Hip Pain Causes & Conditions
Hip pain, which includes any pain occurring in the hip joint, thigh or groin, can result from a wide variety of issues. Injuries, chronic conditions, reduced blood flow and simple aging can all cause pain in and around the hip. Hip pain can also signal an underlying problem in the lower spine. This type of discomfort might be accompanied by stiffness or a limited range of motion, and might worsen with activity or when lying on the affected side. Common hip pain causes and conditions include fractures and dislocations, arthritis, bursitis, tendinitis and sciatica.
Hip Pain Caused by Injury or Trauma to the Hip
Hip fractures are common in older people, especially women and people with osteoporosis, a condition that decreases bone density. Hip fractures cause pain when pressure is put on the leg or when the leg is lifted or straightened. Often, the toes on the same side as the injured hip turn outward.
Avascular necrosis (AVN) of the hip occurs when reduced blood supply causes the death of the hip’s bone tissue. AVN can result from an injury to the hip or from fatty deposits in blood vessels; it can also be caused by certain conditions like sickle cell anemia or Gaucher’s disease. Most common among people between 30 and 60 years old, AVN causes pain within the joints of the hip or in the thigh, groin or buttocks. When a person first develops this condition, the pain may be mild or occur only when weight is put on the hip; over time the pain will be present even when lying down.
Bursitis, Arthritis and Tendinitis of the Hip
Bursitis results from inflammation or irritation of the bursae, the fluid-filled sacs surrounding the joints that cushion the bones during movement. Bursitis is most common in the shoulder and elbow, but the condition can also affect the hip, causing stiffness, aching and tenderness.
Arthritis of the hip, including osteoarthritis and rheumatoid arthritis, results from deterioration of the cartilage within the hip joints that is often caused by age, inflammation or traumatic injury. Osteoarthritis is most common in women and older people, as well as in people whose work puts regular stress on the hips. Arthritis can cause stiffness, tenderness and pain in the hip, inner thigh and buttocks. Some people also feel an internal grating sensation when they walk. When related bone spurs develop, the pain can be quite severe.
Hip tendinitis occurs when the tendons of the hip are inflamed, most often due to increased stress over time from repetitive motion. Runners are particularly prone to iliotibial (IT) band syndrome, a common form of tendinitis that causes tightness and pain in the outside of the hip. IT band pain may extend downward to the outside of the knee.
The sciatic nerve branches outward from the lower spine through the buttocks and hips and down the backs of the legs. Sciatica occurs when a portion of this nerve becomes inflamed due to compression, often as the result of a herniated disk or a bone spur in the lower spine. Sciatica causes pain in the back of the hip, the buttock or the back of the leg, and can sometimes cause numbness or tingling in the leg. Ranging from mild and achy to sharp or even excruciating, sciatic pain can even feel like an electric jolt within the hip or the back of the thigh.
Since the sciatic nerve runs alongside or through the piriformis muscle, which is located in the buttocks, sciatica can sometimes be triggered by piriformis syndrome. Occurring when the piriformis muscle spasms, this disorder causes buttock pain that can radiate to the lower back or down the backs of the thighs.
Other Hip Pain Causes and Conditions
Kyphosis, an exaggerated forward rounding of the back, can result from osteoporosis or a malformation of the spine. While mild kyphosis typically doesn’t cause problems, more serious cases cause back and hip stiffness and pain.
Whatever the reason for your hip pain, you are likely looking for a way to diminish your discomfort. You can count on the experts at Balcones Pain for compassionate care, a thorough evaluation and an individualized treatment plan so that pain does not interfere with the things you love doing.
Videos About Hip Pain Causes and Conditions
- Avascular Necrosis (AVN) of the Hip
- Iliotibial Band Syndrome
- Osteoarthritis of the Hip
- Piriformis Syndrome