Hip diseases: types and diagnosis

JSC "Medicine" (clinic of academician Roitberg) operates a Pain Treatment Center. More details about the Pain Treatment Center

Pain in the hip joint, as a rule, indicates the appearance of a pathological process in the anatomical structures of the joint itself or adjacent tissues and organs. Most often, pain is caused by mechanical damage, an inflammatory process, an infectious or endocrine disease. It is possible that there are other factors that can trigger the appearance of this symptom. Let's look at why the hip joint hurts and how to deal with this problem.

Causes

Among the factors that provoke the appearance of pelvic pain, we should first of all mention:

• infectious inflammatory process in the tissues of the joint capsule (arthritis);
• degenerative tissue changes, osteoarthritis;
• traumatic injury - dislocation or fracture of the femoral neck;
• aseptic necrosis affecting the head of the femur;
• inflammatory process in the tissues forming the joint capsule (bursitis);
• non-infectious inflammation caused by an autoimmune disease;
• tuberculosis process;
• pregnancy.

Pain in the pelvic bones is much less common in young patients than in older people. In the older age category (over 60 years), it is periodically or constantly present in 60-60% of patients, while children under 18 years of age suffer from it in barely 10% of cases.

Noltrex intra-articular injections for coxarthrosis

To restore normal viscosity of synovial fluid, intra-articular injections are used today. First of all, patients are offered injections of hyaluronic acid. However, drugs based on hyaluronic acid do not have a high enough molecular weight, so they undergo rapid breakdown and do not remain in the joint for long. In addition, such products, produced on the basis of products of natural origin, often cause allergies or infectious complications.

"Noltrex" is a synthetic drug, a liquid prosthesis of synovial fluid. Its molecular weight is more than 10 million Daltons. For comparison: the molecular weight of preparations based on hyaluronic acid does not exceed 2.5 million Daltons, and on average is 1-2 million, while for natural HA in the joint this figure is 3.14 million Daltons.

That is why Noltrex does not have the side effects characteristic of hyaluronic acid, does not cause allergies and does not become a source of infection. The drug replicates the viscosity-elastic properties of synovial fluid, therefore it acts effectively. After several injections, cartilage friction stops, pain decreases, and the biomechanics of movements stabilizes. You can achieve this result even with the third stage of coxarthrosis - without surgery!

Pelvic pain in women

The joint connecting the pelvic and femur bones bears the heaviest load in a woman’s body, so its wear and tear is also extremely high. A common cause of its damage is a fracture of the femoral neck - an injury that most often affects women over 60 years of age. At this age, many of them develop osteoporosis after menopause. Bones become fragile, and any fall from height can lead to a severe fracture. In old age, its treatment usually requires surgery.

Another disease that often affects women is coxarthrosis, which is characterized by the gradual destruction of interarticular cartilage tissue. One of the typical manifestations is pain in the hip joint when walking, which subsides with rest. In women, the disease begins during menopause and progresses steadily, sometimes leading to complete inability to move independently.

Causes of pain in the hip joint

Soft tissue injuries

The most common traumatic cause of pain is a bruise of the hip joint.
Occurs when falling on the side or a direct blow, manifested by moderate acute pain, which quickly becomes dull in nature, gradually decreases and disappears within a few days, in severe cases – weeks. Support is preserved, movements are slightly limited. Swelling is detected locally and bruising is possible. Damage to the ligaments of the hip joint is rare, usually the result of road accidents and sports injuries, accompanied by sharp pain, and sometimes a cracking sensation (as if tissue is torn). The pain decreases somewhat, then often increases again due to swelling. Swelling from the joint spreads to the groin area and thigh.

The degree of dysfunction in ligamentous injuries depends on the severity of the injury (sprain, tear, rupture), ranging from minor limitation to the inability to support the leg. The pain intensifies with deviation of the body, movements in the direction opposite to the damaged ligament.

Bone and joint injuries

Femoral neck fractures usually occur in older people as a result of domestic or street trauma. A characteristic feature, especially in the presence of osteoporosis, is the absence of intense pain and mild swelling. At rest, the pain is deep, dull, moderate or insignificant; with movement, the painful sensations sharply intensify. The support is sometimes preserved. A typical sign is the inability to raise a straight leg from a lying position (sticky heel symptom).

Pertrochanteric fractures are more often diagnosed in middle-aged and young people and develop as a result of high-energy injuries. Unlike cervical fractures, they are accompanied by unbearable, sharp, diffuse, deep pain. Then the pain decreases, but remains very strong and difficult to bear. The joint is swollen and bruising is possible. Movements are severely limited. Support is impossible.

