[18F] Experiencing acute hip pain and nausea with chronic back pain

Patient Description

An 18-year-old female is reporting acute sharp pain in the hip area, which intensified significantly after performing the splits and feeling a pop in the surrounding muscles. The pain is present inside the hip flexor region and around the buttocks. She can bear weight on the affected leg, but it is very painful. There is no visible swelling or bruising, no fever, and no sensation of the hip locking or giving way. Additionally, the patient has started experiencing sudden onset nausea, rated 7 out of 10 in severity, with no relief from any interventions so far. The patient also mentions chronic achy back pain, which has been present for years and is considered unrelated to the hip pain. The back pain radiates up the back and down the leg.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible causes for your symptoms include:

  • Hip Flexor Strain: This occurs when one or more of the hip flexor muscles becomes stretched or torn. It's common in individuals who perform a lot of activities involving hip flexion, like doing the splits. The popping sound and immediate sharp pain could be indicative of a severe strain or tear.

    • Treatment typically involves rest, ice, compression, and elevation (RICE). Physical therapy may also be beneficial.
  • Hip Labral Tear: This is a tear in the ring of cartilage (labrum) that follows the outside rim of your hip joint socket. Besides causing pain in the hip and buttock, a labral tear can cause a catching sensation in the hip joint.

    • Treatment can range from conservative management with physical therapy and pain management, to surgical intervention in more severe cases.
  • Sciatica: This is pain that radiates along the path of the sciatic nerve, which branches from your lower back through your hips and buttocks and down each leg. It usually affects only one side of your body and could be the reason for the pain shooting down your leg.

    • Treatment typically involves physical therapy, pain management, and in some cases, surgery.

The nausea could be a reaction to the intense pain you're experiencing, or it could be unrelated.

What you can do

  1. Rest and avoid activities that worsen your pain.
  2. Apply ice to the painful area for 15 minutes at a time, several times a day.
  3. Over-the-counter pain relievers such as ibuprofen can help manage the pain and inflammation.
  4. Gentle stretching exercises can help improve flexibility and reduce pain. However, avoid any movements that cause pain.

What you should look out for

You should seek immediate medical attention if:

  • Your pain becomes unbearable
  • You develop a fever
  • You notice significant swelling or bruising around your hip
  • You experience numbness or tingling in your leg
  • You have difficulty moving your leg or hip

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, diagnosis, and treatment.

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11 mo ago

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People Also Ask


What are the common symptoms of a hip flexor strain?

Common symptoms of a hip flexor strain include sharp pain in the hip or groin area, swelling, bruising, and a popping sensation at the time of injury. Pain may worsen with movement, especially activities involving hip flexion.


How can I differentiate between a hip flexor strain and a hip labral tear?

A hip flexor strain typically presents with sharp pain and possibly swelling in the hip or groin area, while a hip labral tear may cause a catching or locking sensation in the hip joint, along with pain in the hip and buttock. Imaging tests like an MRI can help differentiate between the two.


What are some effective home treatments for managing hip pain?

Effective home treatments for managing hip pain include rest, applying ice to reduce swelling, using over-the-counter pain relievers like ibuprofen, and performing gentle stretching exercises to improve flexibility. Avoid activities that exacerbate the pain.


Can intense pain cause nausea, and how should it be addressed?

Intense pain can sometimes cause nausea as a physiological response to stress or discomfort. Addressing the underlying pain with appropriate pain management strategies can help alleviate nausea. If nausea persists, consult a healthcare provider for further evaluation.


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