侧睡时髋骨受伤 – 髋关节慢性髋关节疼痛
The hip joint is a ball and socket joint that connects the thigh to the pelvis. The femur or thigh bone has a rounded head (ball) at one end, which fits into a cup-shaped cavity in the pelvic bone (socket).
The two parts are held together by strong ligaments that allow for only small amounts of movement, but enough to allow you to sit, stand up and walk normally. The joint is susceptible to pain following an injury or becoming dislocated.
A dislocation typically results from an injury to the hip joint. It may involve the entire ball of the femur being pushed out of its socket, or just a piece of bone. In either case, severe pain and difficulties in walking may occur.
The pelvic joint is a synovial joint. Its function is to allow the movement of the lower limbs, as well as other body joints, with respect to each other.
This allows for greater stability and therefore less risk of injury. It is composed of three bones: two ends of the femur (the thigh bone) are connected by two bones from the pelvis. The hip joint is a spherical (ball and socket) joint.
The head of the femur fits into the acetabulum, or socket, on the pelvis. The hip joint is also referred to as the gluteal-femoral joint and articulates with the femur and ilium of the pelvis at its ball-and-socket type synovial hinge.
It allows for flexion, extension, abduction (movement away from side), adduction (movement toward side), and circumduction (rotation around the axis of the femur).
The hip joint is also a very common site of pain. The most common cause of pain in the hip is a fracture with displacement, but other causes include fractures with nonunion and osteoarthritis, acute and chronic osteomyelitis, avascular necrosis, hemangioma, bursitis and Paget disease of bone.
More rare causes are tumors that involve the joint such as chondromyxoid fibroma or giant cell tumor. The hip is a ball-and-socket joint that is connected to the femur bone of the leg and to the pelvis by a set of ligaments.
Although there are many possible causes of hip pain, it may not be possible for your doctor to determine what is causing your particular condition based on examination alone.
A CT scan may be requested to narrow down the possibilities. Ball-and-socket joint pain can be the result of a number of conditions, including bone spurs, infection, arthritis and injury.
Most Common Causes of Painful Hips
Hip tendonitis is a condition that can be caused by overuse of the hip flexor muscles. It is a common injury among athletes and people who do repetitive activities such as running, cycling, and other sports. Hip tendonitis is a condition that can occur in any person who does repetitive activities or overuses the hip flexor muscles.
This injury often happens to athletes and those who do jobs that require them to stand for long periods of time or walk for long distances.
Hip Tendonitis Symptoms
Hyperextension can exacerbate the injury. Symptoms of a hip tendonitis include pain or tenderness when going up and down stairs, walking, or running; stiffness in the morning; and muscle spasms. The hip adductor muscles are the muscles of the inner thigh which help to rotate the leg out (adduct) and push it forward (abduction).
Repetitively using these muscles may lead to a tear, inflammation, or tendonitis. Hip adductor muscle tendonitis is usually precipitated by a sudden change in posture or by eccentric loading of the muscle such as when someone jumps or falls from an exercise ball.
This condition is often seen in athletes due to overuse of Unsafe Work Practices (UWP) and is also seen in the general population, especially among older adults. So, if you were wondering why your hip bone hurts when sleeping on side, well, one reason can be hip tendonitis.
Hip adductor muscle tendonitis typically presents with pain localized to the groin area, often referred to as a “groin pull” or “groin strain.” This pain may be sharp and intermittent or dull and constant.
The pain may radiate into the hip region but more commonly it is located in a lateral position on the outside of the groin. Patients often describe the pain as a deep, wrenching sensation with cramping.
In addition to pain and swelling, patients may experience fever and chills. When there is a history of trauma or infection, patients have an increased risk for septic arthritis.
Patients often have a positive cervical puncture sign on physical examination (a small amount of blood by the anus). There is also often an erythematous swelling over the joint that is not painful and can be palpated on examination.
Treatment of Hip Tendonitis
Analgesia should be given to control the pain of infection. The patient can also be referred to a specialist for evaluation and treatment.
Greater Trochanteric Pain Syndrome
Greater trochanteric pain syndrome is a condition affecting the hip joint. It is characterized by pain in the buttock and down the back of the thigh.
This condition is caused by pressure on the greater trochanter, which is a bony area at the top of your femur. This pressure may be due to osteoarthritis or other conditions.
This condition is also associated with other hip problems such as femoral acetabular impingement. Femoral acetabular impingement is when the femoral head rubs against the hip bone during movement, causing pain and damage.
Treatment of Greater Trochanteric Pain Syndrome
Greater trochanteric pain syndrome can be treated with medication, physical therapy, and exercises to strengthen muscles around your hip joint. It is also treated by using ice pack, rest and physical therapy to avoid further damage to your hip joint.
