What Are the Best Treatments for Hip Pain?

Children with growth pain are mainly children in the growing period, more common in boys, and the pain is usually in the knee joint, hip and hip.

Hip pain in children

Children with growth pain are mainly children in the growing period, more common in boys, and the pain is usually in the knee joint, hip and hip.

TCM disease name

Hip pain in children

Visiting department

Pediatrics

Multiple groups

child

Common locations

Hip

1. Periarticular ligament injury, the stability of the knee ligament is relatively poor when the knee is slightly flexed. If external force suddenly causes valgus or varus at this time, it may cause medial or lateral collateral ligament injury. The patient has a clear history of trauma, knee pain, swelling, ecchymosis, and restricted movement.

2. Cartilage injuries are mainly meniscus injuries of the knee joint. When the knee joint is slightly flexed, if the knee is excessively turned internally or externally (for example, in a football game, the calf is turned and kicked). May cause tearing of the meniscus. Meniscus injuries will have a noticeable tear in the knee, followed by joint pain, limited mobility, lameness during walking, and bounces when the joints move.

3. Joint synovitis due to trauma or excessive strain and other factors will damage the joint synovium, a large amount of fluid will be produced, which will increase the pressure in the joints, causing joint pain, swelling, tenderness, and there are frictional sounds. For example, when the knee is actively straightened, especially when the knee is stretched with a certain amount of resistance, the pain in the lower part of the sacrum will increase. Pain can also increase significantly during passive extreme flexion.

4. Autoimmune system diseases Immune system diseases such as lupus erythematosus and psoriasis can also invade joints and cause swelling and pain, which depends on blood tests to assist diagnosis.

5. Children with growth pain These patients are mainly children in the growing period, more common in boys. Pain is common in the knee and hip joints. This condition is a normal physiological phenomenon that occurs during the growth and development of children. Because children in the growing stage have relatively fast bone growth, the periosteum and local muscle growth are not coordinated, which causes discomfort and joint pain. It is also believed that this pain is caused by a low-toxic infection.

6. Traumatic joint pain Due to some kind of accident or accident, joints in shoulders, wrists, knees, ankles and other parts can be traumatized (such as soft tissue damage, fracture dislocation, etc.) without serious fractures and other joints causing joint pain.

7. Purulent arthritis has a history of infection in other parts of the body or a history of local trauma. Painful joints may have swelling, and the location may or may not be obvious, but all have elevated body temperature, joint pain, inability to move, and elevated blood count. phenomenon.

8. Osteoarthritis Osteoarthritis mostly occurs after the age of 40 years. Joint pain is more severe in the morning and lighter in the day and night. Bone hyperplasia at the joint site and bone spurs rubbing the surrounding tissue can cause joint pain.

9. Osteoporosis Elderly women have pain in multiple joints throughout the body, feel particularly weak, and cannot walk with weights. If other diseases are ruled out, they may have osteoporosis.

10. Rheumatoid and rheumatoid arthritis mostly occur in women aged 20 to 45 years. Rheumatoid arthritis is often migraine pain (the location of the pain is uncertain). Pain, swelling, and stiffness often occur in the wrist, and joint sensitivity and swelling and pain occur at the same time. ).

11. Gouty arthritis gout pain is common in the thumb and the first metatarsophalangeal joint (outside of the thumb). Mainly due to the metabolic disorders of purine in the body induced by consumption of seafood and alcohol. In the acute phase, the patient has local swelling, severe pain, and is unbearable; in the chronic phase, the patient may have pain, joint deformation and other manifestations.

12. Pain due to strain due to the relatively large amount of joint area activity, which causes strains in the soft tissues such as the muscles around the joint, which causes pain. Common shoulder inflammation, tennis elbow, etc. are common.

13. Pain caused by tumors Local tumors in joints are also one of the important factors that cause joint pain. They are more common in children and the elderly during growth and development. If there is joint swelling and pain, the pain is more severe at night than during the day, the pain medication is not effective, and there is no reasonable reason to explain, you should go to the hospital for further examination to rule out joint tumors. ^[1]

Antinuclear antibodies (ANA)-

Generally refers to antibodies against various nuclear components, is a widely existing autoantibody.

Rheumatoid factor (RF)-

Rheumatoid factor for hip pain in children is an autoantibody against human degenerative immunoglobulins present in the serum of patients with rheumatoid arthritis and other diseases.

Knee pain

Knee joint pain is most common in the clinic, but many diseases can cause knee pain. Due to different causes, different treatment methods are used. Therefore, accurate diagnosis is the first prerequisite for treatment.

1. Intra-articular injuries and lesions

1) Meniscus injury: There is a history of trauma, there may be tender points in the joint space, and the pain disappears after rest. Me and Murray signs are positive, and joint interlocking may occur.

Hip pain in children 2) cruciate ligament injury: history of trauma, joint instability, positive drawer test.

(1) The elbow-clamping patient stands back against the wall, or lies on his back with his upper arm close to his elbow, and uses the elbow as a fulcrum to perform external rotation.

(2) The patient climbs the wall with his fingers. The patient stands facing the wall, and slowly climbs up with the affected side fingers along the wall, so that his upper limbs are lifted as far as possible, to the maximum, make a mark on the wall, and then slowly go back to the original place, repeatedly Proceed and gradually increase the height.

(3) The patient with the handle behind the body stands naturally. In the posture where the upper limb of the affected side is turned inward and extended backward, the healthy side pulls the affected side's hand or wrist, gradually pulls towards the healthy side and pulls upward.

(4) The patient's upper limbs will naturally sag with arms extended, arms straight, arms will be slowly abducted downwards, lifted upwards, stop for 10 minutes to the maximum, then return to the original position, and repeat.

(5) The patient with the posterior extension of the spine naturally stands. In the posture of the affected side's upper limb inward rotation and backward extension, elbow flexion, wrist flexion, and middle finger abdomen touch the spinous process of the spine. After moving for 2 minutes, slowly return to the original position, repeat it, and gradually increase the height.

(6) Comb patients can stand or lie on their backs. The affected side has elbows flexed, the forearms are raised forward and pronated (the palms are upwards). Rub the forehead with the elbows as much as possible.

(7) The patient with the headrest on both hands should be in a supine position, with both hands and fingers crossed, palms facing up, and placed on the back of the head (occipital).

(8) The patient with shoulder rotation stands with the affected limb hanging down naturally, the elbows are straight, and the affected arm is circled from front to back in a range from small to large, repeated several times.