Why is there an acute or sharp pain in hip joint when walking

Hip joint – the junction of the torso with the lower extremities of a person. It bears a heavy functional load, serves as a support for the vertebral column and providing a large amount of movements. No wonder every third patient on reception at the doctor-orthopedist complaining of pain in the hip joint (coxalgia).

Pain in hip joint when walking

triggers

In women, the pelvic structure adapted for carrying a child, it is more horizontal than the male. Elastic ligaments of the female pelvis causes high mobility of bone joints. The articular surfaces experience huge daily burden. Why diseases of the hip joint strike 78% of women and only 28% of men. But after reproductive age this indicator is aligned.

To the development of coxalgia lead the following risk factors:

  • regular physical activity;
  • trauma
  • congenital defects of development of joint;
  • lumbosacral pain;
  • overweight.

most common places of injuries in the pelvis

Which leads to the pathology of the hip joint? Some of the causes of coxalgia shall be mentioned. Injuries, acute and chronic Traumatic dislocation of the femoral head results in stretching of the ligamentous-muscular apparatus. It causes sharp pain in the hip joint. Movement – misalignment of the pelvis as a result of injury or falling. Impairment of blood flow, and innervation of the knee in those who experience constant physical load, – trade workers, teachers, tour guides, tourists. Similar changes occur in professional athletes involved in weightlifting, gymnastics, football.

Age-related disorders

Over the life of the hip joint undergoes a series of changes: the amount of synovial fluid decreases, the gap between the joint surfaces narrows, and the friction between the femoral head and the acetabulum of the increases. Erasing intra-articular surfaces causes the development of coxarthrosis, degenerative changes in the joint.

The Hip may also develop due to infectious or traumatic lesions of the joint. In this case it is secondary. The pain occurs at night or at rest. Over time, osteoarthritis causes lameness.

Systemic disease

This group includes autoimmune diseases, which lead to the production of antibodies to various tissues of the body. In the inflammatory process involved also the ligaments, muscles, interarticular cartilage. The process is symmetric in nature and causes pain in both joints when walking.

The Hip joint is affected with rheumatoid diseases. Most often found:

  • rheumatoid arthritis
  • rheumatism
  • systemic lupus erythematosus
  • scleroderma
  • polymyalgia rheumatica.

In rheumatoid processes of normal tissue replaced by fibrous, which leads to deformation and dysfunction of the joint.

metabolic disorder

Insufficient intake necessary for the formation of bone tissue trace elements leads to embrittlement of bone tissue and bone fractures. Reduction of bone density is called osteoporosis. The jugular – femoral neck. The fracture leads to long-term disability and intense pain in the hip joint.

expressed brittle bones in women in menopause, people with obesity and in individuals in old age. Those at risk include:

  • women after the age of 60;
  • alcohol, caffeinated drinks, Smoking;
  • suffering from lack of exercise;
  • with long-term hormone treatments.

Pain on the background of degenerative disc disease

Destructive lesions of vertebrae in the lumbosacral lead to the infringement of spinal nerve roots. The pain experienced down the leg on the affected side. It causes pain in the hip joint on the respective side.

low back pain and pelvic pain

Pathology of the sciatic nerve

Sciatica is a disease of the sciatic nerve that occurs after lifting weights, sudden movements in an uncomfortable position. Accompanied by a burning, growing pain in the hip joint and impaired sensation in limbs.

Distinctive features of this disease:

  • history of the destructive diseases of the spine;
  • pain in the hip joint associated with pain in the spine;
  • the pain often one-sided.

Inflammationsciatic nerve, sciatica, has similar symptoms. Pain occurs when pressure is applied in the area of the fifth lumbar vertebra. Symptom Lasegue positive (increased pain when raising a straightened leg on the affected side).

Inflammation of the sciatic nerve and pelvic pain

In severe cases, there is the violation of the sensitivity on the posterolateral surface of the lower limbs and abnormal movement of the foot. Pain when inflammation of the sciatic nerve is called sciatica.

damage to muscles and ligamentous apparatus of a joint

If the sciatica occurs when irritation of the fifth lumbar vertebra, the infringement of the first sacral vertebra causes spasm of piriformis. Tonic stress, inflammation leads to compression of the sciatic nerve, and vascular subpiriforme space.

