Pain localizations | Pain after hip surgery

Pain localizations

If the hip is diseased, pain in the groin is very common because the hip joint projects itself externally approximately to the middle of the groin. In addition, pain in neighboring regions often leads to pulling into the groin, since there are many nerves that supply the genital region. After hip surgery, it is therefore not surprising if there is pain in the groin.

However, it is important that no other existing diseases are overlooked. In men, diseases of the testicles can also cause pain in the groin. Hernias also cause pain here, as do other diseases such as infections of the genitals.

If swellings in the groin occur in addition to the pain, a detailed investigation of the cause should be carried out. Back problems can also cause pain in the groin. Sometimes pain in the knee occurs after hip surgery.

This is often the case because, for example, when a hip prosthesis is implanted, the leg has to be specially positioned. In this case the knee is bent and the leg is turned outwards in the hip. This rotation creates forces on the knee, which can result in pain.

In the interest of the patient, the attending physician should be informed so that the complaints can be documented. If the pain persists for longer than a few days, a more detailed examination and possibly imaging diagnostics in the form of X-rays or MRI is necessary. In some patients the pain projects from the hip to the knee.

The pain is thus perceived in the knee, even though there is no disease at all. If pain in the back occurs in the first few days after hip surgery, this may be due to the positioning of the patient during surgery. During an operation under general anesthesia, the patient cannot change his or her body position, and thus muscle tension can often occur afterwards due to unfavorable postures.

If the patient is not mobile or has little mobility for a long time after hip surgery and lies in bed most of the day, back pain can also be caused by tension while lying down. However, especially in osteoarthritis patients who have received a hip prosthesis, back pain can also result from increased strain during rehabilitation. Due to the gentle posture in the case of pronounced hip arthrosis and simultaneous physical sparing, the back muscles may have receded and weakened to a certain extent.

If the new joint is now used for more movement, the back may react to the strain, but over time and possibly with physiotherapy. Pain in the thigh after hip surgery is very common. Often the skin incision is so long that it also goes over part of the outer thigh.

Many implants, such as hip prostheses or nail-less osteosyntheses, which are used for a fracture of the neck of the femur, are anchored up to the middle of the femur and sometimes fixed there with screws. The insertion of the implants into the bone can cause pain in the thigh after hip surgery. If the pain is very severe or increases under load to such an extent that walking or standing is not possible, further clarification should be carried out.

In rare cases, the thigh bone can be injured during hip surgery, resulting in bone fractures that are very painful. If the pain does not appear until some time after the operation, an irritation of the scar or an infection must also be considered.Please also inform yourself about this topic:

• Femoral neck fracture

Since hip operations are surgical procedures that require a lot of force to remove damaged joint structures and insert the artificial joints, the entire pelvic girdle can become irritated during the operation. The sacroiliac joints (Sacroiliac joints (ISG) are sensorimotor and can be affected during hip surgery. For this reason, it often happens that the affected person has pain in the ISG after hip surgery, among other things.