Dr. Laura: 6 Causes of Hip Pain

Slow to move, can’t get up out of the chair, or have pain or stiffness in the hip when walking?  You may have one of these six hip concerns.

What causes pain in the hip?

  1. ™Bursitis
  2. Tendinitis
  3. ™Osteoarthritis
  4. ™Rheumatoid Arthritis 
  5. ™Ankylosing Spondylitis
  6. ™Systemic Lupus Erythematosus
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What can be done about hip pain?

Bursitis: Bursae are jelly-like sacs that provide cushion between tissues such as bone, muscles, and tendons. Sometimes bursae get irritated with repetitive activities that overwork the joint.  Inflamed bursae are very painful. Classic symptoms are pain when rising from a chair and pain down the front of the thigh. Homeopathy, acupuncture topical ligaments and anti-inflammatories may all be helpful.

Tendinitis may be in just one side of the body, or both. Tendons are thick bands of tissue that attach muscles to bones. Exercising too hard without a proper warm up, or overuse of the joint can lead to pain and immobility. It is important to have the concern addressed as soon as possible to prevent long term mobility issues from the scar tissue from build up. Tissue work, natural anti-inflammatories and acupuncture can be very helpful.

Osteoarthritis (OA) doesn’t have to be a right of passage of aging. There are things that can be done to slow the wear and tear on the joint and actually help restore the proper function of the cartilage that cushions your hip bones. OA can happen on just one side of the body in one joint. Treatment is longer term and can involve diet and lifestyle adjustments and possibly some supplementation.

Rheumatoid Arthritis (RA) is an autoimmune condition. This means that the body is attacking its own tissues. Classic symptoms are worse in morning on rising and better with movement. RA usually happens equally on both sides of the body.  One way it can be diagnosed is with blood work to see if there is a rise in the RF (Rheumatoid Factor). Anti-inflammatories will be helpful, but it is important to address the root cause of the autoimmune condition, and this often begins in the gastrointestinal tract. Naturopathic medicine is fantastic for getting to the root cause of an issue.

Ankylosing Spondylitis (AS) is another autoimmune condition. Ankylosing means fusing and spondylitis means inflammation of the spine. Symptoms include  a stiff, inflexible and painful spine and/ or hip area. In AS, ligaments and tendons as well as the bones are damaged. New bone is often formed in response which is thin and fragile and may grow together. Diagnostics include ANA blood factor and HLA_B27 genetic testing. Acupuncture and botanical medicines can be very helpful to reduce the immune system response in tissue, reduce inflammation and maintain strength and mobility.

Systemic Lupus Erythematous (SLE). The classic presentation is a triad of fever, joint pain, and facial butterfly type rash in a woman of childbearing age should prompt investigation into the diagnosis of SLE. Since SLE is an autoimmune disease affecting  many different tissues, something the symptoms can be body wide and unique for the individual, but one of the most common reasons at first is joint pain, including the hip. Diagnostics for SLE involve multiple factors; more information may be found here.  As many factors in SLE present, the naturopathic doctor can piece together the picture and begin the process based on clinical presentation and blood work. Many factors in natural medicine can reduce symptoms of SLE.

From the heart and research of Dr. Laura M. Brown, ND.