Bilateral Hip Pain explained

If you are a person suffering from bilateral hip pain you may be interested to know the different causes and treatments for your pain. In some cases the treatments are so simple you can start at home, in others the causes are so deep that medical treatment is the best way to alleviate your suffering. Bilateral hip pain is something that both men and women suffer, but more often seen among women. The pain may result from damage to the stabilizers of the joint structure: the muscles, tendons and bones. The nerves may also suffer painful damage.

There are different causes to bilateral hip pain including Degenerative Joint Disease and Hip Bursitis that are associated with pain during activity and Meralgia Paresthetica and Avascular Necrosis that are associated with pain during rest.
Degenerative Bone Disease

Also known as Osteoarthritis this condition often affects older women. Pain develops as the articular cartilage that covers the end of the femur and lines the socket deteriorates. This condition has the following signs to be aware of:

  • Hip pain that becomes worse with activity, which is lessened with rest
  • Night pain that may disrupt sleep
  • Stiffness in the joint
  • Limping

Treatments factor in the progression of the disease and the age of the patient. The doctor may prefer a monitored exercise program that uses low or no impact activity such as walking, swimming, and cycling if caught early. Strength training may alleviate pressure on the joints. The patient may take OTC acetaminophen and an inflammatory such as ibuprofen. Very advanced cases may require total hip replacement.

Hip Bursitis

Bursitis occurs when the fluid filled bursa sac located between the ligaments or tendons becomes inflamed. In the case of hip pain, the trochanter bursa, located on the outer portion of the hip and thigh tends to be the source of pain. The signs of hip bursitis are:

  • Pain at the point of the hip toward the outside portion of the thigh
  • Pain that worsens at night
  • Pain that worsens with a lot of walking or stair climbing

Treatment for hip bursitis depends of the type:

  • Non-infection or aseptic bursitis:
  • Ice compresses, rest and OTC pain/anti-inflammatories
  • Aspiration of the bursa fluid
  • Injection of cortisone
  • Weight loss and proper footwear
  • Septic bursitis:
  • Antibiotic therapy that may be given via IV
  • Bursectomy: Drainage of the bursa fluid.

Meralgia Paresthetica

This type of bilateral hip pain tends to occur with rest. It is caused by compression of the nerves, which causes burning pain, tingling and numbness. The condition can be caused by wearing tight clothing, obesity, weight gain, pregnancy, diabetes, and hip trauma. It condition tends to occur among patients between the ages of 40 to 60 years.
Treatments for this condition include lessening of compression by wearing looser clothing, weight loss, and OTC medication for pain and anti-inflammatories. If the pain lasts longer than two months a doctor may prescribe corticosteroid injections, triglyceride anti-depressants, and Neurontin. If the condition lasts for a longer period, surgery may be a last resort.

Avascular Necrosis

Avascular necrosis is also referred to as aseptic necrosis. It is caused by either temporary or permanent loss of blood flow to one or more bones. The pain tends to occur at rest and radiate to the groin and continue down to the knee.
Treatment factors taken into account are the patient’s age, the stage of the disease, as well as the location and extent of damage and the initial cause of the loss of blood. In the early stage of the condition pain medication and reduced use of the affected area is advised. A patient may use crutches reduce use of the affected hip. A doctor may also prescribe range of motion exercises. This condition tends to be progressive, so surgery is likely.

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