Causes, characteristic symptoms and treatment of pain in the hip joint, radiating to the leg

Author of the article: Victoria Stoyanova, category 2 doctor, head of the laboratory at the diagnostic and treatment center (2015–2016).

Article publication date: 01/26/2016

Article updated date: 12/06/2020

Pain in the hip joint that radiates to the leg occurs due to injuries, inflammation of tendons and joints, infections, and also as a local manifestation of general diseases of the body.

At the initial stages of pathologies, when only intra-articular structures are destroyed or injured, pain sensations are localized in the joint itself. When the structures surrounding the joint (ligaments, muscles, nerve bundles) are involved in the pathological process, the pain spreads beyond the joint - this is how irradiation (“recoil”) appears in the leg.

The greatest danger of pathologies that cause such discomfort lies in their complications. In most cases, pain radiating to the leg occurs against the background of the following four changes:

  1. reducing the amount of joint lubrication,
  2. pathological changes in periarticular structures,
  3. lesions of the synovial membrane,
  4. damage to cartilage tissue.

These are dangerous conditions. Ignoring pain, which indicates pathology of the hip joint (abbreviated HJ), leads to disruption of its function or to its complete immobilization.

The good news: timely consultation with a doctor can stop the progression of the disease and eliminate (or greatly alleviate) discomfort in the joint and leg. Treatment of such pain (and its causes) is carried out by rheumatologists, traumatologists, orthopedists and neurologists - depending on the pathology - the cause of the problem.

My leg hurts painfully in the groin: what could it be?

If your leg hurts in the groin, this can be a symptom of a number of diseases. The fact is that the groin is a part of the body that represents the junction of the thighs and peritoneum.

Here are located such vital organs and elements of the musculoskeletal system as the bladder, genitals, lumbosacral spine, etc. In addition, the part of the body's skeletal system located in the groin is primarily the hip joint (the largest in our body), surrounded by ligaments and muscles.

https://www.youtube.com/watch?v=cosamomglavnom

Lymphatic and blood vessels and nerves are located in the groin. Naturally, a pathological process can develop in any of the above organs and parts of the body, which is accompanied by pain of a different nature. In addition, it may be that, in combination with pain, the leg sometimes pulls or the pain periodically radiates to the groin, for example, when moving or in a certain position of the body.

Types of pain

Pain due to joint disease can vary. It can be classified as follows:

  1. Spicy. Most often it does not last long. It is clearly localized, so its source can be quickly and accurately determined. Such pain signals that a pathological process has begun inside the joint, which must be treated. Such sensations can also occur due to injury. At first, discomfort occurs in the right or left joint, but over time it spreads and radiates to the limbs. Treatment of such pain is quite easy.
  2. Aching. It is dangerous because its source is difficult to determine, since it can radiate quite strongly and spread over a large area of ​​the leg, covering the area from the hip to the knee. This pain appears periodically. Treatment in this case is difficult to carry out, since it is not easy to establish the exact localization of the center of pain.
  3. Chronic. This pain is the most painful, as it can last more than 6 months. This type of pain is so complex that sometimes surgical treatment is required to eliminate it.

Pain in the hip and groin area - possible causes

Tendon strains and ruptures are common causes in the front of the thigh among recreational athletes, especially those who participate in sports that involve running and spinning their legs quickly. A strain, a tear in muscle or tendon fibers, usually occurs suddenly or acutely. Tendinopathy describes an abnormality of the tendon, including tendonitis and tendinosis.

Tendinitis refers to acute inflammation of the tendon, while tendinosis describes the degradation of tendons due to chronic overuse. Several muscles and tendons converge on the anterior thigh, including the iliopsoas, rectus femoris, adductor femoris, and rectus abdominis. An injury to one or more of these muscles usually causes sudden pain in the front hip. With tendinosis, pain usually develops gradually or intermittently and gets worse with continued activity.

Arthritis is a common culprit for hip and groin pain. Many types of arthritis can affect the hip, all of which have common joint inflammation and pain. Osteoarthritis is the most common arthritis affecting the hip. It is most often diagnosed in people over 50, but can develop earlier – especially if there has been a previous hip injury.

Rheumatoid arthritis (RA) can also affect the hips. Although it can occur at any age, RA most often begins in people between the ages of 28 and 60. Other types of arthritis that can affect the hips include psoriatic and infectious arthritis, among others. Systemic inflammatory conditions such as lupus and polymyalgia rheumatica can also cause hip inflammation and anterior hip pain. How to treat hip arthritis.

Diseases of bones and cartilage.

The hip joint is formed by the rounded head of the femur, or femoral head, and a cup on the pelvis called the acetabulum. Both surfaces are cushioned with cartilage to reduce friction and prevent friction between bones. Problems with the hips or cartilage usually cause pain in the hip and groin area.

An example is femoral neck fractures located just below the head of the femur. Traumatic fractures are usually obvious. Tiny fractures, called stress fractures, are more subtle and are an overuse injury that is most common in runners. Another possible culprit for anterior hip pain is a condition called avascular necrosis of the femoral head.

