Best
Hip Pain
Treatment in Nagpur

Hip Pain Treatment in Nagpur

It is a ageing condition in which patient experiences chronic pain due to degeneration of cartilage(cushion between the two bones) present between the two bones. It is one of the leading cause of hip pain in elderly although it may present in young adults due to trauma. Due to loss of cartilage, friction between the two bones causes pain. Treatment depends on the grade of osteoarthritis and patients symptoms. Total hip replacement surgery is usually not done for patients with grade 1 and 2 osteoarthritis. Such patients when present with pain are treated with pain killers and other needle interventions. Joint injections are given to relive pain and aggressive exercises advised to strengthen the muscles.

Signs and Symptoms

Hip pain is usually accompanied with the following signs and symptoms:

  • Swelling and Inflammation
  • Pain
  • Stiffness
  • Limited Range of Motion
  • Clicking or Popping Sensation
  • Limping
  • Difficulty Bearing Weight
  • Radiating Pain

Risk Factors

  • Age
  • Gender
  • Joint Overuse or Repetitive Stress
  • Genetics

Causes

Hip pain can be caused by various factors, and the underlying cause often determines the specific symptoms and appropriate treatment. Here are some common causes of hip pain:

  • Osteoarthritis: This is a degenerative joint disease that occurs when the cartilage that cushions the ends of bones in the hip joint deteriorates over time. As a result, bones may rub against each other, causing pain and stiffness.
  • Rheumatoid Arthritis: An autoimmune disorder where the body's immune system attacks the synovium (lining of the membranes that surround the joints), leading to inflammation, pain, and eventual joint damage, including the hip joints.
  • Hip Fracture:A break in the bone of the hip joint, often caused by a fall or trauma. Hip fractures are more common in older individuals with weakened bones, such as those with osteoporosis.
  • Bursitis: Inflammation of the bursae, which are small, fluid-filled sacs that cushion the joints. Trochanteric bursitis, affecting the bursa on the outer side of the hip, is a common cause of hip pain.
  • Muscle Strains or Tears: Overstretching or tearing of muscles around the hip, such as the hip flexors or hamstrings, can cause pain and discomfort.
  • Tumors:Rarely, tumors in or around the hip joint can cause pain. Benign or malignant tumors may affect the bones or soft tissues.Bone tumours

AVN HIP -Avascular necrosis (AVN), also called osteonecrosis or bone infarction, is death of bone tissue due to interruption of the blood supply. Early on, there may be no symptoms. Gradually joint pain may develop, which may limit the person's ability to move. Complications may include collapse of the bone or nearby joint surface.

Pyriformis syndrome:

It is painful condition of buttocks and hip due to degeneration of pyriformis muscle . pyriformis is a small muscle which is attached from lower spine to femur and is present deep inside the big gluteal muscle of buttock. When there is a pyriformis muscle tear or degeneration it will irritate the sciatic nerve which passes beneath it leading to pain in the buttock, thigh and knee joint. Patient will usually complain of a tender point in the buttock, pain on sitting. This pain requires healing of the pyriformis muscle for complete pain relief. Pain killers, injection into the pyriformis muscle under the vision of ultrasonography is the best mode of pain relief and muscle healing. This treatment is then followed with anti-neuropathic drugs and aggressive excercises to strengthen the muscle.

Why Choose PANAX?


PANAX is one of the first multidisciplinary pain management center offering comprehensive non surgical pain management services.

All our Treatment are:

  • Non surgical
  • Takes less than a hour
  • Painless
  • No blood loss

Trochanteric bursitis:

Bursa are fluid filled sac present around the joint to prevent friction on sliding of the two bones. Inflammation of this bursa present on the trochanter part of femur bone around the hip joint due to trauma or oveuse can cause pain in the buttock, pain in hip movements, pain may also radiate to leg . This pain is usually seen on lying down on the affected side, climbing up stairs. Diagnosis is usually done by clinical examination and also by MRI of hip joint and ultrasonography. Treatment is done with anti inflammatory drugs, ice pack, rest. Mostly this conditions requires injection at the bursa to heal and subside the inflammation done under fluoroscopic or ultrasonography guidance. If the injection in the bursa subsides the pain, then the diagnosis of trochanteric bursitis is confirmed.

Iliopsoas bursitis:

Iliopsoas is two muscles which are attached to anterior part of thigh. Beneath this muscle is the iliopsoas bursa. Inflammation of this bursa leads to iliopsoas bursitis which presents with pain in front part of hip joint , may or may not be associated with swelling. This is seen in patients with repitive use of muscles, trauma. Tender point will be present in the anterior part of groin. Diagnosis is usually done by clinical examination and also by MRI of hip joint and ultrasonography. Treatment is done with anti inflammatory drugs, ice pack, rest. Mostly this conditions requires injection at the bursa to heal and subside the inflammation done under fluoroscopic or ultrasonography guidance. If the injection in the bursa subsides the pain, then the diagnosis of iliopsaos bursitis is confirmed.

Diagnosis

Physical examination – can establish the cause behind hip pain.

Range of motion – during flexion and extension

Test for Ligament injuries

Comparing the functioning of the to your healthy Hip.

Imaging tests, such as X-Rays, MRI Scan, CT Scan

Dynamic Ultrasound– This is the gold standard test to identify the pain generator and also the stage of arthritis and it is to be performed by a pain physician.