Isolated fractures of the greater trochanter are rare, found in children and young people, and are formed by a fall, direct blow, or sudden muscle contraction. The pain is acute, very intense, localized mainly along the outer surface of the joint. Due to increased pain, the patient avoids active movements.

Hip dislocations occur during falls from a height, industrial and road injuries, and are manifested by unbearable acute pain, which almost does not decrease until reduction. The joint is deformed, the leg is shortened, bent at the knee joint, turned outward, less often inward (depending on the type of dislocation). Support and movement are impossible; when attempting to move, spring resistance is detected.

Fractures of the acetabulum develop in isolation or are combined with hip dislocations. Characterized by acute explosive pain deep in the hip joint. Subsequently, the pain subsides somewhat, but remains intense, making any movement difficult. The leg is shortened and rotated outward. Support is impossible.

Degenerative processes

With coxarthrosis at the initial stage, the pain is periodic, dull, of uncertain localization, appearing at the end of the day or after significant exertion, sometimes radiating to the thigh and knee joint. There may be slight, quickly passing stiffness at the beginning of movements. Subsequently, the intensity of the pain increases, painful sensations are noted not only during movements, but also at rest. After heavy exertion, the patient begins to limp. Movements are somewhat limited.

In severe coxarthrosis, the pain is deep, diffuse, constant, aching, twisting. They are disturbing both during the day and at night. Resistance to stress is reduced; when walking, patients rely on a cane. Movements are significantly limited, the affected leg is shortened, which leads to increased load on the joint and increased pain when walking and standing.

Chondromatosis of the hip joint in its course resembles subacute arthritis. The pain is moderate, diffuse, transient, combined with crunching and limited mobility. When intra-articular bodies are pinched, blockades occur, characterized by intense sharp pain, impossibility or significant limitation of movements. After the pinching of the articular mouse stops, the listed symptoms disappear.

Trochanteritis is usually formed with arthrosis of the hip joint, accompanied by inflammatory-degenerative damage to the tendons of the gluteal muscles at the point of their attachment to the greater trochanter, manifested by pain in the affected area when lying on the affected side. There is an increase in pain when trying to abduct the hip with resistance.

Bone nutritional disorders

Perthes disease develops in children and adolescents and is characterized by partial necrosis of the femoral head, which is initially accompanied by mild dull deep pain, sometimes radiating to the knee and hip. After a few months, the pain sharply intensifies, becoming constant, acute, and debilitating. The joint swells, movements are limited, and lameness occurs. Then the pain decreases, the degree of restoration of joint function varies.

Aseptic necrosis of the femoral head resembles Perthes disease in its course, but is detected in adults, has a less favorable course, and in half of the cases is bilateral. At first the pain is periodic, nagging. Then the pain intensifies and appears at night. At the height of clinical manifestations, the pain is so intense that the person completely loses the ability to lean on his leg. Then the pain gradually decreases. Limitations of movement progress over approximately 2 years, resulting in arthrosis of the hip joint, contractures, and shortening of the limb.

Solitary bone cysts form in the proximal metaphysis of the femur in boys 10-15 years old and are accompanied by mild, intermittent pain in the hip joint. Edema is usually absent; with prolonged course, contractures often develop, especially in young children. Due to mildly expressed symptoms, the reason for treatment is a pathological fracture or increasing limitation of movements.

Arthritis

Aseptic arthritis manifests itself as wave-like pain in the joint, intensifying in the early morning hours. The severity of pain varies from minor to acute, strong, constant, significantly limiting motor activity. Stiffness, swelling, redness, and increased local temperature are noted. Palpation is painful.

In rheumatoid arthritis, the hip joints are rarely involved, and the lesion is symmetrical. Periodic pain first appears during the changing seasons (autumn, spring), with a sharp change in weather conditions, during periods of hormonal changes after childbirth or during menopause. The pain is moderate or weak, diffuse, pulling or aching, sharply intensifies with palpation. Combined with recurrent synovitis, edema, hyperemia, hyperthermia, and increasing limitation of mobility.

Infectious arthritis develops when the infection spreads hematogenously or lymphogenously, or less commonly when the pathogen penetrates the joint from nearby tissues. Typically acute onset with rapidly increasing pain. The pain is intense, jerking, tearing, bursting, bothers you at rest, intensifies with movement, causing the limb to take a forced position. Patients exhibit fever, chills, sweating, severe weakness, swelling, redness of the joint, and increased local temperature.