Other bone and cartilage disorders that often cause anterior pain include:

  • Rupture of the rings of cartilage surrounding the joint.
  • Damage to the cartilage of the head of the femur or acetabulum.
  • Bone growths.

Compression of the nerves in the hip joint is another possible cause. Nerve compression often causes pain in the area, accompanied by numbness, burning, or tingling in the upper inner thigh. The compressed nerve passes through the pelvis and innervates several muscles of the thigh. Pain and other symptoms usually occur or worsen with certain leg movements, including hip extension and adduction, or pulling the leg inward.

Ilioinguinal nerve entrapment is another nerve compression syndrome that can cause pain in the anterior hip. Typical symptoms include a burning pain in the front of the thigh, which usually radiates into the scrotum or labia and upper inner thigh. Because the ilioinguinal nerve tract passes through the abdominal wall, leaning forward often relieves pressure on the nerve and reduces discomfort.

If left untreated, this condition may also cause weakness and bulging of the lower abdominal wall on the affected side. A bulging or herniated disc in the lower part of the spine - the lumbar spine - can also sometimes lead to pain. How to treat a herniated disc.

Kidney stones are mineralized stones that occur in the renal system. When these stones enter the ureter (the passage through which urine passes from the kidney to the bladder), it is called ureterolithiasis. Most kidney stones are calcium oxalate or calcium phosphate. Other stones may be magnesium ammonium phosphate, uric acid, or cysteine ​​stones.

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Kidney stones are present with an acute onset of colicky abdominal pain that starts from the side and radiates to the groin, scrotum or labia. It is often associated with nausea and vomiting.

Kidney stones, of course, cannot be treated at home and you should see a doctor immediately. It is important to obtain an abdominal CT scan to assess whether the stone may pass through the urinary tract or if it will need to be removed surgically.

A hernia is a soft, spongy swelling in the groin area that can protrude into the scrotum. This condition is usually painless, but torsion of the hernia can cause severe pain; consult a doctor immediately. The hernia is repaired through surgery.

Trauma to the groin area, obstruction of normal drainage, chemical irritation, hematoma (formation of a blood clot), and the presence of foreign bodies are all factors that can contribute to enlarged lymph nodes.

The process usually begins as cellulitis (infection of the skin), which leads to necrosis (formation of dead skin) and localization of pus and abscess formation, as well as lymphatic spread, that is, lymphadenitis. The groin area will be red, tender, warm and swollen. You may also have a mild fever and malaise. Contact your doctor immediately. Causes of pain in the hip and buttocks.

Bursitis and other causes.

Other orthopedic and medical conditions can cause pain in the hip and groin area. A bursa is a fluid-filled sac located between bones and muscles or tendons that reduces friction during movement. Inflammation of the iliopsoas bursa, located at the front of the hip, can lead to pain that usually appears or worsens with activity—especially extending the leg back from the hip. Iliopsoas bursitis often forms a lump in the groin area.

It is important to note that a number of diseases that are not related to the musculoskeletal system can lead to pain in the hip, groin and lower abdomen, usually accompanied by other signs and symptoms. These include abdominal and pelvic edema, as well as a wide range of digestive, urinary and reproductive system disorders. It is important to note that physical activity is not usually associated with pain caused by these conditions.

Osteonecrosis is a condition that occurs when not enough blood flow reaches the bone, cells die and the bone can break down. One of the most common sites for osteonecrosis is the hip joint.

Hip locking syndrome is a word used to describe three different problems in the hip area. First, when the thickened portion of the fascia lata snaps onto the outside of the thigh. The second occurs when the hip flexor profundus snaps over the front of the hip joint. Finally, a tear in the cartilage or labrum around the hip joint can cause a clicking sensation.

Dislocation of the hip joint.

Brutal force trauma, such as a car accident or sports injury, can cause the hip joint to become dislocated when the ends of the bones are forced out of their normal position. A hip dislocation is a very painful injury that can immobilize your hip joint, making walking nearly impossible. If you think you have dislocated your hip, see your doctor immediately. Causes of pain in the coccyx area.

No matter your age or activity level, hip and groin pain should not be ignored. This discomfort can limit your activities, potentially threatening your long-term health, and may indicate a serious medical problem. See your doctor as soon as possible if you experience pain in the hip and groin area.

  • Inability to move the leg normally.
  • Sudden leg numbness, weakness, or paralysis.
  • Rapidly developing swelling of the scrotum.
  • Unexpected vaginal bleeding, especially if you are pregnant.
  • Fever, chills, or clammy skin.
  • Nausea, vomiting, or bloody or black stools.
  • Dizziness or fainting.

Due to the highly complex anatomy and function, the hip and groin area can be very confusing and mysterious to doctors and therapists who do not specialize in this area. Most patients are surprised from the therapist to the doctor, bye; they find the correct diagnosis and then wonder from therapist to doctor until they find relief.

