All about pelvic and hip pain

What is pelvic and hip pain?

The
pelvic and hip pain
is a discomfort that can affect both sexes, although it is more common in women due to gynecological and obstetric factors. It can be located in the lower abdomen, pelvis, buttocks or groin area, and in many cases radiates to the leg, inner thigh or lower back.

This type of pain may be due to musculoskeletal problems as well as to visceral, nervous or functional alterations, so it requires a specialized and multidisciplinary medical assessment to identify its origin.

Causes of pelvic and hip pain

Pelvic and hip pain can have multiple causes.
multiple causes
some of musculoskeletal origin and others visceral. Among the most common are:

Musculoskeletal causes

  • Hip tendinopathy or hip bursitis
  • Pudendal nerve entrapment syndrome
  • Sacroiliac dysfunctions or pubic
  • Piriformis syndrome or sciatic nerve compressions
  • Pelvic floor dysfunction
  • Muscle or ligament injuries
  • Coxarthrosis (osteoarthritis of the hip)
  • Stress fractures or falls

Visceral or gynecological causes

  • Endometriosis
  • Pelvic inflammatory disease
  • Ovarian cysts or uterine fibroids
  • Post-surgical scars or adhesions
  • Urinary or gynecological infections
  • Pregnancy or postpartum
  • Irritable bowel syndrome or digestive problems

 

In many cases, pain may have a mixed component (physical and emotional), so a comprehensive approach is essential for therapeutic success.

Types of pelvic pain

Sacral iliac pain

The sacroiliac joint is the joint that joins the sacrum, the final bone of the spine in the form of a triangle, with the pelvis, the rest of the hip. This joint is responsible for allowing the transmission of forces from the lumbar spine to the hips and from there to the rest of the legs to the feet. Its function is essential to allow us to perform daily gestures such as getting up, walking, climbing stairs or running. Its pain can radiate to the gluteal region, end of the spine and back of the thigh.

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Hip osteoarthritis

Osteoarthritis of the hip involves degeneration and wear and tear of this vital joint for leg movement. It occurs “through wear and tear” and triggers limitations in everyday movements such as bending the trunk, stooping or standing up. Its development is usually slow and the pain appears progressively and worsens over time. As there is no cure, the mission will be to stop the deterioration of the joint and provide the ideal conditions for it to last for many years.

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Tendinitis and myofascial hip pain

The
hip tendinitis
is an inflammation of the tendons that connect the muscles to the bones in the hip region. It is a common cause of lateral or anterior pain in this area, especially in people who are active or perform repetitive movements. The most commonly affected tendons are those of the
gluteus medius and gluteus minimus
,
psoas-iliac
y
tensor fascia latae
. This condition can make it difficult to walk, climb stairs, sit or lie on the affected side.

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Hip bursitis

Hip bursitis is a common pathology in pain treatment units and physiotherapy clinics and is often accompanied by other associated symptoms that detract from the quality of life.

First of all, we will define what bursae are: they are serous or synovial bags found in various parts of the body (hips, shoulder, heels or knee) and whose main function is to act as “shock absorbers” for anatomical areas of special stress or mechanical conflict, thus avoiding excessive friction. Some hip injuries produce hip bursitis, which implies an inflammation of these structures producing significant and intense pain.

For more information click here.

How do we diagnose pelvic pain at Mivi Salud?

At MIVI Salud we do not only treat the symptoms, but we also look for the
we look for the real cause of pelvic pain.
pelvic pain. This is the only way we can offer an adapted, effective and long-lasting treatment.

  • Medical + physiotherapeutic evaluation
  • Functional and biomechanical analysis
  • Comprehensive approach and teamwork

Do you have pelvic pain? We can help you.

Book your appointment and start your path to wellness.

Here begins your life without pain

Our customers say

Cristina Moya
Estoy encantada con el Doctor Francisco Duca y su gran profesionalidad y su trato humano. Hace que mi vida sea mucho mejor, y hace que mi día día sea mucho más llevadero. Rodeado de un gran equipo.
Lo recomiendo 100x100.
Geoff Rowe
agus
Very efficient !!!
ALVARO LUCENA NAVARRO
Mohamed Mihamwdi
jose manuel escalona martin
Ha sido una gran alegría el poder disfrutar de las instalaciones del hospital Ochoa en Marbella e ir de la mano del equipo de la unidad del dolor ,encabezada por él magnífico Doctor Don Rubén Algarra,del cual no tengo palabras para expresar mi más sincero agradecimiento desde el día que lo conocí hasta hoy.
Ha sido una gran suerte haber conocido a un profesional de tan gran categoría.
Los resultados han sido siempre los deseados y los tratamientos muy acertados.
Un grandísimo equipo.
Maribel GOMEZ GARCIA
Ana Paula Zaragoza
Magnífica labor de Belén, fisio pediátrica, que ha tratado a mí hijo Iker de una manera excelente y ha conseguido una recuperación estupenda en él. Trato cariñoso, paciente y empático a mi hijo que solo tenía 2 meses y medio cuando empezamos con ella.
Ana Acuña
Maria del Carmen Jurado Cordoba
Pasar por MIVI, con el Dr. Duca, ha sido como renacer. Tras dos infiltraciones, una de ellas en zona sacroiliaca, me ha devuelto la esperanza para poder seguir viviendo con ilusión. Tras unas semanas de la infiltración he podido hacer un viaje a Roma y caminar por sus calles y todo ello sin dolor !!!! Poder dormir en un colchón extraño y no levantarme clavada de ambas caderas, wowww ha sido increíble.
Sobre el doctor Duca os puedo decir que ofrece un trato muy profesional, cercano, muy empático y humano, se ocupó de buscar la mejor solución para mí desde el primer momento, teniendo una mirada amplia sobre toda mi situación general, cosa que agradezco, ya que una mirada amplia es garantía de éxito. No obviar ningún detalle del paciente es primordial, por lo que me sentí muy acompañada, entendida y cuidada con gran profesionalidad.
El personal de quirófano, un 10.
Gracias a todo el equipo de MIVI.

Insurance companies

Ask your MIVI centre for information on the agreements with insurance companies.