Meet the Other Phone. Only the apps you allow.

Meet the Other Phone.
Only the apps you allow.

Buy now

Please or to access all these features

General health

Mumsnet doesn't verify the qualifications of users. If you have medical concerns, please consult a healthcare professional.

Hip joint degeneration pain - how to cope?

20 replies

Dogseggs · 04/05/2015 20:35

Last year I went for x-rays after bouts of pain and stiffness, and was found to have signs of joint degeneration and sclerosis (? - think that's what it was called) in the facet joints of spine. My GP was very nice, but had little advice other than not to overdo things, to keep as active as I can, and to take NSAIDs when it hurts.

Well this weekend it has been worse than ever. I have taken as many NSAIDs as I dare but pain is still there, and has started shooting down to my ankles. It wakes me up at night, and has left me wanting to cry. I have a fairly active lifestyle as well as all the usual household chores, but nothing that makes too much impact on the joints as far as I know. (No jogging or rugby or anything like that)

Any tips? Is this something I will just have to put up with? It's making me miserable and I don't like it. It doesn't help that my family isn't particularly interested or sympathetic, but then that might be down to me hating to make a big fuss about stuff.

OP posts:
Moreisnnogedag · 04/05/2015 20:39

is the shooting pain going down both legs? That's the most important thing and will affect my answer considerably.

Dogseggs · 04/05/2015 20:45

Hello, no, just the left one

OP posts:
Moreisnnogedag · 05/05/2015 01:55

Oh so sorry feeding nightmare with baby. The mainstay of treatment is lifestyle. I take it you are a healthy weight? If not, getting to a healthy BMI can really help. Targeted Physio can also work really well - check with your GP service, some have a self referral pathway; otherwise I'd ask to be referred.

If you've started to develop sciatica, there are specific nerve pain relief medications which target this type of pain more effectively than NSAIDs. Depending on your symptoms (discuss with GP), it can be helpful to get an MRI to determine whether injections may work for you.

Again sorry for delay in getting back!

Spartak · 05/05/2015 02:04

I'm a physio and we see this type of thing quite often. Ask your GP to refer you. The shooting pain down one side sounds like a nerve been trapped somewhere - most likely sciatic nerve and exercises and mobilisation can really help with that.

Spartak · 05/05/2015 02:06

If you've had any changes to your bladder or bowel control - where you can't feel if you need to go, or numbness between your legs go to your GP urgently.

ilean · 05/05/2015 02:18

Hello Smile I've had severe osteoarthritis in my hip for more than ten years, I was diagnosed at 20. My experience over the last 12 years is that the advancement of the pain isn't necessarily linear, in fact it's better now than it has been in some time. I think this is a combination of me getting better at managing it, and the progression meaning I actually have less pain.

The most important thing I would say to you is, use it or lose it. Keeping the joints moving as best you can will actually help with pain in the long run (and keep the rest of you healthy, and help with your state of mind and self esteem). Swimming, cycling and yoga have all worked really well for me. Cycling especially, as a means of getting around so that I had to do almost no weight bearing at all, was a godsend. And moving the joint/s can often help to get things into a more comfortable position. Dry, scrapey joints can get stuck.

Don't be afraid of taking NSAIDS before a bout of activity - in fact, I'd heartily recommend it - your pain will be less, in my experience, if you manage it (and inflammation) before it gets as uncomfortable as you describe. If you let things get very bad, there will be parts the painkillers can't touch (which is what I suspect you were experiencing this weekend).

There will be things that you will have to cut out, and you'll learn over time what these are.

Other things, in no particular order: warm baths before bed, and a hot water bottle in bed with you, are good habits for good sleep. Think about your shoes - cushioning makes a huge difference. Weight does, for me too - wearing heavyish winter boots has me in agonies at the end of a day. See a physio, definitely. Stay hydrated. Be honest with people about how you feel. Leave room for how you feel yourself. You don't say how old you are but chronic pain and joint deterioration are surely difficult at any age.

Oh the last thing is, get back to your GP for a painkiller prescription and to talk about drugs. The daily limit for ibuprofen is actually 2400mg, not the 1600mg that OTC products state. I have found 600mg tablets the most effective. I occasionally mix them with paracetamol, but generally they suffice alone. I tried stronger drugs, but really disliked the other physiological and emotional effects they could have.

In my early 20s, I found marijuana incredibly effective for my pain, a small joint before bed helped me to sleep really well. I no longer use it recreationally, or seem to need it, but I would definitely recommend it.

Dogseggs · 05/05/2015 17:59

Thank you for the replies, very helpful and encouraging to read!

I should have said - my weight is in the healthy range, and I've always been active (walking, swimming, cycling), but I am pushing 50 so the wear-and-tear is catching me up. Ilean, thanks ever so much for your words. Sorry you've had to cope with it at such a young age - that must have been tough to deal with - but it sounds like you have some fantastic strategies in place: it's so heartening to read that staying active will actually help. I was scared the pain meant I'd have to start being more sedentary to prevent damage, and the thought of not being able to get up and about was very difficult to contemplate.

Spartak and Moreis - I didn't realise a physio would be able to help something like this - it's all new territory for me, so that's really good to know. Luckily the bladder and bowels have stayed under control. I do have a GP appointment soon for a prescription review, so maybe I can sneak in a request for better painkillers and ask about the physio while I am at it. If only they could prescribe marijuana ... I hadn't thought of trying that, but I bet it would help with loads of other midlife aches and pains.

and moreis - I will forgive you for feeding your baby mid-thread Grin

OP posts:
MatildaTheCat · 05/05/2015 18:35

Hello,although your title says hip pain I'm assuming that you have pain running through the hip area as you then mention spinal degeneration ( and stenosis)? True hip pain is generally felt in the groin area and radiating down the front of the thigh. Buttock pain is likely a trapped nerve from the lumber spine. This can radiate all through the leg, shin and into your foot. Likely enough there could be some altered sensation and pins and needles, too.

