Diagnostic for hip painPain in the hip

First try to locate the site of the greatest hip pain precisely. Please click on the best fitting picture – if not fitting well, follow the text further on! Hip pain is pain in and around the hip joint, either at rest or under stress.

Pain in the hip joint can be divided into chronic and acute pain, and pain at rest and mobility pain. Furthermore, there are also combined complaints. The pain character describes either pulling or biting pain, which can also radiate into the environment of the hip joint, and pressing, movement-impairing pain, which is mainly localized at the joint without radiation.

  • Acute pain: Acute pain in the hip joint occurs suddenly and unexpectedly. In many cases, the cause is due to trauma following rapid, careless movements in the hip joint. Harmless causes can be strains of the hip muscles.

    In this case, unphysiologically performed movements or fast, unprepared movements without warming up the muscles lead to muscle strain. Such strains often occur in athletes when warming up improperly before performing the sports exercises. The pain in the hip joint is mostly pulling and biting and makes the person concerned go into a relieving position.

    It is also possible that movement in the joint is restricted. After accidents, it can happen that the hip joint muscles are torn or torn, rather than pulled. The pain is usually stronger than with the pulled joint and in many cases also leads to impaired movement.

    Tearing or tearing also often occurs after sports accidents, especially during duels in ball sports. Tears in the muscles of the hip joint can also occur in high speed traumas, e.g. in car accidents. After falls from great heights, fractures of the hip joint can occur.

    A distinction is made here between anterior and posterior pelvic ring fractures and between stable and unstable variants. In younger people, more severe trauma is usually necessary to cause a pelvic ring fracture (fall from great heights), in older people a fall of one or two steps of a staircase is often enough. The reason for this is the osteoporosis present in older people, which causes the bone to break more quickly.

    It is usually the strongest pain that leads the patient with a pelvic ring fracture to the doctor. These patients also go into a relieving position immediately after the trauma. Habitual movements can usually no longer be performed.