Diagnostic for hip pain / hip pain
Let our diagnostics tree guide you to the possible diagnosis.
This self-test for hip pain or pain in the hip area is designed in such a way that one is guided to a possible diagnosis based on the symptoms and complaints.
We have tried to differentiate as much as possible.
Unfortunately, not all diseases can be clearly distinguished by their symptoms, but rather have an individual character, so you should only understand the result as a possible diagnosis.
Note: This test is in no way a substitute for a specialist diagnosis.
Once you've received a possible diagnosis of your hip pain, it should be confirmed by an orthopedic specialist.
First try to pinpoint the exact location of the greatest hip pain.
Please click on the picture that best fits - if it does not fit well, follow the text!
Figure hip pain
Hip pain
- Iliac scoop - Ala ossis iliie
- Lateral cutaneous nerve
of the thigh -
Lateral femoral cutaneous nerve - Pear-shaped muscle -
Piriformis muscle - Femoral head (= femoral head) -
Head femoris - Trochanteric bursa
- Gluteus medius bursa
- Femoral nerve -
Femoral nerve - Sciatic nerve -
Sciatic nerve - Lumbar spine (lumbar spine)
- Lumbar and sacrum kink -
Promontory - Sacrum - Sacrum
- Great Rolling Hill -
Greater trochanter - Iliac-tibial tendon -
Iliotibial band - Ischium - ischium
- Femoral shaft -
Corpus femoris
Possible causes:
A - hip arthrosis
(Arthrosis deformans coxae)
B - trochanteric bursitis -
Inflammation of the bursae
of the hip joint
C - Piriformis Syndrome -
Irritation of the sciatic nerve
Piriformis muscle
D - Combined hip impingements -
Cam impingement
(Camshaft impingement) and
Pincer impingement
(Pincer impingement)
E - fractures in the hip joint
F - Coxa saltans
(snapping hip)
G - bad posture
(Bow legs, knock knees,
Differences in length of legs))
You can find an overview of all Dr-Gumpert images at: medical illustrations
Hip pain
definition
Under Hip pain is understood in and around the area of Hip joint resulting pain, either when resting or when exercising.
Appointment with a hip expert?
I would be happy to advise you!
Who am I?
My name is dr. Nicolas Gumpert. I am a specialist in orthopedics and the founder of .
Various television programs and print media report regularly about my work. On HR television you can see me every 6 weeks live on "Hallo Hessen".
But now enough is indicated ;-)
The hip joint is one of the joints that are exposed to the greatest stress.
The treatment of the hip (e.g. hip arthrosis, hip impingement, etc.) therefore requires a lot of experience.
I treat all hip diseases with a focus on conservative methods.
The aim of any treatment is treatment without surgery.
Which therapy achieves the best results in the long term can only be determined after looking at all of the information (Examination, X-ray, ultrasound, MRI, etc.) be assessed.
You can find me in:
- Lumedis - your orthopedic surgeon
Kaiserstrasse 14
60311 Frankfurt am Main
Directly to the online appointment arrangement
Unfortunately, it is currently only possible to make an appointment with private health insurers. I hope for your understanding!
Further information about myself can be found at Dr. Nicolas Gumpert
Causes / forms
One differentiates between pain in the hip joint on the one hand chronic from acute pain, on the other hand too Rest pain from mobility pain.
There are also combined complaints.
The character of pain is either described pulling or biting Pain that can also radiate into the area around the hip joint and oppressive, movement-impairing Pain that is mainly localized in the joint without radiating.
- Acute pain: acute pain in the hip joint occurs suddenly and unexpectedly. In many cases the cause lies in Trauma after rapid, careless movements in the hip joint.
Harmless causes can Pulled muscles in the hip be. In this case lead movements carried out in a non-physiological manner or but fast unprepared movements without warming up the muscles muscle strain. Such strains often occur in athletes when they are improperly warmed up before performing sports exercises. The pain in the hip joint is mostly pulling and biting and let the data subject into a Relieving posture go. It also happens that it is too Movement restrictions in the joint can come.
