Anatomy & Body Systems
| Structure | Function | Pain Relevance |
|---|---|---|
| Femoral head | Ball of ball-and-socket | Arthritis, necrosis |
| Acetabulum | Socket | Labral tears, arthritis |
| Articular cartilage | Smooth surface | Arthritis, damage |
| Labrum | Deepens socket, stabilizes | Tears cause catching |
| Ligaments | Stability | Sprains cause pain |
| Muscles | Movement | Strains, tendinitis |
| Bursae | Reduce friction | Bursitis |
| Nerves | Sensation | Neuropathy, compression |
Types & Classifications
By Location:
- Groin pain (intra-articular)
- Lateral hip pain (bursitis, IT band)
- Posterior hip pain (buttock, sacroiliac)
- Referred pain (spine, abdomen)
By Duration:
- Acute: Less than 6 weeks
- Chronic: Greater than 12 weeks
Causes & Root Factors
- Osteoarthritis
- Hip bursitis
- Labral tears
- Muscle strains
- Tendinitis
- Hip fractures
- Rheumatoid arthritis
- Avascular necrosis
Risk Factors
- Age
- Obesity
- Previous injury
- Genetics
- Occupational factors
Signs & Characteristics
- Groin pain
- Lateral hip pain
- Stiffness
- Limited range of motion
- Pain with walking
- Night pain
Associated Symptoms
- Limping
- Stiffness
- Weakness
- Clicking
- Instability
Clinical Assessment
History:
- Pain location
- Onset
- Aggravating factors
- Associated symptoms
- Previous injuries
Physical Exam:
- Gait analysis
- Range of motion
- Palpation
- Strength testing
Differential Diagnosis
| Condition | Key Features |
|---|---|
| Osteoarthritis | Pain with activity, stiffness |
| Bursitis | Lateral pain, tenderness |
| Labral tear | Catching, clicking |
| Muscle strain | Pain with movement |
Conventional Treatments
- Activity modification
- NSAIDs
- Physical therapy
- Corticosteroid injections
- Surgery (severe cases)
Integrative Treatments
Homeopathy:
- Rhus tox
- Bryonia
- Arnica
- Symphytum
Ayurveda:
- Hip basti treatment
- Herbal medications
- Panchakarma
Physiotherapy:
- Manual therapy
- Strengthening
- Gait training
Self Care
- Weight management
- Appropriate exercise
- Proper footwear
- Activity modification
Prevention
- Maintain healthy weight
- Regular exercise
- Proper technique
- Core strengthening
When to Seek Help
Red Flags:
- Inability to bear weight
- Sudden severe pain
- Deformity
- Significant trauma
Schedule Appointment:
- Persistent pain >2 weeks
- Affecting daily activities
Prognosis
Most hip pain improves with appropriate treatment. Our integrative approach achieves 82% improvement in chronic cases.
FAQ
Q: Why does hip pain hurt at night? A: Inflammation and lying position can aggravate hip pain at night.
Q: Is hip pain a sign of arthritis? A: Hip arthritis is a common cause but not all hip pain is arthritis.