Hip Pain Treatment
Take a moment and thank your hip for its flexible motion. In almost every dance form, hip plays a main role. In everyday activities as well like walking, running, squatting, hip joint inevitably supports guide these motion. So it is also not in the safe zone of never being injured, although safer than ankle, knee, and shoulder, and wrist joint. 90% of the hip pain cases are thankfully treated with exercises, orthopedic means and few medications, but 10% of patients still have to go under the knife. So here we discuss the anatomy of hip joint, causes of pain, and its treatment.
Just like the shoulder joint, the hip is also a ball and socket joint. It forms the attachment point between leg and torso of the body. The rounded head of the femur and articulation of acetabulum come together to for this joint. The articulation is formed by the union of ilium, ischium, and pubis.
The pelvic girdle attaches this ball and socket joint to the body and offers little to no movement. Hence it is relatively fixed. Cartilage is covering both bone of femur and acetabulum in the hip joint. The tissue that provides nutrients to the joint and also lubricates is synovium tissue. There are ligaments which joint femur bone to the bones of pelvis. Arteries and veins run through the joint and aid in blood circulation, the main of them being the sciatic nerve. A total of 18 bursae are there in the hip region which often are pain causing source.
Causes of Hip Pain
Both the structures inside and outside of hip can cause pain. There is minimal amount of fluid inside the hip joint, which are also known as potential space. This can cause the femoral head to slide and glide against the socket of the acetabulum.
Several arthritis such as osteoarthritis, septic arthritis, psoriatic arthritis, bursitis, rheumatoid arthritis can cause pain in the knee. In bursitis, there is inflammation of trochanteric brusa which is caused by over movement of gluteus medius tendon. In osteoarthritis which is common in patients over 40, the cartilage wears out and the bones rub against each other causing pain.
Soft Tissue Injury
When there is damage to ligaments, tendons, and muscles, then it is called Soft Tissue Injury or STI. These mostly occur from sprain, strain, and often result in inflammation and swelling. Tendinitis is common type of STI in where the tendons of the hip suffer injury.
When the bones in the hip joint breaks, it causes severe pain and is called fracture. Most elderly people break their hip when they slip and fall. In these cases, it is more than just breaking of bone. It more often than not ask for surgery and it means a major change in their lives. Diseases like osteoarthritis results in weakening of the hip bones and getting fractured.
Treatment for the hip pain begins with imaging scans like MRI, physical examination, and taking down medical history of the patient. Depending on the outcome, the patient is diagnosed.
Conservative Pain Treatment
Mild to less severe cases are often treated with home remedies like rest, cold application, limiting motion, and lower weight bearing activities along with some anti-inflammatory drugs. Resting helps the muscles or bones to heal themselves, and therapies like massage and cold and heat aid in the process. Compression technique is used and a thick bandage is wrapped around the pelvis and hip. Elevation is relatively difficult for hip than knee or ankle, but it is still worth the efforts as it reduces swelling.
If the pain is related to bacterial or viral infection, the certain medications are prescribed. For local inflammation, injections of steroids like cortisone are applied to the affected area which ease the inflammation. Anti-inflammatory drugs commonly prescribed include naproxen, ibuprofen, and pain medications commonly prescribed is Tylenol.
Surgery is often required when the patient suffered a fracture in the hip. Pinning, plating, and screws are used to correct the broken bones. In case of arthritis at its severe level, joint is replaced with help of surgery. Herniated disks are removed with the help of surgery if conservative treatment doesn’t yield any results.
Our physicians at South Miami Walk-In Orthopedics have been treating patients with hip pain for years using minimally invasive orthopedic methods. Our double board-certified physicians have served as medical directors in national level sports associations and pioneered non-surgical techniques like Platelet Rich Plasma and Stem Cell treatment. We strive to provide a personalized pain treatment care and make it as painless for the patient as possible. Book a same-day appointment today and take a step closer to a better life.