hip pain, causes, diagnosis and treatment.
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- Опубліковано 19 чер 2024
- Dr. Ebraheim’s educational animated video describes causes of hip pain. Site and location of hip pain, diagnosis and treatment of hip pain
Causes of Hip Pain
Pain can arise from the structures that are within the hip joint or from the structures surrounding the hip joint. The most important thing is to ask the patient to locate the site of pain. ask the patient to point at the site of pain. When the patient states that their hip hurts, it doesn’t mean that the pain is coming from the hip joint itself, so ask the patient to point at the site of the pain. The pain can arise from structures that are within the hip joint or from structures surrounding the hip. The hip joint is a weight bearing joint. The joint consists of two main parts: femoral head (ball) and acetabulum (socket). The hip pain can be anterior hip pain (deep groin pain). The pain can be lateral hip pain. the pain can be posterior hip pain. The pain can be far posterior hip pain, coming from the sacroiliac joint and the lower spine. Anterior hip pain is usually deep within the groin, and it can result due to arthritis of the hip. Conservative treatment is physical therapy, anti-inflammatory medication, possible injections, and surgery is done in late cases, usually by total hip replacement. It is usually diagnosed by clinical examination with a provocative test of flexion, adduction, and internal rotation. The diagnosis is confirmed by an MRI arthrogram. Conservative treatment is therapy, anti-inflammatory medication, and injections. Surgical treatment provides good result and is usually done by arthroscopic debridement or repair of the tear. Stress fracture is usually diagnosed by an MRI. The x-ray may be normal. Early diagnosis is important before the fracture displaces and gives a bad result. Treatment of avascular necrosis is usually surgical fixation of the fracture. Fixation of the fracture is usually performed utilizing screws. Femoral head replacement is done in rare, late cases. Avascular necrosis means death of a segment of the bone. When the blood supply of the femoral head is interrupted, a segment of the bone dies and becomes necrotic (femoral head will collapse). Treatment for early stages of AVN without collapse of the femoral head include decompression by drilling of this segment in the femoral head to bring a new blood supply to the area. Vascularized fibular graft may be used also. In severe cases with collapse of the femoral head (usually diagnosed by an x-ray), the treatment is usually total hp replacement. Treatment of an inflamed bursa is usually conservative treatment of physical therapy, anti-inflammatory medication, and injection. Surgical treatment by excision of the bursa is rarely done. In case of chronic, resilient trochanteric bursitis, try to get an MRI to exclude a tear of the abductor muscles of the hip (gluteus medius and gluteus minimus muscle tear). Posterior hip pain is usually due to piriformis syndrome. The sciatic nerve can be irritated from the piriformis syndrome. Treatment is usually physical therapy, stretching, anti-inflammatory medications, and injections. Surgical treatment is usually rare. It is the last resort. It includes release of the piriformis tendon and exploration of the sciatic nerve. It is done in cases that fail to improve with conservative treatment. Far posterior pain may come from the sacroiliac joint or from the lower spine conditions. Sacroiliac joint (SI) problems is a challenging diagnostic and treatment entity. There are a lot of clinical diagnostic examinations that can be used to diagnose sacroiliac joint (SI) problems such as the Faber test and others. However, injection of the SI joint is probably the method to diagnose pain originating from the SI joint. If there is improvement of the condition of the patient after injection of the SI Joint, then we will probably consider that the problem is in the SI joint. The SI joint problems are usually under estimated and are unappreciated. Lower spine conditions can cause referred pain to the buttock and hip area. In fact, symptoms of hip and lower spine conditions can overlap or both of them can coexist in the same patient. You have to separate pain from the hip from pain that comes from the spine.
Compared To Most,, I Guess I'm The Exception..I Had Both Hips Replaced & Have Been In Severe Pain 24/7 For 11+ Years Now..After MANY Tests,, Surgeons,, Specialists,, Etc.,, Their Conclusion Is That Not Only Can Nothing Be Done For Me,, But That I Will Only Continue To Get Worse & I Have..At This Very Moment I Am Lying Here In Absolute Agony..The Past 4 Days I Have Been Dramatically Worse,, So Much So That It's Too Painful To Stand,, Let Alone To Try & Walk..At This Point I Can't Even Take Care Of Myself..I TRULY PRAY That ABSOLUTELY NO ONE Else EVER Has To Experience What I Am.
