According to statistics, every fourth person has pain in joints by the age of forty. By the age of sixty, more than 50% of people suffer from this disease. Very often at the reception of an orthopedist or surgeon, patients complain that the hip joint hurts when walking.
This problem is very urgent due to the fact that diseases of the musculoskeletal system occupy one of the leading places. In the beginning of illness unpleasant sensations can be only at walking. With the development of the disease, patients suffer at rest. What kind of pain should alert a person, so that he turned to the doctor?
Osteoarthritis and osteoarthritis
Osteoarthritis and osteoarthritis( coxarthrosis) are the most frequent pathologies that lead to pain in the hip joint. This is a group of inflammatory diseases. The hip joint suffers from dystrophic and inflammatory pathologies in the first place. The main predisposing factors are obesity, trauma and genetic predisposition.
In arthritis patients complain of pain in the groin area. When walking, painful sensations are amplified and given to the front of the thigh. Reliance on the aching leg brings additional suffering to the patient, as pain is transmitted to the knee as well. Rest in sitting position brings some relief. However, the patient's attempt to get up is accompanied by a sharp "shooting" pain.
Deforming arthrosis develops more imperceptibly. In the early stages it passes almost asymptomatically and does not bother a person. Sometimes, discomfort may occur with prolonged walking or heavy physical exertion. On the roentgenogram still can not be determined dystrophic changes, but pain contractures with restriction of movement already present.
With coxarthrosis, bone growths appear inside the joint, which are called osteophytes. Previously, the place of osteophytes was cartilage. The thin threads of osteophytes arising at the initial stage of the disease subsequently grow and take the form of thorns and hooks, shift to the acetabulum, thereby deforming the hip joint and causing pain.
As the disease progresses, the symptoms increase and begin to disturb the patient even at rest. Often even turns of a trunk are accompanied by a pain in a joint which gives in a knee. The thigh muscles are in a stressed state not only during movement, but in the patient's lying position. This explains the constant pain syndrome. Since the hip joint is under tremendous strain, the disease progresses and can lead to disability.
Inflammation of the synovial bag( bursitis) and tendon( tendinitis)
Symptoms of hip osteoporosis
When the synovial sac( sciatic, sternal, iliac crest) is inflamed, patients experience pain when walking, which gives to the buttock area. This symptom increases with additional load on the aching leg. For example, if the patient lies on the affected side. Usually, the symptoms occur only in movements involving affected muscles and tendons.
Permanent physical overload leads to tendonitis. With inflammation of the tendons, the patient experiences severe pain while walking and active movements of the patient with the foot. In a state of rest or after rest it subsides and can practically not disturb. This is a distinctive feature of the disease.
Viral and infectious diseases of the hip joint
Pain in the joint when walking patients can experience after the transfer of influenza, staphylococcal and streptococcal acute infections. A distinctive feature of infectious diseases in the joint is their rapid development. The patient sharply raises the temperature. In the joint area, redness and swelling are observed.
Some differences exist in inflammation of the joint, caused by tuberculosis. In this case, the disease develops gradually and not immediately becomes painful when walking. As the disease progresses, there is swelling, tenderness and restriction of movement. Slightly noticeable lameness is gradually replaced by severe pain when walking and a sharp restriction of movements in the joint.
Autoimmune diseases( rheumatoid arthritis)
Autoimmune diseases are manifested by an abnormal immune response of the body. Cells of the immune system attack the cells of the periarticular bag and affect them. As a result of the disease, the body destroys its own joints. The most common autoimmune disease, in which joints suffer - rheumatoid arthritis. In second place is systemic lupus.
The first thing that a person should pay attention to is joint pain when walking, which is not related to trauma. Usually, discomfort occurs when there is undercooling or when there is a climate change( for example, a trip to the south), as well as vaccination. Such pains have a clear classic picture:
- is inflammatory. The patient can not move normally and sleep at night;
- at the first stages - a short-term nature.
Injuries and fractures of the hip joint
After serious injury to the hip, dislocation, sprain or fracture, the patient may develop osteonecrosis. With this pathology, blood circulation is broken, the supply of nutrients to the head of the femur is stopped. As a result, bone and articular cartilage begin to break down and thin out.
This results in restriction of movements in the hip joint and painful movement. The most common are the elderly. The prognosis worsens after the addition of osteoporosis, when thinning and decreasing bone density appear.
It should be noted that when walking pain does not occur, one should not self-medicate. Self-administration of medications, the appointment of massage courses or manual therapy can lead to irreversible consequences that will lead to complete immobilization of the hip joint and disability.