Diseases that cause hip pain when waking up

According to MSc. Nguyen Van Tu, Department of Musculoskeletal Internal Medicine, Tam Anh General Clinic District 7, hip pain can come from many causes. Patients should see a doctor for timely treatment to avoid dangerous complications.

Hip osteoarthritis: This is a consequence of cartilage and subchondral bone degeneration. The bone ends are no longer protected by cartilage, so they rub against each other during movement. Damage to the articular cartilage and subchondral bone tissue causes articular cartilage cells to be destroyed, reducing fluid secretion, causing inflammation. Symptoms of the disease are pain inside the joints, worse when the weather changes, especially early in the morning.

Hip arthritis: Diseases such as rheumatoid arthritis, ankylosing spondylitis, psoriatic arthritis, gout… can cause hip pain in the early morning. Patients may feel their joints creak, restricting their movement…

Peritrochanteric bursitis: Bursae are sacs that contain synovial fluid, which act as small cushions to reduce friction as body parts such as tendons or ligaments move over bones. If the patient feels pain in the area around the hip joint, the bursa may be inflamed. The disease is common in the elderly and tends to recur after treatment.

Femoral head necrosis: The disease occurs due to lack of blood supply, leading to bone and cartilage necrosis. Initially, the bone head gradually thins out, forming bone cysts. Over time, it causes subchondral fractures, collapse of the femoral head, and loss of hip joint function. Without timely intervention, the patient has a very high risk of disability. Hip pain is the main and first symptom of the disease. The pain appears in the groin area and spreads to the inner thigh. In some cases, there may be pain in the buttocks. The pain is severe when moving or standing for long periods of time and decreases with rest.

Hip injury: Overexertion, not warming up before playing sports, improper exercise… can cause hip pain due to ligament stretch or muscle strain. Pain in the hip joint due to injury does not only appear in the early morning but can last all day, making movement difficult and causing inflammation.

Other causes: Smoking, drinking a lot of alcohol, being overweight, being sedentary, congenital hip deformities, pregnancy… can also cause hip pain when waking up.

According to Dr. Tu, not treating early morning hip pain can cause many complications such as edema around the joint, reduced or loss of mobility. The entire hip joint is seriously damaged, no longer able to recover, the patient faces the risk of disability… As soon as abnormal signs are detected, the patient should see a doctor.

In addition to clinical examination, the patient may be assigned to perform additional clinical tests such as blood tests, digital X-ray MXHF-1500DR or MRI 3 Tesla… Depending on the cause of joint pain. groin, doctors prescribe different treatment methods.