Hip pain is another common ailment that is seen in my pain management clinic. Patients experience hip pain in different ways. Sometimes lower back pain (L4-5 and L5-S1) can mimic hip pain. In this area, patients tend to feel centralized lower back pain that radiates into their glutes. This may be a result of arthritis, neural foraminal narrowing, degenerative disc disease (DDD), and bulging discs. Occasionally, patients may have degenerative changes in the hip joint, arthritis, or osteoarthritis that form in the acetabulum and other joint spaces. A steroid hip injection will provide significant relief for this.
Every so often, patients will have tenderness in their lower back and glutes. They may have difficulty walking and sitting, and may favor one leg over the other. This is caused by inflammation in the sacroiliac joint(s) , also known as sacroiliitis. A thorough assessment by a primary care specialist and pain management specialist is recommended. An X-ray of the hips, an MRI or CT of the lumbar is needed. Depending on the severity, NSAIDs and ESIs are recommended.
At times, patients may have a torn labrum, a torn glute, or a femoral head or pelvis fracture. If this is the case, consult with an orthopedic surgeon is recommended.
Aurora Health Care. (2019). Retrieved from https://www.aurorahealthcare.org /services/orthopedics/conditions/hip-pain
Kaulitzki, S. (2019). Painful hip. [Illustration]
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