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HipPainInAdults
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<<forEachTiddler where 'tiddler.tags.contains(context.inTiddler.title)' sortBy tiddler.title ascending write '"*[["+tiddler.title+"]]\n"'>> <<tiddler AutoRefresh with: force>> ''Osteoarthritis'' Pain exacerbated by exercise and relieved by rest Reduction in internal rotation is often the first sign Age, obesity and previous joint problems are risk factors ''Inflammatory arthritis'' Pain in the morning Systemic features Raised inflammatory markers ''Referred lumbar spine pain'' Femoral nerve compression may cause referred pain in the hip Femoral nerve stretch test may be positive - lie the patient prone. Extend the hip joint with a straight leg then bend the knee. This stretches the femoral nerve and will cause pain if it is trapped ''Greater trochanteric pain syndrome (Trochanteric bursitis)'' Due to repeated movement of the fibroelastic iliotibial band Pain and tenderness over the lateral side of thigh Most common in women aged 50-70 years ''Meralgia paraesthetica'' Caused by compression of lateral cutaneous nerve of thigh Typically burning sensation over antero-lateral aspect of thigh ''Avascular necrosis'' Symptoms may be of gradual or sudden onset May follow high dose steroid therapy or previous hip fracture of dislocation ''Pubic symphysis dysfunction'' Common in pregnancy Ligament laxity increases in response to hormonal changes of pregnancy Pain over the pubic symphysis with radiation to the groins and the medial aspects of the thighs. A waddling gait may be seen ''Transient idiopathic osteoporosis'' An uncommon condition sometimes seen in the third trimester of pregnancy Groin pain associated with a limited range of movement in the hip Patients may be unable to weight bear ESR may be elevated
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