Shooting or aching pains in the hip joint are more common in people who have crossed serious age marks. However, not in all cases their cause is age. Sometimes soreness occurs due to stretching of muscles and ligaments in young people, but there are other sources of discomfort. In which cases you can just relax, and when should you hurry to the doctor?
A little bit about the hip joint
The hip joint is the largest in the musculoskeletal system. It connects the lower limbs to the trunk. The femoral head is inserted into the acetabulum of the pelvis. Ligaments and muscles are located around this structure, and synovial fluid is produced inside, which performs the function of lubrication.
It is the quantity and quality of synovial fluid that determines how well the joint will work and whether degenerative changes will begin in it. After all, if the changes affect the cartilage, they will become inflamed and eventually spread to the bones, which will lead to necrosis of the joints.
It is impossible to live comfortably with a damaged hip joint
4 main Causes of Hip Pain
- The consequences of injuries – tendinitis, bursitis, sprains.
- The consequences of joint dysplasia in childhood.
- Diseases not related to pathologies of the musculoskeletal system – neuralgia, diseases of the sacral spine, etc.
Sometimes the joint begins to hurt in adolescence or at a young age due to congenital dislocation of the hip. In the pelvic region, a focus of inflammation is formed, which progresses when the load on the joint increases. Therefore, when an alarming symptom appears, it is necessary to get a consultation with an orthopedist and try to find the cause.
How to detect the cause
Since the pain in this joint can have a very different origin, the doctor will recommend to undergo a diagnosis of several stages:
- Examination by a specialist. The doctor will determine an acute or chronic condition, the presence or absence of inflammation, joint deformities, assess the level of pain and how limited mobility is.
- Overview radiograph of the pelvis. The X-ray covers the sacral spine and hip joints at the same time. According to special quantitative criteria, already at this stage it is possible to calculate whether a patient has hip arthrosis.
- Blood tests for markers of inflammation. It is indicated if the doctor suspects the patient has an autoimmune nature of arthrosis, rheumatoid arthritis or other diseases. As a rule, they are prescribed with minimal changes on the X-ray, as well as to people with coxarthrosis younger than 50 years.
- MRI. With the help of magnetic resonance therapy, it is determined whether the patient has an intervertebral hernia, which can also be the cause of joint pain. This examination is also shown when other methods have not allowed to establish the primary source of pain.
The younger the patient, the more examinations may be needed to find the cause of pain
Causes of coxarthrosis
More often than others, the cause of pain is still the progression of coxarthrosis. Cartilage surfaces are destroyed and rub against each other, causing pain. It is very important to understand what provoked the pathology:
- age-related changes in the joint;
- metabolic disorders;
- congenital dislocations;
- rheumatoid arthritis or other causes.
If the primary source could not be found, idiopathic coxarthrosis is diagnosed. As a rule, it affects both joints. Secondary – called posttraumatic arthrosis. It occurs due to large or minor damage to the hip joint and can only spread to one side.
Excess weight and lack of physical activity greatly accelerate the progression of coxarthrosis
How to understand that you have coxarthrosis
At different stages of the disease, the pain has different intensity. Initially, the patient periodically feels aching pain after exertion, which is more pronounced in the groin. In the second stage, it increases and does not stop at night. Movements are somewhat limited, there is a characteristic swaying or lameness in the gait. As a rule, at this stage a person already has a clear diagnosis and is undergoing treatment.
If this does not happen, the joint becomes completely immobile, the limb is significantly shortened. Conservative treatment rarely helps – surgery is necessary.
Most people understand that they have coxarthrosis, only at stage 2
Is it possible to cure coxarthrosis?
Unfortunately, a way to completely get rid of coxarthrosis has not yet been invented. Even endoprosthetics of the joint does not guarantee that dystrophic changes will stop in it. Of course, the earlier the diagnosis is made, the easier it is to keep the disease under control and prevent relapses. With the disease at stage 1-2, it is quite possible to live and feel comfortable if you follow some rules and restrictions.
Treatment will be effective only after a comprehensive diagnosis. The task of treating osteoarthritis in this case is to increase the articular gap, restore the operability of the articulation and, as far as possible, regenerate cartilage tissue. It is very difficult and even impossible to solve the latter problem, since cartilage surfaces are destroyed faster than they are restored with the help of chondroprotectors – chondroitin and glucosamine. Therefore, coxarthrosis therapy is always complex and includes:
- nonsteroidal anti-inflammatory drugs for pain relief (short course);
- chondroprotectors (long-term);
- vitamin complexes for the maintenance of the body;
- intra-articular injections.
Treatment of coxarthrosis depends on the stage of the disease.
One of the most effective and safe methods of eliminating joint pain is injection of synovial fluid prosthesis. The drug is injected into the joint, where it is distributed over the damaged cartilage surfaces and performs the function of lubrication. He is not able to restore damaged cartilage, but, nevertheless, after a course of 3-5 procedures, the pain syndrome recedes and does not remind himself for 12-18 months.
If you experience frequent or periodic pain in the hip joint, do not close your eyes to them. Will it be possible to detect the disease at an early stage? You will be able to stop the disease and prevent its development. If the doctor pleases with the absence of a serious diagnosis, so much the better! Continue to lead a healthy lifestyle and do not forget to regularly visit the orthopedist – after all, the first alarm bell has already been.