[38F] With soreness and tenderness above right hip

Patient Description

A 38-year-old female reports experiencing soreness and tenderness just above her right hip, in the area where her sweatpant elastic is. The tenderness started upon waking and became noticeable as the morning progressed. The sensation is described as an ache and skin sensitivity, rated as 3 out of 10 in severity. The tenderness comes and goes and worsens with touch or tighter clothing. There are no recent injuries, redness, swelling, rash, or changes in skin in the affected area. The patient has not experienced changes in bowel habits, nausea, or vomiting, and has not started any new medications or topical products recently. Medical history includes Hashimoto's thyroiditis, trochlear dysplasia, and migraines. The patient no longer has depression. Allergies include latex and adhesives. Current medications are Levothyroxine, Ozempic, a multivitamin, Diclofenac as needed, and migraine medications as needed. The patient has stopped taking Wellbutrin.

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Arora's Assessment

What might be happening

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

  • Muscle Strain or Overuse: Even if you haven't engaged in strenuous activities recently, everyday movements or poor posture can sometimes lead to muscle strain. This can cause tenderness and soreness in the affected area.

    • Treatment: Rest, gentle stretching, and over-the-counter pain relievers like ibuprofen or acetaminophen can help alleviate symptoms.
  • Localized Skin Irritation: The area where your sweatpant elastic sits could be causing irritation, especially if the elastic is tight or if you have been sweating more than usual.

    • Treatment: Wearing looser clothing and applying a soothing lotion or cream can help reduce irritation.
  • Hernia: Although less likely given the absence of a noticeable bulge, a hernia can sometimes present as tenderness and discomfort in the lower abdomen or groin area.

    • Treatment: A medical evaluation is necessary to diagnose and treat a hernia, which may require surgical intervention.
  • Ovarian Cyst: Given your recent history of a ruptured ovarian cyst, it's possible that another cyst could be causing discomfort, although this is less likely given the location of your pain.

    • Treatment: Follow-up with your healthcare provider for an ultrasound or other imaging studies to rule out this possibility.

What you can do

While it's important to consult a healthcare provider for a formal diagnosis, here are some steps you can take to manage your symptoms:

  1. Rest and Avoid Strain: Try to rest and avoid activities that may exacerbate the tenderness.
  2. Apply a Cold Compress: Applying a cold compress to the affected area for 15-20 minutes can help reduce inflammation and discomfort.
  3. Wear Loose Clothing: Opt for loose-fitting clothing to avoid further irritation from tight elastics.
  4. Over-the-Counter Pain Relief: Consider taking over-the-counter pain relievers like ibuprofen or acetaminophen to manage the pain.
  5. Use MDandMe: Utilize the MDandMe app to journal your symptoms, track your progress, and share your medical notes with your healthcare provider.

What you should look out for

Seek medical attention if you experience any of the following:

  • Severe or Worsening Pain: If the pain becomes severe or does not improve with rest and over-the-counter treatments.
  • Fever or Chills: These could indicate an infection or other serious condition.
  • Changes in Bowel or Urinary Habits: Any new changes in bowel movements or urinary frequency should be evaluated.
  • Unexplained Weight Loss: This could be a sign of a more serious underlying condition.

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

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3 mo ago


People Also Ask


What could cause soreness and tenderness above the hip without any visible injury?

Soreness and tenderness above the hip without visible injury could be due to muscle strain from everyday activities or poor posture, localized skin irritation from tight clothing, or less commonly, conditions like a hernia or ovarian cyst.


How can I differentiate between muscle strain and a more serious condition like a hernia?

Muscle strain typically presents as soreness that worsens with movement and improves with rest, while a hernia might cause a bulge and persistent discomfort. If in doubt, a medical evaluation is necessary to rule out serious conditions.


What are some home remedies for managing skin irritation caused by clothing?

Home remedies for managing skin irritation include wearing loose-fitting clothing, applying soothing lotions or creams, and using a cold compress to reduce inflammation. Avoiding tight elastics can also help.


When should I seek medical attention for abdominal tenderness?

Seek medical attention if the abdominal tenderness becomes severe, does not improve with rest and over-the-counter treatments, or is accompanied by fever, chills, changes in bowel or urinary habits, or unexplained weight loss.


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2 Comments


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Justa#43008

3 mo ago

Update: it’s no longer bothering me today

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Owner

Justa#43008

3 mo ago

Probably was just some skin or cutaneous nerve irritation

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