Hip pain and hip pain

Hip pain and hip pain

Hip Pain (Hip Pain)

Pain in the hip and hip pain can hit everyone. Having pain in the hip and nearby structures can be extremely troublesome and can go beyond quality of life and ability to work. Hip pain can be caused by a variety of factors, but some of the most common are congestion, trauma, wear / osteoarthritis, muscular malfunctions and mechanical dysfunction. Pain in the hip or hips is a nuisance affecting a large proportion of the population.

 

We remind you that you will find a video with 10 good hip exercises further down in the article - where you can also read comments and input from other readers.



Video: 10 Exercises Against Bad Hip

Here you can see the entire training program on video - click below.

Join our family: Feel free to subscribe to ours YouTube channel (Press here). There you get free exercise programs, advice and tips for improved health, presentation of various treatment methods and much more useful. For daily health tips you can also follow us on Our Facebook page. Welcome!

 

Often it is a combination of causes that hurt the hip, so it is important to treat the problem in a holistic way, taking into account all the factors. Any tendinopathies or mucosal damage (bursitis) can in most cases be examined by a musculoskeletal expert (chiropractor or equivalent), and further confirmed by a diagnostic ultrasound or MRI where necessary.

 

Here you will find good information that will help you understand more about why you have hip pain and what you can do about it. The article also offers exercises and so-called "acute measures" if the hip has completely twisted. Feel free to contact us on Facebook if you have any questions or input.

 

In this article on hip problems you can learn more about the following categories:

  • Self-treatment
  • Causes
  • Possible diagnoses
  • Common symptoms
  • Treatment
  • Imaging Diagnostic Methods (MRI, X-ray and Ultrasound ++)
  • Exercises and training

 

What can I do even with hip pain?

Remember, you can, on your own, make an honorable effort in the prevention and relief of hip pain. Combine proper movement with the use of self-massage (eg with trigger point balls) to increase blood circulation towards the sore hip.

 

One uses such trigger point balls by first locating a sore point and then lying on the ball so that it presses against that muscle attachment (hold the pressure for 30-60 seconds, up to 2-3x a day). This will lead to two reactions - the first of which is that we temporarily have a decrease in blood circulation and pain sensitivity; and that it will later be interpreted as a micro-injury from the body itself. Which will consistently lead to increased blood circulation and temporary increased soft tissue repair. With regular use, this can play a big role in your pain. Worth a try!

 

1. General exercise and activity is recommended, but stay within the pain limit. Two walks a day of 20-40 minutes make good for the body and aching muscles.

2. Trigger point / massage balls we strongly recommend (as the most common cause of hip pain is muscle and joint dysfunction) - they come in different sizes so you can hit well even on all parts of the hip. There is no better self help than this! We recommend the following (click the image below) - which is a complete set of 5 trigger point / massage balls in different sizes:

trigger point balls

3. Training: Specific training with training tricks of various opponents (such as this complete set of 6 knits of different resistance) can help you train strength and function in the hip. Knit training often involves more specific training, which in turn can lead to more effective injury prevention and pain reduction.

4. Pain Relief - Cooling: Biofreeze is a natural product that can relieve hip pain by cooling the area in a gentle way. Cooling is especially recommended when the pain is very strong. When they have calmed down, heat treatment is recommended - it is therefore advisable to have both cooling and heating available.

5. Pain Relief - Heating: Warming up tight muscles can increase blood circulation and reduce pain. We recommend the following reusable hot / cold gasket (click here to read more about it) - which can be used both for cooling (can be frozen) and for heating (can be heated in the microwave).

 

Recommended products for pain relief in pain

Biofreeze spray-118Ml-300x300

Biofreeze (Cold / cryotherapy)

 

- No, for accept hip pain! Get them investigated!

Ask us - absolutely free!

Do not let hip pain become a part of your daily life - pain is the body's only way to tell you that something is wrong. Regardless of your situation, even if it is one with heavy physical work from a young age or a lot of sedentary office work, it is so that the hip can always achieve better function than it is in pr today. Our first recommendation for hip pain is to seek out one of the three occupational groups that are publicly authorized through the health authorities:

  1. chiropractor
  2. manual therapist
  3. Physical therapist

Their public health authorization is a result of the authority's recognition of their extensive education and is a security for you as a patient and entails, among other things, several special benefits - such as protection through the Norwegian Patient Injury Compensation (NPE). It is a natural security to know that these occupational groups are registered in this scheme for patients - and we recommend, as mentioned, that one is investigated / treated by occupational groups with this associated scheme.

 

The first two occupational groups (chiropractor and manual therapist) also have the right to refer (to imaging diagnostics such as X-ray, MRI and CT - or referral to a rheumatologist or neurologist if needed for such an examination) and the right to report sick (can report sick if deemed necessary). Keywords for improved hip health mean more appropriate load in everyday life (ergonomic adjustment), generally more movement and less static sitting, as well as increased focus on regular exercise.

 

Also read: - 10 Exercises for Hip Pain

lateral leg lift

 

"Pain in the hip… then I must have a hip prosthesis?"

No, physical therapy and regular exercise are the recommended measures. In more modern times, it has been realized that the scalpel should be the last resort - and then only when all other paths have been taken. For example, in osteoarthritis (coxarthrosis), one should always try and wait as long as possible with a possible hip prosthesis, both because an operation involves a risk, and because a prosthesis has only a limited lifespan. Among other things, exercises (see exercises further down in the article) can be a good way to postpone such an operation, where this is possible. According to figures from NHI, 6500 hip prostheses are now inserted a year, of which 15% are re-operations.

 

Also read: - Can this treatment prevent hip replacement?

Biochemical research

 

Research: - Good evidence for preventive and preoperative hip training

the bridge exercise

A recent systematic meta-analysis, the strongest form of study (Gill & McBurney), published in January 2013, looked at 18 studies that fell within their inclusion criteria. The purpose of the study was - quoted directly from the article:

 

... "To investigate the preoperative effects of exercise-based interventions on pain and physical function for people awaiting joint replacement surgery of the hip or knee." ...

