Pain in the Hip Area: Is It Normal or a Cause for Concern? - Rehabilitation

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There is some pain when applying pressure to the buttocks?


Hello, Dr.
Su.
I am currently a high school sophomore.
I tend to get nervous easily, and I have noticed that when I press on a slightly indented area near my right buttock close to my thigh, it hurts.
The left side has a similar indentation, but it’s not as painful.
Generally, I don’t feel any pain when sitting or walking.
I would like to ask you two questions: Is this anatomical structure normal? Could it be related to the shape of my bones or joints that causes this indentation? I am not overweight, and my sister seems to have less of an indentation, while my dad, who is thin, also has it.

Regarding the pain when I press on it, my family thinks it might be due to sitting too long or a mild strain.
However, my mom also feels pain when I press on her, and she says that pressing on the bone would naturally cause pain, advising me not to overthink it and that it’s likely just muscle soreness or a mild strain.
I am concerned that it could be sciatica or inflammation or even a fracture, although I don’t recall falling and landing on my buttocks.
I’m unsure if these symptoms are consistent with what I described, where pressing causes slight pain.
I hope you can answer my two questions.
Thank you for your kindness.

Yeng, 10~19 year old female. Ask Date: 2020/05/29

Dr. Su Hongci reply Rehabilitation


Hello: Due to the inability to have an in-person consultation, please first visit a medical facility to see an orthopedic or rehabilitation specialist.
A proper diagnosis and treatment can only be made after an examination.
Wishing you good health!

Reply Date: 2020/05/29

More Info


Understanding pain in the hip area can be a complex issue, especially for someone your age. It's great that you're being proactive about your health and seeking answers. Let's break down your concerns regarding the pain you're experiencing near your right buttock and thigh area.


Is the Pain Normal or a Cause for Concern?
1. Pain Location and Sensation: The fact that you feel pain when pressing on a specific area near your hip suggests that there may be some underlying muscle tension, inflammation, or even a minor injury. The hip area is home to various muscles, tendons, and ligaments, and sometimes, overuse or poor posture can lead to discomfort. Given that you mentioned you can sit and walk without pain, this indicates that your hip joint itself may not be the issue.
2. Structural Considerations: The slight indentation you feel could be related to your body composition or muscle tone. Everyone's body is different, and variations in muscle and fat distribution can lead to different shapes and contours. If your sister appears to have a more pronounced muscle tone in that area, it could simply be a matter of genetics or activity levels.
3. Potential Causes of Pain: Your family’s suggestion that the pain might be due to sitting too long or a minor strain is plausible. Prolonged sitting can lead to muscle tightness, especially in the gluteal muscles and hip flexors. This tightness can sometimes cause discomfort when pressure is applied. Additionally, if you've been more active than usual or have changed your routine, this could also lead to muscle soreness.


Concerns About Serious Conditions
1. Sciatica and Other Conditions: While you mentioned concerns about sciatica or inflammation, it's important to note that sciatica typically presents with pain that radiates down the leg, often accompanied by numbness or tingling. If your pain is localized and does not radiate, it is less likely to be sciatica. Similarly, conditions like fractures or severe inflammation usually present with more intense symptoms, such as swelling, bruising, or significant pain during movement.

2. When to Seek Further Evaluation: If the pain persists, worsens, or is accompanied by other symptoms such as swelling, significant changes in mobility, or if you experience numbness or tingling in your legs, it would be wise to consult a healthcare professional. They may recommend imaging studies or physical examinations to rule out any serious conditions.


Recommendations
1. Rest and Activity Modification: If you suspect that your pain is related to muscle strain or overuse, consider taking breaks from prolonged sitting and incorporate gentle stretching or strengthening exercises for your hip and gluteal muscles.
2. Posture Awareness: Pay attention to your sitting posture. Ensure that your hips are well-supported and that you take regular breaks to stand and stretch.
3. Ice and Heat Therapy: Applying ice to the painful area for 15-20 minutes can help reduce inflammation, while heat can help relax tight muscles.
4. Physical Activity: Engage in low-impact activities like walking or swimming, which can help maintain mobility without putting excessive strain on your hips.

5. Consult a Professional: If your symptoms do not improve or if you have ongoing concerns, consider visiting a physical therapist or a physician specializing in musculoskeletal issues. They can provide a tailored assessment and treatment plan.

In conclusion, while your symptoms may not indicate a serious condition, it’s essential to listen to your body and take appropriate measures. Being proactive about your health is commendable, and with the right care, you can manage your discomfort effectively.

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