Daily stress over a long period can cause pain in the leg from the hip to the knee, the causes of which are very different.

Numbness of the skin of the legs from the thigh to the knee most often occurs due to an uncomfortable posture while sitting or after some physical activity. You shouldn't panic right away. It usually disappears after a few minutes of gentle massage. But if this condition recurs periodically and does not go away for a long time, you should contact a doctor who will prescribe an examination.

  • What is numbness? Why does the surface of the thigh become numb?
  • Numbness during pregnancy
  • Causes of development of chronic paresthesia
      Tunnel neuropathy
  • Diabetic neuropathy
  • Lumbar osteochondrosis
  • Atherosclerosis of the lower extremities
  • Multiple sclerosis
  • In most cases, there is no reason to worry, but it is still necessary to insure yourself, since a long-term loss of sensitivity may be a symptom of some abnormality in the body.

    What is numbness?

    Main reasons

    https://www.youtube.com/watch?v=https:muPaRSf1D3c

    Since the cause of pain can be a pathological process in any of the organs and parts of the body located in this area, at the first manifestations of pain it is necessary to consult a doctor. As a rule, the most common causes of leg pain can be the following diseases:

    • inguinal hernia;
    • various pathologies of the musculoskeletal system (coxarthrosis, osteochondrosis of the lumbosacral region);
    • diseases of the pelvic organs (including infectious etiology);
    • cancer of the pelvic organs;
    • injuries and damage to the groin area (bones, muscles, ligaments, etc.);
    • intense stress on the muscles of the groin area;
    • certain physiological changes in the body (for example, pregnancy).

    Therefore, to make an accurate diagnosis and prescribe the correct treatment, you must urgently consult a doctor. It is the doctor who will prescribe the necessary set of studies to find out exactly why it hurts near the groin.

    general description

    The initial stages of the disease are usually characterized by the fact that the pain does not extend beyond the hip joint. But gradually, if no treatment is taken, it can spread beyond its borders and radiate to the leg.

    If a person feels pain in the hip joint, he needs to urgently consult a doctor, since any pathology is dangerous for complications. For example:

    1. Reducing the size of the joint capsule.
    2. Pathological changes in the structures surrounding the joint.
    3. Damage to the synovial membrane, as well as the cartilage itself.

    You can’t ignore the aching pain radiating down your leg. Most often it signals a complex disease.

    How can you keep your joint healthy?

    In order for the hip joint to be healthy and radiating pain not to appear, the following conditions must be met:

    • maintain normal body weight so that the joint does not experience additional stress;
    • try to avoid any traumatic situations.

    • follow the norms of proper dietary nutrition, which should contain a normal level of calories and the required amount of vitamins and minerals;
    • perform physical exercises that will help maintain the functionality of the hip joint.

    If pain appears and begins to radiate to the limb, you should urgently consult a doctor and begin treatment.

    Characteristics of pain

    It must be said that one or another pathological process also determines the nature of the pain. As noted above, there may be a combination of cutting and pulling sensation (i.e. pulling the leg) or the cutting may radiate in the groin area when moving the leg and in a certain position of the body (legs). If the source of pain is located above the groin area, then it can move to the leg near it.

    For example, if the inner thigh hurts, this may be a consequence of muscle overload, especially after intense strength training. If the inguinal fold pricks on the left or right, then perhaps an inflammatory process is occurring in the pelvic organs or cancer is developing, which leads to an enlargement of the lymph nodes located in the groin area. Thus, the cause of pain in the legs can be a number of diseases.

    As for the occurrence of pain in the groin area in pregnant women in the later stages, this is due to hormonal changes in the body, which lead to softening of the bones and ligaments of the hip joint as the woman’s body prepares for childbirth. Therefore, if your legs hurt in the groin area, then a doctor’s consultation and additional research are necessary.

    Causes of pain

    If aching pain appears in the joint, and it begins to radiate to the leg, then this condition can be provoked by the following factors:

    • severe injury, bruise or blow. For example, it can occur during a fall;
    • arthrosis, or coxarthrosis, which is accompanied by an inflammatory process in the joint.

    • arthritis;
    • insufficiently good blood supply to the parts of the joint, as well as poor metabolism in the tissues;
    • infection of the hip joint or its fragments;
    • pathological change in the anatomy of the joint, which occurred due to dislocation or subluxation;
    • systemic diseases;
    • pathologies of internal organs, the inflammatory process of which can spread to the joint.

    The cause of the disease must be clarified so that adequate treatment can begin, especially if the pain begins to radiate to other parts of the body.

    Physiological changes in the body

    As noted above, the cause of leg pain in the groin area can be a number of diseases, physical activity, or certain physiological changes in the body (in particular, pregnancy).

    So, in the case of an inguinal hernia (direct or oblique), the pain is localized in the lower abdomen and groin. If the pain increases during physical activity, the hernia may become strangulated. As a rule, the treatment of inguinal hernia is surgical.

