The Twitch Behind Hip Pain

Symptoms and diagnosis for Hip Pain
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By Orthopaedic and Neurology Clinic

Hip pain info

What is define by a Hip Pain?

Hip pain is the general term for pain felt in or around the hip joint. It isn’t always felt in the hip itself but may instead be felt in the groin or thigh.

Hip pain on the outside of your hip, upper thigh or outer buttock is usually caused by problems with muscles, ligaments, tendons and other soft tissues that surround your hip joint.

Hip pain can sometimes be caused by diseases and conditions in other areas of your body, such as your lower back. This type of pain is called referred pain.

The following are causes of common hip pain:

  • Osteoarthritis
  • Inflammatory Arthritis
  • Fracture
  • Iliopsoas Bursitis
  • Hip Flexor Strain
  • Osteonecrosis of the Hip
  • Hip Labrum Tear
  • Trochanteric Bursitis
  • Snapping Hip Syndrome
  • Hamstring Muscle Strain
  • Piriformis Syndrome

What are some symptoms of a Hip Pain?

You should contact our doctor immediately if the hip is bleeding or you can see exposed bone or muscle, a popping noise occurs, or you can’t bear weight.

Also, seek immediate help if your hip joint appears deformed or is swollen, or if you have severe pain.

Prompt medical attention is necessary for hip pain accompanied by any of the following:

  • swelling
  • tenderness
  • soreness
  • warmth
  • redness

These may be signs of serious conditions, including septic arthritis, which is a joint infection. If it’s left untreated, septic arthritis can lead to deformed joints and osteoarthritis.

Sometimes, hip pain may radiate through the nerves from the back of the hip down to the front, back, or side of the legs. This type of pain may be caused due to the irritation of certain lumbar and/or sacral nerve roots, also called sciatica. Musculoskeletal conditions, such as sacroiliac joint dysfunction or piriformis syndrome, may also cause sciatica-like pain.

“For more serious conditions on hip pain, such as arthritis, fractures, and necrosis, the symptoms are likely to worsen until you receive treatment.”

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What types of diagnosis?

We highly recommend seeking professional help instead of self diagnosis in order to identify the source of the issue and to receive faster recovery. Our Specialist may ask and conduct one or more of the following tests to determine whether you have hip pain:

    • History of symptoms. To diagnose hip pain, our doctor will first want to get your full medical history. This includes whether you have had any recent injuries, where you feel the pain, and how the pain feels.
    • Physical examination. Our doctor will include testing your muscle strength and reflexes. He might also ask you to do some stretching and moving exercises to determine which activities cause more pain.
    • X-rays. An ankle X-ray is to determine whether there are any broken bones. In addition to an ankle X-ray, your doctor may ask for X-rays of the hip area to determine whether there may be other related injuries.
    • MRI, CT scan. This scan can help to determine if there is a stress fracture. This will will show more detail about the injury.

Possible treatment methods?

Physical therapy

Step 1: RICE

RICE stands for rest, ice, compression and elevation. 

Step 2: Rehabilitation

To prevent permanent damage to the hip, take steps to achieve better range of motion (flexibility), balance and strength. It is better to work out with our trained Therapist to prevent further injuries.

Step 3: Supportive devices

When back to playing sports, previously injured athletes should probably wear a hip brace, no matter how much they have rehabilitated their ankle or how good their sneakers. An injured hip will never have the same support again, so a brace should be considered.


Surgery may be performed when the damage to the ligaments is severe and there is evidence of instability, or when the injury doesn’t improve with nonsurgical treatment. Surgical options include:

  • Arthroscopy: During an arthroscopy, our surgeon looks inside the joint to see if there are any loose fragments of bone or cartilage.
  • Reconstruction: For reconstruction surgery, our surgeon will repair the torn ligament with stitches. They may also use other ligaments or tendons around the hip to repair the damaged ligaments.

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