I am very sorry you are suffering so bad. Have you been told that it is possible for another surgery to replace your Hip or both?
Best wishes for relief from pain.
Victoria
I'm so very sorry to hear that you are experiencing so much pain . I have hip pain runs down my thigh and stenosis and numbness and nerve pain, burning from stomach all the way to feet. So I understand. Some years back I had such severe sciatica running down both legs that I could hardly get to bed and took me 10 minutes at least to get in the bed. The pain can get so severe to make one cry out. I didn't know about ice then so I took a prednisone pack Doctor ordered. Got me on my feet pretty quick but no one told me to take it with good meal. I've had a burning stomach ever since. Please try ice. 20 minutes at a time every where you have pain. For sciatica I use ice on lower spine. Ice really helps. Find a good natural cream to rub where you hurt. I like Topricin cream. Odorless all natural. Really helps.
I’ll pray for you as well, I’m so sorry you are experiencing this pain
@@vickiserre9457 I’m sure you realized that the comment mentions both hips replaced
I hope you find any kind of relief - praying for you
Thank you so much,dear professor!!! I really appreciate your devotion to help people throughout the world.
Thank you so much. I'm calling my orthopedic dr tomorrow. I know I have 2 failed L5 - L6 surgeries but I bet this is my source of my pain. Thank you and UA-cam
Thank you for the comprehensive explanations. They help me to understand better what my doctor is talking about and recommending for my hip pain treatment.
Fantastic explanation! Thanks for all your work!
THE MOST HELPFUL VIDEO I HAVE FOUND ON THIS SUBJECT. THANK YOU FOR POSTING IT.
Thank you for providing this information. It was extremely helpful.
Traduci
This video does not mention one of the most common cause of anterior hip pain, especially in younger, more active individuals: hip flexor tightness or injury. The Iliopsoas muscles, the Iliacus attached to interior of the iliac bone (big pelvic bone) and the psoas muscle attached to the lower spine. These muscles run together anterior to the hip joint, they wrap around the femoral neck and attach posteriorly in the lesser trochanter. Anatomy jargon aside, if a person sits a lot, or suddenly starts working their legs out, they may get tightness and pain in the anterior hip area. The pain my be very localized to one spot, and it might be alleviated by pushing on the painful spot. Treatment includes rest, NSAIDS, stretching or standing more if you sit a lot at your job.
I hate to sound pedantic, but if you're going to have a video called "Everything" You Need To Know, and then leave out one of the most common causes of hip pain, describing it only once as "surrounding structures," I thought I might mention it.
can you define hip flexor tightness? also the video seems to be referring to more chronic conditions rather than "hip flexor tightness" and acute injuries, which I believe you are referring to muscle strain. Basically both have no place in this video
@@blaschito1 Well, if you sit at work everyday, or continue to work out through pain, these conditions can become chronic, or even permanent, and if you don't know the cause, you can't get rid of it, can you? And I don't think I could describe it any better. Seriously. So my statements stand.
@@fmmaj9noname332 happy you
@@charlyloman8837 Is it what you have? Just curious.
Hello, I hope you can shed some light on my very painful knee. It started over 3 years ago and manifested a few days after a total hip replacement. I have done a lot of ballet in my life and it has been suggested to me that the hip was replaced "at the incorrect angle". It is literally excruciating to walk using that leg. Referring to a doctor, he maintained that the only solution was to have yet another full hip replacement!
I have been doing physical therapy exercises the entire time and walking as much as possible but the pain in my knee remains as bad as ever and I am becoming desperate that I will never be pain-free again.
