Hip pain

Introduction The gluteal epithelial neuritis is also called "posterior pain of the lumbar spinal nerve", and its etiology is multi-faceted, such as intervertebral facet joint disease, bone hyperplasia, posterior branch of the spinal nerve, and chronic aseptic inflammation of the posterior branch. 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. The causes of hip pain are various, such as intervertebral facet joint disease, bone hyperplasia, posterior branch of spinal nerve, chronic aseptic inflammation of the posterior branch.

Cause

Causes of hip pain: The cause is multi-faceted, such as intervertebral facet joint disease, bone hyperplasia, posterior branch of spinal nerve, chronic aseptic inflammation of the posterior branch.

Pain often occurs in the waist, hips, and thighs, rarely exceeding the knee joint. Especially the pain in the hip is the main complaint, often persistent, with few intermittent, in the gluteal epithelial nerve stroke can find a fixed tender point, this point is the lesion.

Comprehensive judgment should be made based on medical history, symptoms, and signs. At 3 to 5 inches below the highest point of the sputum, tenderness and soft tissue strips can be diagnosed.

an examination

Related inspection

Neurological examination electromyogram

Diagnosis of hip pain: Pain often occurs in the waist, hips, and thighs, rarely exceeding the knee joint. Especially the pain in the hip is the main complaint, often persistent, with few intermittent, in the gluteal epithelial nerve stroke can find a fixed tender point, this point is the lesion.

Comprehensive judgment should be made based on medical history, symptoms, and signs. At 3 to 5 inches below the highest point of the sputum, tenderness and soft tissue strips can be diagnosed.

Differential diagnosis

Differential diagnosis of hip pain:

1, buttocks lightning pain: Suddenly felt a pain in one side of the buttocks, and even the legs and feet on the same side also numb, and then the pain slowly disappeared. Probably due to pain caused by sciatic nerve injury.

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.

Pain often occurs in the waist, hips, and thighs, rarely exceeding the knee joint. Especially the pain in the hip is the main complaint, often persistent, with few intermittent, in the gluteal epithelial nerve stroke can find a fixed tender point, this point is the lesion.

Comprehensive judgment should be made based on medical history, symptoms, and signs. At 3 to 5 inches below the highest point of the sputum, tenderness and soft tissue strips can be diagnosed.

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