After an accident it can happen that there is not a strain but a Tear or tear in the hip joint muscles comes. The pain is usually stronger than with the strain and in many cases also leads to impaired movement.
The tear or tear also often occurs after sports accidents, especially during duels in ball sports.
Even in high-speed trauma, e.g. In car accidents, the muscles of the hip joint can tear.
It can become too after falls from a great height Fractures in the hip joint come. One differentiates here one anterior from a posterior pelvic ring fracture as well as a stable from an unstable variant. In younger people, more trauma is usually necessary to cause a pelvic ring fracture (fall from great heights), in older people a fall from one or two steps up a staircase is often enough. The reason lies in that present in the elderly osteoporosisthat the bone break faster. Mostly they are strongest painleading the patient with a pelvic ring fracture to the doctor. These patients also adopt a relieving posture immediately after the trauma. Familiar movements can usually no longer be performed.
- In addition to fractures of the hip joint, said falls can also lead to Femoral neck fractures (mostly in older patients) and also lead to severe pain in the hip and impaired movement.
Furthermore, it can also happen that in the case of pain that has been present for a long time and is stated in the hip, the actual cause is much lower down, namely in the knee lies. If no pain-inducing cause can be found in and around the hip joint, the knee should definitely be examined on the corresponding side, because knee joint injuries can lead to pain in the hip joint.
- Chronic hip pain: chronic pain in the hip exist for a long time, they are of their character mostly getting stronger over time and take those affected to the doctor after a few months.
The main reason is mostly Signs of wear and tear in the hip jointthat due chronic inappropriate stress and one-sided wear arise. This so-called Coxarthrosis is a very common disease, especially in old age. The pain is called pulling and pressing described. The symptoms are mostly from osteoarthritis of the hip joint Movement impairments accompanied. One differentiates once onset osteoarthritis of the hip joint from advanced osteoarthritis. While the beginning variant usually causes little or no discomfort or only when there is a correspondingly heavy load on the hip joint, patients with advanced osteoarthritis complain of pain and impaired movement even at rest.
Pain on the outside of the hip
Preferably pain on the outside of the hip have several causes, whereby these do not always have to be in the hip joint itself.
The most common is Inflammation of the bursa (Trochanteric bursitis) or the hip muscle tendon attachments in the area of the large rolling hillock, which is located in the lateral area of the hip. Typical is a Tension pain in the outer hip / thigh areaso that the sick can often no longer lie on the affected side.
You can also Pain when walking, running, sitting, and climbing stairs occur. Furthermore, a Nerve irritation (neuralgia) in the hip area can be the cause of side hip pain. On the one hand small skin nerves be affected in the area of the outer hip (Meralgia paraesthetica when the lateral femoral cutaneous nerve is irritated), but on the other hand there are also entrapment, crushing or damage to larger nerves arising from the spinal cord or spine (Sciatic nerve, Femoral nerve, Obturator nerve) possible, which can lead to pain and disorders in muscle control.
The irritation of skin nerves can e.g. from constant pressure when wearing clothing that is too tight or through extreme weight gain on the abdomen (even during pregnancy!) arise, entrapment of larger nerves like the Sciatic nerve, can be muscular or through Herniated disc of the lumbar spine be evoked.
The irritation of cutaneous nerves usually manifests itself through burning, stabbing pain on the outside of the hip, often associated with Tingling and numbness. The classic one Sciatic pain is characterized by in the lower back and the back of the legs radiating, piercing-drawing hip pain, which in one or the other case of Muscle weakness or loss of sensation be accompanied in the affected side of the leg.
In addition to nerve irritation, it is also possible traumatic events in the hip area, so that Bruises, Strains, aching, Bruising or Broken bones cause pain on the outside of the hip.
The possible causes mentioned so far usually lead to one-sided hip pain in the outer area. If pain occurs on both outer sides, you have to systemic joint diseases be considered (Hip osteoarthritis, rheumatism, gout, osteoporosis, Vascular disease how peripheral arterial disease).