Hip bursitis is a condition in which the bursa, a fluid-filled sac that provides cushioning and lubrication for the hip joint, becomes inflamed. We will discuss the common causes of hip pain and offer helpful tips to get rid of or lessen the persistent pain when your hip hurts.
Causes of Hip Bursitis
There are many causes of hip bursitis. The most common cause is overuse or inflammation of the iliopsoas tendon (a muscle that runs along the front of your thigh to your hip). Other causes include:
- too much pressure on the joint from sitting too long or from lying down for extended periods
- an injury to the hip joint
- and an infection in that area
The following are risk factors for developing hip bursitis:
- other autoimmune disorders
Trochanteric bursitis is an inflammation of the bursa that sits around the trochanter, or upper-most point on the thigh bone. The bursa may become inflamed because of overuse or injury to the area. It is also common in people who are obese or pregnant. This condition usually causes pain and swelling near the hip joint and may also cause a limp.
Infection Of The Hip Joint
Infection of the hip joint can be caused by one or more types of bacteria, including “Staphylococcus epidermidis”, “Streptococcus pyogenes”, and “Eikenella corrodens”.The infection can spread through the body, causing cellulitis. Infections are most common in people who have an underlying condition, such as diabetes or cancer.
Overuse is also a factor in developing a hip infection, especially if the person is taking antibiotics for a long period of time.
Hip arthritis is a joint disease, often caused by infection. It may generally occur in any bone and cartilage of the hip joint but is most commonly found in the femur. This condition causes swelling, redness, heat and pain in the hip joint as well as leg muscles due to inflammation.
There are two types of arthritis:
- rheumatoid arthritis
In osteoarthritis, the cartilage on the bone is broken down, while in rheumatoid arthritis, the synovial membrane of the joint is inflamed. Simple activities like walking and biking can cause hip or buttock pain. Hip pain may be caused by bursitis or inflammation of a tendon at a hip joint (or both).
Pain may also occur when one side is larger than the other. When this happens, one of two things occurs: The person’s body compensates for the difference by shifting weight to the larger leg, or the person limps.
Hip pain can be caused by a variety of injuries, including hip dysplasia, chondromalacia (cartilage erosion) and osteoarthritis of the hip joint. Hip pain spikes during activity and is relieved by rest. It can also be caused by abnormal pressure of the joint on the socket.
Hip osteoarthritis is the most common form of arthritis. Hip osteoarthritis is a disease that causes pain and stiffness in the joints.
It can affect people of any age, gender, or race but it usually occurs after age 40, and it can cause significant pain and disability.
Hip osteoarthritis is caused by wear and tear over time. It can affect people who have a family history of hip problems, or who have had previous joint injuries in the hip area.
The most common symptoms of hip osteoarthritis are pain, stiffness and swelling in the joint. Osteoarthritis and degenerative disc disease may cause lower back pain.
Hip Rheumatoid Arthritis
Hip rheumatoid arthritis is a type of arthritis that primarily affects your hip joints. It’s often called “hip joint disease” or “hip osteoarthritis.” Hip rheumatoid arthritis can cause pain and stiffness in the hips, and it may also affect other parts of the body, such as the toes, fingers, or neck.
Hip rheumatoid arthritis is caused by inflammation in the lining of your joint capsule. The inflammation can lead to damage to cartilage and bone tissue around your hip joint.
Treatment For Hip Rheumatoid Arthritis
Rheumatoid arthritis is a chronic inflammatory condition. The goal of treatment is to control joint damage and pain, maintain range of motion, preserve mobility, minimize deformity, prevent deformity progression, and promote healing.
The only way to treat osteoarthritis is to relieve the pressure on the joint, but this can be done with pain medications or physical therapy. Medications are available to decrease inflammation and pain, increase movement, and reduce changes in joint function.
It responds well to medications such as corticosteroids and non-steroidal anti-inflammatory drugs (NSAIDs) that can decrease the inflammation and pain.
Sore Hip For Side Sleeper
If you have been experiencing any hip pain from your sleep position, it is important to change your sleep positions as soon as possible so you can get a good night’s sleep. There are many different ways to sleep comfortably and avoid hurting your hips.
For example, lying on your back with a pillow under one leg can help alleviate some pressure from the hips while also making sure that your spine stays aligned properly. Back sleepers usually do not feel the dull ache in the hip.
Also, if the pain is only on one side, you can turn to your other side to relieve the pain and the extra pressure from the painful hip. You should find the best sleeping position that works for your body to make sure you get enough sleep.
Mattress topper is an option to make the bed softer and to relieve the pressure from the joints. When sleeping on your back you will feel the dull pressure or intense pain on the side of your hip. Side sleeping is not recommended in many medical conditions.
Pregnancy pillow for side sleepers eliminate hip discomfort
A pregnancy pillow is an essential for any pregnant woman and is recommended especially for side sleepers because these pregnancy pillows help you eliminate hip discomfort from your left hip.
