Hip pain. What's wrong? Pear phobia syndrome

Xiaoli, 1 female office worker, always feels stiff and hard when she comes home from work recently. Once when I was in a hurry to report at my desk, I suddenly felt that one of my hips was so painful that I couldn't sit still, and my legs and feet were numb. Orthopedics doctors remind that hip pain has a trend of rejuvenation, and there are signs that can be ignored. It may be an early warning signal of four major diseases, especially sciatica and piriformis syndrome. The two are easily confused, and even the treatment method is wrong, which may delay the illness. (Audiovisual/Photojournalist Huang Zhiwen)

Piriform muscle syndrome, the waist is not too painful, there is no obvious waist tenderness, and the influence of waist activity is small. Patients do not need surgery and can be relieved by local injection or rehabilitation. (Photo/Huang Zhiwen) Orthopedic physician Jiang Jianzhong said that there are four major causes of hip pain, including hip muscle strain, hip contusion, sciatica and piriformis syndrome. Many people don't care, thinking that hot compress or massage is good, but the result is self-defeating. Hip pain has not been relieved, but I still feel sore along my hips, thighs and calves, but I haven't found the reason yet.

Dr. Jiang Jianzhong said that if the hip pain does not improve in 3 to 7 days, it is best to seek the help of a professional doctor to make a diagnosis, find out the correct cause and treat the symptoms. (Photography/Huang Zhiwen) Hip muscle strain

The most common cause of hip pain is hip muscle strain, which often occurs after strenuous exercise. For example, when a baseball player swings, his hip muscles are injured due to the instantaneous exertion of his hip, which leads to the inability to use all his strength when swinging, which has a great impact and seriously requires surgery.

Hip contusion

Hip contusion often occurs in accidents in daily life, such as suddenly falling to the ground, or touching sharp table feet when turning around, causing coccyx pain, local tenderness and restlessness of coccyx, and even serious coccyx fracture.

Sciatica

Sciatic neuralgia is mainly caused by external force, falling, aging, sitting for a long time, crossing one's legs and other bad postures, which makes the sciatic nerve inflamed, and the pain range extends from the waist to the buttocks and calves. This disease is similar to piriformis syndrome, but there are still differences between the two.

The symptoms of sciatica are usually waist pain, reduced waist activity and obvious tenderness in the waist. Due to the general lack of exercise or improper exercise of young people, such as back muscle strain without proper rest and rehabilitation, muscles will lose their support and the pressure will be transferred to the spine and this disease will occur. There are also workers who don't keep the lumbar spine upright, which is easy to cause sciatic nerve inflammation. If the mother bends down to hold the child too fast, the child's center of gravity will shift and be easily injured.

In addition to low back pain, it will also be numb along the buttocks, thighs, calves and even the soles of the feet. Generally, rehabilitation is ineffective for 3-6 months, or injection through pain points is not effective, and when nerve compression symptoms are aggravated, surgery may be needed.

Piriform muscle syndrome

The piriformis muscle is located in the middle layer of the hip and is a kind of cornual muscle. It starts from the second, third and fourth recommended vertebrae and ends at the posterior side of the greater trochanter of femur. The foramen magnum of the sciatic muscle is divided into the superior piriformis and the inferior piriformis. When the sciatic nerve comes out of the hip and goes down into the leg, it just comes out from under the piriformis muscle. When piriformis muscle is inflamed and swollen, it will produce symptoms similar to sciatica.

The reason is related to the inflammation caused by the chair being too low, too hard, sitting for a long time and crossing one's legs (crossing one's legs) pressing the piriformis muscle. Office workers, women, decorators, vegetable vendors and other workers who have been squatting on the ground for a long time are prone to hair loss. Piriform muscle syndrome, the waist is not too painful, there is no obvious waist tenderness, and the influence of waist activity is small. Patients do not need surgery and can be relieved by local injection or rehabilitation.

Doctor's advice

Dr. Jiang Jianzhong said that if the hip joint pain does not improve in 3 to 7 days, it means that it is not a common hip joint strain. It's best to find a professional doctor for diagnosis, find out the correct cause and symptomatic treatment, and avoid random massage or seeking folk therapy to avoid delaying treatment.

Hip pain comparison table

(Form provided/Hanqun Orthopedic Clinic)