Hip pain in pregnancy
Hip pain can also in the pregnancy occur. During pregnancy there is naturally a release of Pregnancy hormoneswhich cause the ligaments and joints of the pelvis to become more elastic and looser in order to facilitate the delivery of the child.
This process can cause severe hip pain in some women. Also, it comes from the child's increase in size and from a Weight gain in pregnant women to a strong additional load on the pelvis, which further promotes the development of hip pain. In addition, a number of different conditions can cause hip pain during pregnancy.
Hip pain that occurs during pregnancy is mostly difficult to deal with. Physiotherapy, pelvic floor exercises, and orthopedic support belts are often prescribed to strengthen the pelvic muscles and relieve the pelvis.
Read more about the topic here Pregnancy Complications - What Are The Signs
The pregnant woman should also take care not to lift objects that are too heavy and to take sufficiently long breaks from sitting. Also various drugs, such as Paracetamol can in some cases relieve hip pain during pregnancy. If the pregnant woman suffers very badly from the hip pain, hormone therapy or even a may need Caesarean delivery be considered.
Hip pain in children
In children, too, strains of the hip muscles, tears or tears in the hip muscles, as well as fractures of the pelvic ring and the thigh neck can be the reason for hip pain. However, there are also clinical pictures that typically only cause hip pain in childhood. This includes, for example, the so-called Coxitis fugax, which is popularly known as Runny nose referred to as. The runny nose (Coxitis fugax) is an inflammation of the hip joint, which particularly affects children under the age of ten. In addition to the hip pain that occurs suddenly and can radiate into the legs, the children also stand out due to a relieved posture with hobbling and limited rotation in the hip joint. A common infection, such as a cough or a runny nose, usually precedes the runny nose. The exact cause of the development of the hip runny nose has not yet been conclusively clarified. The hip runny nose can be done using an ultrasoundUltrasound examination to be established. In some cases there is also a X-ray examination makes sense. If the hip joint is spared, the cold will go away on its own within one to two weeks.
Another clinical picture in children, which is characterized by hip pain and a relieving posture with hobbling and limited rotation in the hip joint, is the so-called Perthes disease. Perthes disease is a circulatory disorder of the femoral head of unknown cause.The circulatory disorder leads to insufficient supply and ultimately to the death of the bone tissue in the femoral head, which can be associated with considerable hip pain. Perthes disease can be diagnosed with an X-ray examination. The Treatment of Perthes disease is done either conservatively with the help of splints, plaster casts and walking aids to relieve and stabilize the femoral head, or surgically. The operation tries to support the femoral head and to create an optimal position of the femoral head in the acetabulum. This is a very serious procedure that requires a comprehensive risk-benefit assessment. Some children may experience hip pain as they grow. The pains, as they are associated with growth processes, are referred to as growing pains. Ultimately, however, the cause of growing pains is unknown. Growing pains, which characteristically occur in the legs, but can also occur in any other part of the body, such as the hips, are usually harmless and usually go away on their own.
Furthermore, congenital malformations of the femoral head and pelvis can cause hip pain in children. In addition, if the hip pain persists, a tumor disease of the thigh or pelvic bone should always be considered.
Hip pain when walking
Hip pain that intensifies when Go, at the climb stairs or too long standing occur often indicate a Inflammation of the bursa at the big rolling hill (Trochanteric bursitis, attachment tendinosis). The causes of bursitis are common Overuse of the joint, a trauma, Hip arthritis, Back problems, different leg lengths or Misalignments the hip.
But also Signs of wear and tear in the hip joint (Coxarthrosis) can cause hip pain when walking. The joint cartilage is broken down, causing the joint to rub more and more against the socket, which can cause severe pain when walking.
