[41F] Experiencing hip pain with walking and sitting

Patient Description

A 41-year-old female presents with a one-week history of hip pain, described as a deep, dull ache that sometimes becomes sharp. The pain is located on the outer hip and occasionally radiates to the groin area. It worsens with walking or prolonged sitting but does not involve stiffness, clicking, locking, or giving way of the joint. There has been no recent injury, fever, swelling, or inability to bear weight on the affected leg. The patient has a past medical history significant for Ehlers-Danlos syndrome diagnosed last year. The patient reports allergies to certain medications, but specifics were not provided.

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Arora's Assessment

What might be happening

Based on the information you've provided, you're experiencing hip pain that's worse with walking or prolonged sitting. You also mentioned that you have been diagnosed with Ehlers-Danlos syndrome. Here are some possible explanations for your symptoms:

  • Hip Bursitis: This condition occurs when the bursa, a small sac of fluid that cushions the hip joint, becomes inflamed. It can cause pain on the outside of your hip and thigh, and can be worse with activity or prolonged sitting.

    • Treatment usually involves rest, physical therapy, and nonsteroidal anti-inflammatory drugs (NSAIDs). In severe cases, a corticosteroid injection may be needed.
  • Hip Osteoarthritis: This is a degenerative joint disease that causes the cartilage in the hip joint to wear down over time. It can cause pain and stiffness in the hip, which can be worse with activity.

    • Treatment usually involves a combination of lifestyle modifications (like weight loss and exercise), physical therapy, and medications. In severe cases, joint replacement surgery may be necessary.
  • Ehlers-Danlos Syndrome: This is a group of inherited disorders that affect your connective tissues — primarily your skin, joints and blood vessel walls. Joint pain is a common symptom.

    • Treatment is focused on preventing serious complications and relieving symptoms. Physical therapy can help strengthen muscles and improve joint stability.

What you can do

  1. Rest: Avoid activities that worsen your pain.
  2. Ice: Apply an ice pack to the painful area for 15 minutes at a time, several times a day.
  3. Over-the-counter pain relievers: Nonprescription medications like acetaminophen (Tylenol) or ibuprofen (Advil, Motrin IB) can help relieve pain.
  4. Physical therapy: This can help strengthen the muscles around your hip and improve your range of motion.

What you should look out for

If your pain worsens, or if you develop new symptoms such as fever, swelling, redness, or inability to move your hip, you should seek medical attention immediately. 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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People Also Ask


What are the common symptoms of hip bursitis?

Common symptoms of hip bursitis include pain on the outside of the hip and thigh, tenderness, and swelling. The pain often worsens with activity or prolonged sitting.


How does Ehlers-Danlos syndrome affect joint health?

Ehlers-Danlos syndrome affects joint health by causing hypermobility, which can lead to joint pain, instability, and an increased risk of dislocations and injuries.


What lifestyle changes can help manage hip osteoarthritis?

Lifestyle changes that can help manage hip osteoarthritis include maintaining a healthy weight, engaging in regular low-impact exercise, using assistive devices if needed, and avoiding activities that put excessive stress on the hips.


When should I seek medical attention for hip pain?

You should seek medical attention for hip pain if it worsens, or if you develop new symptoms such as fever, swelling, redness, or an inability to move your hip.


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