Follow Your Treatment Plan
Standard treatments used to prevent or slow the growth of prostate cancer may also help relieve symptoms such as pain. These include hormonal therapy chemotherapy, which directly attacks the tumor and surgery, according to ACS.
Additionally, there are treatments that can target bone metastases more specifically options include drugs called bisphosphonates, which help strengthen bones and prevent fractures external radiation therapy ablation techniques corticosteroids and pain medications.
Men with advanced prostate cancer should stick closely to their treatment protocol, says Gilligan, because we have abundant evidence that reduce pain.
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The Limited Research Available Suggests Spinal Pathology Predicts And Warns Of Less Pain Relief And Worse Outcomes After Total Hip Replacement
These same unfortunate results had been previously reported earlier in 2017 by doctors at the Department of Orthopaedic Surgery, the University of California, San Francisco in The Journal of Arthroplasty:
- The coexistence of degenerative hip disease and spinal pathology is not uncommon for the number of surgical treatments performed for each condition increasing annually.
- The limited research available suggests spinal pathology predicts and warns of less pain relief and worse outcomes after total hip replacement.
The UCSF researchers concluded their study with:
- Patients with preexisting lumbar spinal fusion experience worse early outcomes after primary total hip replacement including higher rates of complications and reoperation.
- The complex interplay between the lumbar spine and hip warrants attention and further investigation.
What Are The First Signs Of Hip Problems
Is a bad hip affecting your daily activities? Hip problems can cause pain and are a common concern for many people, particularly as we get older and maintain an active lifestyle.
The specific location of hip pain can help to pinpoint the underlying cause. This can include problems in the tendons, muscles, ligaments, and other soft tissues surrounding the hip joint, or an issue in the lower back or spine. Hip pain can be felt in the outer hip, groin, or upper thigh.
Hip problems are usually associated with age. However, without proper care, anyone can develop a worn joint including the hip.
The following signs are frequent early symptoms of a hip problem:
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Important Considerations For People With Arthritis Of The Hip
There is no cure for arthritis. Typically, it starts gradually and worsens over time. Eventually, all forms of arthritis of the hip may permanently damage the hip joint. While osteoarthritis is more common in older people, there are forms of arthritis that affect younger people.
Fortunately, there are things that can be done to help minimize the effect of arthritis, and we are glad to discuss these option.
- 22% of the U.S. population in 2010 reported some form of arthritis
- Among adults over 65, 50% have some form of arthritis
- The most common form of arthritis is osteoarthritis
- Weight loss of just 11 pounds can reduce a womans risk of developing knee arthritis by 50%
- Of working age people , one-third of those who had arthritis reported it limited their ability to work
*Centers for Disease Control and Prevention
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Complications Related To Sciatica
If you develop a loss of bladder or bowel control, contact your doctor right away. This can be a sign of a medical emergency that requires surgery to avoid permanent damage. Fortunately, this complication is rare. Most cases of sciatica go away within a few days or weeks and cause no lasting harm.
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Arthritis And Hip Pain
Spinal osteoarthritis is a degenerative arthritis of the spine.
Osteoarthritis is a condition in which the cartilage that lines the joints degenerates or breaks down. As this material stiffens or breaks down, the additional wear and tear on the bones can cause inflammation, bone spurs, and pain.
Spinal osteoarthritis is a condition in which the cartilage and discs in the lower region of the spine degenerate and fail to perform their function of acting as cushions for the joints. This degeneration and increased pressure on the joints can lead to inflammation, pain, and possibly pressure on the lumbar nerves.
When The Spine Is The Likely Culprit
Most lower spine problems are caused by a herniated disk that presses on nerves in the spinal column. This produces the pain known as sciatica, which can be felt in the hip. You may have a herniated disk if pain:
- Is limited to your back, buttocks or hip.
- Shoots down your leg.
- Worsens with sitting or bending.
- Improves when standing or walking.
If you have night sweats, ahistory of cancer, or pain that is not relieved by lying down ,see your doctor the problem may be more serious.
Some people develop whatDr. DeMicco calls a double whammy problems in both the hip and lower back.Its not surprising, since both osteoarthritis and spinal changes are morecommon with each passing decade, he explains.
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How Do I Treat Arthritis In The Hip
There is no magic cure for this. But there is a number of ways to reduce the pain, and take your lifestyle back.
- Exercise: Low impact strength training like aerobics or tai chi
- Weight loss: Aim to lose 5% within a 20-week period
- Opioid and narcotic analgesics *
Some physicians may suggest joint lavage and arthroscopic debridement. However, the medical community is divided on how effective either of these procedures may be.
The joint lavage comes from the French word for clean, and as you can imagine the procedure involves the cleaning and flushing of the joint with a sterile solution. Results have been mixed.