In the absence of timely treatment, bacterial infectious arthritis can develop into panarthritis - purulent inflammation of all tissues of the hip joint. It is characterized by a severe course with very acute widespread throbbing pain, hectic fever, severe weakness, presyncope, significant hyperemia and hyperthermia.

Other inflammatory diseases

Osteomyelitis of the upper thigh can be hematogenous, post-traumatic or postoperative in nature. Hematogenous osteomyelitis is manifested by clearly localized, very acute bursting, tugging, tearing or boring pain, due to which the patient avoids the slightest movements of the limb. Severe hyperthermia and severe intoxication are noted.

Post-traumatic and postoperative osteomyelitis occurs with similar, but less pronounced symptoms. Typically a more gradual onset against the background of an open fracture or postoperative wound, the appearance of purulent discharge. Pain in the hip joint increases over 1-2 weeks in parallel with the progression of signs of local inflammation.

Synovitis develops against the background of injuries, other diseases of the hip joint, and less often becomes a manifestation of allergies. In acute synovitis, the pain is usually minor, dull, bursting, gradually increasing due to an increase in the amount of intra-articular fluid. The joint is swollen, palpation is slightly painful, and the symptom of fluctuation is determined. Chronic synovitis is asymptomatic and is accompanied by mild aching pain.

With intermittent hydroarthrosis, the pain is also minor, accompanied by discomfort, limited mobility, and disappears within 3-5 days after reverse resorption of the effusion. They recur at certain intervals, individual for each patient, and are caused by repeated accumulations of fluid in the joint.

Specific infections

Tuberculosis of the hip joint is a common form of osteoarticular tuberculosis, which manifests itself with general weakness, fatigue, and low-grade fever. Then weak pulling or aching pain in the muscles appears, and transient painful sensations in the joint when walking. The patient begins to spare the limb. As the pain progresses, it becomes moderate, diffuse, extends to the knee, and is accompanied by swelling, redness, and synovitis. A protective contracture develops.

Pain in the joints, including the hip, can appear with brucellosis. In acute and subacute forms, painful sensations are pulling, twisting, and are combined with periodic fever, lymphadenopathy, and skin rashes. In the chronic course, the pain syndrome resembles that of aseptic arthritis, and deformities form over time.

Congenital anomalies

Manifestations of hip dysplasia are determined by the degree of incongruence of the femoral head and acetabulum. With complete congenital dislocation, pain appears immediately after the child begins to walk and is accompanied by lameness. With moderate subluxation, pain occurs at the age of 5-6 years and is directly related to the load on the leg.

With mild subluxation, the pathology is asymptomatic for a long time, pain syndrome manifests itself with the development of dysplastic coxarthrosis at the age of 25-30 years. Distinctive signs of such arthrosis are a rapid increase in pain, early onset of pain at rest and at night, and progressive limitation of movements. All forms of dysplasia are accompanied by asymmetry of skin folds, a “clicking” symptom and limited mobility. In case of dislocation, shortening of the limb is noted.

Neoplasms

For benign neoplasia, an asymptomatic course is typical. The pain is minor, intermittent, and often does not progress over many years. Tumor growth is accompanied by a slow increase in pain and recurrent synovitis. In the area of ​​the hip joint, osteomas, osteoid osteomas, osteoblastomas, and chondromas are more often detected.

Malignant neoplasias (osteogenic sarcomas, chondrosarcomas) are characterized by rapid progression of pain and other manifestations of pathology. At first, the pain is minor, short-term, without a specific localization, sometimes intensifies at night. Subsequently, they become sharp, permanent, cutting, encircling, and spread to the entire joint. The affected area swells and becomes deformed. Weight loss, weakness, and low-grade fever are noted. With advanced neoplasia, the pain is excruciating, unbearable, and can only be eliminated with narcotic drugs.

Other reasons

Pain in the hip joint sometimes appears with lumbosacral plexitis and sciatic nerve neuropathy, but they usually occupy an insignificant position in the clinical picture of the disease and fade into the background compared to intense pain in the back of the buttock and thigh, limb weakness and sensory disturbances.

Pain syndrome in this localization is often detected with osteochondrosis and disc herniations. Painful sensations can be detected with spondylitis, deforming spondyloarthrosis and spinal curvature. The pain is dull, periodic, aching, often intensifying during the period of exacerbation of the underlying disease. The reason for their appearance may be constant overload of the joint or the development of coxarthrosis.