It is especially beneficial to use one during the third trimester of your pregnancy. They are designed to provide comfort and relief from the discomfort of pregnancy.
Pregnancy pillows come in different shapes and sizes and is usually made of a memory foam. Some pregnant women may find that one type of pillow suits them better than others.
The best way to find out which type of pillow will work best for you is by trying them out at a store or talking to your doctor.
A good quality pregnancy pillow will be made with high-quality materials and have a removable cover that can be washed in the washing machine. If you don’t want to buy a pregnancy pillow, you can use rolled up towels or blankets.
Hip Pain Medical Treatments & Anti-Inflammatory Medications
Anti-inflammatory medications are drugs which reduce pain and swelling (inflammation) in joints, muscles, and other tissues. They are used to treat a wide variety of conditions. Anti-inflammatory medications can be used for many different purposes.
These drugs lower inflammation in the body by blocking certain chemicals that cause inflammation. They also help to reduce pain and swelling in the joints and muscles. These drugs are sometimes also used as sleep aids and to help prevent migraine headaches.
NSAIDs (non-steroidal anti-inflammatory drugs) are used for pain relief, muscle spasm, and inflammation. Specific types of NSAIDs include ibuprofen; naproxen; celecoxib; etodolac; ketorolac tromethamine ophthalmic solution; diclofenac sodium injection; nabumetone ; fenoprofen calcium; nabumetone calcium; sulindac; tolmetin sodium.
The treatments for a sore hip depend on the cause of the pain.
- If you have a sore hip because of arthritis, your doctor will recommend medications, physical therapy, or injections.
- If you have a sore hip because of osteoarthritis, your doctor may prescribe medications such as acetaminophen (Tylenol), ibuprofen (Advil), or naproxen sodium (Aleve). These drugs can reduce inflammation and ease your pain. They can also help control the symptoms of osteoarthritis by reducing joint stiffness and swelling. Your doctor might also recommend non-steroidal anti-inflammatory drugs (NSAIDs) like Celebrex or aspirin to manage symptoms.
- If you have a sore hip because of injury, your doctor may prescribe an anti-inflammatory medication and recommend physical therapy.
- If you have a sore hip because of rheumatoid arthritis, your doctor may prescribe medications such as methotrexate (Rheumatrex), NSAIDs, or low-dose prednisone (Deltasone).
- If you have a sore hip because of gout, your doctor might prescribe colchicine.Nerve pain in the hip can be caused by entrapment neuropathy and is usually associated with Coxa vara.
Sciatic-piriformis syndrome is a condition that causes pain and tingling sensations in the buttocks, lower back, and down the leg.
The sciatic nerve is a large nerve that runs from your hips to your feet. It starts at the base of your spine and travels down one leg to just below the knee.
The piriformis muscle lies deep in your buttock and its job is to rotate your thigh outwards. When these two structures are irritated or compressed, sciatic-piriformis syndrome may occur.
Sciatic-piriformis syndrome can also be caused by a herniated disk in the spine or an infection of the hip joint (bursitis) or the sacroiliac joint (joint between the hipbone and spine).Sciatic-piriformis syndrome is often characterized by pain, numbness, tingling, diminished reflexes, decreased range of motion in the affected leg and weakness.
While sciatic-piriformis syndrome can be mild or moderate in its severity, it can sometimes cause severe neurological problems.In more severe cases of sciatic-piriformis syndrome, a person may experience bowel or urinary incontinence and a compromised ability to walk.
This syndrome is caused by compression of the sciatic nerve, which can lead to the development of sciatica. In addition, it may also cause pain in the piriformis muscle and low back pain due to a pinched nerve in the lower lumbar spine.
A sciatic nerve injury can be caused by:
- A herniated disc in the lower back
- An inflammation or infection of the sciatic nerve, such as a pinched nerve, caused by an accident and/or overuse
- Tumors on the top of a spinal vertebrae and/or in the soft tissues around it
- Spinal stenosis, which compresses the spinal cord at one or more levels between T2-L2
Physical Therapy Treatment for Painful Hips
Physical therapists are experts in the treatment of sore hips. They can provide a diagnosis and recommend treatments to cure the pain. A physical therapist will assess your condition during an examination and then create a personalized plan for you to follow over time, which may include exercises, stretches, or other treatments.
Physical therapists can be medical doctors or health care professionals with a doctorate or masters degree, in the fields of physical therapy, rehabilitation sciences, exercise science or kinesiology.
They may work independently as a professional therapist, in health care facilities such as hospitals and nursing homes, or for insurance companies. They may also work in schools and universities within athletic training clinics or as an athletic trainer.
Physical therapy is very beneficial for patients who have a history of chronic pain, musculoskeletal disorders, orthopedic injuries and stroke.