Also one Inflammation of the hip joint (Coxitis) can lead to the typical symptom of a rocking gait (by bending the upper body forward and spreading the affected leg outwards), as the affected person tries to keep the pain as low as possible when walking. In some cases, if you have a hip joint infection, it may be necessary to close the joint punctureto drain pus and infectious fluid. Also be Antibiotics and Painkiller administered.
If you experience hip pain while walking, you should always have the Lumbar spine consequences. Because also a Herniated disc of the lumbar spine or one Entrapment of the sciatic nerve can lead to severe hip pain.
Another cause of hip pain when walking is the peripheral arterial disease (PAOD) of the aortic or pelvic type. The vascular disease is caused by arteriosclerosis (Vascular calcification) and leads to stabbing muscle pain in the hip area when walking, Thigh and buttocks. The greatest risk factor for developing peripheral arterial disease is that Smoke. The therapy of hip pain depends on the underlying disease.
Hip pain when jogging
Hip pain while jogging can have a variety of causes. Even the wrong footwear when jogging can cause a misalignment of the foot and lack of support for the footbed and even hip pain Back pain cause. Furthermore, the terrain on which you jog plays an important role in the development of hip pain. Particularly uneven floors can lead to an uneven distribution of weight and thus promote hip pain. Shortened or insufficiently stretched hip and leg muscles can also cause hip pain when jogging. Incorrect strain or excessive training can also lead to sports injuries, such as hip muscle strains or tears and tears in the hip muscles, as well as bursitis, which in turn can trigger hip pain.
Of course, there can also be various diseases, such as a Coxarthrosis, one Coxitis, rheumatism or gout cause hip pain when jogging. The best way to avoid hip pain while jogging is to wear suitable footwear, to warm up the muscles sufficiently before training, to adjust the running pace and intensity of the respective training unit to the personal fitness level. To treat hip pain while jogging, use physiotherapy, anti-inflammatory and pain reliever drugs, such as Ibuprofen, and possibly operations. If the hip pain while jogging is due to an illness, the treatment is based on this.
Hip pain when running
Hip pain, especially when Walking, running or jogging noticeable or worsening can have various causes. Often little things play a role, like a wrong footwear or unfavorable walking surfaces already an essential role in the development of hip pain.
But also Misaligned feet, one improper running technique, shortened or imbalanced Hip and leg muscles such as Overloads in the joint excessive training can be causative.
One of the most common diseases of the hip joint that is more noticeable with pain when running is Bursitis on the large roll mound of the hip (Trochanteric bursitis). This bursa works as a kind of buffer system and decreases the hip movements while performing hip movements Friction between the thigh bone and the tendons running over it.
Inflammation in this bursa is primarily caused by Overuse and misalignment in the joint (e.g. different leg lengths), but also through a previous trauma.
Furthermore, simple signs of wear and tear in the hip joint can lead to pain symptoms when running. In the Hip osteoarthritis (Coxarthrosis) is the protective, cartilaginous one, due to age or stress Worn joint coverso that the bony parts of the joint rub against each other when moving, which can be very painful.
Also one Inflammation of the hip (Coxarthritis) due to bacterial inflammation can manifest itself as pain when walking.
Another typical overuse disease of the hip that occurs especially in runners is the Stress fracture (Fatigue fracture) in the head of the Thighbonein which it is due to the permanent use Microfractures in the skeleton accompanied by a Inflammation of the surrounding periosteum comes.
The consequences are Pain and restricted mobility when walking and running.
In addition to the diseases that arise from the hip joint itself, pain in the hip area caused by running should also always be present Nerve or disc problems be thought. By Disc prolapse in the lumbar region in the lumbar region it can lead to pinching of nerves emerging from the spine (e.g. Sciatic nerve), which can lead to uncomfortably severe hip pain. In the same way, an entrapment of the sciatic nerve in its course distant from the spine (in the area of the rear buttocks or thighs) trigger the same symptoms.
Hip pain after exercise
Hip pain, which occurs mainly after exercise, can have different reasons.
