What Causes Hip Pain?

The hip is a joint that carries loads and has many muscles around it. Degeneration in the joint or soft tissue problems around the joint are the main cause of pain. It is more common in men than women due to its mechanical structure. There are many muscles around the hip, and these muscles are connected to many neighboring joints and internal organs through both nerve connections and fascia connections. Problems in the structures they are connected to cause the hip muscles to be tighter than normal, disrupt blood flow and cause hip problems. Therefore, it is not enough to evaluate only the hip of a person with hip pain.

What Are the Problems Preparing the Ground for Hip Diseases?

Problems experienced in the intestines, urinary and reproductive organs, which are connected neurally, or in the knee, foot, sacroiliac joint, waist, neck, shoulder and jaw joints, past diseases and surgeries are important predisposing factors. The problem that affects the hip the most with the effect of the disruptive field is past or ongoing tonsil infections.

What Are the Pathologies That Cause Hip Pain?

According to examination and MRI imaging results, the most common hip problems are as follows.

• Soft Tissue Problems Around the Hip: Tendinitis in the hip muscles, inflammations in the sacs that facilitate muscle movement (bursitis) and trigger points in the muscles around the hip.
• Hip Calcification: Joint cartilage degenerations that cause pain in the hip, especially in men, and movement restriction over time.
• Congenital Hip Dislocation: Advanced movement restriction and severe problems are seen in these patients.
• Aseptic Necrosis: Decay (necrosis) caused by decreased blood flow to the joint head that forms the hip joint, and eventually causes advanced movement restriction and pain-related calcification.
• Secondary to Inflammatory Rheumatic Diseases: Hip involvement is common, especially in Ankylosing Spondylitis.
• Rare: Infections and tumors of the hip

How is it Treated?

First of all, it is necessary to understand what the pathology is. Then, it should be determined whether there is a predisposing factor.

In soft tissue and muscle problems around the hip, painkillers are usually given because there are no sufficient radiological images. In cases that do not improve, treatments such as physical therapy, dry needling, ozone injection, kinesio taping are applied.

The general approach in the treatment of arthritis is to first give a painkiller, and if it does not improve, to start a physical therapy and exercise program. In cases that do not help, injections such as PRP, ozone, prolotherapy are applied, and if they do not improve, surgery is performed.

In all of these applications, the damaged hip is dealt with, but there is no approach to why it is damaged. As explained above, the hip is a region that communicates with many parts of the body. In particular, past diseases and surgeries in the intestines, urinary and reproductive organs, neighboring joint problems, past tonsil and tooth infections, and jaw problems pave the way for hip problems. For a permanent cure, both the hip and these triggering problems need to be detected from a neural therapy perspective and treated with neural therapy injections. In this way, there will be healing as the blood supply to the damaged structures in the hip area will improve, and since the triggering factors are treated, it will not recur.

In advanced calcifications where there is pain in the hip and limited movement, manual therapy and mobilization should be performed together with neural therapy. If the patient’s quality of life cannot be increased with these treatments and the walking distance has decreased significantly, surgical treatment and prosthesis are required.