When you havehip pain, you just want it to stop. But hips hurt for a variety of reasons that may require different remedies. Here’s a quick guide that will help you know what you can do at home to feel better and when it’s time to hobble to your doctor.
Osteoarthritis
WHAT IS IT?Cartilage, the spongy tissue that cushions joints, deteriorates, causing bones to rub against each other.
哪里疼?It is usually in the groin, but you can also feel pain in the buttocks.
如何诊断?The doctor will test your hip’s range of motion; loss of range is an arthritis tip-off. He’ll likely then take an X-ray, says Calin Moucha, MD, associate chief of joint replacement surgery at Mount Sinai Medical Center in New York City. “It could show joint-space narrowing, bony spurs and cysts in the bone.”
回家治疗。Don’t overdo activities, but don’t prop your feet up either, says Dr. Moucha. “Keep your joints in motion with low-impact activities like swimming, biking and walking.” Takenonsteroidal anti-inflammatory drugs (NSAIDs)for pain.
WHEN TO SEE A DOCTOR.Call the doctor if the pain worsens and if over-the-counter measures like NSAIDs don’t help.
Tendinitis
WHAT IS IT?Tendinitis is inflammation of the band of tissue that connects muscles to bones and is often caused by overuse, says Dr. Moucha.
哪里疼?如果是臀部肌腱炎，你会感到腹股沟隐隐疼痛，尤其是当你爬楼梯或从椅子上站起来的时候。If you have hamstring tendinitis, you’ll be smarting in the buttocks, says Peter J. Millett, MD, an orthopaedic surgeon at Steadman Clinic in Vail, Colo.
如何诊断?你的医生可能会让你躺下，把你的膝盖放在你的胸部，然后用你的膝盖抵住他抗拒的手。“如果这导致腹股沟疼痛，很可能是肌腱炎，”穆查博士说，特别是如果x光片没有显示关节损伤，那么就可能是骨关节炎。
回家治疗。停止做那些让你受伤的事情，让你的肌腱休息一下。服用非甾体抗炎药，如萘普生(Aleve)或布洛芬(Advil)，根据标签说明。在疼痛的地方敷冰，每天几次，每次20分钟。
WHEN TO SEE A DOCTOR.If the pain doesn’t respond to ice and NSAIDs, or if you can’t put weight on your leg, it’s time to get help. Also see a physician if you feel pain at night.
Bursitis
WHAT IS IT?滑囊炎是滑囊的炎症，滑囊是一种润滑液体囊，用来缓冲肌腱。
哪里疼?It’s burning the side of your hip.
如何诊断?You’ll yelp when the doctor presses the sore spot.
回家治疗。Take NSAIDs, apply ice several times a day and give the area a rub. “One theory is that the bursa doesn’t get a great blood supply, so increasing it [through massage] helps healing,” says Dr. Moucha. And several times a day, stretch your iliotibial band, the fibrous tissue on the outside of the hip, which can also become inflamed. Standing up, cross your legs and reach toward your toes, holding for 20 to 30 seconds. Switch legs.
WHEN TO SEE A DOCTOR.If you’re smarting after two weeks, the pain gets worse, you can’t stand or you have night pain, then head to the MD.
Author: Dorothy Foltz-Gray
Related Resources:
- More About Hip Pain
- Arthritis & Diseases that Affect the Hip
- Exercise May Delay or Prevent Hip Surgery
- Don’t Let Knee or Hip Pain Make You Unsteady