of problems. Depending on the location of your hip pain, your physician can determine whether the issue lies within the hip joint itself or with the muscles, ligaments, and tendons that surround your hip joint. If treating the pain at home with rest, pain relievers, ice or heat is unsuccessful, you’ll want to make an appointment with your doctor.
Posterior hip pain, on the other hand, is one of the most poorly understood problems. Posterior hip pain is felt mainly around the lower back and buttocks. It can be caused by a variety of conditions including sciatic nerve issues, ischiofemoral impingement (IFI), and partial hamstring tears.
Painful Hip Replacement
While the majority of patients who have a total hip replacement report satisfaction and improved quality of life following surgery, some do experience severe discomfort afterwards. Continued pain can be attributed to a number of different reasons, including tendon tears, a problem with the artificial joint itself, an infection, or hip flexor tendonitis. In certain cases, physical therapy or cortisone injections may help. To get to the root of the issue, it’s best to schedule an appointment with your surgeon for a thorough evaluation.
Sprain and Strains
Sprains and strains are common injuries that occur among people of all ages. A sprain happens when the ligaments that support the ankle stretch beyond their limits and tear. Ligaments are flexible bands of fibrous tissue that connect bones to bones, and bones to cartilage. Most sprains heal with getting rest and applying ice. However, if your ankle is swollen and you have any difficulty putting weight on it, you’ll want to see your doctor.
Strains occur when a muscle or tendon is injured. Tendons are the fibrous cords that attach muscle to bone throughout your body. Similar to sprains, a strain may be an overstretched muscle or tendon, or it could be a partial or complete tear in the muscle and tendon combination. Pain, cramping, inflammation, muscle spasm, muscle weakness and swelling are the most common symptoms.
As with a sprain, strains heal with rest, ice, compression and elevation. For a more serious tear, surgery may be necessary.