Sometimes joint pain is caused by mental illness or depressive disorder. Diabetes mellitus is often accompanied by enthesopathies, capsulitis, and other lesions of periarticular soft tissues. Drug-induced arthropathy is possible when taking certain medications.

Pelvic pain in men

The only pathology of the pelvic joint that affects only men is Perthes disease. This is a hereditary disease that consists of deformation of the head of the femur: it becomes flat rather than round. When walking, the patient has pain in the hip joint on the left side, if the pathology is localized on the left, or on the right side, if the head is deformed on the right.

A disease that is more common in men is tendonitis, or an inflammatory process that affects the tendons. This is a disease of athletes and people forced to perform heavy physical work for a long time - loaders, masons, heavy weights, etc. Pain appears during heavy exertion, during active movements. With moderate and light loads, as a rule, there is no pain.

The next typically “male” disease is necrosis of the femoral head, and about a third of patients become ill at a young age - up to 30 years. The disease goes through several stages, and already at the very beginning the patient has pain in the hip joint on the right side (or on the left), and the pain is felt in the groin area, less often it radiates to the hip, knee or lower back. If left untreated, lameness appears over time and disability develops.

Therapeutic tactics: what treatment is prescribed

Effective treatment of arthrosis of the hip joint involves the use of various methods: from medication and exercise therapy to surgical intervention (endoprosthetics).

Non-surgical treatment requires quite a large financial investment, but can improve the patient’s quality of life and, in the long term, eliminate the need for endoprosthetics. If arthrosis of the hip joint was detected at the first or second stage, the first medication prescribed by the doctor will be NSAIDs and painkillers. NSAIDs are aimed at reducing the activity of the inflammatory process, and painkillers are aimed at relieving pain.

In the treatment of articular pathologies, it is important to restore nutrition to the cartilage and slow down the process of its destruction. For this purpose, the doctor will prescribe a treatment regimen that will include drugs with a vasodilator effect and chondroprotective drugs. The latter are used for therapeutic and prophylactic purposes for degenerative joint diseases.

Among chondroprotectors, you should pay attention to Artra, which contains chondroitin and glucosamine. Artra is produced in the form of tablets of 60 and 120 pieces.

Chondroitin is a glycosaminoglycan that is considered as a symptomatic slow-acting drug for osteoarthritis. Chondroitin, used with glucosamine, is indicated to relieve pain and reduce inflammation in arthrosis. This combination improves joint function and slows the progression of the disease. Chondroitin does not have carcinogenic potential and is well tolerated without serious side effects.

The next component of Arthra is glucosamine. Oral glucosamine may relieve pain in people with osteoarthritis of the knee, hip, and spine. How glucosamine works in treating disease is not entirely clear, but most research suggests that it can reduce inflammation—especially when used in conjunction with chondroitin supplements. In addition to alleviating pain, glucosamine slows down the process of destruction of cartilage tissue and prevents deterioration of the condition during arthrosis. Some studies show that patients who took glucosamine long-term were less likely to require arthroplasty and other orthopedic surgeries.

Pelvic pain in pregnant women

There are several reasons why hip joints may hurt in women:

• in recent weeks - lack of calcium or vitamin D;
• increased production of the hormone relaxin, which promotes sprains;
• exacerbation of latent hip dysplasia or osteoarthritis;
• increased stress on the joint due to weight gain;
• old injury.

Women who have pelvic pain during pregnancy should be more attentive to their health, because this condition can lead to an exacerbation of even minor diseases.

How is coxarthrosis treated at the third stage?

At a late stage, conservative treatment of osteoarthritis is ineffective. Doctors recommend replacing the destroyed joint with an endoprosthesis. Unipolar - replaces only the femoral head, bipolar - the head and acetabulum. The operation is performed after a full examination and under general anesthesia, followed by antibiotic therapy and a complex course of rehabilitation measures. Repeated intervention, provided all requirements are met, the patient may need in 15-20 years.

Traditional medicine approaches the treatment of coxarthrosis as follows:

Chronic pelvic pain

Chronic is any pain in the pelvic area that continues with varying intensity for several months. Aching pain in the hip joint and surrounding area often occurs in women, but men also suffer from diseases that cause pain in the pelvic area. The causes of pain are varied, from osteochondrosis to urological and gynecological diseases. In each case, a thorough examination is necessary to identify the disease and prescribe adequate treatment.

