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What Causes Chronic Pain In The Hip And Buttocks?
Question: I have 6-month history of increasing pain in right hip and buttocks but have no history of trauma to these areas. I have no pain in any other area including neck, back, knees or left hip. Could the pain I am experiencing be a symptom of prostate cancer, given the family history of prostate cancer as well as my lack of genitourinary symptoms or pain anywhere else?
Brief Answer:
Please provide some more information
Detailed Answer:
Hello,
Thank you for using HCM to post your health query.
I read carefully your question and I understand your concern.
Can you please give some more information about the pain so I can have a better idea and advise accordingly?
-- Can you please describe the pain ?- dull, sharp, burning sensation, etc. ?
-- Where is it localized exactly and does it radiate to anywhere else ?
-- Is it continuous ? do you feel it at rest ? More when you walk ? During night ?
-- From 0-10 how much is the intensity ?
-- Does it go away with Ibuprofen ? What else makes it better or worse ?
Please answer these questions for me. Every question has a purpose to categorize the pain and rule out some differential diagnoses. I'll be happy to opine further.
Looking forward to your follow up question.
Regards,
Dr. Papaqako
Please provide some more information
Detailed Answer:
Hello,
Thank you for using HCM to post your health query.
I read carefully your question and I understand your concern.
Can you please give some more information about the pain so I can have a better idea and advise accordingly?
-- Can you please describe the pain ?- dull, sharp, burning sensation, etc. ?
-- Where is it localized exactly and does it radiate to anywhere else ?
-- Is it continuous ? do you feel it at rest ? More when you walk ? During night ?
-- From 0-10 how much is the intensity ?
-- Does it go away with Ibuprofen ? What else makes it better or worse ?
Please answer these questions for me. Every question has a purpose to categorize the pain and rule out some differential diagnoses. I'll be happy to opine further.
Looking forward to your follow up question.
Regards,
Dr. Papaqako
Above answer was peer-reviewed by :
Dr. Arnab Banerjee
The pain is dull, non-radiating and localized to right hip and hip. It is continuous but worse when arising from bed. Methyl salicylate rub and ibuprofen help a little. Pain becomes sharp when sitting on toilet or putting on trousers but is not exacerbated by walking. On scale of 0-10, I would assign 7.
Correction:
The pain is dull, non-radiating and localized to right hip and buttocks. It is continuous but worse when arising from bed. Methyl salicylate rub and ibuprofen help a little. Pain becomes sharp when sitting on toilet or putting on trousers but is not exacerbated by walking. On scale of 0-10, I would assign 7.
There also is a history of herniated discs at L4-5 and L5-S1 27 years ago. Pain at that time involved right hip and buttock but also radiated to right leg. The problem was managed conservatively with stretching exercises and steroid injections into spine but no surgery was performed. Could the pain I now am experiencing be a return the old ruptured disc symptoms?
Correction:
The pain is dull, non-radiating and localized to right hip and buttocks. It is continuous but worse when arising from bed. Methyl salicylate rub and ibuprofen help a little. Pain becomes sharp when sitting on toilet or putting on trousers but is not exacerbated by walking. On scale of 0-10, I would assign 7.
There also is a history of herniated discs at L4-5 and L5-S1 27 years ago. Pain at that time involved right hip and buttock but also radiated to right leg. The problem was managed conservatively with stretching exercises and steroid injections into spine but no surgery was performed. Could the pain I now am experiencing be a return the old ruptured disc symptoms?
Brief Answer:
Possible diagnoses and recommendations
Detailed Answer:
Hello,
Thank you for the follow-up question.
These are my thoughts from what I understand from your description.
-- It doesn't seem related with a nerve since there is no radiation of the pain.
-- May be an ovestrech of the gluteal muscles but this seems not very much likely as well because the pain is rather high in intensity and its not getting better.
-- You may have ruptured (or inflammed) one of the ligaments that are in that area. If this was the case it would need physical therapy and specific exercises to get better.
-- The pain may be related with the joint as well. An x-ray of the hip joint would help to rule out or confirm this possibility.
-- Ultimately but still likely (even if not that much likely) its the possibility of being metastasis from a prostate cancer. These pain would be continuous day and night, and would not get better by painkillers.
My recommendations are to consider seeing a local doctor who would do a physical exam and find more information about the origin or the pain. He woulf also do some further tests which I suggest should include a rectal prostate exam, a psa, and an x-ray of the hip joint.
Hope this helps to clarify you and answer your question.
Regards,
Dr.Papaqako
Possible diagnoses and recommendations
Detailed Answer:
Hello,
Thank you for the follow-up question.
These are my thoughts from what I understand from your description.
-- It doesn't seem related with a nerve since there is no radiation of the pain.
-- May be an ovestrech of the gluteal muscles but this seems not very much likely as well because the pain is rather high in intensity and its not getting better.
-- You may have ruptured (or inflammed) one of the ligaments that are in that area. If this was the case it would need physical therapy and specific exercises to get better.
-- The pain may be related with the joint as well. An x-ray of the hip joint would help to rule out or confirm this possibility.
-- Ultimately but still likely (even if not that much likely) its the possibility of being metastasis from a prostate cancer. These pain would be continuous day and night, and would not get better by painkillers.
My recommendations are to consider seeing a local doctor who would do a physical exam and find more information about the origin or the pain. He woulf also do some further tests which I suggest should include a rectal prostate exam, a psa, and an x-ray of the hip joint.
Hope this helps to clarify you and answer your question.
Regards,
Dr.Papaqako
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.
Above answer was peer-reviewed by :
Dr. Veerisetty Shyamkumar
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