Any positive suggestions are welcome...thank you
Dr. Nabil, muy interesante su explicación, me caí de mis propios pies, cayó mi cuerpo de lado izquierdo, me lastimé la cadera izquierda, me hicieron placas de ambas caderas, no tengo fractura, el Ortopeda me envío a darme terapia e ir a un Reumatologo a inyectarme, y luego de tres meses regresar a verlo, su explicación e ilustración me ayudaron a entender mi situación, gracias, soy de Puerto Rico, saludos!
Thank you so much for sharing your medical knowledge. It's very helpful for us suffering from back pain to understand clearly where the pain arises and what causes the pain. Best wishes and more medical knowledge to share, please and thank you. 😇😊
Thank you, Doctor for posting this video. Today, I was walking and all of a sudden I got this excruciating pain in my groin area. I had no idea what it was but I figured it was probably my hip as I’ve had several back surgeries and fusions. I figure that’s like putting a Vice grip in your lower back. That’s got to cause problems down the road, and here we are, and another surgery, I’m sure.
You have helped me because instead of sitting here worrying what it might be, I have a couple of things that I can figure are possibilities.
Thank you again. Oh, and you did a wonderful job on the video.
Recently i had the hip pain.The explanation & information was very clear.
Thank you very much
thanks sir ! always great lecture
Very helpful. I suffer from back issues and this was a simple, easy approach to explain hip and back pain in layman’s terms and without jargon.
I will be grateful if you could also prescribe some antinflamations medications for the hip and bones pain
Yes. Very useful and accurate analysis 🙏
EXCELLENT !!! DR. NABIL EBRAHEIM'S THANKS !! FROM U.K. (2021).
Yes. Very helpful. Good to be informed before seeking medical help. Thank you again.
Yes thank you so much for sharing this video!!
Thank you very much for your most useful information. Apparently, I have to attend to my recently appeared issue and you have given me the direction towards which to move in the treatment of that problem. My warmest regards and thank you very much indeed. 👍❤️💐
I had hip surgery on 91 22 and it still hurt a little in my left hip
Thanks for the informative video. It's helpful as I'm suffering from this. 🌹
Thanks a lot. You explained it very clearly for a layman with lots of coloured pictures. Now i know which doctor to see.
Thank you so much professor, this was absolutely helpful
Thank you! Very helpful video. I have had pain in my right hip socket for many years although I'm only 53 years old. Your video will help me explain my pain to the doctor.
Very helpful and insightful. Thank you very much.
Awesome video.. thank you!!! 💜
Thanks a lot at last i found This video Very informative .. ♥️👍🏽🥰
Thank you, I’m glad I found this video, so helpful
Excellent explanation very useful
Wow! What a wonderful explanation. I have been diagnosed with both Piriformis and SI!
I have inflammation etc in the si joints and have had good (temp) relief from corticosteroid injections over the past 30+ years. They usually last 3-4 months x
Qué tratamiento le dan?
Yes because when I was at the pool I jumped off the roof and landed on my side
How are you now? I have heard not many causes of this. That this is often misdiagnosed.
@@kathybates1751 waiting for a visit to talk about Botox injections. First I have to do a trigger injection. Scheduled for 9/29 for the pain shot but want to see about the Botox.
Thank you very much for sharing this information.
This was very helpful. Thank you very much.
Thank you so much Doctor very concise information. I feel better knowing what I am dealing with , now will visit my Doctor.
Wow! Such great info. I need to get an MRI done on my groin pain. Thank you,
Very well explained and helpful......
Thnk u very much sir.....
Very informative,thank you.
Thank you. Very much
Just to say Hi Doc, You did a great job on my ankles a long time ago.
Excellent article thank you
Excellent!
Thanks it was helpful and I learned more from u in a few minutes than I have learned from my dr about what is wrong with my hips thanks so much
Wonderful and concise video. Thank you.
I had a hip pain for a month, i was exercising and prying. One morning I woke up like pain has never been there. I told it to everyone I met that day. I still don’t know how that terrible pain disappeared, like it has never been there…
Mine comes and goes too. I had an xray and there is deterioration in both hips. You should still see your physician to get a proper diagnosis.
