Pain in the hip

Hip arthrosis, impingement of the hip joint, bursitis trochanterica, meralgia parästhetica

Introduction

Hip joint pain can have different causes. Of importance in the search for the correct diagnosis of hip pain are:

• Age
• Gender
• Accident event?
• Type and quality of pain (sharp, dull etc. )
• Pain development (slow, sudden, etc.

  )

• Pain occurrence (at rest, after stress)
• Place of pain (inside, outside etc. )
• External aspects (swelling, redness etc. )
• And much more.
• Pain

In the following descriptions of diseases we will try to address as many characteristics as possible that make up a particular clinical picture.

Unfortunately, there are many deviations from the norm, so that the presumed self-diagnosis need not be correct. We hope, however, that our self-diagnostic will be able to help patients who search the Internet for an organ- or symptom-related disease. Ultimately, however, only a specialist examination and, if necessary, additional imaging procedures (X-ray, MRI, etc.)

can lead to a correct diagnosis of hip pain. Anatomy hip

• Hip joint
• Femoral head
• Greater trochanter major
• Thigh bone (femur)
• Femoral neck
• Pelvic bone ischium (tuber ischiadicum)

The use of our “self” diagnostic tool is simple. Just follow the link provided, where the location and description of the symptoms best fits your symptoms. Pay attention to where the pain is greatest from the hip joint.

Where are your complaints located?

• Synonyms: Hip arthrosis, hip joint arthrosis, wear and tear of the hip joint, coxarthrosis, coxarthrosis
• Location of the greatest pain:In most cases, the greatest pain in hip arthrosis is found in the groin. However, buttock pain and knee pain can also occur.
• PathologyCause:Cartilage damage. The cause of the cartilage damage is different.

  In most cases the cause is not clear. In these cases one speaks of an ideopathic arthrosis. Other causes can be hip dysplasia, necrosis of the femoral head or impingement of the hip joint.

• Age:Increasing occurrence with increasing age.
• Gender:Women > Men
• Accident:More rarely also accident-related after fractures in the hip area (e.g. acetabular cup fracture = acetabulum fracture).
• Type of pain: dull, pulling
• Pain development:Usually continuous pain increase over years.

  Acute increase in pain after physical exertion or minor accidents.

• Pain occurrence:Pain usually occurs after exertion. As the disease progresses, pain at rest and at night can occur.
• External aspects:No external changes can be observed even in advanced hip arthrosis (coxarthrosis).
• Synonyms:Jumping hip, snapping hip,
• Location of the greatest pain: The greatest pain is located directly above the greater trochanter (large rolling mound of the femur).
• PathologyCause:The cause of the coxa saltans is also a rubbing of the tendon plate (fascia lata, tractus iliotibialis) of the outer thigh over the greater trochanter (large rolling mound). This snapping can be triggered by bending the hip joint.

  The tendon plate must slide from the back to the front over the greater trochanter (major trochanter). This can lead to a temporary catching behind the trochanter and then – once sufficient tension has been built up – to a snapping over the trochanter, which is sometimes audible. Causes can be a difference in leg length, anatomical variations on the trochanter, but also muscular training.

  Coxa saltans is more common with bursitis trochanterica (see above).

• Age:Prefers younger women
• Gender:Women > Men
• Accident:No
• Type of pain:Stabbing, pulling
• Pain development:Acute increase in symptoms after physical exertion.
• Pain occurrence:Pain usually occurs after exertion. As the disease progresses, pain at rest and at night can occur.
• External aspects:Usually none, possibly leg length difference
• Therapy:conservative:Leg length compensationExtension of the tractus iliotibialisInjection, if necessary with cortisone Operative:Removal of bone at the greater trochanter (large rolling mound) Extension of the tractus iliotibialis (Z-plasty)
• Leg length compensation
• Elongation of the tractus iliotibialis
• Injections, if necessary with cortisone
• Removal of bone from the greater trochanter (large rolling mound)
• Extension of the iliotibial tract (Z-plasty)
• Leg length compensation
• Elongation of the tractus iliotibialis
• Injections, if necessary with cortisone
• Removal of bone from the greater trochanter (large rolling mound)
• Extension of the iliotibial tract (Z-plasty)
• Synonyms:Nerve compression of the cutaneus femoralis lateralis nerve
• Location of the greatest pain: Burning pain in the outer upper thigh. The pain is intensified by prolonged standing, walking or lying down.