Whereas, arthroscopic debridement involves your surgeon removing loose tissue fragments from your hip joint. Again, results have been mixed.
Both procedures have been described as both a good short term solution to pain, as well as criticized as a mere placebo.
Sciatica Or Other Back Pain
Up to 85% of Americans experience some type of back pain during their lives. But this doesn’t always involve the sciatic nerve. In many cases, back pain is the result of overextending or straining the muscles in the lower back. What most often sets sciatica apart is the way the pain radiates down the leg and into the foot. It may feel like a bad leg cramp that lasts for days.
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Is It A Mechanical Problem
In many cases, the pain happens when parts of the back — the spine, joints, tissues, muscles, and the discs that cushion the spinal bones — are out of sync. If your back isnât feeling quite right, have your doctor check for:
Herniated or slipped discs: The bones of your spine are cushioned by discs, often referred to as âshock absorbers.â When they wear down, the soft tissue between them begins to squeeze out. This is when you start to feel it — especially if they rupture. It can happen if youâve had a sudden injury, or because of simple wear and tear.
Bulging discs: The stuff inside your discs âbulges,â but not as much as with a herniated disc. They often cause no symptoms on their own, but they can bring pain if the disc pushes up against a nerve root.
Degenerative disc disease: The discs that separate your vertebrae wear down. This sometimes causes the bones to rub together. Age is usually the reason, but sports and injuries can be culprits, too.
Inflammation and movement problems of the sacroiliac joint: This joint sits at the bottom of the spine, on either side of the pelvis. It transfers the weight of your upper body to your lower body. This can start to bother you after youâve been injured, if you have an infection, if you have arthritis, or if youâre pregnant. Abnormal movement, such as too much movement of the joint, can also cause long-term pain.
Osteoarthritis: This is when your cartilage and bone begin to break down and there is inflammation.
Endometriosis Lurks In Plain Sight
Part of the trouble with endometriosis is theres no good diagnostic test. To formally diagnose endometriosis, doctors need a tissue biopsy, which requires laparoscopic surgery. The risks and costs of surgery mean few women get it.
But a basic pelvic exam can give doctors a pretty good idea of what theyre dealing with, according to Seckin. These women are extremely tender to the touch when doctors do an ultrasound or pelvic exam, he said.
Early diagnosis is the best weapon modern medicine has to prevent the more serious symptoms of the condition.
Fortunately, the same oral contraceptives that doctors prescribe to treat a variety of minor menstrual problems are the proper first line treatment for endometriosis. The hormones make menstruation lighter, alleviating pain and minimizing the amount of uterine lining that can cause problems.
You dont ovulate, so you dont damage your ovaries constantly, said Dr. Jill Rabin, a gynecologist at Long Island Jewish Medical Center. Symptoms also ease when ovulation is stopped.
But birth control pills dont necessarily stop the harmful spread of endometrial tissue. Doctors who suspect endometriosis should monitor for symptoms and scan for masses.
When women continue to have pain or if they continue to develop lesions, surgery may be needed. But the surgery has to get all of the tissue or patients will continue to have problems.
Things would not have gone so far if Murphy had been diagnosed sooner.
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Symptoms Of Lower Back Pain
Low back pain will affect 60 to 80 percent of people at some point in their lives. Much of the pain experienced by that group is caused by a herniated disc pressing on a spinal nerve. Those symptoms may include:
- Pain shooting down the leg
- Increased pain when bending or sitting
- Numbness or weakness in the leg/foot
In addition to herniated discs, low back pain may be a result of:
Do You Know The Risks Associated With Back Pain
One of the major aspects that are making the professionals succumb to back pain is work from home. While most of the working professionals always dreamt of working from home but amid the lockdown, this time during the lockdown, improper posture, seeking comfort zone while working are major reasons for back pain.
Lower Back pain is associated with modifiable and non-modifiable risk factors such as obesity, lack of exercise, bone density, occupational injury, the inclusion of poor ergonomics. The physical ability arising from pain and loss of functional capacity reduces the quality of life and increases the risk of further morbidity.
Inflammatory diseases like rheumatoid arthritis, Osteoarthritis, etc. are one of the leading causes of joint problems among the geriatric population and accounts for over 50% of the hip joint complications. Although these conditions can affect any joint but pain in the lower back is a major reason affecting the hip joint. Apart from treatment, one should take the right diet for osteoarthritisand hip joint arthritis.
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Can Hip Pain Cause Back Pain
The short answer is yes, hip pain can cause back pain and vice versa. Hip injuries sometimes come from the hip, but many times come from the back. This is the same with back pain. Sometimes the pain comes from the back, but it often comes from the hip. Your hip joints sit near your spine, and because of that, the pain often manifests itself in your lower back.