Frequently asked questions about the disease

How does arthrosis of the hip joint hurt?

Characterized by pain in the groin and on the outer side of the thigh, extending to the knee. The buttock area hurts less often.

Is it possible to cure a hip joint without surgery?

It will not be possible to completely cure, but it is quite possible to eliminate the pain, stop the destruction of the joint and partially restore the cartilage. Surgery is performed when conservative treatment does not help.

Who treats arthrosis of the hip joint?

Traumatologist-orthopedist.

How can I determine if I have coxarthrosis?

Coxarthrosis can be suspected when there is pain in the groin, radiating to the leg, as well as when pain occurs while walking. After this, it is better to consult a doctor immediately.

Degenerative-dystrophic diseases of the joints of the legs and primarily the hip joint are dangerous because, due to constant high load, they very quickly lead to disability. Therefore, it is very important to immediately consult a doctor at the slightest suspicion of such a pathology. And don’t be afraid of anything: the specialists of the Paramita clinic in Moscow will help you in any case, even if you have advanced disease and can barely walk.

Literature:

1. Volokitina, E. A. Coxarthrosis and its surgical treatment: abstract. dis. Doctor of Medical Sciences / E. A. Volokitina. - Kurgan, 2003. - 46 p.
2. Comprehensive characteristics of degenerative changes in coxarthrosis /E. A. Volokitina et al. // New technologies in medicine: abstract. scientific-practical conf. in 2 parts - Kurgan, 2000. - Part 1. - P. 48-49.
3. Ganz R., Leunig M., Leunig-Ganz K. et al. The etiology of osteoarthritis of the hip. An Integrated Mechanical Concept. Clin Orthop Relat Res 2008;466(2):264–72.
4. Mastbergen SC, Bijlsma JW, Lafeber FP Synthesis and release of human cartilage matrix proteoglycans are differently regulated by nitric oxide and prostaglandin-E2. Ann Rheum Dis 2008;67(1):52–8.

Themes

Arthrosis, Joints, Pain, Treatment without surgery Date of publication: 08/24/2021 Date of update: 01/11/2021

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Diagnostics

To determine the disease that causes constant pain in the hip joint, it is necessary to undergo a fairly extensive examination, which includes:

• X-ray of the hip joint, which allows you to detect or exclude traumatic damage, identify bone defects, growths and other pathologies;
• Ultrasound of the hip area, which reveals inflammatory processes and degeneration of soft tissues, calcified areas and other pathologies;
• CT scan of the hip joint, which is prescribed to clarify the diagnosis or in unclear cases;
• MRI to clarify the condition of the soft tissues of the joint capsule;
• puncture of joint fluid to remove effusion and study the composition of the infiltrate in order to detect the causative agent of infection;
• joint arthroscopy - endoscopic examination of the joint capsule using a probe inserted through a small incision.

In addition, the orthopedist, surgeon or rheumatologist prescribes laboratory tests for the patient in accordance with the presenting symptoms:

• general urine and blood tests;
• immunological blood test;
• biochemical blood test for rheumatic markers, etc.

Approach to treating the disease in our clinic

Moscow Medical Specialists have extensive experience in treating degenerative-dystrophic diseases of the leg joints. If coxarthrosis is suspected, a full examination of the patient is first performed using the most modern diagnostic methods, including MRI. And only after the final diagnosis and stage of the disease is established, comprehensive treatment is prescribed.

A special feature of the treatment in our clinic is that doctors use not only the most modern methods of treating leg diseases, but also the use of traditional oriental techniques that have been successfully used for centuries by doctors of Ancient China and Tibet. To treat coxarthrosis we use:

• PRP therapy is an advanced modern technique for activating restoration processes in the hip joint by introducing the patient’s platelets into the pathological focus; This method can restore cartilage tissue;
• methods of reflexology (RT) – influence in various ways on points on the human body that are reflexively connected with the tissues of the hip joint; techniques such as acupuncture, moxibustion with wormwood cigarettes, acupressure, auriculotherapy (impact on points in the ear area), etc. are used;
• manual therapy – a chiropractor uses his hands to correct the position of the hip bones;
• hirudotherapy - treatment with leeches that improve blood circulation in the leg, which leads to the restoration of cartilage tissue of the joint;
• kinesiotherapy – restoration of motor function of the hip joint with the help of specially selected therapeutic movements.

And these are not all the methods used. An integrated approach to treatment allows not only to quickly eliminate symptoms, but also to prevent exacerbations and improve overall well-being. If you have problems with your leg joints, contact the Paramita clinic, we will definitely help you!