May miracles happens to everyone
What kind of exercises? I have pain near my hip. I sometimes feel it at the side of my knee, and side calf
@@dinop7488 I didn’t have a specific exercise, but I would turn repetitive in different directions in the area of the painful spot, like 100 times until pain is gone , especially when I am in the bed. You will have at least temporary relief. Mine was an inflammation and didn’t let me to fall sleep. Good Luck!
@@dinop7488 There're excellent hip exercises on utube. I need to do them for my hip pain.
Surgery is my last resort. No, take that back....would not consider it at all.
Thank you so much 🌺
Thank you so much for this very informative video.
Thank you doctor for this information 👍
Thank you so much doctor for these information God bless you 🙏
Thank you! Very helpful, Informative and to the Point!
Beautifully explained thank you Doc.
Very clear explanation 👍
A few years ago I started to suffer a lot of pain deep in my hip joint. My family doctor could not diagnose it and sent me to a specialist. The specialist found nothing. I was seeing a chiropractor at the time for some minor back issues. I told him about the deep hip pain, he flexed my hip, watched me walk and asked a few questions. The chiropractor then suggested I had partial claudication in the femoral artery that "starved" my hip for blood, even though the rest of my leg was doing "OK". I passed this to my GP who set an appointment with a specialist who determined the location of the claudication. I had an outpatient procedure to have a stent inserted in the femoral artery. Even as I walked out of the hospital that day, I could feel the difference. I am now pain free and no limitation to using my leg.
UNFORTUNATELY, THIS DOCTOR DID NOT COVER CLAUDICAION WHERE IT ONLY REALLY AFFECTED THE HIP.
Did you have swelling in your leg and skin discoloration with that?
@@janetbradbury5021 None.
Thanks, very clear and complete information.
Thank you Dr Nabil I suffer for 7 years I've I need a hip replacement nothing to tell me but I'm scared you have explained I will have to go back to the doctors and and show this video to them and tell him exactly where I hurt my pain is very
Thank you for the very explanatory video. I’ve been suffering from severe hip pain for a month finally will be seen in 3 more days by a orthopedic doctor. Another 3 weeks to see physical therapy. I only mild pain medication. I’m so disappointed in my health care. I hope it is not serious.😢
I love your videos! I am an orthopedic nurse practitioner working in an outpatient orthopedic urgent care! These videos are awesome! Thank you for this channel! It’s my new favorite!
Where you from
Hi baby how are you doing now i hope you are really doing good you are awesome looking at you baby makes happy when I look at your picture it is beyond my imagination that a creature like you really exist like a rose you make the garden so beautiful You are a diamond to any man that have eyes to see goodness of a womanhood Baby am Ben easy going person very understandable Am a civil engineer and a contractor I work at so many places like Asia Europe and Africa I love art craft and I write music I like ideal people when I see your picture am impress I want a good woman that understand what real love is all about who will understand me and perfectly be for me So we can build our world strong enough to care for each other I want you to be mine and I hope to hear from you soonest thanks
Hi baby how are you doing now i hope you are really doing good you are awesome looking at you baby makes happy when I look at your picture it is beyond my imagination that a creature like you really exist like a rose you make the garden so beautiful You are a diamond to any man that have eyes to see goodness of a womanhood Baby am Ben easy going person very understandable Am a civil engineer and a contractor I work at so many places like Asia Europe and Africa I love art craft and I write music I like ideal people when I see your picture am impress I want a good woman that understand what real love is all about who will understand me and perfectly be for me So we can build our world strong enough to care for each other I want you to be mine and I hope to hear from you soonest thanks
That was very helpful. I could understand you grammatically Very thorough.
Thank you so much for your explanations they were very helpful
Thank you that was helpful
Fabulous! Just want I needed to know. Genuine thanks.
Thank you I have all these pain also in the knee
You are very kind.ty
Thank you Doc.
Excellant info video..
Really very knowledgable
Thank you Doctor.
Excellent.
You rock, Doctor!
Thank you for your advice to treat causes of hip pain.
