hip pain

Hip and Back Pain

Hip Pain

Hip pain is often the result of some sort of trauma, although any source of inflammation may create pain in the area. Inflammation will cause the hip joint to fill with fluid or blood, stretching the hip capsule lining and resulting in pain. Hip pain is a common complaint that can be caused by a wide variety of problems, depending on the location of the pain.

Pain on the outside of your hip, upper thigh or outer buttock is usually caused by problems with muscles, ligaments and tendons that surround your hip joint. While it can sometimes be caused by conditions in other areas of your body, such as your lower back or your knees. Most hip pain can be controlled with self-care at home. Having a doctor diagnose the problem will aid in the correct treatment of the pain.

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Herniated Disc

The intervertebral disc is a soft tissue, cushioning in between vertebral bones of the spine. Trauma, age, and arthritis may cause it to be herniated (squeezed out of its capsule). Spinal nerves exit the spine in close proximity to the disc and can be pinched by the squeezed disc. This creates a local inflammation and irritation of the nerve. Spinal nerves give origin to the large nerves of the leg, the most talked about being the sciatic. From here derives the term “sciatica.”

Treatment consists of alleviating pain while allowing the herniation to heal. Studies have shown that a disc herniation may resolve by itself. Physical therapy, chiropractor care along with NSAID’s, muscle relaxants, and antineuropathics may be of benefit. Some patients may need opioids. If this initial therapy fails, the epidural steroid injection may be needed. Epidural injections will deliver anti-inflammatory medications very close to the nerve and in turn decrease the pain. Very severe cases may need surgery.

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