Left Hip Pain: When to Seek Medical Advice

Q: Left Hip Pain: When to Seek Medical Advice

Hello： In response to your question, feeling pain in the left hip when turning over in bed or getting up may indicate inflammation of the back or hip muscles, or issues related to the sciatic nerve or spine. <br>It is advisable to consult a family medicine physician or a neurosur

Left buttock pain?

Hello, I have recently been experiencing pain in my left hip after lying in bed for a while.
When I try to turn over, get up, or lift my left leg, I sometimes feel such intense pain that I can't get up.
I would like to know which specialist I should see.
Thank you.

Jī dàn, 20~29 year old female. Ask Date: 2009/12/20

Dr. Lai Junlong reply Family Medicine

Hello: In response to your question, feeling pain in the left hip when turning over in bed or getting up may indicate inflammation of the back or hip muscles, or issues related to the sciatic nerve or spine.
It is advisable to consult a family medicine physician or a neurosurgeon for further evaluation and examination.
Dr.
Lai Junlong, Family Medicine.

Reply Date: 2009/12/20

More Info

Hello! It sounds like you are experiencing significant discomfort in your left hip area, particularly when trying to move after lying down. This type of pain can be quite debilitating and may indicate an underlying issue that requires medical attention. Given your symptoms, it is advisable to seek evaluation from an orthopedic specialist or a physical medicine and rehabilitation physician.
Hip pain can arise from a variety of causes, including but not limited to:
1. Bursitis: Inflammation of the bursa, a small fluid-filled sac that reduces friction between tissues. Trochanteric bursitis, for example, can cause pain on the outer side of the hip, especially when moving from a lying to a standing position.

2. Tendonitis: Inflammation of the tendons around the hip joint can lead to pain, particularly with movement.

3. Arthritis: Osteoarthritis or rheumatoid arthritis can cause pain and stiffness in the hip joint, especially after periods of inactivity.

4. Labral Tear: Damage to the cartilage that surrounds the hip joint can lead to pain and a feeling of instability.

5. Muscle Strain: Overuse or injury to the muscles around the hip can cause pain, particularly when trying to move after resting.

6. Nerve Issues: Conditions such as sciatica, where the sciatic nerve is compressed or irritated, can cause pain that radiates from the lower back down to the hip and leg.

7. Fractures: In older adults or those with osteoporosis, a hip fracture can occur, leading to severe pain and difficulty moving.

Given that your pain is significant enough to prevent you from getting up, it is crucial to have a thorough evaluation. An orthopedic doctor can perform a physical examination and may recommend imaging studies such as X-rays or MRI to determine the exact cause of your pain.
In the meantime, here are some general recommendations that may help alleviate your discomfort:
- Rest: Avoid activities that exacerbate the pain, especially those that require lifting or straining the hip.

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

- Over-the-Counter Pain Relief: Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen or naproxen can help manage pain and inflammation, but consult with a healthcare provider before starting any medication.

- Gentle Stretching: If tolerated, gentle stretching of the hip muscles may help improve flexibility and reduce stiffness.

- Physical Therapy: Once evaluated, a physical therapist can provide exercises tailored to your condition to strengthen the hip and improve mobility.

It is important to address this issue promptly, as untreated hip pain can lead to further complications or chronic pain. Please make an appointment with a healthcare provider as soon as possible to discuss your symptoms and receive appropriate care. Wishing you a speedy recovery!

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