Age plays less of a role, so every age group can be affected by pain after exercise. Rather, the extent of the stress is of great importance, since exceeding the individual stress limit quickly becomes noticeable through pain. Where the personal limit for hip loads lies is influenced by many factors and can fluctuate over the course of life. Incorrect footwear, misaligned hips, legs or feet, and shortened hip muscles (Muscle imbalances) can lower the individual load limit and lead to complaints more quickly.
The type of sport is also decisive: To run, Soccer, Handball, ballet, Weightlifting and To ski are among those sports that require heavy hip loads. If pain already occurs during or after exercise in the hip area, in many cases there may be an inflammation of the bursa over the large roll mound (trochanteric bursitis). This arises especially with new loads (unfamiliar movements) or chronic overuse / improper use and are characterized by direct pressure and deep pain in the lateral hip area.
Constant rubbing of the large tendon strip on the outside of the thigh (Iliotibial band) cause pain on rolling hills after exercise (Coxa saltans). Chronic overload in the hip joint can also lead to microfractures (fatigue fractures) in the bony joint system, which can often be accompanied by inflammation of the surrounding periosteum and bone marrow edema. Damage to joint structures (Cartilage, joint lip, joint capsule, joint ligaments) or free joint bodies located in the joint cavity (e.g. chipped pieces of cartilage) can make the sporting activity uncomfortable.
If the cartilaginous portion of the joint is so badly damaged as part of a hip degeneration (hip joint arthrosis) that bare bones rub against each other when moving in the joint system, this can also be one of the more common causes of hip pain during sport.
Jogging, or rather running in general, is a risk factor for developing periosteum inflammation on the hip. Read our article on this: Inflammation of the periosteum of the hip
Hip pain when sitting
With numerous diseases of the hip joint it can lead to one Symptoms of pain while sitting come, whereby the cause for this is usually that arising in the sitting position spatial constriction in the joint or the changed pressure / tension conditions on certain joint structures.
The Hip osteoarthritis, which is characterized by age-related or overuse-related cartilage wear, can be painful both when sitting and when walking. Also the Inflammation of the Bursa of the hip joint (Trochanteric bursitis) can become symptomatic, especially when sitting, as increased pressure is exerted on the touch-sensitive, liquid-filled bag and this is particularly irritated.
Is there in the context of various hip diseases Bone necrosiswhere the Blood flow to the joint is reduced and bone tissue dies, this results in pain that can worsen in certain sitting positions that further minimize the blood supply.
A common cause of hip pain when sitting is that Lumboischialgiawhere the Sciatic nerve in its course of the posterior vessel / leg pinched or narrowed becomes. Unfavorable pressure or tension moments can arise when sitting, which lead to increased irritation of the sciatic nerve.
At night
Many diseases can also cause hip pain at rest or when lying down and thus occur particularly at night when you relax and come to rest. Examples are the Coxarthrosis (a common disease in which there is wear and tear in the hip joint due to incorrect loading), the Coxitis (an inflammation of the hip joint), rheumatismrheumatism (Symptoms, which are characterized by flowing pulling pains in the musculoskeletal system), the gout (painful build-up of uric acid crystals in various joints) or a Bursitis (Bursitis in the joint due to infection or injury).
Additionally, hip pain that occurs at night can also indicate nerve involvement. Especially if the pain radiates from the spine to the hip, it should also affect you Herniated disc of the lumbar spine or that Sciatica be thought. In both cases, nerves are constricted and irritated by various structures, which can cause dull, stabbing, or burning pain in the lower back, hips, and thighs. Hip pain, which occurs at night, disrupts sleep and thus leads to an immense impairment of the quality of life. You should therefore be clarified by a doctor. The cause of the nocturnal hip pain can usually be found out with the help of a detailed questioning of the person affected, a physical examination and an X-ray examination. How the hip pain is treated ultimately depends on the underlying condition.
Po
Pain identified by the affected patient Hip pain can be perceived in some cases theirs Origin in the area of pos to have. Conversely, complaints that are apparently due to problems with the buttocks can also be caused by diseases of the hip. For this reason, a extensive diagnostics the crucial pillar in the treatment of hip or buttock pain.
