Hip lightning pain

Introduction Are you an office family? Have you ever had hip pain? Suddenly I felt a sharp pain in the buttocks on one side, and even the legs and feet on the same side were numb, and then the pain slowly disappeared. Probably due to pain caused by sciatic nerve injury. Office girls wear high heels for a long time, the higher the heel, the more people will lean forward. Over time, the lumbar intervertebral disc was strongly compressed and worn, causing the intervertebral disc hypertrophy to press the sciatic nerve, causing a sharp pain in the thigh to the heel.

Cause

Causes of lightning pain on the hips:

It usually happens in the office. The spine and waist of the normal human body are convex forward, and the tail keel is convex backward to form a normal physiological structure. However, the office family sat in a straight back chair for a long time, and both hands stretched out when they hit the computer, thus increasing the burden on the spine. Coupled with the fact that some office girls wear high heels for a long time, the higher the heel, the more the person's weight is leaning forward. Over time, the lumbar intervertebral disc was strongly compressed and worn, causing the intervertebral disc hypertrophy to press the sciatic nerve, causing a sharp pain in the thigh to the heel.

an examination

Related inspection

Nervous system examination

Imaging examination plays an important role in the diagnosis of some diseases, especially after the application of computed tomography (CT) and magnetic resonance imaging, the application of contrast and the like is greatly reduced. New techniques such as positron emission tomography, single photon emission computed tomography, Doppler ultrasonography, nervous system evoked potentials, digital subtraction angiography, and nystagmus are all helpful for diagnosis.

Differential diagnosis

Differential diagnosis of hip lightning pain:

1, hip pain: gluteal epithelial neuritis is also called "lumbar spinal nerve posterior pain", the cause is multifaceted, such as intervertebral facet joint disease, bone hyperplasia, spinal nerve posterior branch compression, posterior branch chronic aseptic inflammation Wait. Because the gluteal epithelial nerve comes from the lateral cutaneous branch of the posterior branch of the lumbar 1 to lumbar 3 spinal nerves, distributed in the upper and outer skin of the buttocks, the pain often appears in the waist, hips, and thighs, rarely exceeding the knee joint.

2, sore hips: buttocks pain is also one of the common complaints in the clinic, because the location is very special, so many times often confused with lower back pain, sciatica. In addition to the lesions of the joint itself, the pain in the buttocks should also exclude the lesions around the joints and the pain in the distant lesions.

3, buttocks radiation pain: compact ankle arthritis is a non-specific inflammation characterized by osteosclerosis, with a highly dense bone sclerosis, especially 2/3 below the humerus, but the joint space is No change. There is recurrent low back pain, which can sometimes radiate down to the sides of the hips and thighs.

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