Hip Pain: Is It Fasciitis or Arthritis? - Orthopedics

More Info

---

Understanding hip pain can be quite complex, especially when differentiating between conditions like fasciitis and arthritis. Based on your description, it seems that you have experienced pain in the groin area after prolonged sitting, which improved with physical therapy and stretching exercises. However, you are now experiencing pain in the lateral aspect of your hips.
From the information provided, it appears that your initial diagnosis of myofascial pain syndrome (often referred to as fasciitis) is plausible. Myofascial pain syndrome is characterized by pain in specific muscle areas, often triggered by prolonged inactivity or repetitive movements. The fact that your pain improved with physical therapy and stretching supports this diagnosis. Myofascial pain can often be localized and may not necessarily involve the joints directly, which distinguishes it from arthritis.

On the other hand, degenerative joint disease, or osteoarthritis, typically presents with joint pain that is exacerbated by activity and relieved by rest. The pain often arises from the joint itself, and patients may experience stiffness, particularly in the morning or after periods of inactivity. You mentioned that your doctor indicated that osteoarthritis pain usually originates from the upper lateral thigh, which aligns with typical presentations of hip osteoarthritis.
Your concern about developing degenerative arthritis is understandable, especially given your age and activity level. However, the absence of joint stiffness upon waking and the nature of your pain suggest that myofascial pain syndrome is more likely. The lateral hip pain you are now experiencing could be related to muscle strain or overuse, particularly if you have been engaging in activities that require frequent bending and lifting, such as caring for a pet.

It is also worth noting that hip pain can sometimes be referred from other areas, such as the lower back or even the knee. Given your history of activity and the nature of your symptoms, it may be beneficial to consider a comprehensive evaluation that includes a physical examination and possibly imaging studies if symptoms persist.
In terms of management, continuing with physical therapy focused on strengthening and stretching the hip and surrounding muscles can be beneficial. Additionally, incorporating low-impact exercises, such as swimming or cycling, may help maintain joint mobility without exacerbating pain.
If your symptoms do not improve or if they worsen, it would be prudent to follow up with your healthcare provider for further evaluation. They may consider additional diagnostic tests, such as X-rays or MRI, to rule out any underlying joint issues.
In summary, while your symptoms initially suggest myofascial pain syndrome, ongoing evaluation and management are essential to ensure that any potential underlying conditions, such as osteoarthritis, are appropriately addressed. Your proactive approach to physical activity is commendable, and with the right management, you can likely continue to engage in activities you enjoy without significant discomfort.