The Symptom of piriformis manifests in 50% of cases of sciatica and is a complication of lumbar degenerative disc disease.

The Primary lesion of the piriformis is at:

  • trauma to the lower spine;
  • prolonged exercise;
  • improper intramuscular injections into the gluteal region;
  • muscle tension
  • hypothermia.

The Pain in the hip joint becomes aggravated by walking and movement. It is caused by compression of the sciatic nerve and is characterized by symptoms of sciatica.

inflammation of the trochanter of the femur

The Hip joint consists of ligaments, muscles and tendons. All components are located in the greater trochanter of the femur – trochanter. Inflammation of this area is called trochanteritis. Symptoms are similar to hip, but at the first the pathology of inflammatory processes prevail, and in the second destructive-dystrophic.

Trochanteritis of the hip joint

Causes of trochanterica:

  • tuberculosis of hip joint;
  • infection
  • aseptic inflammation.

The Most commonly the hip joint is affected with Mycobacterium tuberculosis. They spread from the primary lesion, and the hip joint serves as the target for their penetration.

At First the pain is mild, develops gradually, occurs only in abduction feet to the side. Then acquires a permanent character, aggravated by walking.

Enthesopathy

Injuries, sprains of the tendons of the acetabulum lead to their inflammation and are called enthesopathy. The pathology lead:

  • trauma
  • long standing
  • obesity
  • lack of exercise.

A Characteristic feature is pain when walking. To confirm the diagnosis, necessary x-rays.

Iliac comb bursitis

Inflammation bags the greater trochanter, with the tendons of the gluteal muscles is called trochanteric (iliac scalloping) bursitis. Develops in advanced cases of osteoarthritis, more common in middle-aged women and in men after the age of 60.

Ilio-comb-bursitis

Pain Characteristics:

  • appears while walking and in a lying position on the affected side
  • unilateral lesions;
  • the pain extends towards the outer side of the thighs;
  • increases with circular motions inside;
  • decreases alone;
  • pressure point area of the greater trochanter.

For diagnostic use laboratory methods, x-ray examination, MRI. In the blood by moderate leukocytosis, increased erythrocyte sedimentation rate. X-ray picture is characterized by the appearance of periosteal inflammatory responses and osteophytes.

Dysfunction ilio-sacral articulation

diseases of the sacroiliac joint can be caused by herniation of the sacrum, intervertebral discs degeneration. Symptoms are similar to sciatica. The pain is worse when walking and radiates on the back of the thigh.

For diagnostic use of MRI. If conservative treatment is not successful, resort to surgical fusion of the sacroiliac joint to limit movement.

Diagnosis

The Study of causes of disease is paramount podiatrist. The diagnosis depends on the success of treatment.

It is Very important to correctly describe the complaint: what causes soreness when it becomes easier to list all previous illnesses, hereditary vices.

Diagnostics of coxarthrosis radiography

After that, the doctor conducts a physical examination: identifies the points of pain, radiating pain. The final diagnosis after the CT scan, x-ray analysis, magnetic resonance imaging.

Treatment

Considering the various conditions causing pain in the hip joint, hold conservative or surgical treatment.

Anesthesia is used For non-hormonal anti-inflammatory agents. Brings a good effect of manual therapy, therapeutic exercise, the use of orthopedic belts. Course treatment physiotherapy and therapeutic massage is from 5 to 15 sessions.

Prevention

To Prevent musculoskeletal disease will help preventive measures,aimed at formation of correct posture from early childhood, consult a podiatrist. Use orthotics for the prevention of flatfoot. Sleep on pillowtop mattresses this will help avoid degenerative disc disease. Exercise regularly, sports. Avoid lifting heavy objects, get rid of bad habits. Try to use the pool and exercise regularly. Follow these tips and pain in the hip joint will not bother you.

Sources:

  1. Diagnosis and treatment of diseases of the joints. V. M. Cepoi
  2. Evaluation of motor function of the joints. A. I. reutsky, V. F. Marinin, A.V. Glotov
  3. Osteoarthritis. P. V. Evdokimenko
  4. diseases of the joints. V. I. Mazurov
  5. Rheumatoid arthritis in the elderly. Consilium Medicum No. 12 2007