    With coxarthrosis, pain in the hip joint usually occurs with load and movement and disappears during rest. In this case, pain mainly appears when supporting the leg, walking, lifting weights, etc. In addition, there is a decrease in joint mobility. Treatment in this case is conservative, medicinal. For severe degrees of arthrosis, endoprosthetics is indicated.

    Damage and cancer of the hip joint are also accompanied by pain in the groin. Treatment of traumatic injuries of the hip joint is mainly surgical. Surgical intervention is also used for malignant neoplasms of the hip joint.

    As for osteochondrosis of the lumbosacral region, with this disease pain occurs in the lumbar and gluteal regions, along the back of the thigh. In addition, the pain may radiate to the leg.

    With cancer of the pelvic organs, as a rule, there is an enlargement of the lymph nodes in the groin area, which, in turn, is accompanied by pain.

    But muscle pain in the groin or from the groin to the knee usually occurs after intense physical activity. To remove it, complete muscle rest is necessary. You can also take a warm bath to relieve muscle tension and speed up the elimination of lactic acid, which forms in the muscles after strenuous work and causes pain.

    As for various inflammatory diseases of the pelvic organs (including those of an infectious nature), in these cases pain in the leg is also possible.

    In any case, if pain occurs in the leg, you must contact a medical facility for diagnosis and effective therapy.

    Pain in the groin can be caused by diseases of the reproductive system: in men - inflammation of the seminal vesicles, orchitis, prostatitis; in women – endometriosis, endometritis, andexitis.

    Localization and nature of pain

    With the development of the listed pathologies of the small pelvis, the pain makes itself felt with a nagging painful effect. Over time, the syndrome subsides, but resumes again when inflammatory processes intensify. In some cases, the pain in the groin can be cutting, in which a person stops while walking to calm the severity of the pain.

    Which specialist can help?

    https://www.youtube.com/watch?v=ytadvertiseru

    At the appointment, the specialist examines the patient, takes samples from the genital organs (vagina, penis) in order to identify possible pathogens of the disease.

    Based on the pathology, the course of treatment involves the use of appropriate antibiotics that suppress the infection and relieve inflammation.

    Malignant tumors can cause pain between the legs. In men, damage to the testicles and rectum is possible. In women - the cervix, ovaries, fallopian tubes, bladder.

    Nature and localization of pain

    Regardless of the pathology, the affected organs, having a tumor, provoke pain in the groin. With the progression of the tumor (growth in size), the painful syndrome in the groin begins to intensify. At the same time, the perineum begins to hurt constantly, causing a pressing effect.

    For a qualified examination and establishment of the exact pathology, you should contact an oncologist surgeon.

    Modern medical technology offers the following types of examination to detect malignant tumors of the pelvis:

    • Magnetic resonance imaging.
    • Ultrasonography.
    • CT scan.

    Possible treatments

    In medical practice, there are no cases when a patient was saved from death in the last stage of a malignant tumor. However, if the disease is detected in the early stages, treatment can be very effective.

    Treatment methods can be of the following nature:

    • Surgery by performing an operation to remove the tumor.
    • Chemotherapy.
    • Radiation therapy.

    This question concerns women more during pregnancy. Closer to childbirth, the muscles in the pelvic and lumbar region may not be able to cope with the weight of the growing fetus. This leads to pain.

    When walking, a heavy fetus (7-9 months of pregnancy) makes itself felt by aching pain in the groin area.

    Such cases should be monitored by antenatal clinic doctors.

    For rational treatment, the doctor prescribes a special examination using ultrasound. As an alternative to ultrasound examination, magnetic resonance imaging is prescribed.

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    A pregnant woman with this pathology should exclude everyday activity, eliminating complications in the pre-pregnancy period. It is necessary to wear a special corset that relieves the groin muscles. This will help relieve pain in a short time. In extreme cases, when the pain radiates to the groin, you can take a pain reliever.

    Women may experience pain in the perineal area with:

    • endometritis, inflammation of the inner lining of the uterus caused by streptococcal and other types of infection;
    • endometriosis, when cells of the inner layer of the uterus grow beyond the organ;
    • adnexitis, inflammation or infectious disease of the fallopian tubes.

    In men, the pain that occurs due to various sexual diseases can be nagging and even acute:

    • vesiculitis, inflammation of the seminal vesicles;
    • prostatitis, inflammation of the prostate glands caused by the penetration of various types of infection;
    • varicocele, with dilation of the veins of the spermatic canal;
    • torsion of the testicle on the spermatic cord;
    • orchitis, inflammation of the testicles.

    With such manifestations of disease, all representatives of different articles have very strong pain between their legs.

    Other causes of pain in the perineum may be:

    1. Tumor formations in the genitourinary system (benign, malignant).
    2. Cystitis (inflammation of the bladder), in particular chronic, with acute discomfort.
    3. The nerve in the hip joint is pinched, which can cause discomfort, as if the leg hurts in the groin.
    4. The lymph nodes become inflamed, a sign of diseases of the organs that are located in the groin area (listed above).
    5. Various injuries in the groin area.

