If female friends feel muscle soreness on both sides of the buttocks, it is not only due to joint and muscle diseases, but may also be due to gynecological diseases. In this case, it is necessary to find the correct cause of the disease and then do the correct treatment to achieve the purpose of treating the disease with the right medicine. If the muscle soreness is caused by a nerve disease, the primary nerve disease should be treated first to improve the muscle soreness. The differential diagnosis of hip pain includes arthritis, capsulitis, musculofascial pain syndrome, neuropathy, and other pathologies. Osteoarthritis (OA) As the name suggests, degenerative arthritis is a degenerative disease of the joints after long-term use. Degeneration of the hip joint is one of the common diseases among the elderly. Patients often feel sore hips after exercise, especially when lifting heavy objects, and the symptoms usually improve after rest. Patients with more severe symptoms will feel soreness even when resting, and this symptom is particularly severe at night. Infectious arthritis (infectiousarthritis). It is an inflammatory response caused by bacterial infection. The most common pathogen is Staphylococcus aureus, which enters the joint cavity through the blood circulation. Patients usually have a fever, severe hip pain, and sometimes no joint swelling or redness. On physical examination, patients are able to do only slight flexion and are usually unable to tolerate any type of movement. Once the diagnosis is established, the patient should be hospitalized immediately and given intravenous antibiotics. X-rays should be taken as soon as possible, and an orthopedic specialist should be consulted. If necessary, surgical intervention should be performed as soon as possible to remove the suppurative area to avoid permanent damage to the joint. Inflammatory arthritis (inflammatory arthritis). It is caused by an immune rheumatic disease. Patients usually complain of stiff joints when waking up in the morning, but the symptoms usually subside after a few hours of activity. The two most common diseases in this area include rheumatoid arthritis (RA) and ankylosing spondylitis (AS). The easiest way to tell the difference is to take an X-ray. Ankylosing spondylitis will show typical sacroilitis in this area, while rheumatoid arthritis will not have such changes. If the diagnosis is established, consultation or referral to an appropriate immuno-rheumatologist should be sought. |
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