Unexplained Hip Pain: When to Seek Medical Advice

Q: Unexplained Hip Pain: When to Seek Medical Advice

Dear Ms. Lin： 1. Common causes include tendinitis, fasciitis, bursitis, and osteoarthritis, among others. 2. Of course, there are also more serious causes, including tumors, avascular necrosis of the femoral head, metastatic pain, crystalline arthritis, in

Unknown pain

Recently, I have been experiencing unilateral pain in my buttocks for at least a month.
Sometimes it hurts when I press on it, sometimes it doesn't, and at times it hurts even when I'm not doing anything.
There are no visible changes, and although it is painful, it does not significantly affect my daily life.
I'm unsure whether I should see a doctor, and if so, which specialty I should consult.
What is the severity of this condition and what could be the possible causes?

Miss Lin, 20~29 year old female. Ask Date: 2019/08/13

Dr. Xiao Yongxun reply Family Medicine

Dear Ms.
Lin:
1.
Common causes include tendinitis, fasciitis, bursitis, and osteoarthritis, among others.

2.
Of course, there are also more serious causes, including tumors, avascular necrosis of the femoral head, metastatic pain, crystalline arthritis, infectious arthritis, and fractures, among others.

3.
It is advisable to first discuss this with your primary care physician or directly visit an orthopedic or rehabilitation clinic for further evaluation.

Reply Date: 2019/08/13

More Info

Experiencing unexplained hip pain can be concerning, especially when it persists for over a month. While your pain may not currently be severe enough to disrupt your daily life, it is essential to understand the potential underlying causes and when to seek medical advice.

When to Seek Medical Advice
1. Duration of Symptoms: Since your hip pain has lasted for at least a month, it is advisable to consult a healthcare professional. Persistent pain, even if it is manageable, can indicate an underlying issue that may worsen over time.

2. Nature of Pain: The fact that your pain varies in intensity and can occur without any apparent trigger is noteworthy. If the pain becomes more frequent, intense, or begins to affect your mobility or daily activities, it is crucial to seek medical attention.

3. Associated Symptoms: If you experience additional symptoms such as swelling, redness, warmth around the hip joint, or if the pain radiates to other areas (like the knee or lower back), these could be signs of a more serious condition that requires immediate evaluation.

4. Impact on Quality of Life: If the pain starts to interfere with your ability to perform daily tasks, such as walking, sitting, or sleeping, it is a clear indication that you should see a doctor.

Possible Causes of Hip Pain
1. Musculoskeletal Issues: Common causes of hip pain include conditions like bursitis, tendinitis, or muscle strains. These issues can arise from overuse, improper movement, or even previous injuries.

2. Arthritis: Osteoarthritis or rheumatoid arthritis can lead to hip pain, especially in older adults. These conditions typically involve joint inflammation and can cause pain during movement or even at rest.

3. Labral Tears: The labrum is a cartilage structure that surrounds the hip joint. Tears in this cartilage can lead to pain, especially during certain movements.

4. Nerve Compression: Conditions such as sciatica can cause pain that radiates from the lower back to the hip, often due to nerve compression.

5. Referred Pain: Sometimes, pain in the hip can be referred from other areas, such as the lower back or even the knee.

Which Specialist to See
Given the nature of your symptoms, you may want to start by consulting a primary care physician who can perform an initial evaluation. They may refer you to a specialist based on their findings. Here are some specialists you might consider:
- Orthopedic Surgeon: If there is a suspicion of structural issues within the hip joint.

- Rheumatologist: If there is a concern about inflammatory or autoimmune conditions.

- Physiatrist (Rehabilitation Specialist): For a comprehensive approach to pain management and rehabilitation.

- Physical Therapist: They can help assess your movement patterns and provide exercises to strengthen the hip and surrounding muscles.

Conclusion
While your hip pain may not currently be severe, it is essential to monitor your symptoms and seek medical advice if they persist or worsen. Early intervention can lead to better outcomes and prevent potential complications. Remember, your health is paramount, and addressing unexplained pain is a proactive step towards maintaining your overall well-being.

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