To narrow down the source of your pain, analyze it. If the pain starts in the hip and groin area and radiates down to your knee, its most likely a hip issue. However, if the pain starts in the buttocks region and radiates down your leg, its most likely a spine issue. Come visit one of our Dallas orthopedic specialists to be extra sure.
The Diagnosis: Is It Your Hip
When you tell your doctor your hip hurts, the first thing she should do is confirm that your hip is actually the problem. Women might say they have hip pain, but what they may mean is that they have pain in the side of the upper thigh or upper buttock, or they may be experiencing lower back pain, says Stephanie E. Siegrist, MD, an orthopedic surgeon in Rochester, New York, and a spokeswoman for the American Academy of Orthopaedic Surgeons. Hip pain is often felt in the groin or on the outside of the hip directly over where the hip joint is located.
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Diagnosing The Source Of The Pain
The first step to correctly treating the pain is to receive an accurate diagnosis. Dr. Vyas explains, When I see a patient seeking treatment for suspected hip pain, the first thing I do is conduct a physical exam and take a history. A history of the pain will include asking questions such as:
- Where is the pain located?
- When does the pain occur? With activity? At rest?
- What type of pain is occurring? Is it sharp? Is it achy, etc.?
After the initial appointment, your doctor may request an x-ray in order to take a closer look at the bones. Based on the physical exam, x-ray, and possibly an MRI your doctor should be able to make an accurate diagnosis and suggest an individualized treatment plan.
Reasons You May Be Experiencing Back And Hip Pain
This content was medically reviewed by Baher S. Yanni, MD, on February 8th, 2021.
Pain can be distressing, especially if youre not sure what brought it on. If you are experiencing back and hip pain, these aggravating symptoms are usually the result of overuse or injury. The frustrating aspect of combined hip and back pain is that many different causes could be to blame.
Back pain can easily be mistaken for hip discomfort. The joint of your hip is located near your spine, so certain health conditions and injuries affect the nerves in both of these areas. That means the culprit of your hip and back pain could overlap.
Here are six reasons you may be experiencing pain in both your lower back and your hip.
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What Does It Mean When Your Lower Back And Hip Hurts
Sciatica refers to back pain caused by a problem with the sciatic nerve. This nerve runs from the lower back down the back of each leg. When something hurts the sciatic nerve, it can cause pain in the lower back that can spread to the hip, knee, and ankle.
Back pain can be a symptom of a number of conditions, including arthritis, degenerative disc disease , spinal stenosis , and other conditions that affect the spine, such as spondylolisthesis, a condition in which the spinal cord is damaged.
Leg Pain From Hip Disorders
When the hip is affected, you may have groin pain on the affected side, reduced range of motion of the hip, thigh pain, knee pain, or buttocks pain. The pain usually does not go down below the knee, and there is no associated numbness or tingling. You may feel more pain when walking or standing, and the pain improves with rest. You may sense a limited range of motion when trying to get out of the car, chair or bed. Occasionally, pain in the hip could be secondary to inflammation of a hip bursa. This can happen if you have tight hip abductor muscles, difference in leg length or hip arthritis. Hip pain can also be caused by something more serious but less common, like fractures, tumors, infection or avascular necrosis.
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Is The Pain Coming From Your Hip Or Back
Often people go to the doctor seeking help for hip pain. Sometimes, people try to treat it themselves. They are convinced there is something wrong with their hip and the treatments begin. However, one thing is for sure, hip pain is not always as it appears. Hip pain can be a result of a problem in the hip joint itself. However, it can also be a result of a back problem or a soft tissue problem around the hip region.
Obtaining an accurate diagnosis is the first step to resuming activities and living an active lifestyle. Let’s discuss the reasons for confusion and see if we can realize the causes and treatments for both hip and back pain. Some of a patient’s misunderstanding about the origin of the pain is due to not understanding hip and back anatomy. Sounds odd but it’s true. The hip joint lies just behind the groin area on each side of the body. At the same time, the spine runs from the base of the skull to the tip of the tailbone. The lumbar spine contains specific nerves that can influence the feelings in the region around the hip area.
Pain Originating in the Hip
When the pain originates in the hip from arthritis, motion of the hip is often limited. This limitation is often realized when attempting to get out of a chair or bed and standing up. Contrary to hip pain, pain coming from the back may worsen when sitting or lying down, depending on the origin of the back pain itself.
Pain Originating in the Back
Getting an Accurate Diagnosis
Common Causes Of Chronic Lower Back Pain
âChronic lower back pain is less likely to be caused by injury to your muscles and ligaments and more likely to be due to issues with the lumbar disks, nerves, joints or vertebrae,â says Dr. Palmer. âThere are several potential causes of chronic pain in the lower back.â
In general, osteoarthritis and degenerative disk disease are the underlying cause of many types of chronic lower back pain. However, lower back pain can also be caused by accident-related trauma and acute stress.
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