[51F] Experiencing sharp hip pain with occasional leg heaviness

Patient Description

A 51-year-old female has been experiencing sharp pain localized between the femur and pelvis on the left side for about 3 months. The pain, rated at a severity of 6 out of 10, worsens with walking and lying down. Additionally, the patient reports occasional heaviness in the same leg but no radiating pain. There has been no recent injury, swelling, redness, loss of sensation, numbness, fever, or unexplained weight loss. The patient has a history of hypertension diagnosed at age 35 but no family history of musculoskeletal disorders. There have been no recent changes in activity level or exercise routine that could account for the symptoms.

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Arora's Assessment

What might be happening

Based on the information you've provided, the following conditions could be causing your symptoms:

  • Hip Osteoarthritis: This is a common condition in older adults, characterized by the breakdown of the cartilage in the hip joint, causing pain and stiffness. The pain is usually worse with activity and relieved by rest.

    • Treatment typically involves physical therapy, pain management, and in severe cases, surgery.
  • Trochanteric Bursitis: This is inflammation of the bursa (a fluid-filled sac near a joint) at the outside (lateral) point of the hip known as the greater trochanter. When this bursa becomes irritated or inflamed, it causes pain in the hip.

    • Treatment typically involves rest, physical therapy, and anti-inflammatory medications.
  • Sciatica: This is a condition caused by an irritation of the sciatic nerve, which can cause pain that radiates down the leg. However, you mentioned that your pain is localized to the hip, which makes this less likely.

    • Treatment typically involves physical therapy, pain management, and in some cases, surgery.

What you can do

The best course of action would be to consult with a healthcare provider for a formal assessment. They may order imaging studies like an X-ray or MRI to further evaluate your symptoms. In the meantime, you can:

  1. Rest and avoid activities that make your pain worse.
  2. Apply a warm or cold pack to your hip to help alleviate pain.
  3. Over-the-counter pain relievers such as ibuprofen or acetaminophen may help with your pain. However, they should be used sparingly and only as directed on the label.
  4. Gentle stretching and strengthening exercises may help, but should be done under the guidance of a healthcare provider or physical therapist.

What you should look out for

Please seek immediate medical attention if:

  • Your pain becomes severe or unbearable.
  • You experience sudden swelling or redness in your hip or leg.
  • You have difficulty moving your hip or leg.
  • You develop a fever or other signs of infection.

Remember, while I strive to provide accurate information, I'm an AI and not a doctor. Always consult with a healthcare provider for a formal diagnosis and treatment.

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9 mo ago


People Also Ask


What are the common symptoms of hip osteoarthritis?

Common symptoms of hip osteoarthritis include joint pain and stiffness, especially after periods of inactivity or excessive use. The pain is often felt in the groin, thigh, or buttocks and may worsen with activity.


How is trochanteric bursitis diagnosed and treated?

Trochanteric bursitis is typically diagnosed through a physical examination and patient history. Treatment often includes rest, physical therapy, anti-inflammatory medications, and sometimes corticosteroid injections.


Can sciatica cause pain that does not radiate down the leg?

Sciatica usually causes radiating pain down the leg, but in some cases, it can present as localized pain if the irritation is mild or if other conditions are present. However, localized pain without radiation is less typical for sciatica.


What lifestyle changes can help manage hip pain?

Lifestyle changes that can help manage hip pain include maintaining a healthy weight, engaging in low-impact exercises like swimming or cycling, using supportive footwear, and avoiding activities that exacerbate the pain.


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1 Comments


Patt#4036

9 mo ago

Sounds like pretty classic sciatica. Your doctor can do something called the straight leg test to confirm. But usually there's not too much they can do unless it's extreme and you need intervention. Here's a video on what might help: https://www.youtube.com/watch?v=iiAhpH8-k3Y

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