Orthopedic Disorders
Question #9023
19 days ago
61,195

Hip bone - #9023

Anonymously

For the past few months, I’ve been experiencing some pain in my hip area. At first, it was just mild discomfort that I thought would go away on its own, but it’s been getting progressively worse. I’m not exactly sure when it started, but one morning, I woke up with a dull ache near my hip bone. It wasn’t anything that kept me from doing daily activities, but over time, the pain has become sharper, especially when I move or try to walk long distances. The pain seems to be focused right around the hip bone, and sometimes it radiates to my lower back or thigh. I’ve tried using over-the-counter pain relievers and applying heat or ice, but it’s only helped a little. I’m in my early 30s, and I’m generally quite active, so this pain has been bothering me quite a bit. I’ve started avoiding exercises like running or cycling because the pain gets worse after physical activity. On some days, the pain is more constant, and other days it comes and goes, especially when I’m sitting or standing for long periods. It seems to worsen when I put weight on my leg, like when I stand up or climb stairs. I went to see my doctor, and after examining me, they mentioned that the issue might be with my hip bone or the joint around it. They said it could be something like tendonitis or bursitis, but they didn’t seem too concerned at first. However, since the pain hasn’t improved, I’m starting to wonder if it could be something more serious like hip osteoarthritis or even an issue with the bone itself. I’m really unsure about whether this pain is due to overuse, age-related wear and tear, or if there’s something else causing it. The doctor didn’t order an X-ray yet, but I’m wondering if I should push for one to make sure it’s not something more serious. Could this be a sign of early arthritis in the hip bone, or is it more likely to be soft tissue damage around the joint? I’ve also heard about hip labral tears that can cause pain around the hip bone, so I’m curious if that’s something I should be worried about. I’m also trying to figure out how long I should wait before seeking more specialized treatment. Is it normal for this type of pain to persist for months, or should I expect to see some improvement with conservative treatment like physical therapy? Should I focus on strengthening the muscles around the hip bone, or should I avoid certain activities to let it heal? I’m getting frustrated with not knowing what’s causing the pain and how to address it effectively. Has anyone experienced pain in the hip bone that turned out to be something simple, or does it usually indicate a more serious problem? What treatments have worked for you, and how long did it take for the pain to subside?

Hip bone
Hip pain
Hip osteoarthritis
Tendonitis
Hip labral tear
Hip joint pain
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Doctors’ responses

Dr. Evgeny Arsentev
I am a highly qualified medical professional with over 15 years of experience in General Medicine. My expertise spans diagnosing and treating a wide range of conditions, providing evidence-based care, and mentoring junior doctors. I am dedicated to ensuring patient well-being through a combination of clinical skills and compassionate care.
18 days ago
Based on your description, it's clear that your hip pain has become a significant concern, especially as it has progressed from mild discomfort to sharper pain and is impacting your daily activities. Given that your doctor mentioned conditions like tendonitis or bursitis, those are possibilities, particularly if overuse is a factor in your active lifestyle. However, it's essential to consider the need for further evaluation. Here’s a structured approach to managing your situation: 1. **Follow-Up with Your Doctor**: Since your pain has persisted for several months and worsened, it’s reasonable to request further imaging like an X-ray. An X-ray can help rule out structural issues such as arthritis or significant bone changes. 2. **Consider Physical Therapy**: Engaging with a physical therapist can provide tailored exercises that focus on strengthening and improving flexibility in the hip joint and surrounding muscles. A therapist can also guide you on avoiding movements that exacerbate your symptoms. 3. **Activity Modification**: While rest is important, too much inactivity can lead to stiffness and muscle weakening. You may benefit from low-impact activities that do not exacerbate your pain, such as swimming or using a stationary bike. It is important to listen to your body; if certain movements cause pain, modify or avoid them until you have further evaluation. 4. **Symptom Monitoring**: Keep a journal of when the pain occurs, its intensity, what activities trigger it, and any patterns you notice. This information can be valuable for your healthcare provider to better understand your condition. 5. **Medication**: If over-the-counter pain relievers have provided limited relief, consider discussing with your doctor the possibility of a referral for further pain management options. While NSAIDs like ibuprofen can help with inflammation, ensure you're using them as recommended and consider consulting your healthcare provider if you feel you need stronger options. 6. **Explore Other Conditions**: If symptoms persist despite conservative treatment, your healthcare provider may explore additional diagnoses, such as a hip labral tear or other joint-related issues. Imaging and possibly an orthopedic consultation may be warranted. 7. **Understanding Prognosis**: Some individuals do experience improvement with conservative management, but timelines can vary widely based on the underlying condition. Physical therapy and modified activities typically show improvement within several weeks to months with consistent effort. Your concerns about potential conditions like early arthritis or labral tears are valid considerations that warrant thorough investigation. It’s not uncommon for hip pain to stem from a variety of issues, both soft tissue and structural. Thus, monitoring your symptoms closely and working collaboratively with your healthcare provider to find the right diagnosis and treatment plan is key. If you do not see improvement within the next few weeks, especially with a structured physical therapy plan, I recommend pushing for further imaging studies and possibly referrals to specialists, such as an orthopedic surgeon. Being proactive about your health is important, so don't hesitate to seek the care you need.
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