The hip pain can have many causes: often, localized tenderness can be an indication of various conditions not necessarily related to the articulation in question.

In any case, there are signs that can allow us to identify, already during the clinical examination, to which pathology the pain in the hip may be related


Pain in the hip


The hip pain, also known as coxalgia, can be a result of different conditions; among the best known we can include:


  • trauma;
  • hip fractures;
  • chronic injuries;
  • coxarthrosis.


The latter condition is particularly common in elderly patients and is often underestimated since the symptoms are initially mild and slowly progressing.

In cases where the pain comes on suddenly, it can be caused by other factors, such as:


  • inflammatory arthritis ;
  • infections of one or more components of the joint.


Symptoms of coxalgia


Typically coxalgia, that is, hip pain presents with pain in the groin: in some cases, the suffering can extend to the buttock or knee, also affecting the patient’s walking.

Hip pain can affect both joints, so it is very likely that the patient will experience:


  • pain in the right hip ;
  • left hip pain.


Another characteristic sign may be pain while sitting or getting up from a chair: if this is associated with a reduction in the range of motion of the joint, it is very likely that there are problems related to the hip.

In addition, patients often report hip pain at night or when sleeping on their side and, although more rarely, at rest.

The hip pain of coxarthrosis


Often, however, coxalgia is a wake-up call for coxarthrosis, a degenerative disease that affects the joints in question, causing pain and difficulty in movement.

The coxofemoral joint comprises the iliac bone and the femur: the latter fits inside the acetabulum and is held in place by a series of muscles and a fibro-cartilaginous ring called the acetabular lip.

In order to avoid the anomalous contact between the two components, a phenomenon is known as femoro-acetabular conflict; the bones are covered with an additional layer of cartilage, which tends to wear out with age.

Coxarthrosis, therefore, is a typical pathology of aging and involves the progressive deterioration of the articular cartilage: this can evolve to the point of determining the loss of joint functionality or even the deformation of the anatomical parts involved.

However, the development of coxarthrosis in young athletes is not uncommon, so it is good to monitor the condition of the joints, especially if the sport practiced involves high-impact stress for the hip.


Tests for hip pain


When the hip pain is manifested consistently and significantly, it is useful to program a specialist visit.

In considering the therapeutic indications, the surgeon divides the specialist visit into three fundamental moments.

Each of the 3 phases of the visit plays a decisive role in evaluating the characteristics of the patient, his history, his uniqueness.

The three moments are:


  1. the patient’s clinical history, anamnesis ;
  2. the physical examination ;
  3. instrumental analyzes ( radiography, magnetic resonance).


It is therefore important to carry out a careful evaluation starting from the two fundamental aspects, namely:

  • the perceived pain ;
  • the functional needs of the patient.


The remedies for hip pain


Whatever the cause that generated coxalgia, the first treatment is always conservative.

For this reason, pharmacological therapies or often associated rehabilitation programs are used, especially in the early stages of coxarthrosis.

It is also very important to lose weight in order to reduce joint overload.

When symptoms persist or worsen, regenerative medicine treatments (such as PRP and stem cells) and surgery are considered.


Physical therapies


These are very different techniques, but they have a similar purpose: to manage joint inflammation.

The Tecarterapia and shock waves are the main techniques used in the early stages of hip pain, especially with regard to the arthritic process, in order to avoid more invasive treatments that are removed in this way in time.


Regenerative medicine


Regenerative medicine techniques for hip pathologies are based on the administration of autologous material (taken from the patient himself), which is treated and then injected into the area of ​​interest.

The treatments in question exploit the regenerative potential of the tissues, stimulating them and significantly slowing down and improving joint mobility.

The main techniques are:


  • PRP ( Platelet Rich Plasma ), in which a blood sample is taken;
  • stem cells ( Lipogems ®), which involves small liposuction from the abdomen.


The difference between these techniques lies in the material that is used, but both have shown remarkable results with regard to pain reduction and mobility improvement.

Dr. Musnish Lal is the best in the business. Call today to book your appointment. 


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