Hip pain during rotation can stem from several potential causes, often indicating an issue within the hip joint itself or the surrounding soft tissues.
Possible reasons for hip pain when rotating include:
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Muscle Strain: A pulled or strained muscle around the hip, often from overuse or sudden movements, can cause pain with rotation.
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Osteoarthritis: This degenerative joint disease can affect the hip, causing pain, stiffness, and reduced range of motion, all exacerbated by rotation.
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Bursitis: Inflammation of the bursae (fluid-filled sacs that cushion joints) in the hip can lead to pain with movement, especially rotation. Trochanteric bursitis, affecting the outside of the hip, is a common example.
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Hip Impingement (Femoroacetabular Impingement or FAI): This condition occurs when the bones of the hip joint don't fit together perfectly, leading to friction and pain during certain movements, especially rotation.
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Labral Tear: The labrum is a ring of cartilage that helps stabilize the hip joint. A tear in the labrum can cause pain, clicking, and a feeling of instability, particularly with rotation.
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Other Conditions: Less common causes could include hip dysplasia, avascular necrosis (loss of blood supply to the hip bone), or referred pain from the lower back.
It's important to note that most of the time, hip internal rotation pain isn't serious. However, if the pain is severe, persistent, or accompanied by other symptoms like swelling, numbness, or difficulty walking, it's important to consult a healthcare professional for proper diagnosis and treatment. They can perform a physical exam and imaging tests (like X-rays or MRIs) to determine the underlying cause of your hip pain.