    Monitor your health and consult a doctor on time.

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    Diseases and their characteristic symptoms

    Treatment of pathologies of the presented joint should begin only after the cause of the pain has been established. The nature of pain depends on the type of disease that begins to develop in a person:

    Diseases that cause pain in the hip joint and their symptoms

    PathologySymptoms
    BursitisThe pain is cramping in nature, and it is felt from the depths of the tissues
    OsteoarthritisIn the morning, initial pain in the hip joint begins to bother me, but it disappears throughout the day. In the later stages of the development of this disease, discomfort may occur even at night.
    CoxarthrosisThis pathology most often occurs in people 40-60 years old. It is characterized by an almost imperceptible beginning. Painful sensations are localized only on one side and disturb the person only during movement. Pain becomes more significant with partial or complete destruction of cartilage tissue
    ArthritisIt mainly occurs in old age. The pain in the hip joint is severe and aching in nature
    Inflammation of the ligaments (tendinitis)The pain in this case simply cannot be tolerated. They stretch along the ligaments. At the same time, they can radiate to the hip and knee. Most often, these symptoms are observed during physical activity.
    Neuralgia of the lateral cutaneous nerve of the thighThe discomfort in the hip joint is very strong. They are burning or aching in nature and can radiate down the side of the thigh

    Other symptoms may indicate the presence of hip joint pathology:

    1. Crunching and clicking in the joint when moving.
    2. Loss of flexibility of the joint, when it becomes difficult for a person to rise from a chair, up stairs, or simply bend over.
    3. Increase in local or general body temperature.
    4. The appearance of discomfort, which becomes more severe over time, especially during movement. In addition, some hip diseases can change gait.

    If the pain in the hip joint that a person feels can radiate to the lower back, buttocks and even the knee, this may indicate the development of avascular tissue necrosis, which can only be treated surgically.

    Causes of pain on the left side in the groin area when walking

    In films, women often take advantage of knowing a man's weak spot - the groin. If you hit a woman there, it will also hurt - but not so much.

    In real life, groin pain indicates the onset of a serious illness. Often pain in the groin radiates to the leg. Let's figure out why it happens and what to do so as not to suffer.

    The pelvic area contains a huge number of muscles, ligaments and bones, which can cause pain in the groin due to injury. Injuries can be of a different nature: bruises, fractures, sprains.

    Depending on the nature of the injury, pain in the groin can have different effects. If these are sprains, then the pain can be piercing if the victim makes an awkward movement. With fractures and bruises, the pain makes itself felt with an aching effect. The location of the pain is always individual, based on the injured area.

    If you receive a fracture, sprain, or bruise, you should contact a highly specialized specialist. Such a doctor is a trauma surgeon.

    In the first minutes after a bruise, it is advisable to apply ice or something cold. For fractures, the victim should be positioned correctly, depending on the broken bone, and then a plaster cast should be applied.

    To relieve pain, it is advisable to take one or two tablets of an anesthetic (Ketanov, Diclofenac).

    https://www.youtube.com/watch?v=ytcopyrightru

    The victim is prescribed bed rest to prevent physical activity.

    To do this, the patient may be prescribed the following procedures:

    • Massage.
    • Swimming.
    • A set of gymnastic exercises.
    • Visit to the physiotherapy room.

    Regular physical exercise, as well as high-performance sports, carries a risk of injury. The heavier and more intense the load an athlete puts on himself, the higher the possibility of injury, including to the groin. This type of injury is especially common among weightlifters and powerlifters who train with extremely heavy barbells.

    In addition, this type of injury is typical for people whose work involves lifting and carrying heavy loads, in particular, loaders.

    Basically, this type of injury includes sprains and torn ligaments. In this case, the pain does not remain only in the groin, but can also radiate to the leg. The pain in the leg is periodic and appears only when the victim moves suddenly.

    Which doctor should I make an appointment with?

    Contacting a trauma surgeon will help you cope with such injuries. The specialist will prescribe the optimal course of medication, prescribing the necessary painkillers.

    • An external examination of the injured part of the body is carried out.
    • Ultrasonography.
    • Magnetic resonance imaging.

    Having received an injury, the patient is prescribed bed rest to protect him from vigorous activity. The best medications that ensure the fastest recovery of the musculoskeletal system are specialized ointments (Fastum Gel, Ketanol, Capsicam).

    In medical practice, pain in the left groin is becoming one of the most common reasons for visiting a medical facility. At the moment when the leg begins to bother you when moving, a person most likely thinks about slight muscle fatigue, and not about the onset of an acute illness. That is why pain in the right groin should immediately attract attention, forcing you to undergo the necessary examination. In most cases, it is possible to quickly determine the reason why the leg and the entire lower abdomen are bothering you.

    Marina from Khabarovsk asked a question to a neurologist and chiropractor

    Hello, Alexander Alexandrovich, I’m reading your website, I was interested in your recommendations with a list of exercises for joint diseases, I would be very grateful to you if it wouldn’t be difficult for you to send me your recommendations by email.

