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Hip joint pain referral patterns: a descriptive study.

John M Lesher1, Paul Dreyfuss, Nelson Hager

  • 1Department of Rehabilitation Medicine, University of Washington, Seattle, Washington, USA. john_lesher@hotmail.com

Pain Medicine (Malden, Mass.)
|February 8, 2008
PubMed
Summary
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Hip joint pain commonly refers to the buttock, and less frequently to the groin and thigh. Pain can also radiate to the foot, but not the lower back.

Area of Science:

  • Orthopedics
  • Pain Management
  • Anatomy

Background:

  • Hip joint pain is a common complaint with varied presentations.
  • Understanding precise pain referral patterns is crucial for accurate diagnosis and effective treatment.

Purpose of the Study:

  • To delineate the specific anatomical referral patterns of pain originating from a symptomatic hip joint.
  • To compare observed referral patterns with traditionally accepted areas.

Main Methods:

  • Retrospective analysis of 51 patients with symptomatic hip joints.
  • Utilized fluoroscopically guided intra-articular hip injections.
  • Collected pain mapping and visual analog scale data before and after injections.

Main Results:

Related Experiment Videos

  • Buttock pain (71%) was the most frequent referral site, followed by thigh pain (57%).
  • Groin pain occurred in 55% of patients; distal lower extremity pain, including the foot, was observed in 22% and 6% respectively.
  • Pain referral to the lower lumbar spine was not observed.

Conclusions:

  • Buttock pain is the predominant referral pattern for symptomatic hip joints.
  • Traditional referral areas like the groin and thigh are less common than buttock pain.
  • Hip joint pain can manifest distally, even to the foot, and does not refer to the lower lumbar spine.