Hip Hip pain?

The hip joint represents the connection between the thigh and pelvis and enables a secure, upright stand/posture and versatile movements of the legs. Injuries or diseases of the hip significantly limit this mobility …

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Hip discomfort - Common symptoms of hip pain

Hip pain is the one with the most common joint pains. The pain is caused by certain movements, such as rotation inthe hip, but can also occur without a pain-triggering movement. The pain appears after overstraining, but can also make an appearance completely independent from movement or strain. Hip pain is usually felt in the groin. Occasionally, there can be recurrent severe pain, so that movement in the hip and walking are no longer possible. Pain from the hip can also radiate to the knee. With inflammatory changes in the hip joint, pain in rest often occurs. The symptoms can then alsoappear at night (noctural pain). Patients with hip pain occasionally have „run-in“ pain (pain through movement) in the morning and, in addition, complain of stiffness and restricted movement.

Causes of hip pain

The causes of complaints in the hip joint are very diverse. This includes:

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  • Osteoarthritis / arthritis
  • Hip impingement
  • labrum lesion
  • femoral head necrosis
  • Trochanteric bursitis

The most common cause of hip pain is osteoarthritis. Due to wear and tear on the joint, which increases with age, cartilage is broken down and finally, in the endstage, there is a complete loss of cartilage. When there is no more cartilage, the bone of the socket meets the femur directly. The mobility is then severely restricted and painful inflammations can occur in the hip joint. In addition to signs of wear and tear, chronic overstrain (due to certain sports), previous fractures or congenital malpositions (hip dysplasia) can also lead to arthrosis.

A healthy hip joint has a very wide range of motion. The femoral head moves smoothly and without resistance in the acetabulum. This enables pain-freeand harmonious movement in the hip joint. There are bony malformations that can restrict hip movement. The hip bones involved in the joint then meet and hinder movement. Pain only appears after many years, which expresses itself throughpain in the groin or a pain by maximum range of motion in the hip joint. The so-called "pincer impingement" is a malformation of the acetabular cup. If the acetabulum is too deep, the femoral head cannot move freely without striking the acetabulum. The "Cam Impingement" describes a change in the thigh bone. Here, there is a bone protrusion, which abuts the socket during movement. In the long term, hip impingement can lead to cartilage damage and thus to arthrosis.

The labral lesion is a tear in the joint lip (labrum). There is a fibrous protuberance in the socket of a healthy hip joint. The fiber tissue helps the femoral head to slide in the socket and dampens the joint when under stress. A labral rip can occur, especially when exercising, but also when there are degenerative changes in the bone. Normal movement in the hip joint is impaired and in the long run, arthrotic changes can occur. A labral outline can be visualized using computed tomography (CT) or magnetic resonance imaging (MRI). Therapeutic options are physical therapy, injections, medication or arthroscopy with sutures of the injured joint lip.

With femoral head necrosis, healthy bone tissue (femoral head) dies. This happens, for example, when the blood flow to the bone is reduced. As a result, the hip bone lacks oxygen, nutrients and minerals. Regulated bonereconstruction and dismantling can no longer take place. Femoral head necrosisoccurs frequently in smokers, by excessive alcohol consumption and high blood lipid levels. Taking cortisone over a long period of time can also lead to femoral necrosis. The therapy of a femoral head necrosis consists of protection or immobilization and weight relief of the hip joint. Hip surgery in which the bone is drilled can be successful in some cases. Finally, if the therapy is not responding, all that remains is to use an artificial hip joint.

There are many bursae on the hip joint. These have the function of forming a gliding layer between different tissue layers. This prevents irritation and inflammation. A very frequently inflamed bursa is located on the outside of the thigh. Here there is a tendon plate under which the bursa is located. In case of overstrain, for example due to excessive sporting activities (e.g. long hikes), this bursa can become inflamed. This is called "trochanteric bursitis" because it is the bursa on the trochanter, a bone protrusion of the thigh that becomes inflammed. Therapy for trochanteric bursitis consists of physical therapy, protection of the hip joint and anti-inflammatory drugs. In some cases, injection treatments and acupuncture are also carried out. In very rare cases, surgery is required and the bursa is removed.

Osteoarthritis of the hip joint can also lead to inflammatory changes. The joint is then very painful. This activated state of arthrosis, the "arthritis", can often be normalized again by taking anti-inflammatory drugs. However, the causeof the disease remains. Rarely there is bacterial inflammation of the hip joint. Then antibiotics or other measures have to be taken.

 

How do we treat hip pain?

After a thorough examination and assessment of X-ray-, MRI images and blood parameters, an individual diagnosis is made. Due to the many different causes of hip pain, it is then decided which therapy is best suited for you. In our practice, we often treat using the body's own proteins. This treatment has proven itself, in our practice, as effective, especially in the early stages of hip arthrosis. A close cooperation with physiotherapists is very important because the hip joint is influenced by many muscle groups and the physiotherapeutic treatmentcontributes significantly to painless movement.

If you suffer from hip problems, make an appointment with us. After detailed diagnostics, a treatment concept willthen drawn up for you.