Hip Pain (cont.)
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Hip Pain Causes
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Pain may arise from structures that are within the hip joint or from structures surrounding the hip. The hip joint is a potential space, meaning that there is a minimal amount of fluid inside it to allow the femoral head to glide in the socket of the acetabulum. Any illness or injury that causes inflammation will cause this space to fill with fluid or blood, stretching the hip capsule lining and resulting in pain.
The femoral head and the acetabulum are lined with articular cartilage that allows the bones to move within the joint with less friction. Also, the socket area of the acetabulum is covered with tough cartilage called the labrum. Just like any other joint cartilage, these areas can wear away or tear and become the source of pain.
There are thick bands of tissue that surround the hip joint, forming a capsule. These help maintain joint stability, especially with movement.
Movement at the hip joint is possible due to the muscles that surround the hip and their tendons that attach across the hip joint, allowing motion in different directions. Aside from controlling movement, these muscles act together to maintain joint stability. There are large bursas (fluid-filled sacs) that surround areas of the hip and allow the muscles and tendons to glide more easily over bony prominences. Any of these structures can become inflamed.
Pain from other sources can be referred to the hip, meaning that while the hip hurts, the problem may potentially originate elsewhere. Inflammation of the sciatic nerve as it arises from the spinal cord in the back can cause hip pain, especially if the L1 or L2 nerve roots are involved. Other types of nerve inflammation may manifest as hip pain, including pain arising in the lateral femoral cutaneous nerve of the thigh, which is often inflamed in pregnancy. Pain from an inguinal or femoral hernia may also cause pain that is felt in the hip.
Hip pain is a nonspecific complaint that requires the health-care professional to find the underlying cause from many potential injuries or illnesses. the The approach to the diagnosis of hip pain requires an open mind because the source of trauma or the cause of illness may not be readily apparent.
Picture of the Anatomy of the Hip
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