Dr. med. Csaba Forster-Horváth PhD |   drforsterortho@hin.ch |  061  2287070  | 061  8363000

Hip Pain

Pain in the hip usually starts very gradually, in rare cases accidents can also cause acute pain.

It is typical for hip pain to be felt in the groin. However, it also happens that they occur on the side of the hip or rather at the back of the buttocks.

Common locations of pain in diseases of the hip joint

Most common location of hip disease pain
Many diseases can result pain in and around the hip.

The most common area:

1. Osteoarthritis of the Hip Joint as a Result of:

  • Incarceration syndrome of the hip (up to 60%)
  • Maldevelopment of the hip (hip dysplasia)
  • Circulatory disorder of the femoral head (femoral head necrosis)
  • Childhood diseases (e.g. Perthes disease)
  • Accident

2. Incarceration Syndrome of the Hip
3. Labrum Tear, Cartilage Camage as a Result of:

  • Incarceration syndrome of the hip
  • Maldevelopment of the hip (hip dysplasia)

4. Bursitis, Torn Tendon (bursitis trochanterica, torn tendon of the gluteus medius/minimus muscles)
5. Snapping Hip
6. Piriformis Syndrome

The various causes of hip complaints occur with differing frequency depending on age. In addition, the cause of the pain can be located in the hip joint itself or outside the hip joint.
The causes are listed below.

In young adults

  • Hip Impingement (most common)

Typischer Schmerzlokalisation bei Einklemmungssyndrom der Hüfte

  • Tear of the joint labrum – or labrum tear often in the context of impingement syndrome of the hip
  • Cartilage damage caused by impingement syndrome, hip dysplasia or childhood hip disorders.
  • Internal Snapping Hip – internal hip snapping caused by tendon jumping directly at the joint or labrum tear
  • Free Joint Bodies – causes snapping, cracking
  • PVNS – pigmented villonodular synovitis – proliferation of the synovial membrane, which can be locally destructive (rare)

In mature adulthood:

  • Hip Osteoarthritis – wear and tear of the cartilage of the hip joint. This can be painful however not visible on the x-ray. Or it is overstrechted and is easily visible on the x-ray. 
  • Tear of the Tendons of the Gluteal Muscles (musculus gluteus medius/ minimus) – or wear at the tendon insertion
  • Piriformis Syndrome – deep buttock pain with hip flexion
  • Spinal Problems – disc degeneration, spinal stenosis or arthrosis of the small vertebral joints, these can radiate into the hip region.

 

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