What Are Causes of Nontraumatic Hip Pain?

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DR. SUNIL RAJAN
Head of Department Apollo Institute of
Orthopaedics, Apollo Hospitals, Indore M.S
Orthopedics, Specialization Joint Replacement
Surgery
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What Are Causes of Nontraumatic Hip Pain?
A variety of illnesses may cause hip pain.
Anything that causes systemic inflammation in the
body may also affect the hip pain. The synovium
is a lining tissue that covers those parts of the
hip joint not covered by cartilage. Synovitis
(syno synovium itis inflammation), or
inflammation of this lining tissue, causes fluid
to leak into the joint, resulting in swelling and
pain.
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Arthritis
Osteoarthritis is the most common cause of hip
pain in those over the age of 50 and often is the
cause of hip pain that occurs at night. However,
other types of arthritis can be present. These
may include

1. rheumatoid arthritis,
2. ankylosing spondylitis,
3. arthritis associated with inflammatory bowel
   disease (Crohn's disease or ulcerative colitis).

Some systemic diseases are associated
with hip pain, including sickle cell disease, in
which a joint may swell during a sickle crisis
either with or without an underlying infection.
The hip joint is not the only joint that may be
involved. Viral or bacterial infections may
cause hip inflammation. Examples include Lyme
disease, Reiter's syndrome, and infections caused
by food poisoning. Avascular necrosis (a none
vascular blood necrosis death) of the
femoral head may occur in people who have taken
corticosteroid medications like prednisone for a
prolonged period. In this condition, also called
osteonecrosis (osteo bone), the femoral head
loses its blood supply, becomes weakened, and
causes hip pain.
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Legg-Calvé-Perthes disease (or just Perthes
disease) describes avascular necrosis of the
femoral head in children and is idiopathic,
meaning the cause is unknown. It usually affects
males between the ages of 4 and 8. Fibromyalgia
is a systemic pain syndrome associated with pain
and stiffness that can cause significant
discomfort throughout the body and may manifest
as hip pain. There may be associated sleep
disorders, muscle cramps and spasms, tenderness
of a variety of muscle groups in the whole body,
and fatigue.
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Referred Hip Pain
Hip pain may not originate in the hip itself but
may be felt there due to issues in adjacent
structures.
A hernia or defect of the abdominal wall may
cause pain in the front part of the hip. A hernia
occurs when there is a weakness or tear in an
area where muscles of the abdominal wall come
together. They are named according to their
location inguinal (groin) hernias are most
common. Femoral hernias that arise from a canal
near the hip joint are another type of hernia
that might also cause hip pain. A sports hernia
(athletic pubalgia) is a strain or tear of any
soft tissue (muscle, tendon, ligament) in the
lower abdomen or groin area and can also cause
pain that is difficult to isolate in the hip.
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Peripheral nerves can become inflamed, causing
hip pain. Meralgia paresthetica occurs when the
lateral femoral cutaneous nerve of the thigh
becomes irritated. This condition is common in
pregnancy, in people wearing tight clothes, or in
people with diabetes.
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Sciatica, or inflammation of nerve roots from the
spinal cord, may also appear with hip pain and
pain that runs down the leg. There are a variety
of reasons for the sciatic nerve to become
inflamed, including spinal stenosis due to
osteoarthritis of the lumbar spine, ruptured or
bulging disks in the vertebral column of the
back, and spasms of the muscles that support the
low back. Piriformis syndrome describes sciatic
nerve inflammation that causes buttock and
posterior hip pain due to sciatic nerve
irritation because of inflammation of the
piriformis muscle in the buttock area.
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OUR DEPARTMENTS
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Special Considerations for Children
Children who complain of leg or hip pain should
be taken seriously and the pain not be ignored.
If the pain is persistent, if a limp is present,
or if the child has a fever, a health care
professional should be contacted.
Potential concerns in children with hip pain
include

• a slipped capital femoral epiphysis, a condition
  in which the bone growth plate of the femoral
  head shifts out of place,
• Legg-Calvé-Perthes disease, or avascular necrosis
  of the femoral head,
• juvenile rheumatoid arthritis, or Still's disease.

If a fever is present, septic arthritis or an
infection of the hip joint may be present. This
may be due to a virus or bacteria. Symptoms
include fever, pain, limping, and sometimes
refusal to walk. Viral infections are the most
common cause of synovitis in infants and resolve
without treatment. If the health care
professional is concerned that the cause of
synovitis may be a bacterial infection, urgent
orthopedic consultation and evaluation may be
needed in this situation.
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Dr. Sunil Rajan is a very good and senior joint
replacement surgeon in Indore. he is the director
of Dr Rajan's knee clinic in Indore. Dr. Rajan
performs hip replacement surgery, knee transplant
surgery, shoulder replacement surgery and joint
replacement surgery and knee replacement surgery
in Indore at affortable price. If you are looking
for the best doctor for knee pain in Indore, then
contact Dr. Rajan. Book an Appointment today call
us at 9826200015 and online visit for more
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Traumatic Hip Pain?
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