In this context, pain in the hip area can result Chronic improper and / or overloading of the buttocks muscles to be triggered. Can cause these stress-induced complaints congenital poor posture be. Especially patients who are over Differences in length of the legs or Misalignment of the pelvis (so-called Pelvic inclination) sufferers often develop pain in their buttocks and hips. In the end, these complaints are caused by the swelling of the buttocks muscles and the associated pressure on the Sciatic nerve caused.
For the affected patients, the resulting pain is in most cases not limited to the hip and buttocks. Many patients also radiate pain in the lower back (Lumbar spine) and the Thigh on.
In addition, irritation of the sciatic nerve, which originates directly at the nerve root, can lead to pain in the hip and buttocks. A possible reason for such irritation can be the classic disc prolapse be.
You can also small bone spurs to the individual Vertebral bodies lasting damage to the sciatic nerves and causing pain in the hips and buttocks.
In addition, some patients who have hip and buttock pain may experience a Overuse of tendons and ligaments to be watched. In these cases too, the symptoms are mostly caused by a Misalignment of the body axis triggered. The pain felt by the patient can be localized at one point on the buttocks or affect the entire buttocks.
Furthermore, in people who suffer from persistent or regularly recurring pain in the hip and buttocks, a disease in the area of the Sacroiliac joint be excluded. In most cases, sufferers can have an easy one Dislocation of the joint be detected. The treatment is accordingly simple and characterized by direct relief of the symptoms. Another cause of butt pain
Which partially radiate into the hip is the presence of one Abscess. The pus in the abscess cavity can exert enormous pressure on the surrounding tissue. Depending on the location, this can impair the gluteal muscles and, indirectly, irritate the sciatic nerve. The result is often severe pain in the buttocks and around the hips.
strip
Hip pain can spread to various other regions. In addition to the appearance in the lower back (Lumbar spine) or the Thigh, many of the affected patients report an additional perception of the symptoms in the strip. In addition, diseases of the groin region can also cause those affected to experience pain in the hip.
Pain the the hip and the groin at the same time concern mainly join active people and Competitive athletes on. Groin pain is generally one of the most common causes of training and competition failures.
The so-called "Inguinal hernia“Plays a special role in this context.In this disease, a hernial sac filled with sections of the intestine protrudes. In most cases, a direct cause of the inguinal hernia is one Weak point in the area of the abdominal wall. If the pressure increases within the Abdomen (for example, when pressing or exercising) the Intestines can no longer be held inside the body. The most feared complication of the inguinal hernia is the pinching of the hernial sac in the area of the hernial port. Due to this condition there is a risk that those supplying the intestines Blood vessels are compressed and therefore the oxygen supply comes to a standstill. Those located in the hernial sac Intestinal parts die off. The Leading symptom of the inguinal hernia is a pain that occurs in the groin and in many cases can radiate to the hip.
Another cause of hip and groin pain is that muscular imbalance. The torso-pelvis-leg region is exposed to high loads due to swinging movements, especially during exercise. The Muscles and Ligaments of the hip region act both as static and dynamic structures on the bar. It comes through Posture damage and / or a Improper loading, there is an imbalance between the individual muscles. As a result, the stabilizing function of the hip muscles is disturbed and stress-induced pain occurs in the area of the hip and the Basin.
Diagnostics for hip pain
When researching the cause of hip pain is the Health survey particularly important.
It should show since when the complaints have been present, with which movements they are greatest and whether corresponding traumas and accidents have preceded them.
Then the physical examination on. The patient's posture and gait are carefully examined to see whether or not incorrect posture is correct If one or Knock knees are present (reference to a Coxarthrosis). With the patient lying down, both passive and active movements of the leg in the hip joint are carried out and particular attention is paid to movements that cause the patient particularly severe pain.