  The pain subsides when the hip joint is bent.

• PathologyCause:A narrowing of the nervus cutaneus femoris lateralis below the inguinal ligament leads to a dysfunction of the nerve. This dysfunction causes a paresthesia in the area of the outer thigh. The causes of this disorder can be wearing too tight pants, but also overweight (obesity).

  This disease is called Meralagia parästhetica.

• Age: Due to the clothing predominantly younger patients.
• Gender:Women > Men
• Accident:No
• Type of pain: burning
• Development of pain: Incarceration (compression) of the cuataneus femoris lateralis nerve under the inguinal ligament
• Pain:Pain usually occurs after exertion, or after wearing too tight pants.
• External aspects:None
• Synonyms:HKN, circulatory disorder of the femoral head
• Location of the greatest pain: The greatest pain is in the groin area. In contrast to hip arthrosis, the pain usually develops within a short period of time, depending on the extent of the circulatory disorder.
• PathologyCause:In most cases the cause of HCN is unclear. Causes of femoral head necrosis can be alcoholism, diabetes mellitus, radiation in this area or congenital blood diseases such as sickle cell anemia.

  However, femoral head necrosis can also develop on the basis of hip arthrosis.

• Age:Depending on the above-mentioned cause. In most cases the risk increases with age.
• Gender:Men > Women, in 50% of cases also on both sides.
• Accident:No
• Type of pain: stabbing, pulling
• Pain development:Due to the localized circulatory disorders of the femoral head, bone tissue is lost. This process is accompanied by severe pain.
• Pain occurrence:As the circulatory disorders of the femoral head start suddenly, there is a short-term sharp increase in the complaints/pain.
• External aspects:Even in advanced femoral head necrosis there are no external changes.

Gender: Women > Men

• Synonyms:Maturation disorder of the acetabular roof, dysplasia of the acetabulum
• Place of the greatest pain:Hip dysplasia itself is painless.

  It is only with the development of hip arthrosis that the above-mentioned arthrosis typical symptoms appear.

• Cause of Pathology: Hip dysplasia is a disorder of the maturation of the acetabulum or the acetabular roof. The cause of this disease is unclear, certain position types in the womb can promote the development of dysplasia.
• Age:Depending on the severity of the hip dysplasia, sooner or later hip arthrosis may develop as a result of this malformation.
• Gender:Women > Men
• Accident:No
• Type of pain:see Hip arthrosis
• Pain development:Acute increase in symptoms after physical exertion or minor accidents.
• Pain occurrence:Pain usually occurs after exertion. As the disease progresses, pain at rest and at night can occur.
• External aspects:Even in advanced hip dysplasia there are no external changes.
• Synonyms:Bottleneck syndrome of the hip
• Location of the greatest pain: Usually the impingement syndrome of the hip joint is painfully felt in the groin.
• PathologyCause:The cause of impingement syndrome is an anatomical variant of the femoral head or acetabular roof.

  During certain movements, the femoral head may hit the acetabular roof (especially in case of strong flexion). This impact causes pain.

• Age:An impingement syndrome affects middle-aged patients before hip arthrosis has developed.
• Gender:Women = Men
• Accident:No
• Type of pain: stabbing, pulling
• Pain development:Acute increase in pain after physical exertion or the use of strong bending movements in the affected hip joint.
• Pain occurrence:Pain usually occurs after exertion. As the disease progresses, hip arthrosis can develop.
• External aspects:Externally, no changes are visible.