    I want to say a little about my sore, my leg hurt in the groin area (pulling pain), the neurologist said to do a computed tomography scan, and the surgeon told me to do an x-ray. In the lumbar region there is a dorsal median protrusion of the intervertebral disc L5-S1, and according to the x-ray, right-sided coxarthrosis of stage 1. Oxyfication of the cartilaginous lip.

    The neurologist prescribed Structum and Milgamma, and the surgeon said that it’s okay, they can live with this diagnosis and don’t need to do anything, but I’m worried, because my leg is still pulling, and if I don’t do anything, it seems to me that the disease may progress to other stages, Tell me, should I contact an orthopedist and also a chiropractor? Thank you in advance!

    https://www.youtube.com/watch?v=upload

    Answer from osteopathic chiropractor Evdokimov A.A.

    Hello. Unfortunately, the information you have given is too little to understand the essence of your disease. I don’t know your age, which is also important for differential diagnosis.

    I want to say that almost every disease has strictly specific symptoms and their combination, which can be identified taking into account the experience and knowledge of the doctor, as well as careful questioning and examination of the patient.

    I can say that nagging, prolonged pain in the groin area is not at all characteristic of first-degree coxarthrosis as a monosymptom, and it is quite possible that there is a completely different pathology, for example, myotonic syndromes or a problem at the level of the articulation of the pubic bones.

    Problems not related to the hip joint can have a secondary negative impact on the condition and accelerate the progression of the disease. X-ray images show coxarthrosis of the first degree, but the severity of the manifestations does not correspond to the X-ray picture, that is, I dare to assume that there is still some condition that affects or creates an additional pain syndrome.

    You did not indicate the size of the hernia, but in principle its influence can also be quite significant on the formation of pain. In this case, as a doctor, I would not recommend self-medication and gymnastics to you, because there is no exact diagnosis, and the main commandment of a doctor is to do no harm.

    I recommend that you consult with a vertebrologist and physiotherapist. If the first is not there, then with the help of physiotherapy, if there are no contraindications, you can certainly achieve a positive therapeutic effect.

    It’s a pity that our doctors forget about such treatment methods, but they occupy leading positions in rehabilitation activities. I see every reason to contact a chiropractor, physiotherapist and prescribe a full course of treatment, and not just vitamins and chondroprotector.

    Treatment should be comprehensive, and not aimed at just prescribing something, and then the grass won’t grow. They got rid of the person, they seemed to prescribe something, it got better, okay, it didn’t get better, but that’s okay, they live with it.

    Look for a good, attentive and responsive doctor! All the best to you and success. Best regards, Dr. Evdokimov.

    by phone

    Features of the treatment of pain of different types

    If pain from the hip joint begins to radiate to the leg, this is a sure sign that treatment needs to begin. It depends on what disease the patient develops. For example:

    1. To treat arthritis, you need to take anti-inflammatory and hormonal medications. Physical therapy and massage will be useful. Physiotherapeutic procedures have a good effect.
    2. If a patient is diagnosed with bursitis, he may be prescribed a course of non-steroidal anti-inflammatory drugs. At the same time, in case of severe pain, medications can be injected directly into the joint (Hydrocortisone, Diprospan). The mobility of the joint should be significantly limited. Corticosteroids (Prednisolone, Dexamethasone) may also be prescribed.
    3. Coxarthrosis is a serious disease, conservative treatment of which is effective only in the initial (first, second) stages of development. Next, you will need surgery to partially or completely replace the joint. In this case, not only anti-inflammatory drugs (Meloxicam, Nimesulide) are needed, but also chondroprotectors (Arthra, Dona), which help restore cartilage tissue and strengthen it.
    4. If the problem lies in the pathology of connective tissues, then cytostatics (Cyclophosphamide) and glucocorticosteroids are used.

    Surgery is a last resort, which is used only if conservative therapy does not help, the joint is severely damaged, and the function of the limb is impaired. And also if the pain that radiates to the leg indicates aseptic necrosis of the femoral head, a malignant formation. The operation is also indicated for complex fractures of the articulation.

    If the pain in the joint begins to radiate to the leg, this is a signal to quickly consult a doctor, identify and begin to treat a serious pathology, which can eventually lead to limitation of a person’s movement. Be healthy!

    Pain in the groin, radiating to the leg, during pregnancy

    Women carrying a child cannot do without such pain. Pregnancy is a special case: changes occur in every area of ​​the body, the body hormonally adjusts to the nine-month development of a new human life. Changes do not always occur smoothly; problems often arise due to women who do not want to carry out their pregnancy in special conditions and who do not care about the health of the unborn child.

    But there are also cases beyond the control of expectant mothers.

    Pregnancy can develop outside the uterus in an unnatural way. A woman experiences pain in the groin, the pain goes higher, affecting the abdomen. The nature of the pain is sharp, radiating to the anus. The condition worsens when the fallopian tube ruptures - the woman becomes ill and may lose consciousness.