 

The interventions included in the search were physical therapy, hydrotherapy and rehabilitation training. The search was also aimed directly at patients who have already undergone a lengthy examination process and who have already been set up for surgery. There is thus talk of rather heavy knee or hip injuries.

 

As mentioned towards the beginning of the article, the study showed positive aspects of preoperative exercise before hip surgery, with statistically significant improvement in self-reported pain, self-reported function, gait and muscle strength. Here I would also like to mention that the same research couple did RCT (randomized controlled trial) in 2009, where they compared water-based versus land-based exercises for both knee and hip injuries. Improved function was reported here in both groups, but exercises done in a pool, where the patient did not have to deal with gravity in the same way as on land, were more effective in reducing hip pain.

 

Rigid back about the morning in bed

- Hip and back pain often occur together

 

Common causes of hip pain

The most common cause of hip pain is a combination of muscle and joint dysfunction. This can involve tight, sore muscles (often called myalgias or muscle knots), as well as facet joint locks (often called 'locks' in the vernacular) in affected joint areas. Faulty loads over time or sudden overload can result in decreased movement and pain. In all hip diagnoses, it is very important to remove the cause of incorrect loading by removing joint restrictions in the lower back and pelvis, as well as balancing the muscles to ensure a normal movement pattern.



Other common diagnoses:

- Coxarthrosis og osteoarthritis of the hips (Hip-joint wear)
- Lock in the pelvis, lower back and / or hip joint
- Piriformis syndrome
- Tendonitis
- Pouch irritation / bursitt bursitt
- Trigger point / myalgia in hip stabilizers

 

Possible causes / diagnoses of hip pain are:

Osteoarthritis (the pain depends on the degree to which the joint is affected)

Avascular necrosis

pelvic locker (pelvic locking and associated myalgia can cause pelvic and tail pain, and further to the hip)

Leg length difference (functional or structural leg length difference may be a cause of hip pain)

Inflammation of the hip

Soft tissue damage

Femur fracture (fracture of the femur)

Gluteal myalgia (pain in the seat, against the tailbone and hip, against lower back or hip)

Gluteus medius myalgia / trigger point (tight seat muscles can contribute to hip pain)

Hamstrings myalgia / muscle damage (causes pain on the back of the thigh and against the tailbone, depending on the area that is damaged)

Hip Arthritis (Arthritis of the Hip)

Hip osteoarthritis (also known as cox osteoarthritis)

Hip bursitis (mucosal inflammation of the hip)

Hip dysplasia

Hip Injury

Hip wear (degenerative changes can cause hip pain)

Hip subluxation (hip out of position)

Hip tendinopathy (tendon problem in the hip)

Iliopsoas bursitis / mucus inflammation (often gives a reddish swelling in the area, night pain and extreme pressure soreness - then also towards the front of the hip)

Iliopsoas / hip flexors myalgia (Muscle dysfunction in the iliopsoas will often cause pain in the upper thigh, on the front of the hip, towards the groin and occasionally towards the seat)

Sciatica / sciatica (Depending on how the nerve is affected, it may cause referred pain to the hip, seat, tailbone, thighs, knee, leg and foot)

Rheumatoid arthritis (RA)

Joint locker / joint stiffness / dysfunction in the pelvis, tailbone, sacrum, hip or lower back

Legg-Calve-Perthes syndrome

Lumbar prolapse (nerve irritation / disc injury in the L3, L4 or L5 nerve root can cause referred pain in the seat)

Menstruation (can be a cause of hip problems and hip pain)

Muscle pain: something most people have experienced, if the musculature is overloaded for a long time, trigger points will form in the musculature. The chiropractor and manual therapists are experts in finding trigger points and treating them.

- Active trigger points will cause pain all the time from the muscle (e.g. gluteus minimus myalgi in the seat, piriformis syndrome or tensor fascia latea can cause hip pain)
- Latent trigger points provides pain through pressure, activity and strain

Perthes disease (hip disease affecting children)

Piriformis syndrome (may give rise to false sciatica)

Prolapse of the lower back (root infection against L2 and L3 can cause nerve pain to the hip)

rheumatism (multiple rheumatic disorders can cause hip pain)

Tendonitis

tendon Dysfunction

Scoliosis (Back bias can lead to miscarriage and hip problems)

Spinal stenosis of the lower back (tight nerve conditions can cause nerve pain to the hip)

Spondylistesis

Synovitis in the hip

Previous hip surgery (scar tissue and damage tissue can cause hip pain)

Fatigue in the hip (can cause pain in front of hip)

Trocanter bursitis

Trocantertendinitis

Trocantertendinopathy

Trocantertendinosis

Rare causes of hip pain:

Inflammation

hip fracture

Infection (often with high CRP and fever)

Arthritis of the hip

bone cancer or any other cancer

Prostate cancer (a cancer that can also cause referenced hip pain)

Septic arthritis

Tuberkulosis (Tbc)

 

Be careful not to walk with a sore hip for a long time, rather consult a clinician and diagnose the cause of the pain - this way you will make the necessary changes as early as possible before it has a chance to develop further.



Commonly reported symptoms and pain presentations of hip pain:

Inflammation of the hip

Elimination in hip

Burning in hip

Deep pain in hip

Electric shock in hip

Hogging in hip

Knot i hip

Cramps in hip

Joint pain in hip

Locked in hip

Mooring i hip

Murmuring in hip

Muscle pain in hip

Nerve pain in the hip

The name i hip

Tendonitis in hip

Shake in hip

Leaning in hip

Worn in hip

Stitching in hip

Steal in hip

Wounds in hip

Effect i hip

Sore in hip

 

Clinical signs of hip pain and hip pain

Swelling can occur around a trauma or through an infection.

