Why does a person suffers from pain at night in hip

Pain in the hip joint are common symptom of the existence of different violations, the junction of the bone and adjacent soft tissues. The cause of pain can be divided into injury, disease, systemic, neurological pathology of the spine, diseases and special conditions of the joint.

Epidemiology

Marked age pattern for the reasons of its development:

1. In children joint pain associated with pathology of the development of this connection.
2. Women of childbearing age susceptible to pain from pressure on the hip area during pregnancy and the postpartum period.
3. For young men aged 25-45 years common manifestation of pain in the pelvic area is the heart of the hip joints.
4. middle-aged People and elderly are statistically more likely to suffer from pain, caused by hip fracture, with osteoporosis and arthritis.

defines the risk of developing pathology of the hip joint:

• athletes with big loading on the region of the joints.
• persons engaged in heavy physical work.
• people who are overweight.
• persons who have had previous injuries of the musculoskeletal system.

causes of pain

The Hip joint is a rather complex device that has many functions and is subject to a constant load, responsible for upright posture and movement. These factors contribute to the development of many pathologies and loss of its integrity that manifests itself in painful symptoms.

Common causes of painful symptoms in the hip joint:

1. Traumatic injuries of the hip joints, adjacent tissues and the expression of their complications – injury of the hip joints, fatigue fracture of the femoral neck and pelvic bones, ruptures of muscles, damage to the capsule of the hip and dislocations different degrees of complexity.
2. Neurological diseases of the spine, in which pain is felt in the hip joint, neuralgia of the lateral cutaneous nerve of the thigh, inguinal hernias, pinched nerve in the hip joint.
3. Infection cause not only inflammation in the hip, but severe pain, fever, deterioration of General condition – infectious arthritis. Tuberculous arthritis is characterized by the development of manifesting itself gradually.
4. Degenerative inflammatory disease of the articular joints and soft tissues adjacent to it – arthritis, arthritis deformans (osteoarthritis), bursitis and tendonitis.
5. the Disease is hereditary nature, which led to improper formation of the joint or its components – the most common abnormality is the canine hip dysplasia.
6. Diffuse diseases of connective tissue associated with the occurrence of autoimmune diseases – systemic lupus erythematosus, rheumatoid arthritis.
7. Development of tumor masses in the bone tissue and adjacent muscle tissue.

Pain in the joint region have different intensity, depend on the pathology, the extent of its development and individual peculiarities of the organism. In the description of the clinical picture of the disease, the following definition of pain:

• acute short-term pain with a clear localization of the source;
• aching, is characterized by wide distribution, occurs predominantly at night, hard to localize;
• chronic pain symptoms, a wide area localization, occur in certain positions of the body or load.

Pain in hip at night is manifested in the following diseases:

1. Osteoarthritis, deforming osteoarthritis – a disease in which a long period the pain is hardly noticeable and occur with significant burden on sostavnoi connection. The gradual destruction of cartilage and head of the joint causing increased pain when any exertion and constant painful muscle tension in the site of the lesion provokes pain at rest and at night. The mobility of the juncture of the bones are limited, there is painful swelling of the surrounding soft tissue.
2. Bursitis – inflammation of the synovial membrane of the joint, often develops trochanteric bursitis. Focus groups are professional sportsmen and women, as regular loads and physiologically advanced advanced pelvic strain relief shell. The underlying pathology is characterized by localization of pain, which extends to the lateral surface of the thigh. The increased symptoms at night associated withthe inability to take a position lying on the side of the affected joint.
3. Infectious disease – pathology is the rapid development, triggered by influenza, Staphylococcus, Streptococcus. The increased pain at night is associated with a heightened sensitivity to bone and soft tissues at this time.
4. Rheumatoid arthritis occurs when damage to the synovium own antibodies due to a genetic predisposition or as a result of viral diseases, such as measles, rubella and retrovirus. The development of a pathology characterized by proliferation of connective fibers in the synovial membrane of a joint, leading to loss of its elasticity. Painful symptoms, mainly night localization in the hip is associated with proliferation of connective tissue and its further deformation.

Receive pain medication relieves pain in the early stages of the disease, but does not eliminate the cause. The progression of the disease leads to increased painful symptoms.

How to prepare for a doctor's appointment

To the time of admission was used as efficiently as possible, before going you may want to evaluate the function of the hip joints and his mobility. In this case, you will not experience difficulties in answering the questions of the specialist, and he will be able to get all the necessary diagnostic information.

