Hip Pain: When to Seek Orthopedic Care - Orthopedics

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Hip pain


Hello Dr.
Chen, I would like to ask you about an issue I experienced a year ago.
While walking and turning, I suddenly felt intense pain at the junction between my femur and hip bone, without any collision—just a simple movement.
After receiving traditional Chinese medicine treatment and chiropractic care, I experienced some improvement, but periodically I still feel a sharp pain at that junction.
In severe cases, the pain radiates from the area between my femur and hip down to the nerves in my little toe.
Dr.
Chen, which specialty should I consult for this type of condition?

Jiang Xiansheng, 20~29 year old female. Ask Date: 2021/03/30

Dr. Chen Yongxue reply Orthopedics


Hello, please schedule an appointment with the orthopedic department for an examination.
Thank you.

Reply Date: 2021/03/30

More Info


Hip pain can be a complex issue, especially when it arises suddenly and is associated with specific movements, as you've described. Given your history of experiencing acute pain during a simple activity like walking and turning, it is essential to approach this situation with a thorough understanding of potential underlying causes and the appropriate steps for seeking care.


Understanding Your Symptoms
The sudden onset of pain in the hip area, particularly during movement, can be indicative of several conditions. Common causes of hip pain include:
1. Muscle Strain or Sprain: Overstretching or tearing of muscles or ligaments around the hip can lead to acute pain.

2. Tendinitis: Inflammation of the tendons around the hip joint can cause pain, especially during movement.

3. Bursitis: Inflammation of the bursae (small fluid-filled sacs that cushion the hip joint) can lead to pain and discomfort.

4. Labral Tear: The labrum is a ring of cartilage that surrounds the hip joint. A tear can cause pain and a catching sensation in the hip.

5. Hip Osteoarthritis: Degeneration of the hip joint can lead to chronic pain, stiffness, and reduced mobility.

6. Nerve Impingement: Compression of nerves in the hip area can lead to radiating pain down the leg, which may explain the sensation you feel extending to your little toe.


When to Seek Orthopedic Care
Given the nature of your symptoms, it is advisable to seek care from an orthopedic specialist. Orthopedic doctors specialize in diagnosing and treating musculoskeletal conditions, including those affecting the hip joint. Here are some signs that indicate you should seek orthopedic care:
- Persistent Pain: If the pain continues or worsens despite conservative treatments like physical therapy or rest.

- Radiating Pain: If you experience pain that radiates down your leg, especially if it affects your ability to walk or perform daily activities.

- Swelling or Bruising: Any visible swelling or bruising around the hip area should be evaluated.

- Limited Range of Motion: If you find it difficult to move your hip or leg in certain directions.

- Instability: A feeling that your hip is unstable or gives way during movement.


What to Expect During Your Visit
When you visit an orthopedic specialist, they will likely perform a comprehensive evaluation, which may include:
- Medical History Review: Discussing your symptoms, their onset, and any previous treatments.

- Physical Examination: Assessing your hip's range of motion, strength, and any areas of tenderness.

- Imaging Studies: X-rays or MRI scans may be ordered to visualize the structures of the hip joint and identify any abnormalities.


Treatment Options
Treatment will depend on the underlying cause of your hip pain. Options may include:
- Physical Therapy: To strengthen the muscles around the hip and improve flexibility.

- Medications: Nonsteroidal anti-inflammatory drugs (NSAIDs) can help reduce pain and inflammation.

- Injections: Corticosteroid injections may be considered for inflammation.

- Surgery: In cases of severe injury or degenerative conditions, surgical intervention may be necessary.


Conclusion
In summary, your symptoms warrant a visit to an orthopedic specialist who can provide a thorough evaluation and appropriate treatment plan. Early intervention can help prevent further complications and improve your quality of life. Remember to keep track of your symptoms and any changes, as this information will be valuable for your healthcare provider in determining the best course of action.

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