- Reduced movement in the lower back, pelvis and hip on palpation.

- Pain during prolonged sitting in a chair, for example during a seminar or flight.

- Pressure tenderness over the hip joint may indicate defects in muscular or joint function.

 

Classification of pain in the hip

Hip pain can be divided into acute, subacute and chronic pain. Acute hip pain means that the person has had a hip pain for less than three weeks, subacute is the period from three weeks to three months and the pain lasting over three months is classified as chronic. Pain in the hip may be caused by tendon injuries, mucus irritation, muscular tension, joint dysfunction and / or irritation of nearby nerves. A chiropractor or other expert in muscle, skeletal and nerve disorders can diagnose your ailment and give you a thorough explanation of what can be done in terms of treatment and what you can do on your own. Make sure that you do not get hurt in the hip for a long time, rather contact a chiropractor and diagnose the cause of the pain.

 

How to prevent hip pain

exercises for groin stretch - groin stretching

- Live healthy and exercise regularly
- Seek well-being and avoid stress in everyday life - try to have a good sleep rhythm
- Training aimed at stability of the lower back, hip and pelvis
- chiropractor og manual therapists can both help you with joint and muscle ailments.

 

MRI of the hip

Normal MRI image showing hip anatomical landmarks, as well as muscle attachments and ligaments. The image is coronal, T1-weighted.

MRI of the hip with anatomical landmarks - Photo Stoller

MRI of hip with anatomical landmarks - Photo Stoller

X-ray of the hip

X-ray of the hip - normal versus significant cox arthrosis - Photo Wikimedia

X-ray of the hip - normal versus significant cox osteoarthritis - Photo WikimediaDescription of X-ray of the hip: This is an AP image, ie it is taken from front to back. To left we see a healthy hip with normal joint conditions. To Høyre If we see a hip with significant cox osteoarthritis, we see that the joint has a significantly reduced distance between the head of the femur and the acetabulum. Bone spurs are also noted in the area (bone spurs).

 

CT of the hip (hip fracture)

CT of hip - hip fracture

Description of CT examination hip: In this CT image we see a hip fracture in the left hip.

 

Hip ultrasound: trochanter bursitis (mucus irritation)

Ultrasound of trochanter bursitis - Photo Wiki

Description of diagnostic ultrasound image of the hip: In the picture we see a pouch irritation, a so-called bursitt bursitt.



Manual treatment: Clinically proven effect on hip pain relief by mechanical dysfunction and osteoarthritis

A meta-study (French et al, 2011) showed that manual treatment of hip osteoarthritis had a positive effect in terms of pain relief and functional improvement. The study concluded that manual therapy is more effective than exercise in the treatment of arthritis disorders. Unfortunately, this study contained only four so-called RCTs, so no firm guidelines can be established from this - but it probably means that specific training with manual therapy will have a greater, positive effect.

Chiropractic treatment - Photo Wikimedia Commons

Manual treatment of hip

As mentioned earlier, both chiropractor and manual therapist are the occupational groups with the longest education and public authorization from the health authorities - that is why these therapists (including physiotherapists) see the majority of patients with muscle and joint ailments. The main goal of all manual treatment is to reduce pain, promote general health and increased quality of life by restoring normal function in the musculoskeletal system and nervous system.

 

In case of hip pain, the clinician will both treat the hip locally to reduce pain, reduce irritation and increase blood supply, as well as restore normal movement in areas affected by dysfunction in joints - this can be e.g. lower back and pelvis. When choosing a treatment strategy for the individual patient, the publicly authorized clinician places emphasis on seeing the patient in a holistic context. If there is a suspicion that the hip pain is due to another disease, you will be referred for further examination.

physiotherapy

Manual treatment (from a chiropractor or manual therapist) consists of a number of treatment methods where the therapist mainly uses the hands to restore normal function in joints, muscles, connective tissue and nervous system:

- Specific joint treatment
- Stretches
- Muscular techniques
- Neurological techniques
- Stabilizing exercise
- Exercises, advice and guidance

 

What does a chiropractor or manual therapist do?

Muscle, joint and nerve pain: These are things that a chiropractor or manual therapist can help prevent and treat. Chiropractic / manual therapy is mainly about restoring movement and joint function that may be impaired by mechanical pain.

 

This is done by so-called joint correction or manipulation techniques, as well as joint mobilization, stretching techniques, and muscular work (such as trigger point therapy and deep soft tissue work) on the involved muscles. With increased function and less pain, it may be easier for individuals to engage in physical activity, which in turn will have a positive effect on both energy and health. Often also used Shockwave Therapy if needed.

 

 

Exercises, training and ergonomic considerations

An expert in muscle and skeletal disorders can, based on your diagnosis, inform you about the ergonomic considerations you must take to prevent further damage, thus ensuring the fastest possible healing time. After the acute part of the pain is over, in most cases you will also be assigned home exercises that also help to reduce the chance of relapse. In the case of chronic ailments, it is necessary to go through the motor movements you do in everyday life, in order to weed out the cause of your pain occurring time and again.

Yoga - Bridge

 

- Here you will find an overview and list of exercises we have published in connection with the prevention, prevention and relief of hip pain, hip pain, stiff hip, hip osteoarthritis and other relevant diagnoses.

 

Overview - Exercise and exercises for hip pain and hip pain:

A collection and overview of various exercise programs and exercises we have published for hip problems in the past.

5 Good Exercises Against Sciatica

stretch of the back cloth and bend

5 Yoga Exercises for Hip Pain

adho-mukha-svanasana yoga exercise

6 Strength Exercises for Stronger Hips

10 Exercises for Bad Hip

Knee exercises

 

Recommended products for effective training of the hip:

We recommend that you purchase a complete set of workouts to be able to vary your workout routines and thus get the most out of the workout. This complete set of 6 workouts (click here to read more about the product) of different load resistance can be recommended. You can read more about recommended self-measures at the beginning of the article.

