[42F] With chronic night-time hip pain and numbness

Patient Description

A 42-year-old female experiences chronic aching hip pain at night for over six years, necessitating getting out of bed for relief. The pain occurs nightly and lasts for hours. She has tried physical therapy, chiropractic care, and over-the-counter pain medications without success. Additionally, she reports tingling and numbness in her toes while walking. Imaging tests, including X-rays and MRIs, have not identified a cause. She was born without a lumbar bone, but her doctor has indicated this is not the cause of her symptoms. Her medical history includes a hysterectomy and gallbladder removal. She has a hiatal hernia and cannot take codeine due to chest pain. Currently, she is not on any regular medications, as Aleve has been ineffective.

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Arora's Assessment

What might be happening

Your hip pain and tingling in your legs and feet could be related to several factors:

  1. Hip Bursitis or Tendinitis: These conditions can cause aching pain, especially at night. They occur due to inflammation in the hip area.

  2. Nerve Compression: Even though neuropathy was ruled out, nerve compression in the spine or hip area could cause tingling and numbness in your toes.

  3. Muscle Imbalance or Strain: Chronic muscle strain or imbalance can lead to persistent pain, especially if certain muscles are overworked.

Typical treatments might include physical therapy, pain management strategies, or further evaluation by a specialist.

What you can do

For Hip Pain:

  • Sleep Position: Try sleeping with a pillow between your knees to align your hips better.
  • Gentle Stretching: Incorporate gentle hip stretches into your daily routine to relieve tension.
  • Heat Therapy: Apply a warm compress to your hip before bed to relax the muscles.

For Tingling in Toes:

  • Footwear: Ensure you wear supportive shoes to reduce pressure on your feet.
  • Foot Exercises: Perform exercises to improve circulation and nerve function in your feet.

Consider using MDandMe to journal your symptoms, track progress, and share insights with your healthcare provider.

What you should look out for

Seek medical attention if you experience:

  • Worsening pain or new symptoms
  • Significant changes in mobility or strength
  • Any signs of infection, such as redness or swelling

Remember, it's important to consult with a healthcare professional for a formal diagnosis and personalized treatment plan.

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2 mo ago

People Also Ask

What are some common causes of chronic hip pain at night?

Common causes of chronic hip pain at night include conditions like hip bursitis, tendinitis, arthritis, or muscle strain. These conditions can cause inflammation or stress in the hip area, leading to pain that worsens at night.

How can nerve compression lead to tingling and numbness in the toes?

Nerve compression can occur when nerves are pinched or pressed by surrounding tissues, such as bones, muscles, or tendons. This can disrupt nerve signals, leading to sensations like tingling, numbness, or weakness in the affected area, such as the toes.

What are some non-medication strategies to manage chronic hip pain?

Non-medication strategies to manage chronic hip pain include using a pillow between the knees while sleeping to align the hips, performing gentle hip stretches, applying heat therapy to relax muscles, and ensuring proper posture and ergonomics during daily activities.

When should I seek medical attention for hip pain and tingling in my toes?

You should seek medical attention if you experience worsening pain, new symptoms, significant changes in mobility or strength, or any signs of infection such as redness or swelling. These could indicate a more serious underlying condition that requires professional evaluation.

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