Where Does it Hurt?

Hip

Hip pain can arise from a variety of causes, ranging from daily activity to sudden and severe injury.  Hip pain can interfere greatly with your daily life, making it difficult to walk, use the stairs, squat, or sleep. Shasta Orthopaedics can help with your hip problem, even hip replacement, and get you moving around again.

Common Hip Problems

Iliotibial Band Syndrome
Are you experiencing any of the following symptoms?
  • Pain on the outside of the knee or hip
  • Snapping hip pain associated with movement
  • Pain that generally disappears as the leg is stretched and flexibility increases
  • Pain in the hip that improves with rest

The iliotibial band is composed of fibrous tissue that provides stability to the knee and hip and prevents dislocation. In this condition, the band may overdevelop, tighten, and rub across the hipbone or the outer part of the knee when bent or flexed.  This condition can arise from repeated aerobic activity, and is particularly common in runners and cyclists.

Slipped Capital Femoral Epiphysis
Are you experiencing any of the following symptoms?
  • Hip tenderness and decreased movement
  • Mild discomfort in the groin, thigh, or knee during activity that is relieved by rest
  • Stiffness and a limp, especially when tired
  • Muscle spasms
  • Mild to severe pain in the hip, thigh, or knee

This condition occurs when the upper end of the thighbone, or femur, slips at the growth plate, also called the epiphysis. This causes the thighbone to fit into the hip socket incorrectly. This condition commonly affects older children or teenagers beginning between the ages of 8 and 16, and is usually related to growth spurts or a hormone imbalance.

Legg-Calve-Perthes Disease
Are you experiencing any of the following symptoms?
  • Difficulty walking 
  • Walking with a limp
  • Pain in the hip, knee, thigh, or groin
  • Muscle spasms
  • Loss of muscle mass in the upper thigh
  • Decreased movement and stiffness of the hip
  • Shortened height

Legg-Calve-Perthes disease is a condition that affects the upper part of the thighbone, or femur, most commonly in children between the ages of 3 and 12. This condition develops when the flow of blood to the head of the thighbone is reduced, causing a breakdown and deformity. When this occurs, the bone is weakened and may fracture easily. When blood flow is restored, the thighbone will begin to heal, but may not return to a normal shape. This causes the head of the thighbone to fit into the hip socket incorrectly, leading to stiffness and pain.

Osteoarthritis
Are you experiencing any of the following symptoms?
  • Pain in the joint of the hip
  • Stiffness after periods of inactivity
  • Limited motion of the hip joint
  • Tenderness and occasional swelling in or around the joint
  • Enlargement of the hip joints
  • Sensation of grinding associated with movement and pain

Osteoarthritis is a condition in which the cartilage that protects and cushions the joints breaks down over time, causing bones to rub together and cause damage. Osteoarthritis can affect various parts of the body in addition to the hip, including the spine, fingers, thumbs, elbows, knees, or toes.

Rheumatoid Arthritis
Are you experiencing any of the following symptoms?
  • Painful, swollen or stiff hip joints
  • Symptoms commonly affect the same joints on both sides of the body
  • Stiffness in the morning or after period of inactivity
  • Appearance of bumps on the hips
  • Fatigue
  • General ill feeling
  • Mild fever
  • Loss of appetite
  • Weight loss

Rheumatoid arthritis is a condition in which the tissue lining, or membranes, of the joints become inflamed. It is important to seek medical treatment for rheumatoid arthritis, as the condition may destroy the joint tissues, causing permanent disability.

Trochanteric Bursitis
Are you experiencing any of the following symptoms?
  • Hip pain
  • Buttock pain
  • Pain that spreads down the outside of the thigh to the knee area
  • Pain that increases during activity
  • Pain that may disturb sleep
  • Tenderness when you press on the hip area, or lie on the affected side
  • Limping
  • Swelling in the hip
  • Redness and warmth

Bursae are fluid filled sacs that create a cushion between the bones, ligaments, tendons, muscle, and skin. Trochanteric Bursitis describes a condition in which one or more of these sacs within the hip joint become inflamed. This condition is commonly caused by repeated movement or prolonged pressure on the affected area.  Bursitis can be caused by overuse, injury, or conditions like arthritis or infection.

Avascular Necrosis
Are you experiencing any of the following symptoms?
  • Pain in the hip
  • Stiffening in the hip
  • Limping
  • Pain in the knee may also be present.

Avascular necrosis is a condition in which the blood supply to the hip decreases or stops. This causes the tissue, including cartilage and bone, to break down and die. Avascular necrosis can be caused by an injury, or a complication of a hip fracture or dislocation. Certain medical conditions, including sickle cell anemia, gout, or lupus, may contribute to the development of this condition. Long-term use of medications or alcohol can also increase your risk.

Sciatica
Are you experiencing any of the following symptoms?
  • Pain that shoots down the leg from the hip or lower back
  • Weakness in the leg
  • Tingling or numbness
  • Pain may increase with prolonged sitting, standing, or movement
  • Strain or heavy lifting may also intensify symptoms

Sciatica describes pain resulting from irritation or pressure against the nerve roots of the sciatic nerve, which originates in the spinal cord and extends into the lower back, hips, buttocks, legs, ankles and feet.  A ruptured spinal disc that pushes against the sciatic nerve commonly causes this condition. Sciatica can also result from pregnancy, bone spurs, injury, compressed nerve roots, and tumors.

It is very important to seek immediate medical attention if you are experiencing pain in your hip. Hip problems can frequently cause symptoms in the knee or leg, and can be caused by conditions in other parts of the body.

Conditions in the hip can cause long-term damage, and pain can signify a serious medical condition, including cancer and osteoporosis. 

Seek emergency medical care immediately if you have been injured or if your symptoms are severe. In the context of all hip problems, early diagnosis and treatment are necessary to prevent further damage and complications.

Once emergency care has been administered, orthopaedic medicine may be able to help immensely with pain symptoms that can arise from a variety of ailments, or linger long after an injury.