How to prevent and prevent hip pain?

- Avoid overloads and uniform lifting
- Avoid much and uniform work in exposed work positions
- Train your hip muscles, or get a hip stabilization training program from your therapist
- Have a good posture, straighten up, avoid too much forward-bent positions
- Seek treatment in time

 

Lecture or ergonomic fit for your business?

If you want a lecture or ergonomic fit for your company, please contact us. Studies have shown positive effects of such measures (Punnett et al, 2009) in the form of reduced sick leave and increased work productivity.

 

Also read:

- Pain in the neck?

chiropractic treatment

- Headache?

Chronic headache and neck pain

- Stomach ache? You should know this about abdominal pain!

stomach ache

 

 

References:

  1. NHI - Norwegian Health Informatics.
  2. Gill & McBurney. Does exercise reduce pain and improve physical function before hip or knee replacement surgery? A systematic review and meta-analysis of randomized controlled trials. Arch Phys Med Rehabil. 2013 Jan; 94 (1): 164-76. doi: 10.1016 / j.apmr.2012.08.211.http://www.ncbi.nlm.nih.gov/pubmed/22960276 (Full text available via elsevier)
  3. Gill & McBurney. Land-based versus pool-based exercise for people awaiting joint hip or knee replacement surgery: results of a randomized controlled trial.Arch Phys Med Rehabil. 2009 Mar; 90 (3): 388-94. doi: 10.1016 / j.apmr.2008.09.561. http://www.ncbi.nlm.nih.gov/pubmed/19254601
  4. French, HP. Manual therapy for osteoarthritis of the hip or knee - a systematic review. Man Ther. 2011 Apr; 16 (2): 109-17. doi: 10.1016 / j.math.2010.10.011. Epub 2010 Dec 13.
  5. Punnett, L. et al. A Conceptual Framework for Integrating Workplace Health Promotion and Occupational Ergonomics Programs. Public Health Rep. , 2009; 124 (Suppl 1): 16–25.

 

Frequently Asked Questions About Hip Pain:

 

Acute hip pain. What could it be?

Acute pain in the hip can be due to an incorrect load or overload - which in turn may have led to an injury. Pain in the hip can also come from joint restrictions in the hip joint or myalgias in the gluteal muscles (e.g. gluteus medius myalgia). Mucus irritation (bursitis) in trochanter may also occur after hip fall or similar trauma.

Q with the same answer: 'Has had acute pain in the hip. What is the diagnosis? ',' Has a sudden pain in the hips. What may be the symptoms? '



A hip fracture, can you get it even with a slight fall on hard ground?

Yes, if you are brittle (elderly and women are most vulnerable) then you can experience fractures or fatigue fractures in the hip even with mild trauma. It is especially the femoral neck that attaches to the hip that is most exposed in such falls. Femoral fracture (fracture of the femur / femoral neck) is common in direct trauma, but with prolonged strain on the hip over time, it can also be a fatigue fracture (which can cause pain towards the front of the hip towards the groin).

 

Has a sore hip joint. What is the cause?

There are a number of diagnoses and reasons why one gets sore hip joints. Fortunately, some of the most common are poor support muscles near the hip joint and pelvic and lumbar dysfunction - this can be helped by clinicians. If you walk with too little stability muscle in the hip for a long time, this can lead to wear and tear in the hip joints (hip osteoarthritis), so we advise you to tackle the problem and start with specific training of the core, abdomen and hips today.

 

Has pain in the iliac crest. What can cause hip pain?

Pain and pain in the hip may be due to several possible causes. Some of the most common are pelvic joint and lower back in combination with increased muscle tension / myalgia in the lower back and seat. Some of the muscles that can refer pain to the hip are among others quadratus lumborum (QL), gluteus medius and piriformis. Pelvic joints on the same side can also cause pain to the hip and hip.

 

Has pain deep inside the hip - almost as if it is rubbing bone against bone - what could it be?

The pain you describe deep inside your hip may indicate that you have extensive hip arthrosis (coxarthrosis) and hip dysfunction. We advise you to contact a public authorized clinician to investigate and possibly treat your problem before it gets worse.

 

Q: Can pain be caused by coxarthrosis?

Answer: Cox means hip in Latin. Osteoarthritis is degenerative changes in a joint. In moderate or significant coxarthrosis, pain and impaired joint movement can be experienced, especially in flexion and inward rotation. Based on studies, manual physical therapy seems to be a good idea in a treatment program, together with specific training.

 

Q: Why do you get hurt in the hip?

Hip pain and hip pain are usually caused by dysfunction in muscles and joints. This means that the muscles and the hip joint give off pain signals due to their poor function - to report to you that it is time to address the problem. With persistent dysfunction and pain, this can lead to changes in gait, posture and increased strain on the hip joint and hip muscles.

Similar questions with the same answer: 'Why do you get hip pain?'

 

 

Q: Why do you get lumps in the hip?

Answer: Iling is usually a sign of a mild nerve irritation, a bit depending on where in the hip you feel it - so there can be different reasons for this. Sensory changes can occur in meralgia parastethetica or sensory changes in the L3 dermatome. Piriformis syndrome can also cause such irritation to the buttocks and hip region.

 

Q: Can one get hurt in the hips of inactivity?

Answer: Yes, just as one can get hurt in the hips of overactivity, one can also get it from inactivity. This is usually due to a decrease in the strength of the supporting muscles around the hip, which can result in overloading other muscles or causing pain in the hip joint itself. It is therefore important to find a balance in your workout and do what suits you best.

 

Q: Can jogging cause hip pain?

