Pain after jogging | Diagnostic for hip pain on the outside

Pain after jogging

Most hip pain is localized on the outside of the hip and is caused by tense muscles at the major trochanter. Painful hip joint damage can only occur if tension in the hip and thigh muscles persists for a long time. Muffled hip pain felt on the outside of the thigh often points to an inflammation of the bursa (bursitis trochanterica).

The tissue around the great trochanter, a bony prominence of the thigh bone, is particularly susceptible to inflammation. Hip pain often occurs on the outside of the thigh when lying on the side, but can also increase under stress (as when jogging). Burning pain on the outside of the hip can also be caused by nerve irritation.

Various nerves (sciatic nerve, femoral nerve, obturatorial nerve or some skin nerves) can either be constricted at the nerve root at the spine or be pressed by muscles or swollen tissue as they progress. The cause of such nerve irritation is often external pressure or too tight clothing, overweight, fatty tissue or muscle training. If the pain is located on the outside of the hip, it is important to find out the cause.

The hip pain is often caused by one-sided training or overstraining. Therefore, sparing and avoiding chronic over-stimulation is usually the right approach to pain. In addition, the training should be adapted to the hip pain and pain-increasing movements should be avoided.

Hip pain on both sides

Bilateral hip pain is more likely to have a systemic cause, as it affects both sides. This can be hip arthrosis (coxarthrosis). Coxarthrosis in the hip joint is primarily a normal aging process, since the hip joints wear out over time.

This results in cartilage atrophy, so that the femoral head of the femur rubs directly against the bone of its socket (acetabulum). This causes pain due to the friction and often this process is present on both sides of the hips. The arthrosis can also manifest itself on only one side due to one-sided loading or after a fracture.

Hip arthrosis develops more pronounced and faster with overweight and incorrect loading. If the patient is overweight, more force is applied to the hip joints and wear and tear occurs more quickly. Weight normalization can therefore halt the process so that it does not get any worse.

However, malalignments, which can be congenital (hip dysplasia, differences in leg length, aseptic femoral head necrosis (M. Perthes)), or which occur after a fracture or surgery, can also lead to hip arthrosis. Circulatory disorders also promote the destruction of cartilage, as it is then not adequately supplied. Initially, the pain is pronounced when moving after resting phases (getting up, starting pain), later, the more cartilage is lost, the pain is permanent.

In addition to weight normalization, muscle building through sports such as cycling or swimming helps. Painkillers can be taken against the pain and inflammation. If conservative measures no longer help, a cartilage build-up therapy can be considered. However, if the findings are pronounced, which can be easily seen in an X-ray of the hip, and if the patient suffers from severe pain, an artificial hip joint is unavoidable.