    If the pregnancy proceeds normally, the woman is also not immune from pain. The pain occurs constantly - aching, pulling, rather annoying than ruining life. In the area of ​​the uterus, the muscles necessary for “attaching” the child and his full birth are stretched. Pain is associated with a lack of calcium - add more foods rich in this substance to your diet.

    To get rid of pain, consult a doctor. If calcium in the body is in order, the doctor will prescribe wearing a bandage on the belt, taking homeopathic medicines, and special exercises for pregnant women. This does not harm the child's development.

    What can you do if your leg hurts in the groin?

    https://www.youtube.com/watch?v=ytcreatorsru

    The lumbar and pelvic region is the connecting link between the upper and lower body. Here is the hip region, bladder, lymph nodes, a huge number of blood vessels, as well as the inguinal ligament and muscle groups through which the torso flexes. In one of these places, corresponding pathologies may arise that reveal the reason why the leg hurts in the groin.

    This pain syndrome can become a real obstacle to performing work duties and household chores.

    Inguinal hernia

    The pathology is a protrusion of part of the internal organs into the inguinal canal. In females, discharge occurs in the subcutaneous space of the labia majora, and in males through the scrotum.

    Localization and nature of pain in the groin

    The location of the pain is the part of the groin where the hernia forms. The painful sensation is characterized by a pulsating, increasing effect.

    Other symptoms of inguinal hernia

    • With tension, a visual enlargement of the hernia is possible.
    • The hernia practically disappears if you take a horizontal position.
    • When walking or running, you feel a kick in the area of ​​the hernia.

    If these symptoms occur, you should visit the clinic and make an appointment with a surgeon.

    Diagnosis of inguinal hernia

    To determine the presence of an inguinal hernia, the surgeon must conduct a visual examination and palpate the patient’s area of ​​concern. For a more in-depth analysis of the patient’s condition, the following studies are carried out:

    • Ultrasound.
    • Magnetic resonance imaging.
    • Herniography.
    • Irrigoscopy.
    • Cystography.

    If an inguinal hernia is accurately diagnosed, the patient is immediately admitted to the hospital. You can only get rid of this disease through surgery. In the future, the patient should wear a special bandage to prevent relapse.

    Very often, pain between the legs in men is associated with an inguinal hernia. This disease mainly manifests itself in strong people. Swelling occurs on the right or left side of the perineum, resulting in weakening of the abdominal wall muscles and lowering of the intestines.

    Pain in the groin area of ​​the human body can occur not only with disruption of the musculoskeletal system, but also for other reasons.

    It is important to always remember that you should not endure torment and self-medicate. The cause of discomfort in the groin can be very different. Sometimes everything goes unnoticed, but sometimes you need urgent treatment or even surgery. Therefore, you should always consult a doctor and undergo examinations.

    Pathologies of the musculoskeletal system

    The most common pathology in which the leg hurts in the groin is osteochondrosis of the lumbosacral region. Pathology manifests itself in the steady modification of the vertebral discs if therapeutic measures are not taken in a timely manner.

    How does the leg hurt with lumbosacral osteochondrosis?

    https://www.youtube.com/watch?v=ytdevru

    With advanced pathology, back pain is so severe that it can spread to the leg. Pain may be felt on the outside of the thigh.

    Additional signs of lumbosacral osteochondrosis

    • With sudden movements, the pain shoots through, like an electric shock.
    • In the morning hours, it is difficult for a person to get out of bed.
    • Over time, if no action is taken, flexibility in the back is lost.
    • To relieve pain when walking, it is easier for the patient to limp than to walk correctly.

    For correct diagnosis and subsequent treatment, you should visit a neurologist’s office.

    To make a diagnosis, one of the following diagnostic tests can be used:

    • Magnetic resonance imaging.
    • Ultrasound.
    • CT scan.

    You should change your lifestyle. In particular, stop wearing high heels to relieve stress on your back. For constant correct posture, it is necessary to use a special corset. For overweight patients, it is extremely important to lose excess weight to reduce the stress on the vertebrae.

    At the same time, you should strengthen the lumbar and rectus back muscles by performing special gymnastic complexes. When engaging in physical education, it is prohibited to squat with a barbell and perform deadlifts. When choosing between running and race walking, it is better to prefer the second option, which puts less stress on the diseased vertebrae.

    The leg comes off, what should I do?

    My pelvis ordered me to live a long time, apparently.

    I can’t step on my right one today, there’s a wild pain in my hip, it goes all the way to my knee, it’s terrible

    I understand everything, the pelvis is diverging, our head is low and it’s clear that my little lady is still lowered, but it’s still a month away.

    Or is this no longer the norm? and you have to run to the gin, or rather crawl on all fours.

    What to do if your leg doesn’t obey when walking? Perhaps you feel colder skin? Tingling? Numbness? Or are you faced with the fact that your right or left foot is spanking?

