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Causes/Symptoms


Two possible causes of hip pain are fractures and insufficient blood flow to the hip (aseptic necrosis).

A hip fracture can change the quality of your life significantly. Fewer than 50% of those with a hip fracture return to their former level of activity. In addition, while recovering from a hip fracture, several possible complications can be life-threatening. These include pneumonia and a blood clot in the leg, which can dislodge and travel to cause a clot in the lungs. Both are due to immobility following a hip fracture and hip surgery.

Hip fractures become more common as people age because falls are more likely and bones become less dense. People with osteoporosis can get a fracture from simple, everyday activities, not just a dramatic fall or injury.

Aseptic necrosis can happen if you have been on steroids for a long time or you have sickle cell anemia. Injury and regular use of alcohol also increase your risk.

Legg-Calve-Perthes disease is a type of aseptic necrosis that happens in children.

Other possible causes of hip pain include:

• Arthritis -- often felt in the front part of your thigh or in your groin

• FAI -- “hip impingement” results from a lack of room between the ball and socket. This typically occurs in young to middle age people. Patients will often have groin pain and stiffness that is worse with prolonged sitting.

• Trochanteric bursitis -- hurts when you get up from a chair, walk, climb stairs, and drive

• Snapping Hip -- occurs when a muscle or tendon moves over a bony structure or when there is a tear of the labrum or debris within the hip joint

• Tendinitis from repetitive or strenuous activity

• Strain or sprain

• Low-back pain such as sciatica

• Infection

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Review Date: 3/19/2007
Reviewed By: Harvey Simon, MD, Associate Professor of Medicine, Harvard Medical School; Physician, Massachusetts General Hospital.
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