We combine proven techniques of the East and innovative methods of Western medicine.
Read more about our unique method of treating arthrosis

Treatment

Clinic JSC "Medicine" offers the services of the "Pain Treatment Center". Experienced specialists will help solve the problem with any type of pain.

Since there are quite a lot of diseases that cause pelvic pain, the methods of treating them depend on the symptoms and disorders detected during diagnosis. For pathologies of bone and joint tissue, the following are usually prescribed:

• chondroprotectors, complexes of minerals and vitamins to strengthen bones, cartilage tissue and ligaments;
• muscle relaxants to reduce muscle spasms and relax tense muscles;
• non-steroidal anti-inflammatory drugs, in case of severe symptoms - steroids;
• drugs that improve capillary circulation to reduce swelling and manifestations of hypoxia;
• diuretics to stimulate fluid exchange and reduce swelling.

For inflammatory diseases, physiotherapeutic sessions have a good effect. Patients are prescribed electrophoresis, laser therapy, medicinal phonophoresis and other procedures. They are carried out at the end of the acute phase of inflammation to stimulate the recovery process.

If conservative methods are not effective enough, the patient may be prescribed:

• therapeutic blockade - the introduction of an anesthetic drug into the selected area to block the transmission of pain impulses along the nerve fiber, due to which spasmed muscles relax, the trophism of periarticular tissues improves, and blood flow normalizes;
• radiofrequency denervation - elimination of nerve fibers using a radiofrequency pulse through needles inserted into the joint tissue, which allows the patient to permanently relieve pain in the hip joint, radiating to the groin, knee or lower back;
• surgical opening and drainage - for purulent inflammation of the joint, followed by antibacterial therapy;
• removal of the tumor - in case of a malignant tumor process, after which chemical and radiation therapy is carried out to reduce the risk of relapse;
• hip replacement - in case of destruction, the head of the femur is removed and an implant is installed in its place, but in some cases not only part of the femur is replaced, but also the acetabulum of the pelvic bone.

The choice of method depends on the degree of damage to the joint and other tissues.

Trochanteritis: signs, symptoms and treatment

In this disease, inflammation directly affects the hip part of the skeleton, the greater trochanter of the hip joint (trochanter). This pathology is otherwise called trochanteric bursitis. Painful symptoms with trochanteric bursitis are often similar to signs of hip coxarthrosis. With trochanteritis, the inflammatory process covers the tendons and muscle ligaments located on the surface of the greater trochanter of the femur.

Most often, only one hip trochanter is affected. Moreover, trochanteritis, in comparison with arthrosis of the hip joint, is not accompanied by restrictions in motor activity.

Depending on the location of the inflammatory process, trochanteritis can be:

• aseptic form - inflammation covers the synovial membrane, but pathogens are not involved in the process;
• septic flow - an infectious, bacterial, viral or fungal pathogen spreads throughout the entire pelvic area. The purulent-inflammatory process also affects other surfaces in the vital organs;
• The tuberculosis form is a fairly rare disease, mostly diagnosed in childhood. A distinctive feature is the spread of inflammation both to the greater trochanter and to the tissue adjacent to the bones of the thigh.

Possible factors in the formation of inflammation:

• excess body weight;
• the presence of anatomical disorders in the pelvis and legs;
• hypothermia;
• problems with the endocrine system;
• excessive physical activity.

Most often, trochanteritis is diagnosed in women 25-30 years of age or during menopause due to hormonal imbalances.

Regardless of the age category and gender of the patient, pain symptoms characteristic of trochanteritis can appear against the background of problems with calcium metabolism and after severe damage to bones and joints by osteoporosis.

The doctor selects the treatment, taking into account the origin of the inflammatory process occurring in the greater trochanter. If the cause of the development of the pathology lies in infection of the body, antibiotics are indicated. The aseptic form of the disease involves treatment with non-steroidal anti-inflammatory drugs. If tuberculous trochanteritis is detected, the doctor prescribes anti-tuberculosis medications.

Thanks to intensive treatment, literally after 2 weeks a person can be completely cured. The main condition is to contact a specialist in time.

Prevention

To avoid diseases that cause pain in the hip joint, you must:

• adhere to healthy eating principles, monitor body weight;
• maintain moderate physical activity, walk regularly;
• avoid heavy loads associated with lifting and carrying heavy objects;
• protect joints from hypothermia;
• avoid injury.