Hip pain and rheumatic disease 4.33/5 (3)

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Hip pain. Illustration: Injurymap. CC BY-SA 4.0


Pain in the hips is common among middle-aged and older people.

  • Among adults over the age of 60, 14% has hip pain almost every day. Mucosal inflammation (bursitis) and osteoarthritis are the most common causes.
  • In younger people, injuries and congestion (sports) are more common.
  • Hip pain can also be part of more widespread (generalized) pain, such as Fibromyalgia

Rheumatic inflammation is less common, but can be a cause of hip pain in all age groups.

Rheumatic disease



  • Stiffness and pain during and after stress
  • Pain radiates to the groin
  • Reduced mobility during examination

Avascular necrosis (osteonecrosis)

  • Under high doses of cortisone (Prednisone)
  • Other illnesses
  • Pain
  • The X-ray is often normal (diagnosis by MRI examination)


Bursitis (bursa inflammation)


  • Congenital hip injury that causes osteoarthritis eventually

Meralgia paresetica

  • On the outside (lateral) of the thighs


  • Pain from the back


  • Arthritis between the back and the pelvis
  • Pain in the pelvis

Other causes of hip pain

Fracture (Fracture) in femoral neck (between hip joint and femur)

  • The foot is often rotated outwards
  • May be difficult to detect among old with many symptoms


  • Daily pain in both legs, arms and parts of the neck and / or back
  • Most often women

Cancer in the skeleton (rare reason)

  • Pain in the skeleton
  • Radiation from the pelvis
  • Reduced endurance
  • Bone pain
  • Affected general health

Luxation (hip out of joints)


  • Infection in the skeleton
  • Often, weakened immune system


  • Overstressing
  • Pain by pressure

Septic arthritis

  • Infection in the hip joint
  • Increased risk by reduced immune response (Diabetes, drugs, HIV)


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