Hip Pain


The hip joint consists of a joint formed by the acetabulum and the head of the femur. These structures are covered with cartilage that allows movements to be made. The hip performs the movements of flexion, extension, abduction, adduction, internal and external rotation, in addition to the surrounding movement.

Some diseases, such as osteoarthritis, arthritis, circulatory disorders of the femoral head (osteonecrosis), and others can cause injuries to the articular cartilage of the hip and compromise movement. Gradually, the patient presents with pain and the decrease of the movements preventing to carry out activities of the day to day.

In some cases the lesions may be treated with physiotherapy, however, when there is irreversible hip wear it may be necessary to perform a hip arthroplasty to restore joint movements and relieve pain.

Arthroplasty is a surgical procedure that consists of replacing the fermoral head as an acetabulum by a prosthesis, which is formed by a metal rod and a prosthetic head.

Surgery improves the quality of life of the patient who can walk and perform their activities without limitations.

If the material of the prosthesis is of good quality it can last up to 25 years. After the arthroplasty the accompaniment of a physiotherapist is essential for the recovery of the movements. The practitioner will set the limits of the patient to start a treatment plan with the intention of restoring strength and balance.

Among the exercises used for the rehabilitation of a patient who underwent hip arthroplasty surgery are: active exercises, strengthening, proprioception, gait training and hydrotherapy.

The amount of exercise should be increased according to the patient's ability to perform the movements.

Physiotherapeutic treatment is indispensable for patient recovery after hip arthroplasty. It is important to seek a professional who understands the mechanisms of surgery so that complications do not occur.

Why does the hip ache?

One of the causes is pelvic injury. It is a consequence of micro-injuries and inflammation between the bone of the pelvis, the muscles of the inner thigh and the abdominals. What leads to discomfort is the overload of repetitive efforts and movements during the practice of some sport. The pain can be on one side or both. To make it easier to rest and physiotherapy sessions. If necessary the doctor will recommend the use of anti-inflammatories.

Muscle strain may mimic hip pain

Distension is the stretching or rupture of a muscle or tendon, which may occur in the flexor area of ​​the hip. The cause of this discomfort has to do with overuse or jerky movements when the hip is not well heated. Hip distension is common in both athletes and sedentary people. Some of the symptoms are: pain, swelling, bruising, limitation of movement, irradiation of pain to neighbouring muscles and muscle stiffness. One of the physiotherapeutic treatments to deal with the picture is the micro electric current that will stimulate the absorption of inflammatory fluid and lead to relaxation of muscle fibers. This therapy can be associated with laser and ultrasound.

Stretching in this case is contraindicated until the patient feels no further discomfort. Women are the ones who most feel this kind of discomfort that starts at the side of the hip and can reach the thigh. At night the pain always worsens. Bursitis is an inflammation of the bursa, which is like a pouch with a small amount of fluid that exists in various parts of the body, such as shoulder and knee.

When diagnosing the problem the doctor advises treatment and the role of the physiotherapist is indispensable. It is he who will correct the patient's posture and teach it to lengthen the hip muscles, and, if necessary, use other types of apparatus to relieve pain.

Never ignore the pain

Run, climb stairs, crouch or cross legs ... Simple day to day activities can contribute to that recurring hip pain and in some cases even irradiation to the thigh and knee, causing a feeling of discomfort. And that picture may get worse in a few years. Data released by the International Osteoporosis Foundation has shown that the number of hip fractures caused by osteoporosis is expected to increase by 32%. What is already estimated is that currently occur more than 121 thousand fractures in this part of the body every year in Brazil.

Frequently Asked Questions

If you have noticed a discomfort in the hips, do not hesitate to seek a physiotherapist or doctor for a dysfunctional diagnosis and start treatment.The causes that most affect men and women are:

  • Bursitis Trocantérica

Corresponds to an inflammation of the pouch which is present lateral to the femur in its proximal part and occurs due to a friction of a fibrous tissue of the thigh on the bone.

  • Tendinopathies

It can be an inflammation or even a degenerative process of some tendons around the hip. This pain caused by tendinopathy limits the patient's movement, which makes it difficult to perform daily tasks.

  • Osteonecrosis

When there is death of bone cells provoked when there is an interruption of the blood supply to the femur. The person may lose his or her movements.

  • Fractures

Fractures are more common in women over 65, with falls being the main reason.

When to be suspicious of a hip injury?

You should see a specialist when you experience pain in the hip joint, the groin area, and the inside of the thigh, which may radiate to the knees.

Get medical help as soon as possible!

Walking, climbing or descending stairs, crouching, crossing legs, shoe shine, changing clothes ... Simple daily activities can contribute to that recurring hip pain and in some cases even irradiation to the thigh and knee, causing the feeling of discomfort and loss of strength.

This condition may worsen over the years, especially if it is left aside for an extended period of time.

In addition, data released by the International Osteoporosis Foundation show that people with osteoporosis or simply osteopenia have a greater chance of developing hip problems. It is noteworthy that many patients of the third age end up evolving to placement of hip prosthesis when the pain is very intense!

However, there are many non-surgical options for chronic hip conditions like femoroacetabular impact , osteoarthritis, arthrosis or even arthritis!

A person who walks, runs, and exercises normally suddenly begins to feel a pain that begins in the groin radiating to the hip. What can it be? Depending on the age she may have a hip arthrosis , since it is one of the diseases that most affects the hip. The disease affects articular cartilage, being characterized by new bone formation in bone surfaces and margins.

The problem reaches an average of 5 to 10% of the population, preferably women over 55 years.

Although this pathology is caused by cartilage deterioration, some factors may be involved in the onset of the disease. Among them: advanced age, obesity, joint overload, hip dysplasia (morphological alterations), trauma sequelae, inflammatory joint diseases and infectious processes. The first symptoms may be mild discomfort in the thigh or knee area. When the cartilaginous tissue is finally worn, the movement becomes very painful.

Therefore, when you experience severe pain in this region, it is important to seek a doctor or physiotherapist for a thorough examination of the whole body, assessing joint movements and gait quality.

BURSITE

Feeling pain on the side of the hip and the area of ​​the femur can only be a sign of Bursitis. Bursitis consists of an inflammation in the area of ​​friction between tendons and bones. And when the pain is on the side of the hip, near the bone region it is called trochanteric bursitis.

The problem worsens when the person climbs a ladder, running and can still feel a palpitation of the side of the hip, generating a very great nuisance. Generally, this type of bursitis comes accompanied by other inflammations in the tendons, fascias and muscles.