Hip Joint Issues: Should You Seek Treatment? - Orthopedics

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Hip joint issues


Hello, doctor! I am seventeen years old.
Six years ago, I fell while riding a snake board and landed on my right side.
I experienced pain for about a week, but it eventually went away.
However, I still feel like my right leg is slightly shorter than my left, by less than an inch.
Additionally, after exercising, I sometimes feel a clicking sensation in my hip joint when walking.
Since I am now focused on growing taller, I would like to address this issue.
Do you think this condition requires treatment?

Lájei, 10~19 year old female. Ask Date: 2020/05/18

Dr. Wang Shouji reply Orthopedics


Hello, based on your condition, you should first go to the hospital for an examination to determine if there are any issues with your spine and lower limb joints before discussing the need for treatment.
Changhua Hospital cares about your health.
Sincerely, Wang Shou-ji.

Reply Date: 2020/05/18

More Info


Hello! Thank you for reaching out with your concerns regarding your hip joint issues. Given your history of a fall six years ago while skateboarding, it’s understandable that you might be experiencing some lingering effects. Let’s break down your situation and discuss whether treatment is necessary.

First, it's important to acknowledge that even minor injuries can lead to long-term changes in the body, especially in growing adolescents. The sensation of your right leg feeling slightly shorter than your left could be attributed to several factors, including muscle imbalances, joint alignment issues, or even changes in your posture following the injury. The fact that you experienced pain for a week after the fall suggests that there may have been some soft tissue damage or inflammation at that time, which could have contributed to these ongoing sensations.

The "catching" feeling in your hip after exercise is another symptom that warrants attention. This could be indicative of several conditions, such as hip impingement (also known as femoroacetabular impingement), labral tears, or even issues related to the iliopsoas muscle, which can become tight or inflamed after an injury. These conditions can lead to discomfort during activities, especially those that involve hip flexion or rotation.

Given your age and the fact that you are still growing, it is crucial to address any potential issues now rather than waiting until they become more problematic. Early intervention can often prevent more serious complications down the line. Here are some steps you might consider:
1. Consult a Specialist: It would be wise to see an orthopedic specialist or a sports medicine physician who can evaluate your hip through a physical examination and possibly imaging studies like X-rays or an MRI. This will help determine if there are any structural issues that need to be addressed.

2. Physical Therapy: Engaging in physical therapy can be beneficial. A physical therapist can assess your movement patterns, strength, and flexibility. They can design a tailored rehabilitation program that focuses on strengthening the muscles around your hip, improving flexibility, and correcting any imbalances. This can help alleviate the catching sensation and improve your overall function.

3. Activity Modification: While you are seeking to grow taller and remain active, it’s important to listen to your body. If certain activities exacerbate your symptoms, consider modifying them or incorporating low-impact exercises that are less likely to strain your hip joint.

4. Monitoring Growth: Since you are still in your growth phase, it’s essential to monitor how your body changes. Sometimes, leg length discrepancies can resolve as you grow, but if they persist, further evaluation may be necessary.

5. Pain Management: If you experience pain, over-the-counter anti-inflammatory medications may help, but it’s best to consult with a healthcare provider before starting any medication.

In conclusion, while your symptoms may seem minor at this stage, they are worth investigating further to ensure that they do not lead to more significant issues in the future. Seeking treatment can provide you with peace of mind and help you maintain an active lifestyle without discomfort. Remember, addressing these concerns early can lead to better outcomes as you continue to grow and engage in physical activities. Best of luck, and take care!

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