Hip Pain Relief Thru Exercise
Exercises for hip pain are usually low-impact and can be done anywhere. Avoid strenuous exercise whenever possible. Some of the most common exercises for hip pain are:
- Stretching exercises – this is a good exercise to do before any activity. It will help you stretch your muscles and joints before they get tight, which can lead to more pain.
- Yoga poses – yoga is an excellent way to work on your flexibility and strength through stretching poses. There are many different poses that can help with hip pain, but some of the best ones include: pigeon pose, boat pose, downward dog pose, cat pose, and downward facing dog pose.
- Walking – walking is a great low impact exercise that you can do almost anywhere! All you need is a flat surface and some good shoes! This will also help strengthen your legs which may relieve some of the pressure on your hips. .
- Cycling – cycling is an exercise that will help strengthen your leg muscles, which can be helpful for hip pain. It also helps to mix up the repetitive motion of walking and may help avoid injury.
- Weight lifting – weightlifting exercises are at a much higher intensity than some of the other activities listed and should only be done after consulting with your physical therapist. It is an especially good idea for those with hip pain, as it can help strengthen your pelvic floor.
- Treadmill – these are low impact and can be done in the comfort of your own home. They are also a convenient way to exercise without having to find a park or outdoors.
Tai Chi For Pain Relief
Tai chi is an ancient Chinese form of martial arts and meditative practice. It has been shown to be effective in reducing hip pain.
Tai chi is a traditional Chinese exercise that has been practiced for centuries as a means of achieving self-awareness and inner peace.
In recent years, it has also become popular among people suffering from chronic hip pain (Hip pain). A study published in the Journal of Orthopaedic & Sports Physical Therapy found that tai chi was more effective than conventional exercise programs at reducing pain and improving function in those with chronic hip pain (Hip Pain) and a physical disability.
Tai chi is a form of unarmed martial arts and exercise that has been practiced for centuries in China. It combines the concepts of slow motion with meditation and breathing to achieve self-awareness, coordination, balance and inner peace. Tai chi can be used as an individual practice or as part of a larger fitness program.
According to the study published in Journal of Orthopaedic & Sports Physical Therapy, Tai Chi was more effective than conventional exercise programs at reducing pain and improving function in people with knee osteoarthritis and knee pain.
The findings showed that tai chi was superior to conventional exercise for pain relief and functional improvement.
How To Prevent or Reduce Developing Hip Pain
The main reason for this pain is the lack of movement in the hip joint. This causes a lot of pressure on the cartilage that lines the joint, which can lead to wearing away of the cartilage and bony growths called osteophytes. This can result in narrowing of the joint space and eventually leads to arthritis.
There are some steps that you can take to reduce your risk for developing hip pain:
- Avoid any sudden movements while running or jumping
- Make sure you warm up before you run and cool down afterwards
- Practice good technique during your run with a long, smooth stride that doesn’t bounce or skip
- Wear form-fitting, lightweight and supportive shoes running shoes with an added layer of cushioning
- Strengthen the muscles of your core and hips as well as your thighs , knees, and feet
- Try to avoid running on concrete surfaces or asphalt
- Stop running if you feel pain in your hip joint
Warm Bath For Pain Relief
Warm baths are very soothing for the body. The heat from the water can help to reduce pain and muscle spasms. In a study, researchers found that people who took a warm bath before bedtime reported less hip pain than those who didn’t take a warm bath.
This study has been replicated a number of times.A warm bath can help to decrease the degree of hip pain during the night and will most likely be more effective than taking ibuprofen.
There are many reasons for hip bone hurting when sleeping and also when not sleeping.
I am one of those suffering from hip pain at night and I have to turn to my other side that doesn’t hurt. I also use a knee pillow between my knees to relieve pain.
It is also important that you always commit yourself and do low-impact exercises for strong body and mental health. You most likely need to go to a doctor to find out the cause of your hip pain.
A new mattress is also recommended if the mattress you have is not straight anymore, as it can place tension on your muscles and tendons. Sleeping on an old mattress for an extended periods of time is not recommended for people with joint pain.
Finding a comfortable position that works for your body is important for a healthy sleep. Always take the pressure and weight off your affected hip whenever possible and sleep on your opposite hip to relieve pain and avoid sleepless and painful nights.
Lifestyle changes will be most likely recommended by your physician as well. If your body weight is over the recommended weight limit, weight loss may be necessary to reduce the weight on your joints. Your treatment plan may include daily activities of excercise and stretching.
Keep in mind that as we age, we have to accept the fact that we MUST incorporate changes to our daily lives even if this was not necessary before. An aging body has different needs than a young one.
Also, a very important thing to remember is that when your body experiences pain, it doesn’t mean you stop moving. Regular exercise is more important than ever for people over 40.