Answer: The hip joint can be affected by the muscles around the hip or by changes in function in the hip itself. When jogging, it can, for example due to incorrect loads or overload, reproduce pain in the hip. Jogging on hard surfaces in particular tends to result in hip pain, due to shock loads from the non-movable surface. If you are wondering how to run properly, then we recommend the free guide 'Start Running in a Few Steps'which, among other things, deals with injury prevention.

- Related questions with the same answer: "Why can you get pain in the hips after jogging?", "Why do I have pain in the hips after exercise ?, 'Why do I get pain in the hip after exercise?" Pain and pain in the trochanter after running on asphalt. Cause?"

 

Q: Can you have an increase in the angle of the hips?

Answer: Yes, you can have both increased and decreased angle of the hips. A normal hip angle is 120-135 degrees. If it is less than 120 degrees, this is called coxa vara or cox varum. If it is more than 135 degrees it is called coxa valga or cox valgus. With coxa vara, you will also have a shorter leg on that side, and the person will then limp - a common cause of this can be a relatively heavy trauma, such as a fracture injury. The most common cause of coxa vara is that it is congenital / genetic, but as mentioned, there are several reasons for such angle changes.

 

Here is a helpful illustration showing the hip angles:

 

Hip angle - Photo Wikimedia Commons

Hip angle - Photo Wikimedia Commons

 

 

Q: Can one train a wound hip?

Answer: Yes, specific exercise, often in combination with a couple of symptom-relieving treatments (eg physiotherapy or chiropractic), is one of the best evidence for the relief of hip symptoms / ailments. Remember that it is important that the exercises are specially adapted for you, to reduce the chance of overload and to ensure the fastest possible progress. Contact a musculoskeletal expert and set up a training tutorial, and then you can do the exercises on your own for a period of time before contacting the clinician for further progression exercises.

Can you work out with work in the hip?

Yes, you can work out custom, but if any exercises hurt then you should not do them. Pain or hip pain may be a sign that you have been overloaded or overburdened, and that your muscles, joints and tendons need a little breathing.

 

Q: Can hip pain be caused by mucus irritation?

Answer: Yes, hip pain can occur due to so-called trochanter bursitis, also known as trochanter mucus irritation. The pain is then most often located to the outside of the hip and more clearly when the person is on the affected side or stepping down on the involved side. The main treatment is rest, but NSAIDS can also be helpful in bringing down any inflammation. Strengthening of the hip muscles and stretching of the iliotibial ligament can also be helpful in helping and relieving the hip.

 

Q: Having an overloaded hip, what should I do with exercise?

Answer: First of all, it is important that the hip is recovered from the overload, so a rest period from training may be applicable, then you can start with light functional exercises and gradually increase the load as the weeks go by. Find exercises that don't hurt, preferably low-load exercises in the beginning such as e.g. thera band exercises.

 

Q: Can one take MRI of the hips, and what does the normal MRI of the hip look like?

Answer: Thanks to your question, we have now added an MRI image that shows a hip of normal appearance in the article. Feel free to ask more questions.

 

Q: I have hip pain when I walk, what could be the reason for this?

Answer: Hi, the cause of hip pain when I go you ask - the answer is that there can be many reasons for this. You do not mention age, but wear and tear in the joint can play a role, so-called cox osteoarthritis, but in most cases it is muscular dysfunction that causes pain in the hip, especially overuse of the tensor fascia latae, iliotibial band, piriformis or gluteus minimus. If you give us more information about the problem in the comments section below, we can answer in more detail about this.

Similar questions with the same answer: 'Pain in hip when I walk. Diagnosis and differential diagnoses? '

 

Can hip pain and pain in the hip come from the muscles - that is, from tight muscles and muscle tension?

Yes, hip pain and hip pain can be caused by tight, weak and dysfunctional muscles and muscles. Some of the most common muscles that hurt the hip are the TFL (muscular tensor fascia latae) / iliotibial band (also known as iliotibial band syndrome), the seat muscles (especially gluteus minimus and gluteus medius), and piriformis and quadratus lumborum (QL) are all muscles that can contribute to hip pain. It should also be kept in mind that quadriceps and adductor muscles can also cause pain in the hip. Otherwise, we recommend that you try out the recommended exercises (see earlier in the article).

Relevant questions with the same answer: 'Has tight muscles in the hip. Can this give me muscular hip pain? '

 

Can one get pain in the hip from worries, anxiety and stress?

Yes, it has been proven that mental stress in the form of, for example, anxiety and stress can contribute to and aggravate pain in muscles and joints. Lack of well-being in everyday life or work can therefore also aggravate physical ailments - such as hip pain.

 

On walks I get stiff and stiff in the hips - why?

The reason you become stiff and stiff during exercise, for example when walking, is that the affected structures, including muscles, have been broken down due to the strain before it is rebuilt - provided that you give it enough recovery in relation to load. The fact that you become stiff and numb when you walk is usually due to the fact that you are not strong enough in the hip muscles. You will find exercises higher up in the article that can help you with this problem.

Similar questions with the same answer: 'Why do you get hip pain when you walk? What may be the symptoms? '

 

Pain in both the hip and groin. What could it be?

If you have pain in both the hip and groin, the most common is dysfunction in the gluteal muscles, hip muscles, pelvic joints and lower back - this can lead to myalgia in the iliopsoas (hip flexor) and associated tightening in nearby muscles. It can also feel heavier to lift the leg on the side where you have dysfunction in the pelvis, back and seat.

 

Hip Stretching - Do you have any good suggestions for stretching and stretching exercises for the hips?

Yes, we have up to several. You find exercises for painful hip here and yoga exercises for the back / hip here . You can also use the search box to find all we have of exercises for your hips.

Similar questions with the same answer: 'Is it good to stretch the hips and do you have examples of good stretching exercises for the hips?'

 

Voltaren against hip pain - does it have an effect and how does it work?

