Chronic hip and pelvic pain is common, and can have many causes
What are chronic hip and pelvic pains?
Pain in this region can be caused by :
* Osteoarthritis of the hip (coxarthrosis): This is wear and tear of the cartilage in the hip joint. It causes pain deep in the groin, which may radiate to the thigh or knee.
* Piriformis syndrome: The piriformis muscle in the buttock can compress the sciatic nerve, causing pain in the buttock, hip and sometimes the foot.
* Tendonitis: Inflammation of the tendons around the hip, such as the psoas tendon, can cause pain.
* Bursitis: Inflammation of the bursae, which are fluid-filled sacs that lubricate the joints, can cause pain and localized tenderness.
* Poorly-healed fractures: A hip or pelvic fracture that hasn't healed properly can cause chronic pain.
* Inflammatory diseases: Diseases such as rheumatoid arthritis or ankylosing spondylitis can affect hip and pelvic joints.
* Lumbar disc problems: A herniated disc or lumbar osteoarthritis can radiate pain to the hip and pelvis.
* Scoliosis: A deviated spine can lead to muscle imbalances and pain in the lower back and hip.
Symptoms can vary depending on the cause, but often include:
* Persistent pain: Pain may be deep, throbbing or dull.
* Stiffness: Difficulty moving the hip or pelvis.
* Lameness: An abnormal gait to avoid putting weight on the painful hip.
* Radiating pain: Pain may radiate to the thigh, knee, or even the lower back.
How can chronic hip and pelvic pain be relieved and treated?
Treatment will depend on the underlying cause, and may include :
* Rest: Avoid activities that aggravate pain.
* Ice: Apply ice to the painful area to reduce inflammation.
* Medication: Non-steroidal anti-inflammatory drugs can help relieve pain and inflammation.
* Physiotherapy: Specific exercises can strengthen muscles, improve mobility and relieve pain.
* Orthotics: A lumbar belt or hip brace can provide support.
* Injections: Corticosteroid injections can reduce inflammation in some cases.
* Surgery: In more severe cases, surgery may be required.