Did you know that hip bursitis can mimic back pain? Even though doctors know this, 20 percent of the LBP cases caused by hip bursitis aren't properly diagnosed. There are many possible reasons for this. Hip bursitis is a painful irritation on the side of the upper part of the hip. A jelly-like sac called the bursa sits between the hipbone and a tendon. It's designed to offer a cushion for the tendon as it slides over the bone. Hip bursitis is part of a larger group of problems called greater trochanteric pain syndrome (GTPS). GTPS is most common in middle age--just about when many vague aches and pains begin. At first, the symptoms of GTPS may be too hard to pinpoint. This prevents a correct diagnosis. The painful symptoms may move down the thigh to the knee with numbness and tingling present. These symptoms are just like another problem called lumbar radiculopathy. Radiculopathy occurs when pressure from a spinal disc, tumor, or bone spur causes shooting pain and numbness down the leg...
Pain along the back of the hip can be a very complex and puzzling condition to figure out. It's a fairly rare problem and affects athletes involved in golf, dance, or soccer most often. This article was written to help physicians diagnose with accuracy the problem and the cause. The best way to evaluate and diagnose patients with posterior hip pain is always with a systematic and logical approach. That means knowing the anatomy, possible causes of hip pain, how to classify the disorder, and ultimately, knowing how to treat the real underlying problem. Because the patient's symptoms are often vague and hard to pinpoint, special tests and imaging studies aid in the diagnostic process. The physician must also keep in mind that pain along the back of the hip could be coming from elsewhere -- like the sacroiliac joint, low back, or knee. It could be from a muscle strain, hernia, degenerative disc disease, fracture, or even from a hip dislocation. One thing we know for sure. Based on how the n...
Restless leg syndrome (RLS) is a common and sometimes
devastating condition. I see it quite frequently
in many of my chronic pain patients. In
fact, it contributes to quite a bit of chronic pain, because of the difficulty
it causes in terms of getting a good night's rest, and because it in and of
itself can be rather painful. And there
are diseases associated with chronic pain which can result in so-called
Restless Leg Syndrome is a nighttime condition that has a huge impact on
daytime functioning for those afflicted.
The diagnosis of RLS is mostly arrived at through interviews
with the patient, and basically involves four important features:
is a compelling need to move, usually associated with unpleasant
sensations in the legs, which have been described variously as painful,
electric or "creepy-crawly."
sensations of RLS are worse or exclusively present at rest.
sensations are at least partial...
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