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Hip Pain and Conditions

Hip pain is common problem, and it can be difficult to make an accurate diagnosis. It is important to be aware of the cause of your symptoms so that appropriate treatment can be directed.

If you have hip pain, some common causes include:

Arthritis

Arthritis is among the most frequent causes of hip pain, and there are many treatments available. If conservative treatments fail, surgical intervention is an option.

Trochanteric Bursitis

Trochanteric bursitis is an extremely common problem that causes inflammation of the bursa over the outside of the hip joint.

Tendonitis

Tendonitis can occur in any of the tendons that surround the hip joint. The most frequently encountered tendonitis around the hip is iliotibial band (IT band) tendonitis.

Osteonecrosis

Osteonecrosis is a condition that occurs when blood flow to an area of bone is restricted. If an inadequate amount of blood flow reaches the bone, the cells will die and the bone may collapse. One of the most common places for osteonecrosis to occur is in the hip joint.

Lumbar Pain – Referred Symptoms

Many back and spine problems can cause symptoms around the buttocks and hip. The most common problems that refer pain to the hip region are herniated discs and sciatica.

Snapping Hip Syndrome

Snapping hip syndrome is a word used to describe three distinct hip problems. The first is when the IT band snaps over the outside of the thigh. The second occurs when the deep hip flexor snaps over the front of the hip joint. Finally, tears of the cartilage, or labrum, around the hip socket can cause a snapping sensation.

Muscle Strains

Strains of the muscles around the hip and pelvis can cause pain and spasm. The most common strains are of the groin and hamstrings. (see Thigh injuries)

Hip Fracture

Hip fractures are most common in elderly patients with osteoporosis. Treatment of broken hips requires surgery to either replace the broken portion or repair it with a metal plate and screws.

Stress Fracture

Stress fractures of the hip are most common in athletes who participate in high-impact sports, such as long distance runners. Treatment usually is successful by avoiding the impact activities.

Childhood Hip Problems:

Developmental Dysplasia

When the hips are dislocated or out of position in infancy, the joint may not develop properly. While this is not usually painful as a child, it will lead to early arthritis and problems with walking.

Perthes Disease

This is a problem similar to osteonecrosis (see above) but in childhood. If severe, it can lead to permanent damage to this hip joint and early arthritis.

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