The active substance in Voltaren is called diclofenac. This is a so-called NSAID (non-steroidal anti-inflammatory drug) that works by reducing inflammatory reactions and pain. Before taking such painkillers, one must know what the diagnosis is - because if the problem is due to a tendon injury and not inflammation, then you will risk preventing the healing of a tendon injury / tendinosis (Tsai et al, 2004). Voltaren and Ibux, on the other hand, are both anti-inflammatory, but if the inflammatory reaction is actually a repair response from the body, then it goes without saying that it is not wise to take them. This example could have long-term consequences if the person who actually had a tendinosis was recommended anti-inflammatory painkillers instead of getting the right treatment. Our advice is therefore always to have the cause, symptoms investigated and make the correct diagnosis that is causing your hip pain before you turn to Voltaren or Ibux. NSAIDS also causes significantly higher risk of heart attack.

 

Pain in the hip and down to the knee. What diagnosis could this be due to?

Boats sciatica and sciatica can cause referred pain down the leg, and often from the hip to the knee. Where you experience the reference pain depends on which area is pinched or irritated. Another diagnosis that can be pain from the hip, further down to the outside of the thigh and to the outside of the knee may be iliotibial band syndrome.

 

Hip pain at night. Cause?

Pain in the hip at night and night pain increases the chance of muscle, tendon or mucus injury (read: bursitt bursitt). It can also be one strain injury. In the case of night pain, we recommend that you consult a clinician and investigate the cause of your pain. Don't wait, get in touch with someone as soon as possible, otherwise you could risk deteriorating further. Coxarthrosis is also a possible diagnosis.

 

Pain in the hip joint and hip pain. Do you have any answers as to which diagnosis may be due?

The list of diagnoses that can cause hip pain and hip pain is long and overlapping. Most often the cause is composed of several factors, and it is never just a 'quick fix' when it comes to the hip - this is because the hip, like the shoulder, is a ball joint with lots of movement and which then also needs very good stability muscles for to function properly. Some common diagnoses of hip pain are hip joint wear / cox osteoarthritis, backache, sciatica / disc prolapse / nerve irritation, myalgia / muscle tension in the glutes / seat and / or damage to the tendons.

 

Pain and pain in the hip when lying on my side. What is the diagnosis?

In dysfunction of the hip muscle and joint function, you can experience pain in the hip when lying on the side. Possible causes may be hip arthrosis, mucus irritation or tight (and weak) muscles in the side of the thigh and hip. We advise you to consult a clinician for examination and possible treatment of your complaints. We also strongly recommend the use of regular self-treatment in the form of trigger point balls towards the outside of the thigh, seat and back.

Similar questions with the same answer: 'What is the reason I have pain in my hip when I lie on my side in bed?'

 

Woman, 44, with sudden lower back and hip pain. What could be the cause?

Sudden or acute pain in the lower back and hips can be caused by lumbago with sciatica, sciatica or nerve irritation from disc disease.

 

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27 replies
  1. Hanne says:

    Thanks and hey,

    I've had a lower back prolapse since I was 17.

    Has been going to a chiropractor for about 25 years. Now the prolapse is good, but this summer I got pain from the hip down, the muscles got sore and sore when I went for walks, the pain was in the groin on each side, and radiating down to the knees on both sides. I have been through two major operations, which has meant that I have not been able to train much, then the muscles became very weak. and you get pain no matter how little you do.

    Do not know if there was inflammation in the muscles this summer. Felt good when I sat in the car and when I put my foot to the side it hurt a lot.

    Now I have come to the conclusion that my bed is too soft, and that I almost do not turn around at night, then I stay in the same position for too long and my whole hip hurts afterwards, I have wondered if it could be the pelvis the pain originates from, then I was very bothered during the pregnancy.

    I'm not overweight. I'm slim, I'm 160 cm and weigh about 62 kg. I want to continue exercising, but I no longer know if I'm doing things right. , was on a car trip, and had to pee, but could not sit down, because it was too painful. I'm a little worried about this being, because things have changed that way.

    SVAR
    • hurt.net says:

      Hi Hanne,

      Here was a lot of information at once. Let's ask some follow-up questions:

      1) At what level have you had prolapse? And at what level were you operated on the two times?

      2) A prolapse normally regenerates itself within 1/2 year (becomes asymptomatic) - do you mean that you have had several prolapses, or do you mean that one did not go away?

      3) What types of imaging have you taken? And when was the last MRI of your lower back?

      4) Radiant pain is often caused by nerve irritation. Even if you have excruciating pain against the groin, hip and down to the knees - this can actually come from the back. For example, with pressure against the L3 or L4 nerve root.

      5) What kind of treatment have you received for your ailments? What helps? Does it help to ice down, with for example natural pain-relieving ice spray?

      6) Have you been given any specific exercises that you do?

      Regards.
      Alexander v / Vondt.net

      SVAR
  2. Hanne says:

    Is a while since the picture was taken.and the prolapse has remained. The neck has and often locked… the radiation has decreased somewhat, but I feel that I do not have full movement in the hip when I walk. Then enough for another round at the chiropractor.

    Thank you very much for all the info. The problem is as described by you in L3 and L4 and L5. It has propagated to the neck. I have not been given any specific exercises to do, but I go swimming. Thank you very much for the info and help.

    SVAR
    • hurt says:

      Hi Hanne,

      We are just happy to help you. Remember we are here for any future questions as well.

      Here are some exercises that are suitable for those who have had prolapse or disc disorders (low abdominal pressure and minimal flexion in exposed positions):

      https://www.vondt.net/lav-intra-abdominaltrykk-ovelser-deg-med-prolaps/

      Perhaps these can help you increase lumbosacral spine stability and thus take the pressure off the intervertebral discs as well as other structures.

      SVAR
  3. iselin says:

    Anyone here who has good suggestions for painkillers when paracetamol, ibux, voltaren, naproxen or vimono do not work? Feel it burning and aching in the knees and hips now and none of this works. Works when I lie down, sit and walk.

