I am Dr. Arun and will be helping you today.
I am sorry that your question was unanswered for long.
If there was no recent injury to the hip this is likely to be due to osteoarthritis of the hip (degenerative changes in the joint due to age). The other possibilities of the diagnosis are muscle strain, ligament sprain, bursitis and tendon inflammation (tendonitis).
An advanced osteoarthritis (which means severe pain, night pain, continuous pain) would need total hip replacement. This would relieve the pain. Apart from the analgesics; following would help you, in all the above conditions which cause hip pain;
1) Physical therapy; this is the mainstay of the management of the musculo-skeletal disorders. Stretching exercises, strengthening exercises, mild weight bearing exercises, swimming on the week-ends etc would be helpful.
2) Deep electrotherapy; this entails going to physical therapy center and take care of specific issues which are more painful.
3) Glucosamine and chondroitin supplements
4) Diacerin too can be tried which suppose to regenerate the cartilage.
5) Local analgesic sprays
7) Consideration of hyaluronic acid injection in the joint. Some physician may inject steroid too for the pain relief.
8) Warm shower in morning would help in pain.
9) Capsaicin (Zostrix, ArthriCare) is an irritant derived from chili peppers that provide relief by depleting a chemical that transmits pain from nerve endings. Various strengths are available without prescription. (It causes a burning sensation thus one has to be careful while applying and should wear a disposable plastic glove).
10) Acupuncture; most popular forms of alternative or complementary medicine, particularly for pain relief.
11) Analgesic patches too are available for the pain relief.
If overweight is an issue; long term is achieved by weight reduction. High impact exercises should be avoided; like kneeling and bending. These supplements help in rebuild the cartilage;
1) Omega-3 fatty acids, such as fish oil,
2) SAMe (s-adenosyl-L-methionine), 600 mg daily.
3) Glucosamine/chondroitin, 1,500 mg daily.
4) Bromelain, 250 mg twice a day.
Following homeopathic remedies are suppose to help;
Following herbs are suppose to be good;
2) Cat's claw
3) Willow bark
5) Devil's claw
To summarize: Following measures would be helpful in the hip pain;
1) Hip care in the activities of daily living. Few simple self-care measures can be remarkably effective in ending pain cycle.
a) Avoid prolonged standing or walking or sitting with joint in a single position.
b) whenever you sit, keep the hip stretched and fold them intermittently.
c) Squatting, sitting cross legged should not be done.
d) Avoid climbing stairs.
e) Avoid sitting legs unsupported or hanging. f) Reduce weight if over weight/obese.
2) Rest: Taking a break from your normal activities reduces repetitive strain on your hip, gives the time to heal and helps prevent further damage.
3) Anti-inflammatory medications
4) Physical therapy; the goal of physical therapy is to strengthen the muscles around your hip and help you regain hip stability. Ideal is supervised physical therapy. Stretching exercises are also part of the physical therapy regime.
5) Orthotics and bracing.
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