…this is the first time I’ve understood this topic without questions- I have an autoimmune disease- my hip pain is severe- at times it collapses on me and I can’t bear weight- it’s so saddening- just left a message to my doctor about it 😔 thank you! great video! ❤️
Me too.Not sure if is my TM or hip structure Pain is constant unless I am lying down
Hope your problem can be and is fixed, sad to say but I’m in pain in the hips all the time, unfortunately I can’t get an answer from multiple GPS, at least I know I’m alive, that’s how I deal with it.
Nicely Explained in a normal pace English with written notes aswell.
That was very informative. Thank you!
Thanks for the information
thank you description is very clear.
Thank you so much for this information it is very helpful
You are 100% right. That is exactly where my pain is located and has been there for many years.
i had the same still from last more then 5 years can you pls tell me how did you manage by medicine or any exercise
It was very helpful... I'm experiencing a lot of hip pain probably due to a MC accident I had in 2007... getting worse and harder to rise in the mornings and get going!
I went on a Physio therapy video channel on UA-cam called Bob And Brad. They helped me so much with physio for hip pain and s i joint . I do the exercises every day. Please check it out 👍🏻🇨🇦
Thank you very much...
Good to know! Thank you! Very knowledgeable!😀
Very Helpfull, thank you sir.
Very helpful indeed. Thanks a million...❣🙏🌺👍🙌
That was SO helpful, thank you, Doctor. For years my degen. disc disease and Con. Tissue Disease were thought to be the cause of my hip pain, but I persued it and eventually tests confirmed problems in the hip itself for 20+ years! New pain is awaiting exam.
They’ve discovered I have a congenital malformation of the hip socket. It’s the wrong shape and is rubbing against the neck of femur when I move. The ligaments are too flexible and there is too much ‘play’ in the joint itself. No bony disease, but outer trochanteric bursitis is a devil!! 😫 a steroid injection now and again is all they can do. Xx
Thank you..that explained a lot to me..
thanks so much your explain it is very clearly
Thank you for that information
Very informative thank you
thank you so much its really a big help in my case
A very good description
Thanks very good information
I presented with deep groin pain. I have been diagnosed with bilateral hip displasia but that is not mentioned at all here. Please consider including it in further updates, it is so commonly missed and takes and expended period of persistent asking for testing and referrals from patients along with many incorrect diagnosis to get to this.
I’d be interested in that
Exactly, that's what happen with me , after my my fall from an high ladder. thanks for the information. you have explain it real GOOD. thanks again.
Ü
Thank you. I have a better understanding.
Thank you Dr for this information
Hi baby how are you doing now i hope you are really doing good you are awesome looking at you baby makes happy when I look at your picture it is beyond my imagination that a creature like you really exist like a rose you make the garden so beautiful You are a diamond to any man that have eyes to see goodness of a womanhood Baby am Ben easy going person very understandable Am a civil engineer and a contractor I work at so many places like Asia Europe and Africa I love art craft and I write music I like ideal people when I see your picture am impress I want a good woman that understand what real love is all about who will understand me and perfectly be for me So we can build our world strong enough to care for each other I want you to be mine and I hope to hear from you soonest thanks
Thank you sir. Your analysis is impeccable.
Thanks
This video makes a whole lot of sense my right hip has been kicking my ass all day and night, the pain came out of nowhere and hasn't let up. I tried muscle rubs of all kinds and no luck. Never thought that I would be dealing with something like this. Hip replacement runs in my family.
Ice really helps, I do 20 - 30 minutes. If its very cold no more than 20 minutes. every day use ice packs. My hip has been painful lately and runs down thigh to knee . Over exertion. I also use topricin cream. Company may still send free samples . they use to . Its very good all natural and has no smell. Can feel the difference in 20- 30 minutes.
@@DeBe4604 Thanks. For the tip I will definitely will try it.
@@DeBe4604 Thank you
Thank you!👍
Thank you doctor
Thanks for another informative video!
Thank you.
Good Explanation and clean and well organized
Thank you so much, doctor. Your videos are clear and helpful to me ❤
Thanks
Thank you very helpful
Thank you so much