[36F] Experiencing sharp hip pain with occasional radiating leg pain

Patient Description

A 36-year-old female has been experiencing right hip pain for the past 5 months, described as frequent sharp pains that worsen with certain angles and movements, particularly when standing and sitting. The pain is localized in the buttock area but occasionally radiates down the right leg. She also reports temporary weakness in her leg during these sharp pains. There is no numbness or loss of bowel or bladder control. The patient has a history of migraines since 2020 but no other chronic conditions or illnesses, and she is not on any medications. Additionally, she has experienced an unexplained weight loss of about 10 pounds recently.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible diagnoses 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, inflammation, and sometimes weakness in the affected leg. The pain is often sharp and can be triggered by certain movements or positions. The fact that your pain radiates down your leg and causes temporary weakness suggests that this might be the cause.

    • Treatment typically involves physical therapy to improve your strength and flexibility, medications to manage your pain, and in some cases, surgery.
  • Sacroiliitis: This is inflammation of one or both of your sacroiliac joints, which connect your lower spine and pelvis. Sacroiliitis can cause pain in your buttocks or lower back, and can extend down one or both legs. If this is the cause, it could explain your hip pain and the pain radiating down your leg.

    • Treatment typically involves medications to reduce inflammation and pain, physical therapy, and in some cases, surgery.
  • Hip Bursitis: This condition occurs when the bursae, small fluid-filled sacs that cushion your hip joints, become inflamed. This can cause pain on the outside of your hip, thigh or in the buttock. However, hip bursitis usually doesn't cause pain that radiates down the leg.

    • Treatment typically involves rest, physical therapy, medications to reduce inflammation and pain, and in some cases, surgery.

Please note that these are just possibilities and not a definitive diagnosis. You should consult with a healthcare provider for an accurate diagnosis.

What you can do

Here are some things you can do to manage your symptoms:

  1. Rest: Avoid activities that worsen your pain.
  2. Pain relievers: Over-the-counter pain relievers such as ibuprofen (Advil, Motrin IB, others) or acetaminophen (Tylenol, others) might help.
  3. Physical therapy: Certain exercises might help improve your flexibility and strengthen the muscles that support your hip. A physical therapist can guide you in what exercises are best for your condition.
  4. Apply heat or cold: A heating pad or ice pack applied to the affected area might help reduce your pain.

What you should look out for

If your symptoms worsen or if you experience any of the following, seek medical attention immediately:

  • Severe pain or swelling
  • Signs of infection, such as redness, warmth or tenderness in the affected area, or a fever
  • The inability to move your hip or leg
  • The inability to bear weight on your leg

Remember, I'm an AI and this advice is not a substitute for professional medical advice. Please consult with a healthcare provider for an accurate diagnosis and treatment.

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11 mo ago

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People Also Ask


What is sciatica and what are its common symptoms?

Sciatica is a condition where the sciatic nerve, which runs from the lower back through the hips and buttocks and down each leg, becomes pinched or irritated. Common symptoms include sharp pain that radiates from the lower back to the leg, inflammation, and sometimes weakness in the affected leg.


How is sacroiliitis diagnosed and treated?

Sacroiliitis is diagnosed through a combination of physical examination, imaging tests like X-rays or MRIs, and sometimes blood tests to rule out other conditions. Treatment typically involves medications to reduce inflammation and pain, physical therapy to improve joint function, and in some cases, surgery.


What are the typical causes of hip bursitis?

Hip bursitis is often caused by repetitive motion or overuse of the hip joint, injury, or conditions like arthritis. It results in inflammation of the bursae, which are small fluid-filled sacs that cushion the hip joints, leading to pain on the outside of the hip or buttock.


What could be the reasons for unexplained weight loss in adults?

Unexplained weight loss in adults can be due to a variety of factors including stress, depression, chronic illnesses, metabolic disorders, or gastrointestinal issues. It is important to consult a healthcare provider to determine the underlying cause.


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