[37F] Experiencing hip joint pain post-transatlantic flight

What might be happening

Based on the information you have provided, here are some possible explanations for your hip joint pain:

• Deep Vein Thrombosis (DVT): Given your recent long flight and the presence of warmth in the affected area, DVT is a potential concern. DVT occurs when a blood clot forms in a deep vein, usually in the legs. This condition can be serious if the clot travels to the lungs, causing a pulmonary embolism.

  • Typical Treatment: DVT is usually treated with blood thinners (anticoagulants) to prevent the clot from growing and to reduce the risk of further clots. In some cases, more aggressive treatments like clot removal may be necessary. An ultrasound is often used to diagnose DVT.

• Hip Bursitis: This condition involves inflammation of the bursae (small fluid-filled sacs) that cushion the bones, tendons, and muscles near your hip joint. It can cause pain and warmth in the affected area.

  • Typical Treatment: Treatment often includes rest, ice, and anti-inflammatory medications. Physical therapy may also be recommended.

• Hip Strain or Sprain: Prolonged sitting during your flight could have strained the muscles or ligaments around your hip joint, leading to pain and discomfort.

  • Typical Treatment: Rest, ice, compression, and elevation (RICE) are commonly recommended. Over-the-counter pain relievers like ibuprofen can also help.

• Osteoarthritis: Although less likely given your age and lack of previous episodes, osteoarthritis can cause joint pain and warmth. This condition involves the wearing down of the cartilage that cushions your hip joint.

  • Typical Treatment: Management includes pain relievers, physical therapy, and sometimes corticosteroid injections.

What you can do

While it's important to consult a healthcare provider for a formal diagnosis and treatment plan, here are some steps you can take in the meantime:

1. Rest and Avoid Weight-Bearing Activities: Try to rest your hip as much as possible and avoid activities that worsen the pain.
2. Apply Ice: Use an ice pack on the affected area for 15-20 minutes several times a day to reduce pain and inflammation.
3. Over-the-Counter Pain Relievers: Medications like ibuprofen or acetaminophen can help manage pain and reduce inflammation.
4. Stay Hydrated and Move Periodically: If you have to sit for long periods, make sure to stay hydrated and take breaks to move around to improve circulation.
5. Use MDandMe: You can use MDandMe to journal your symptoms, track your progress, get insights, and share longitudinal medical notes with your healthcare provider.

What you should look out for

Seek medical attention more urgently if you experience any of the following:

• Sudden Shortness of Breath or Chest Pain: These could be signs of a pulmonary embolism, which is a medical emergency.
• Swelling in Your Calf or Thigh: This could indicate a blood clot.
• Severe or Worsening Pain: If your pain becomes unbearable or significantly worsens, seek medical help.
• Fever or Chills: These could indicate an infection or other serious condition.

Remember, while this advice can help you manage your symptoms, it's crucial to consult a healthcare provider for a formal diagnosis and appropriate treatment.