Diagnosis of hip pain

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I have pain in my hip that seems to originate from behind and outside rather than inside or front as most describe. Onset only occurs if I bike (11 miles) or jog 20 minutes+.[elyptical does not see to cause onset] The strange thing is that if I rest the joint I feel no pain, but when I restart my gym routine, I feel this pain when I am laying down or sitting, not when standing. (Except for about 5 minutes after I stop the biking) Any thoughts before I break down and see a doctor?

-- Bob Johnson (riverside10194@aol.com), March 14, 2003


Your history sounds as if the pain may be coming from your hip or your low back. The history however is only one part of the diagnostic process and if, as in this case, there is no clear pattern, then you need to see a physician for the other part, i.e. the detailed history, physical examination and related testing.

-- Errol Bennett (ebennet6@jhmi.edu), March 17, 2003.

Same problem here. In my case, I has Perthes disease (right hip) as a 10-yr old. Surgery was performed (osteotomy). Things were OK and I was not doing much exercise until 4 years ago when I started mountain bike racing. Quickly rose to top amateur level. At the beginning of this year, I started getting a tingling pain on the outside of my right hip. So bad I could not train. So I went to the Orthopaedic surgeon. Got an MR arthrogram. Diagnostic was a labral tear. BUT, according to the doctor, pain felt on the outside of the hip is usually not related to the labral tear. He instead prescribed PT to strengthen the hip abductor, strech the adductor and medial flexors. It helped a lot but the pain is still present at a much lower level than before. Another thing you might want to check is your foot structure. A forefoot valgus will cause iliotibial band syndrome in cyclist. It usually affects the knee but can sometimes affect the hip.

-- Max Nachury (nachury@stanford.edu), September 30, 2003.

You should visit this website: http://www.niams.nih.gov/hi/topics/hip/hiprepqa.htm

-- Robert Toussie (Robert Toussie @aol.com), March 15, 2004.

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