The physical exam is followed by the imaging diagnostics, classically first the conventional x-ray of the affected side thigh and hip. The recordings are then still through a Pelvic overview image added. Marked fractures of the thigh or hip can be seen this way. Also the common one arthrosis can already be seen through an x-ray of the hip. If there are no abnormalities in the X-ray image, a CT the hip and the Basin be performed. In this shot, the smallest hairline cracks in the pelvis can be seen again. Many pelvic ring fractures do not appear in the conventional X-ray and only show themselves in the CT image. In addition, in a CT scan you can still pay attention to muscle attachments and see corresponding tears and tears. If you want an even more detailed representation, a MRI of the pelvis.
You can find more information under our topic:
- MRI of the pelvis
- MRI of the hip
Exercises
The hip joint, as mostly stressed joint of the human body with the largest range of motion, is about 18 different muscles supported, moved and secured in his leadership.
In addition to the Glutes (external hip muscles) also the Hip flexors (inner hip muscles), the deep hip muscles and the Adductor muscle group (Muscles for pulling the leg towards the body). Through targeted and balanced training of these muscle groups, you can large loads better buffered, of the Ligamentous apparatus spared and the Cartilage of the hip joint protected from excessive, uneven wear become.
However, it is important that the Opponent of the currently trained muscle (Opponents are e.g. Hip flexors and extensors) is strengthened to the same extent and with the same intensity so that there is no imbalance (Imbalance) arises between the two, which in turn increases Incorrect loads in the joint system can lead. The same is true of executing Stretching exercises (5-10 minutes / day) of enormous importance to keep the hip muscles supple and prevent them from shortening.
Already exist Previous diseases of the hip joint, strengthening the hip muscles becomes all the more important because it helps Joint relieves and the healing process is supported can be.
It is recommended to seek out Physiotherapiststhat specifically determine the right exercises for the respective malfunction of the hip joint and can help to perform them correctly and later to integrate them into everyday life independently. These strengthening exercises include exercises, for example in the state (e.g. lateral, horizontal lifting of the extended leg to strengthen the Abductor muscles the hip) or laying (e.g. Form a bridge, stand on the side and raise the painful leg), which should be done daily with at least 10 repetitions.
Besides that can also Swim training or Aqua aerobics can be used to gently strengthen the hip muscles, as the water buoyancy relieves the pressure on the joint and the muscles are strengthened through the water resistance. Freestyle and backstroke is more recommended than breaststroke swimming.
therapy
The therapy depends entirely on the cause of the pain.
While Fractures of the pelvis (stable pelvic ring fractures) mostly except Pain Treatmentg do not need further treatment, an unstable pelvic ring fracture usually has to operational are supplied.
Cracked muscles of the pelvis are also mostly conservative provided. The Osteoarthritis of the hip joint is also only used in early stages Pain relievers and physiotherapy treated.
In advanced stages, the implantation of an artificial hip joint (Hip TEP) indexed.
Summary
A distinction is made in hip pain chronic from acute pain.
Acute pain occurs suddenly and unexpectedly, the UThe cause is mostly trauma, in form of a Muscle strain, one Ruptured muscle or in one Fracture of the pelvic bone or the femoral neck (also after trauma).
The causes of chronic hip pain in the vast majority of cases lie in Signs of wear and tear in the hip joint due to years of incorrect loading. This so-called Hip osteoarthritis (Coxarthrosis) is the leading cause of hip pain, especially in the elderly. In the early stages there are few complaints, mostly only when the hip joint is fully loaded. With advanced osteoarthritis, the patients complain of pulling and biting pains even at rest, which bring them into a relieving posture and prevent them from continuing with the usual movements in the hip.
The diagnosis of hip pain includes the detailed questioning of the patient also the physical examination as well as the imaging examination, in the form of an X-ray, where fractures or arthrosis can be seen. Fractures can be seen even more clearly on a CT or MRI.
Treatment is used for stable pelvic fractures mostly conservative carried out if there are instabilities operational be treated. In addition to the forms of treatment, hip pain should be used for all physiotherapy exercises be performed.