    Anyone else here who is struggling right away? Do not know if it is due to my arthritis? Very frustrating. New play time fortunately tomorrow…

    SVAR
  4. Ann Karin says:

    Woman with prolonged pain in the pelvis and hip. MRI showed increased fluid volume in the bursa, iliac muscle and psoas major muscle. No signs or damage in labrum or similar. What needs to be done ??

    SVAR
    • hurt says:

      Hi Ann Karin,

      We need a little more comprehensive information to be able to help you. Feel free to mark the answers with a number corresponding to the question.

      1) Cause: How did the pain start? And what did you feel was the debut of the ailments?

      2) Age and BMI?

      3) What kind of treatment have you tried? What effect did it have?

      4) Have you previously had trauma in the area? Falls or accidents?

      5) Active / training: How do you stay in shape? And has the pain gone beyond your activity level?

      6) Have you noticed other symptoms elsewhere in your body?

      SVAR
      • Ann Karin says:

        1) The pain started as a murmur in the joint. Noticed I was stiffer when I crossed my legs, for example. Or I should put on my shoes by taking one foot over the other. Felt it "just came" gradually. Realized that it was NOT just sore muscles or sore joints that I have a lot of…

        2) 37 and BMI 27

        3) Voltaren cure effect

        4) I played handball until I was 19 so there was clearly some fall against the hip-but you were then more bouncy as well and "could fall" No injuries that I can remember. Have lived an active life so there have been some ups and downs….

        5) Exercise 3-5 times a week. Strength / endurance / intervals / sometimes floorball but had to give me there due to the fingers…. Notice in strength that I get hurt, for example by squats. Long outcomes…. Feels good when walking up stairs. Also at work (working kindergarten) I am STIFF after sitting still for a while. Then I "limp" to get it dissolved again…

        6) I feel some hint in my left shoulder. For example, it hurts to lift the arm straight out (it kind of stops before I get it horizontal with the shoulder… ie it gives pain…) Some hint in the right hip also last month.

        SVAR
        • hurt says:

          Hi again, Ann Karin,

          We recommend the following measures:

          1) Further investigation of possible psoas bursitis (https://www.vondt.net/hvor-har-du-vondt/vondt-lysken/iliopsoas-bursitt-hofte-lyske-slimposebetennelse/) - bursitis is one of the few things that responds very well to certain forms of injections. So if it is a question of a long-term bursitis, then it may be relevant with ultrasound-guided injection treatment.

          2) Hip problems and a slightly elevated BMI are unfortunately not ideal. We thus recommend exercises and training that provide high metabolism (preferably swimming and low shock load if needed) - while you may get some help with diet from a clinical nutritionist (of the type Tine Sundfør Mejlbo with extensive education and experience). This will be able to ensure weight loss and thus less strain on exposed joints.

          3) Hip stabilizing exercises. Here you will find several good exercises with video that will help both strength in the knees and hips (https://www.vondt.net/6-effektive-styrkeovelser-for-vonde-knaer/). Let us know if you have any difficulties with any of them.

          4) Pressure wave therapy for chronic hip pain may also be an option. This is to induce thousands of microtraumas that will provide a powerful repair response inside the hip and nearby structures.

          5) Get assessment by a chiropractor or manual therapist. It sounds like there is a major joint component in the clinical picture here - and such a specialist will be able to give you a comprehensive assessment of this. Problems in the lower back and pelvis can refer to / intensify pain in the hip.

          What do you think about these measures? Are they feasible for you?

          SVAR
  5. BRITTA PETTERSEN says:

    Sometimes you need to complain a little, but to whom ?! In here, I think the people will at least understand. I do not need feedback either, but the head needs to be emptied.

    Life turned a bit upside down in August last year, when severe pain in the hip area decided to control everyday life. MRI showed a severe inflammation of the IS joint in the pelvis. Investigation began, and the diagnosis was made to the pediatrician. With anti-inflammatory medication and painkillers, the pain went up and down, but in February it subsided. Jippi I thought, I can walk normally again, do things… A little sore in the lower back, but what does it do? I work.

    Today should go to washing for the weekend, to see what there is of outdoor furniture, be a good day. But no, the inflammation has decided to take over again to control my day. So then I sit here, trying to find a position where it hurts as little as possible, and I dread it until I have to move. Planning how to solve today's challenges has begun! Anyone have tips and advice ??

    SVAR
  6. Astrid. Høgelid Bjørkum says:

    Hello. I am a 65 year old woman and have had hip pain for a year. I have pain in my hip when I walk and ache all the way down my leg. Lots of action at night. Never painless, but the pain down the leg comes and goes, but is always there at night. I go for walks as much as I can and cycle. I've been on the run + MRI. Find; Tendinosis in tendon attachment for gluteal muscles to trochanter major right side. Diverticula of the bladder, one on each side, size 10 mm. Have had 12 treatments with naprapat, which consisted of massage, treatment and acupuncture + exercises at home. He thought it's weird I'm not better. The treatment made me feel better at times and then it got worse again. After the summer I am worse and the pain at night makes me sleep little. Now I'm out of my mind and do not know what to do. Thanks for reply.

    SVAR
    • Alexander v / fondt.net says:

      Hi Astrid,

      1) How did the pain start? Did something special happen a year ago - or did the pain come gradually?

      2) Which structures have X-rays / MRIs been taken of? (Eg lumbosacral columna ol)

      3) How would you describe the pain at night? Pulsating, throbbing or sharp?

      4) Have you had any problems with cardiovascular disease - or poor circulation?

      Please number your answers according to the questions above.

      SVAR
      • Astrid says:

        1. Hey. The pain came over time and only got worse. There was nothing to suggest that the hip should hurt. At that time I was at work, now retired, and I went to work a lot. But it was out, both on soft ground asphalt. But I have been doing this for several years.

