What Are the Most Common Causes of Hip Pain at Night?

Causes of sore hips:

Sore hip

Causes of sore hips:

First, patients taking steroids for a long time are prone to cause hypoxic necrosis of the femoral head, so they are a high-risk group.

Second, patients with systemic lupus erythematosus are a high-risk group.

Third, alcohol abuse is also a high risk factor.

Fourth, diving is a dangerous factor. This is because on the one hand, the gravity of the oxygen cylinder is carried for a long time, and on the other hand, the helium in the blood is easily transformed into small bubbles on the surface in a short period of time, causing systemic blood vessel embolism and diver disease. People with these risk factors need to be especially careful, their chances of suffering from sore hips are higher than normal people.

Diagnosis of hip soreness: soreness in the hips, lower back, lower waist, hips, and thigh roots.

The differential diagnosis of tired hip soreness includes: arthritis, arthritis, myofascial pain syndrome, neuropathy, and other diseases.

There are many other diseases of the sore area, including inguinal hernia, simple sacral osteoarthritis, and disc prolapse (highly common between L3 and L4), or kidney stones and other diseases that directly or involve the hip. These are the diagnoses that need to be individually identified.

Soreness in hips, lower back, lower waist, hips, and thigh roots.

Differential diagnosis of hip soreness includes: arthritis, arthritis, myofascial pain syndrome, neuropathy, and other lesions.

Degenerative arthritis (osteoarthritis, referred to as OA). Degenerative arthritis, as the name suggests, is the degeneration of joints after long-term use. Degeneration of the hip joint is one of the common diseases of the elderly. Patients often feel sore hips after exercise, especially when lifting heavy objects, and their symptoms can often be improved after rest. Patients with more severe symptoms may feel sore even at rest. This symptom is particularly severe at night.

Infectious arthritis. It is because of the inflammatory response caused by bacterial infection. The most common pathogen is Staphylococcus aureus, which enters the joint cavity through blood circulation. Patients usually have a fever, severe hip pain, and joint swelling that sometimes does not occur. During a physical examination, the patient can only perform slight bending movements, and generally cannot tolerate movement in any way. After the diagnosis is established, you should be hospitalized immediately, given intravenous antibiotics, and take X-rays in the shortest possible time. You should also consult an orthopedic specialist. If necessary, you should surgically intervene to remove the purulent area as soon as possible to prevent joints from being affected. Permanent damage.

Inflammatory arthritis. It is caused by an immune rheumatic disease. Usually patients complain that the joints are particularly stiff after waking up in the morning, but after a few hours of activity, most of the symptoms can be reduced. The two most common diseases at this site include: rheumatoid arthritis (RA) and ankylosing spondylitis (AS). The easiest way to distinguish is to take an X-ray. Ankylosing spondylitis will present typical sacroilitis in this area, but rheumatoid arthritis will not have such changes. If the diagnosis is established, it should be consulted or referred to a suitable immunorheumatic specialist.

Arthritis. The joint capsule is a protective cushion used to cushion and lubricate, reducing the direct wear of the joint by external forces. There are eighteen joint capsules in this area, with three most commonly inflamed. Including the greater trochanter joint capsule, intestinal lumbar joint capsule, and ischial joint capsule. Physical examination can be performed on different joint capsules. If there is severe pain, this diagnosis can be established. X-ray examinations usually do not show images of soft tissue inflammation, so it is not necessary.

The treatment of arthritis is multi-pronged. Local hyperthermia, ultrasound, massage, and non-steroidal anti-inflammatory drugs can generally achieve satisfactory results. If the symptoms persist and cannot be alleviated in the above manner, it can be implemented for localized inflammation Steroid injection. If several weeks of treatment are not effective, you can consider computer tomography to rule out the possibility of other malignant diseases. Treatments including local hyperthermia, ultrasound, massage, stretching, the use of anti-inflammatory drugs, or topical steroid injections can alleviate clinical symptoms.

Myofascial pain syndrome. The intestinal tibia muscle fascia at this part can stretch from the outside of the intestine and the thigh to the outside of the knee. Once there is inflammation, this area will feel clinically painful, especially when lying down to the inflamed side It feels more intense. Pulling the fascia when the thigh is retracted will also cause severe pain, which are the reference for diagnosis. Fibromyalgia is more common in women, and clinically there may be general soreness, sleep disturbance, weakness, and even irritability in the large intestine.

Neuropathy can also cause sore hips. The most common cause is pain caused by the lateral femoral skinnerve being surrounded by surrounding soft tissues. Patients will experience soreness in the hips and thighs and paralysis of the epidermal nerve. Drug treatment is ineffective, surgical incision of soft tissue can effectively reduce neuropathy

Prevention of hip soreness:

Patting your hips improves blood supply to the brain. Although the two parts seem to be incompatible, they play an important role in eliminating fatigue. The body has two important meridians that connect the buttocks and brain. These are the bladder meridians and du veins. Among them, there is a long strong point in the coccyx in the middle of the buttocks, which is the starting point of the Du Vein. Qi and blood will be transported to the head from here. It works with the qi and blood of the bladder meridian to improve the blood supply to the brain and promote blood circulation.