Post-Stone Passage Hip Pain: Causes and Recovery Insights - Urology

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Pain after stone expulsion?


Hello, a few months ago I passed a relatively large stone that had been lodged for about half a month.
At that time, the pain was particularly noticeable when the stone was stuck near the hip joint, but I felt relief once it passed into the bladder.
However, since then, I have experienced occasional mild pain near the hip joint, and this issue has persisted for several months.
What could be the possible cause? Is it likely to resolve on its own? Thank you for your help in clarifying this.

Zhan, 20~29 year old female. Ask Date: 2020/10/21

Dr. Du Shixi reply Urology


Hello: It is possible that there are still smaller stones being passed.
It is recommended to have a check-up at the hospital.
Currently, drink plenty of water.
Wishing you good health.

Reply Date: 2020/10/21

More Info


Post-stone passage hip pain can be a perplexing issue, especially after experiencing significant discomfort due to a kidney stone. The pain you are experiencing in the hip area after the passage of a stone could be attributed to several factors, and understanding these can help in managing your symptoms and determining the best course of action for recovery.

Firstly, it is essential to recognize that the pain you felt during the stone's passage was likely due to the stone's location and the pressure it exerted on surrounding tissues, including muscles and nerves. When a stone is lodged near the hip joint, it can cause inflammation and irritation in the surrounding structures, which may lead to lingering pain even after the stone has passed. This is particularly true if there was any trauma to the area during the stone's movement.

Another possible cause of your ongoing hip pain could be related to muscle strain or overuse. If you were compensating for the pain caused by the stone, you might have inadvertently strained the muscles around your hip joint. This can lead to muscle tightness and discomfort, which may persist even after the initial cause of pain has resolved. Additionally, the hip joint itself may have experienced some stress during this period, leading to inflammation or irritation of the joint structures.

It's also worth considering the possibility of referred pain. Sometimes, pain originating from other areas, such as the lower back or pelvis, can manifest as hip pain. If you have any underlying conditions affecting your spine or pelvis, these could contribute to the discomfort you are experiencing.

As for recovery, many individuals find that mild hip pain can resolve on its own over time, especially if it is due to muscle strain or minor inflammation. However, if the pain persists or worsens, it is advisable to seek medical attention. A healthcare professional can perform a thorough evaluation, which may include imaging studies like X-rays or MRIs, to rule out any significant underlying issues such as joint damage or other musculoskeletal problems.

In the meantime, there are several self-care strategies you can employ to help alleviate your hip pain. These include:
1. Rest and Activity Modification: Avoid activities that exacerbate your pain. Gradually reintroduce movement as tolerated.

2. Ice Therapy: Applying ice to the affected area can help reduce inflammation and numb the pain. Use ice packs for 15-20 minutes several times a day.

3. Gentle Stretching and Strengthening: Engaging in gentle stretching exercises can help improve flexibility and reduce tightness in the hip muscles. Strengthening exercises for the hip and surrounding muscles can also provide support to the joint.

4. Over-the-Counter Pain Relief: Nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen or naproxen, can help manage pain and reduce inflammation.

5. Physical Therapy: If the pain persists, consider consulting a physical therapist who can design a tailored rehabilitation program to address your specific needs.

In conclusion, while it is possible that your hip pain may resolve naturally, it is crucial to monitor your symptoms closely. If the pain continues or interferes with your daily activities, seeking medical advice is essential to ensure proper diagnosis and treatment. Early intervention can help prevent further complications and promote a more effective recovery.

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