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A characteristic feature of hip pain is that each patient tends to have an unclear area of pain. Some people say their hips hurt, while others say their hips hurt or groin.
In order to make an accurate diagnosis for each patient, it is very important to check where the pain area you are referring to is through examination. This is because it allows you to track the conditions that cause your pain. We'll introduce you to these conditions, explain why hip pain occurs, and what treatment is recommended.
First, spinal disorders
When hip pain occurs, it is a spinal condition such as a herniated disc or spinal stenosis. Spinal disorders are one of the most common causes of hip pain. In general, it may seem strange that spinal disorders cause hip pain. When spinal disorders occur, nerve roots and local inflammation irritate them, and most of the time the pain extends not only to the lower back but also to the buttocks. In the beginning, you will feel back pain, and then you will have hip pain. In particular, lesions in the 4-5 lumbar vertebrae or lower lumbar sacrum are more likely to be associated with hip pain.
On the other hand, in rare cases, if you wake up in the morning with stiffness in your lower back and persistent chronic pain, you should suspect an inflammatory disease such as sacroiliac arthritis or ankylosing spondylitis.
Second, hip joint disease
Hip joint disease causes hip pain and groin pain when standing or moving the legs. In particular, if you have hip pain and it is difficult to cross your legs or cross your legs, it is likely that you have hip joint disease. There are three types of hip joint disease:
The first is avascular necrosis of the hip joint. Avascular necrosis of the hip joint is often seen in patients who drink a lot of alcohol. In addition, patients who take steroids for rheumatoid arthritis, skin medicines, and allergy medications for a long time may develop hip joint disease.
The second is hip arthritis. If you use the joint for a long time, the joint surface will eventually break down and become inflamed. If this arthritis is caused by an infection, it is called purulent arthritis, if it is caused by an autoimmune disease, it is called rheumatoid arthritis, if it is caused by another disease, and if it is caused by repetitive joint use, it is secondary arthritis, and if it is caused by repetitive joint use, it is degenerative arthritis.
The third is hip impingement syndrome. Hip impingement syndrome is a disease in which the femoral head, which forms the hip joint, and the acetabulum, which surrounds the femoral head, collide continuously, causing pain. Hip impingement syndrome causes not only hip pain but also back pain, and in some cases, back pain has healed after hip treatment. It's important to remember that it can be difficult to differentiate between spinal disorders and many other symptoms in common.
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