Pain - What are the Causes of Hip Pain, Who is at Risk?
Hip pain is a common problem, and it can be confusing for
you because there are many causes. It is important to make an accurate
diagnosis of the cause of your symptoms so that appropriate treatment can be
directed at the underlying problem.
Hip pain is very common and can result from numerous
different causes. Hip pain tends to occur commonly in certain age groups - the
young (from 0 to 15 years) and older population (45 years of age).
o In 1990, researchers estimated that the number of hip
fractures would exceed 500,000 by the year 2040 (Cummings et al)
o Women sustain about 80% of all hip fractures (Stevens et
al. 2000).
Hip pain
treatment must be directed at the specific cause of your problem. Some
signs that you should be seen by a doctor include:
o Your inability to walk comfortably on the affected side of
your body
o Injury that causes deformity around your hip joint
o Hip pain that occurs at night or while your resting
o Hip pain that persists beyond a few days
o Your inability to bend at the hip
o Swelling of your hip or in the thigh area
o Signs of a hip infection, including fever, redness, warmth
o Any other unusual symptoms in your hip
Hip pain can have many causes and can happen at all ages,
though for very different reasons. One of the most common causes of hip pain if
you are elderly is arthritis. Most often this is in the form of osteoarthritis.
Rheumatoid arthritis, traumatic arthritis, and many other forms of lesser-known
types of arthritis can also cause hip pain. The second most common cause of hip
pain among the elderly is due to fractures from falls. In fact, osteoarthritis
actually causes many of the falls that result in hip fractures. Often hip pain
due to fractures must be treated with hip replacement surgery to relieve severe
chronic hip pain.
Hip pain may also be caused by bursitis, synovitis, or
tendonitis. These conditions are most often seen in those involved in athletic
activities. Muscle strains and sprains within the muscles adjoined to the hip
can also cause pain and may involve microtears. These causes of hip pain are
most effectively treated with physical therapy. Non-steroidal anti-inflammatory
medications are also used. These may be over
the counter pain relievers such as ibuprofen or can involve
prescribed medications that are either taken orally or injected into the hip
area to relieve your hip pain.
Long-term use of cortisone injections for treatment can
cause hip pain. This is due to avascular necrosis. This occurs when there is a
loss of blood supply to the bone. The bone then begins to deteriorate. This
condition can also be caused by a transplant or from Perthes' disease. This
disease is a cause of hip pain in children that primarily affects boys between
the ages of 5-10. In most cases avascular necrosis, however caused, results in
hip replacement surgery.
Another reason for hip pain in children is from congenital
dislocation of the hip. This can usually be corrected without the need for
surgery. Another cause, in children or adults, is viral illness. Hip pain may
also be caused by various malignancies, though this is rarer.
Hip pain may also be caused by Paget's disease, which occurs
in adults.
Due to the varying causes of hip pain, it is important to
take your personal history into account and consult with your doctor. As well
as the use of surgery, physical therapy, and medications, walking aids may also
be appropriate and necessary depending on the cause of your hip pain.
For more info: Hip Pain Treatment
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