    In fact, these are all symptoms of a fairly common disease.

    Patients often come to us with just such complaints. As a rule, these are people who have been ill for quite a long time! Not for a year or two, but previously the disease had not manifested itself so acutely, and attention to this problem was not given as much as it should.

    All attention to the lumbar region!

    Most often, such movement disorders are caused by problems of the lumbar spine. Intervertebral disc herniation – this MRI diagnosis usually accompanies these complaints. The leg does not obey when walking or spanks - these are the most common symptoms of exacerbation of the hernia process after pain syndrome.


    So, the symptoms of problems with the lumbar spine:

    • The left/right leg does not obey when walking
    • Left/right leg spanks
    • Do you feel numbness in your skin?
    • The extremity may feel cold
    • You feel tingling and other unusual conditions.

    What happens if you don't treat it?

    Long-term infringement of a nerve root often leads to its degeneration and, as a consequence, to a deep disorder of the innervation of those places for which this root is responsible. Advanced cases demonstrate atrophy - weakness and flabbiness, a decrease in size, visible to the naked eye - of the muscles of the lower extremities, sensitivity disorders (up to complete numbness) of the skin, and, of course, pain of varying degrees of severity.

    The trouble with these symptoms is that they indicate a rather long duration and neglect of the process. The man endured and endured, smeared and smeared with ointments - and he endured, and ended up with a big problem! But the problem is that these symptoms indicate damage, often irreversible, to one or another spinal nerve root. Moreover, it often happens that the patient does not complain about back pain itself. More precisely, at the moment he is not complaining. But once upon a time, yes, it happened, my lower back hurt quite badly.

    How is the treatment carried out?

    Such complex things are very reluctant to undergo conservative treatment, but, as practice shows, such patients - at any stage - can and should be treated. Because if left untreated, the problem tends to worsen to very sad limits.

    In our clinic, for the treatment of such diseases, we actively use:

    I repeat, such advanced radicular syndrome cannot be classified as mild cases, and, as a rule, treatment is long and difficult.


    But treatment can and should be done, and most often success can be achieved. But it is better, of course, not to lead to such a situation and in time - at the first signs of pain in the lumbar spine and numbness - goosebumps - lumbago - coldness and, of course, if the leg flops or the right or left does not obey when walking - resort to the help of specialists . Then no problems arise; competent and timely treatment will help you avoid troubles and make your life pleasant and joyful.

    First aid for groin pain

    If there is a sharp pain in the perineum, you must adhere to the following points:

    • Take a comfortable horizontal position to relax the muscles and ligaments in the groin.
    • If there is a bruise, you need to apply a cold object (you can get cold ice from the freezer).
    • If the pain is prolonged, then you should take a couple of painkillers.

    Be sure to watch the next video

    Unpleasant sensations in the groin can be a consequence of many reasons. Because the groin area connects the upper and lower parts of the body. Here passes the inguinal ligament, the hip region, the pubic bone, the bladder area, a collection of blood vessels, and lymph nodes. A large number of muscles that help flex the body are associated with the hip. Very often, pain in the groin and leg is associated with damage to the muscles on the inside of the thigh, the so-called adductors.

    Diagnosis of pathology

    In order to begin treatment, it is necessary to first make an accurate diagnosis, otherwise the therapy will not only be useless, but can also cause harm. After contacting a doctor, he is obliged to carry out the following procedures:

    1. External examination of the patient with the collection of all his complaints and compilation of an anamnesis.
    2. General and biochemical blood test, which can show the presence of an inflammatory process in the body.
    3. General urine analysis.
    4. A special blood test to determine the amount of fibrinogen, as well as other nonspecific markers in it, which also indicate the presence of inflammation.
    5. Determination of rheumatoid factor (by rheumatoid test).
    6. Carrying out a proteinogram.
    7. X-ray examination. It is one of the most important, as it makes it possible to examine the hip joint in more detail: are there any joint spaces or are they narrowed, are there any bone growths (osteophytes).
    8. MRI or CT. These studies will provide an opportunity to examine the condition of the muscles and ligaments. They allow you to accurately determine the cause of the development of pathology.
    9. Ultrasound.
    10. Electromyography (study of tendon reflexes).
    11. A thorough study of the patency of blood vessels.

    Only after this complex of examinations can an accurate diagnosis be made, the cause established and effective treatment begun that will stop the destruction of the joint. And this will happen if you do not respond to the pain, which can radiate to the leg.

    Diagnostics

    Foot problems are often diagnosed during an examination. The doctor observes the patient's gait and checks the leg muscles.

    In some cases, radiographic tests such as x-rays, ultrasound, or computed tomography (CT) are required. If sciatica is suspected, magnetic resonance imaging (MRI) is usually ordered.

    Nerve conduction studies may be recommended in situations where it is necessary to understand where the nerve damage has occurred.

    https://www.youtube.com/watch?v=ytpressru

    Electromyography may also be necessary, where electrodes are inserted into muscle fibers and record muscle activity.

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