The majority of hip pain patients that we see in our Noida clinic, complain of pain around the hip and upper leg. Osteoarthritis of the hip is a   major reason for hip pain followed by rheumatoid arthritis. In this condition, there is damage to the cartilage of the hip joint (cartilage is like a cushion for the joint, and its wear and tear cause pain in the joint). 
 
 
Hip pain patients may complain of the following- 
1. Patients complain of pain around the hip in all activities involving the legs. There is pain on sitting cross-legged and after some time even night pain may be present. 
2. Patient may want to rest which gives some relief. 
3. Walking, climbing stairs, and getting up after sitting for a long time may cause pain.  
4. Sometimes bursitis like Trochanteric bursitis may cause hip pain. It may happen after long-distance cycling in athletes. 
5. Fracture of hip can cause very severe pain with the patient not being able to move. Most common cause of hip fracture is due to osteoporosis where bones become very weak.Always get older patient’s bones checked at a regular intervals to avoid fracture of hip (DEXA scan). 

Diagnosis- Talking to patients in detail may give a clue about the reason of hip pain. At Noida Pain Management Clinic, we examined the patient in detail before sending him for any expensive tests. Only when we think about a ligament injury or AVN   (avascular necrosis of the hip),   we send the patient for an MRI scan. Usually, a routine X-ray of the hip is good enough for most patients.  

Treatment- With proper guidance,   postural change and medicines we are able to give good relief to most patients of hip pain
1. Hot and cold compression are always advised as initial treatment of hip pain. 
2. For obese people its very important to lose weight. It causes continuous strain on the hip.
3. Medicines- We also give safe medicines for pain relief for some time.They should always be started after consultation with a doctor. Physical therapy may involve some stretching exercises which may give relief in a few patients.
4. RICE therapy for hip pain- The patient is asked for Rest from any activity that may be causing this pain like cycling for some time.He is asked to put Ice packevery 3-4 hours in the painful area. Compression band and elevation of the affected hip may also help.
5. Surgery- As a last resort, surgery may also be needed in case of avascular necrosis of the hip or advanced cases of osteoarthritis. 

Read More-
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Disclaimer: The information provided here should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. The information is provided solely for educational purpose and should not be considered a substitute for medical advice.