[21F] Experiencing burning hip pain

Patient Description

A 21-year-old female reports a burning pain in her right hip, which has persisted for several weeks. The pain is described as severe, with a rating of 7 out of 10, and has also spread to her lower back and left hip. There is no mention of recent injuries or accidents that could be related to the pain, and no additional symptoms have been reported. The patient has not indicated whether the pain radiates down her 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:

  • Sciatica: This condition occurs when the sciatic nerve (which runs from your lower back, through your hips and buttocks, and down each leg) becomes pinched or irritated. This can cause pain, burning, and even numbness along the path of the nerve.

    • Treatment often involves physical therapy, pain relievers, and in some cases, surgery.
  • Hip Bursitis: This is inflammation of the bursa, a fluid-filled sac near the hip joint. This can cause pain on the outer side of your hip, which can sometimes extend to the lower back.

    • Treatment typically includes rest, physical therapy, and nonsteroidal anti-inflammatory drugs (NSAIDs).
  • Sacroiliitis: This is inflammation of one or both of your sacroiliac joints — situated where your lower spine and pelvis connect. This can cause pain in your buttocks or lower back, and may extend down one or both legs.

    • Treatment often involves physical therapy and medications to reduce inflammation and pain.

Please remember that these are potential causes and it's important to consult with a healthcare professional for an accurate diagnosis.

What you can do

  1. Rest and avoid activities that worsen your pain.
  2. Apply a hot or cold pack to the affected area.
  3. Over-the-counter pain relievers may help, but they should be used under the guidance of a healthcare professional.
  4. Gentle stretching exercises may help relieve tension and improve flexibility.

What you should look out for

You should seek immediate medical attention if:

  • Your pain is severe or worsening.
  • You have difficulty moving the affected hip or leg.
  • You experience sudden, intense pain in your hip or lower back.
  • You have a fever, unexplained weight loss, or other signs of infection.

Remember, it's important to consult with a healthcare professional for an accurate diagnosis and treatment.

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11 mo ago

People Also Ask


What are the common symptoms of sciatica?

Common symptoms of sciatica include pain that radiates from the lower back through the hips and buttocks and down each leg, burning sensations, numbness, and tingling along the path of the sciatic nerve.


How is hip bursitis typically treated?

Hip bursitis is typically treated with rest, physical therapy, and nonsteroidal anti-inflammatory drugs (NSAIDs) to reduce inflammation and pain. In some cases, corticosteroid injections may be recommended.


What is sacroiliitis and what symptoms does it cause?

Sacroiliitis is the inflammation of one or both sacroiliac joints, located where the lower spine and pelvis connect. It can cause pain in the buttocks or lower back, which may extend down one or both legs.


When should I seek immediate medical attention for hip pain?

You should seek immediate medical attention for hip pain if the pain is severe or worsening, if you have difficulty moving the affected hip or leg, if you experience sudden, intense pain, or if you have a fever, unexplained weight loss, or other signs of infection.


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