At a young age, uninjured, there was a sudden inexplicable pain in the groin, and it became more and more serious, and it progressed to the end of walking and limping, and even disabled and unable to move. Many people generally do not think of osteoporosis, osteoporosis mainly occurs in people over 50 years old, the body has undergone degenerative changes, bone density has decreased, bone mass is lost, and bones become brittle and easy to fracture. Although some young people also develop osteoporosis, it is often secondary, such as prolonged immobilization due to fractures, or suffering from diseases that affect bones, as well as taking some medications. Some cannot be strictly defined as osteoporosis, just a decrease in bone density, but the cause can be found.
However, there is also a type of "osteoporosis", in which patients have no history of infection and trauma, but develop the following symptoms:
- Sudden onset of pain, usually in the front of the thigh, groin, side of the hip, or buttocks.
- Pain increases during weight bearing and decreases at rest.
- There were no injuries and no similar pain before.
- The pain intensifies with hip movements.
- The pain becomes more intense over time and may be too painful to walk.
- The patient presents with a marked limp and a limp walk.
Why is the hip temporary?
The cause of the disease is unknown, but it occurs in men between the ages of 30 and 60, as well as in women in the third trimester of pregnancy, especially in the three months before childbirth. Seizures often affect the hips, buttocks, groin, although it may also affect the knees and ankles, but the probability is small. The biggest difference between it and the common degenerative osteoporosis is pain, degenerative osteoporosis is generally not painful, with time the bones quietly become brittle, temporary osteoporosis pain is obvious, but the doctor's examination is often not obvious, but the pain is severe when exercising. Bone density tests with X-rays or dual-energy X-rays are difficult to detect, and the best way to diagnose this disease is MRI, which can show bone marrow edema and decreased bone mineral density.
Fortunately, temporary osteoporosis in the hip generally lasts for 6 to 12 months, then resolves spontaneously, and most patients' hips return to normal.
Easily confused with necrosis of the femoral head
Although this is a self-limiting disease, the vast majority of patients do not require surgery. It can be cured in a year at most, but because the disease is not well known to the public, it is easy to confuse other diseases in radiological reports. Often mistaken for ischemic necrosis of the femoral head, metastatic or inflammatory disease. An inaccurate diagnosis can lead to unnecessary surgery in patients.
There are risks
Brittle bones become during the onset of the disease, increasing the risk of fractures, and may also actually develop necrosis of the femoral head, which requires prompt diagnosis and treatment.
How to treat
Temporary osteoporosis of the hip is a self-limiting disease that most patients can recover from, and treatment focuses on reducing symptoms and protecting bones from damage during the onset of the disease.
- Nonsteroidal anti-inflammatory drugs, such as ibuprofen or naproxen, can help relieve pain and inflammation.
- Avoid weight bearing. Temporarily or completely avoid weight-bearing activities. Walking with crutches or walkers can reduce weight on the buttocks and prevent fractures during the onset of the disease.
- Physical therapy to help strengthen and flexibility of the hip muscles, some exercises can be done when the pain subsides. For example, swimming.
- Nutrition, proper nutrition, such as vitamin D and calcium, is also important to help promote healing and rebuilding of bones.
Warm reminder, even if you have the above symptoms, do not rush to self-diagnosis, but also please seek medical treatment in time.
Medical science, for reference only.