        2. I have taken the X-ray / MRI of the hip. (hope that was the question).

        3. I feel I could answer yes to all three. I wake up because they are sharp, really hurt, then I would say they go over to pulsating. After a while, they subside. I rarely have these pains during the day.

        4. I have not had problems with cardiovascular disease. But most people on the father's side are dead at heart. My father died at the age of 49. Blood circulation? I have wondered about this many times, always freezing on my feet, if there is anything related to this. Of medications, I go on Levaxin and sleeping pills when needed.

        SVAR
        • Alexander v / fondt.net says:

          Gradually high loads over a long period of time can also lead to injuries. Especially as you get older.

          2. Yes, but has a picture of the lower back been taken? This may be due to nerve irritation in the lumbar spine or spinal stenosis.

          Ok, very interesting.

          4. We think it may be a blood circulation problem in the peripheral arteries. Classic symptoms are:

          - Pain in leg, seat and hip when walking.
          - Worse when walking uphill or with weight (shopping bag) in hand
          - Gets better at rest

          We think that you should be examined for blood pressure and arterial function via your GP or specialist.

          SVAR
          • Astrid. Høgelid Bjørkum says:

            I forgot to mention that stairs and uphill are painful to walk. Thank you very much for the answer, going to the GP next Monday.

  7. Tone says:

    Hey!
    I am a very active girl of 17 years, sometimes my hip makes clicking sounds, and it feels like the hip in a way jumps a little back and forth, this is uncomfortable and I often feel that the hip ball is not quite where it should be. It is also painful and uncomfortable inside the joint to keep the leg lifted in special positions. What can this be?

    SVAR
    • Nicolay v / vondt.net says:

      Hey,

      This is called "snapping hip" and is due to the iliopsoas attachment "slipping over" in the hip attachment. This is harmless but can be very annoying and bothersome. It can be useful with specific hip training and back, as well as joint treatment for the hip and pelvic joints to correct this problem.

      Regards.
      Nicolay v / vondt.net

      SVAR
  8. Marita says:

    Hi! Has been diagnosed with Labrum injury in one hip and has been referred for surgery. Has a lot of pain and can not be on his feet for a long time. Gets worse with exercise. Any training tips while I wait for surgery or should my hips rest? Regards woman 49 years

    SVAR
    • Nicolay v / vondt.net says:

      Hi Marita,

      Too bad to hear.

      Studies have shown that adapted pre-operative and post-operative training is favorable for prognosis and outcome. But without knowing the extent of your labrum injury, we can unfortunately only comment on a general basis. Good luck with the operation and good recovery. Contact a clinician who can tailor an exercise program for you.

      Regards.
      Nicolay v / Vondt.net

      SVAR
  9. Julie says:

    Cheers
    I am a young woman and struggle a bit with a sore hip.
    I have not taken an X-ray or been to my doctor.
    The hip does not always work, but when it does, it is quite painful.
    It feels like I've overloaded it.
    Do you have any hip exercises or tips for me?
    Regards anonymous woman

    SVAR
  10. Liss says:

    Hi! So nice that you answer questions for free. I am a "girl" of 51 years. A little over three years ago, I was going to lose ten kilos and run more than I benefited from. When it started to hurt my hips I just thought I was a little numb and tired. I did not go to the gym until I was crying at night, because then I realized that it was bad.

    He I went to said that it was inflamed mucous sacs, and that I had to take it easy. I did, and my left hip was fine, but not my right. It's still painful. It has been difficult to figure out how to deal with this. One said I should just train, I was not going to hurt myself any more, just get hurt… so then I did. But eventually I stopped exercising, it did not work. Then I did not talk to others until December 2016. Then I thought that something had to be done.

    Got an MRI, and a new physiotherapist determined that it was probably a tendon that was injured. Was on sick leave to train the muscles around the injury, took 5-6 pressure wave treatments - nothing helped. Then the doctor said that I had to try cortisone, so I got a syringe inserted with the help of ultrasound. They found fluid in a mucus bag.

    So then maybe I have damage to both? Was pain free for a few weeks, but is back to everyday life now. Which is that I work and do what I have to, but do not train. Goes as little as possible as it triggers the pain. On top of this, after 4 months of sick leave and lots of training on my hips, I have injured my left meniscus. Is it possible? Haven't done anything wrong! So now I'm in pain in two places. Gets a little given up. What to do? Feeling we have 'Run out of gas' emotionally. Does anyone know anything about this? Can attach the MRI answer if it is of interest. I want to be able to go hiking again, do not require anything more.

    SVAR
  11. Stein says:

    Hello.

    How can it behave in terms of discomfort and pain if a locked hip (tight hip?) Is suddenly no longer locked?

    Regards

    Stein

    SVAR
  12. Mars says:

    Hello. On Wednesday I was on a puncture of the hip joint with contrast fluid. Is it common for this to hurt several days after the examination - and if so, for how long?

    SVAR
  13. Lars Fredrik says:

    Hello. I sleep on a relatively hard surface, am 55 years old and always lie on my side. An hour after I get up, watch some breakfast TV and get up, I get severe pain in the top of the thigh / hip this persists all day. Scares me a little. Applies to right foot only. It has lasted for about 1/2 year and got worse. What could it be? The first 45 min / hour after I get up, everything is OK. Regards Lars Fredrik

    SVAR
    • Nicolay v / Does Not Find says:

      Hi Lars Fredrik! When you sit, there is compression and thus also narrower conditions in the spinal canal. Do you have pain down your right leg and into your foot as well? In this case, this may indicate a nerve irritation / nerve pinching in the lower back. The first hour we are awake, the disc height is also elevated, but is gradually compressed throughout the day. This also gives me a suspicion that the pain you are experiencing may stem from spinal stenosis or disc problems in your lower back. A clinical examination by a chiropractor and associated MRI examination will be recommended. Get well!

      SVAR

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