1. Analyze the manifestation of pain depending on the load and the position of the body – night pain in the area of the hip joint.
2. Determine if a feeling of stiffness in the hip after prolonged static position, in the morning, does the development of the joint in a static position for a long period.
3. Listen to the sounds while driving – the crunch and clicks accompany the movement only in the hip joint or heard in places other joints of the bones.
4. Evaluate visual changes in the size and configuration of connections – possible deformation, swelling or inflammation of soft tissues.
5. is There a limitation of the articular mobility of the division and complicated the implementation of rotational functions, are there any difficulties with abduction of the lower extremity and its extension? In the later stages of the disease have difficulties with flexion function.
6. Pay attention to changes in gait and correlate the presence of pain depending on time and duration of displacement. Limitation of range of motion of a joint leads to uneven gait, disturbance of its smoothness, the appearance of lameness.
7. Restore the chronological picture of the origin and development of the above symptoms.

Advanced research methods

Clinical data are essential to identify the causes of disease and diagnosis, but the final judgment will require additional methods of examination:

1. Clinical analysis of blood allows you to narrow the scope of the search: the high rate of erythrocyte sedimentation rate indicates a rheumatic nature of the disease, and in combination with high level of white blood cells indicates an inflammatory process.
2. blood chemistry helps differential diagnosis – arthritis elevated levels of C-reactive protein in osteoarthritis and readings of this marker are normal.
3. X-ray – one of the most important methods of diagnosis. The condition of the bones, their shape, the formation of seals can judge the distance between the bones in the hip joint. A perfectly good technique for the diagnosis of coxarthrosis, but does not provide information about the state of the surrounding connective and soft tissues. Joint space narrowing and destruction of the surrounding bones proves the rheumatic nature of the pathology in the joint.
4. MRI enables detection of the earliest changes in cartilaginous tissue. Is one component of a differential diagnosis to identify pathology. Thus, the development of articular changes may precede spinal disc herniation.
5. ultrasound is used to evaluate the state of cartilage, reflecting the thinning of her in osteoarthritis, and the level of synovial fluid, fixing it increase arthritis.
6. arthrocentesis for synovial fluid analysis is used in the differential diagnosis of arthrosis.
7. Arthroscopy is performed when there are difficulties diagnosis and suspected cartilage damage.

Differential diagnosis

The Diseases that cause pain in the hip area, of different nature, but have similar symptoms, but treatment measures may be required are completely different. To avoid mistakes and to organise treatment as efficiently as possible, it is necessary to make a differential diagnosis of similar manifestations of disease.

Osteoarthritis, deforming osteoarthritis

The Disease is characteristic of persons of middle and older age groups, there has been a gradual breakdown of cartilage, deformation of joint, inability to perform the movements, night pain in the long course of the disease.

Differencescoxarthrosis from similar manifestations of disease:

1. Inflammation of the tendons of the thigh (trochanteritis) is able to perform the movements of the limb in full and in all directions.
2. Damage to the lumbar spine is piriformis syndrome and radicular syndrome – do not leak with limited mobility and range of motion in all directions, a sharp pain in the lower back and the thigh accompanies the attempt to lean forward with straight legs or raise a straight leg.
3. ankylosing spondylitis and reactive arthritis, and arthrosis disease is characterized by development of a more youthful age group, from 15 to 40 years, and the manifestation of pain at night.

Rheumatoid arthritis

The Disease develops mainly in middle-aged group, accompanied by nocturnal pain and morning stiffness of the joints, symmetric lesions, the inflammatory process appears, pronounced muscle atrophy and rheumatoid markers are present.

rheumatoid arthritis Difference from similar manifestations of disease:

1. Reactive arthritis develop in young age groups, accompanied by intense joint pain, there is no symmetry of the lesions, the acute form of inflammation of the joints, atrophy of muscles is weak, there are no rheumatoid markers.
2. Osteoarthritis evident in the older age group, joint pains are moderate, no morning stiffness, slow course of the disease, rheumatoid markers are missing.
3. Systemic lupus erythematosus, focal group includes women of childbearing age, the disease is manifested by fever, increased temperature, skin lesions, and no joint space narrowing.

Long course of the disease without proper treatment leads to reduced capacity of the hip articulation, to improper physiological stress on the musculoskeletal system and to the development of irreversible degenerative effects which may lead to disability. Pathology of the hip joints give a good prognosis of treatment in the early stages. Timely access to a physician for diagnosis and qualified treatment will help avoid complications and to restore the functioning of the joint.

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