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Hip pain

Definition:
Hip pain involves any pain in or around the hip joint.

Alternative Names:
Pain - hip

Considerations:

Hip-related pain is not always felt directly over the hip. Instead, you may feel it in the middle of your thigh or in your groin. Similarly, pain you feel in the hip may actually reflect a problem in your back, rather than your hip itself. See low back pain.



Common Causes:

Two possible causes of hip pain are fractures and insufficient blood flow to the hip (aseptic necrosis).

A hip fracture can change the quality of your life significantly. Fewer than 50% of those with a hip fracture return to their former level of activity. In addition, while recovering from a hip fracture, several possible complications can be life-threatening. These include pneumonia and a blood clot in the leg, which can dislodge and travel to cause a clot in the lungs. Both are due to immobility following a hip fracture and hip surgery.

Hip fractures become more common as people age because falls are more likely and bones become less dense. People with osteoporosis can get a fracture from simple, everyday activities, not just a dramatic fall or injury.

Aseptic necrosis can happen if you have been on steroids for a long time or you have sickle cell anemia. Injury and regular use of alcohol also increase your risk.

Legg-Calve-Perthes disease is a type of aseptic necrosis that happens in children.

Other possible causes of hip pain include:

  • Arthritis -- often felt in the front part of your thigh or in your groin.
  • Trochanteric bursitis -- inflammation of the bursa that sits on the outside of your hip joint. This hurts when you get up from a chair, walk, climb stairs, and drive.
  • Tendinitis from repetitive or strenuous activity.
  • Strain or sprain.
  • Low-back pain such as sciatica.
  • Infection.


References:

Wong TK, Lee RY. Effects of low back pain on the relationship between the movements of the lumbar spine and hip. Hum Mov Sci. 2004; 23(1): 21-34.

Dohnke B, Knauper B, Muller-Fahrnow W. Perceived self-efficacy gained from, and health effects of, a rehabilitation program after hip joint replacement. Arthritis Rheum. 2005; 53(4): 585-592.

Tak E, Staats P, Van Hespen A, Hopman-Rock M. The effects of an exercise program for older adults with osteoarthritis of the hip. J Rheumatol. 2005; 32(6): 1106-1113.




Review Date: 10/20/2005
Reviewed By: Kevin B. Freedman, MD, MSCE, Sports Medicine, Orthopaedic Specialists, Bryn Mawr, PA. Review provided by VeriMed Healthcare Network.

The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed physician should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. Copyright 2004 A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.

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