I agree seeing GP for review of meds. NSAIDs are useful, naproxen better than ibuprofen IMO. You need a stomach protector with these, do ask your GP. Nerve pain responds best to drugs like amytriptilin and/or gabapentin. Both have side effects which do wear off so need some perseverance. If you also have back pain you need something like cocodamol,too. Clever combining of different types of meds gives the best results.

Excellent advice up thread. I'd would add that while you have such acute pain you need to listen carefully to your body. It is telling you to rest. Slow right down, take the meds and do all the self care stuffs when the pain is better then increase your activity levels slowly to test your tolerance. Pushing through this could have very nasty consequences. Sciatica and severe back pain are very serious and debilitating conditions. Not life threatening but very much life enjoyment threatening.

Do feel free to join is on the back pain support threads heaps of advice and support there.Smile

Dogseggs · 06/05/2015 15:19

Thanks Matilda, yes, I have had the general hip pain running down front of my thigh for some time, but the shooting pain is a new thing. I just assumed it was caused by my hip (the pain is in the same leg), but from what everyone else says it sounds like it could be sciatica.

I have taken the dog for a good long walk but have taken heed of your words and steered clear of the heavier housework today (it's my 'day off' ha...) hopefully that'll help. I'm going to spend the rest of the afternoon with my legs up, for medical reasons of course.

Will check out the back pain threads too. I am new to MN: I wasn't sure what to expect when I joined, but I am so happy to find all this sensible and helpful advice.

OP posts:
YesIDidMeanToBeSoRudeActually · 06/05/2015 15:34

Has your GP or anyone recommended some stretching excercises to you? They do help enormously, i try and do mine every day religiously unless i absolutely can't move.

I suffer from sciatica and often have awful hip pain if I overdo things (other issues as well) so I sympathise, it's the pits isn't it?! Is the shooting pain like lightning or electric shock type pain? If so this would indicate to me a nerve issue, pregablin/gabapentin didn't work for. Me but various "triptyline" drugs do. Currently using nortriptyline and the bonus is I sleep better, after 40 years of insomnia!

I have had steroids/anti inflams/painkillers injected into my facet joints in the past and these worked well for a while - worth asking about?

I second heat as being very very good, stick on patches, hotties, baths or showers are all fab. If you sleep on your side, a pillow between your knees might help? Ooh, an electric blanket helped ,e too.

Def do the stretches though.

MatildaTheCat · 06/05/2015 18:43

OP, when you see your GP it might be helpful to clarify what your diagnosis is. You mention hip joint degeneration and facet joint degeneration and stenosis. Have you had X-rays of both hip and lumber spine? Or MRIs of either area? I ask because if you do have major degeneration of your hip then you should have an orthopaedic review. Bear in mind that by 50ish everyone has some joint degeneration so it's not necessarily a terrible thing.

The facet joints of the spine are a totally separate thing from the hip. They can benefit from injections. Any nerve entrapment in the lumber spine can produce buttock and leg pain. (Different to hip pain even though it feels like hip pain IYSWIM?)

Good luck with your appointment. Do seek a clear diagnosis to help you focus on the right approach to recovery. In the meantime rest, potter, rest.

ilean · 06/05/2015 19:32

I was scared the pain meant I'd have to start being more sedentary to prevent damage

That certainly is a risk. In a way, being young (as you are) is helpful, because you have the energy to find new ways to be, and work, children, and other demands mean that you have to get on with it. But there will be an element of this, and you have to find a balance yourself. That will come down to finding activity that works for you and that you love, cutting out things that your body can't take, or modifying, and managing your pain appropriately. Don't be afraid of painkilling drugs. They will give you your continued health, by keeping you active.

I've stopped doing yoga in the past few years, because my range of motion is now such that it was making me miserable and depressed, to be honest. I've just taken up pilates as a rather belated substitute and I really like it. I can do almost all of the exercises, and can feel myself getting stronger. Sometimes I think I will be fitter and stronger in later life because of my arthritis, in a funny way. It may be the same for you.

All of that said, it often isn't great, and it's certainly not fair, and you will probably need to let yourself grieve for all your ideas about how your life would go (I've found this bit hard, I think because of the nature of the disease - the daily losses are small, almost imperceptible, though there are certainly days full of agony. But over a lifetime they are devastating and it's that lifetime that you lose, from the start), and somehow let your family know that lack of interest and sympathy is not ok.

Dogseggs · 10/05/2015 11:42

Thanks all, I have a GP appt this week, so will make a list of your suggestions. I am still aching (overdid things yesterday), but I'm determined to rest today. DD is walking dog and DH is doing the garden. I'd love to be doing both those things but I know they'd make things worse... Time to join Netflix I think!

You're right, it will take some adjustment, but it's great to hear how others have managed.

Matilda - the hospital x-ray revealed degeneration in both hip joints, and also sclerosis of the facet joints. I just had the one hospital visit with a follow up report from the GP a week later. At my age I would expect some back trouble, especially as I am tall.

YesIDid - it is the pits! I sympathise. Today is going to be a pottering day.

Ilean - I have had words with the rest of the family, I think they are starting to understand now. It's just occurred to me that they might have trouble adjusting to the idea that I am getting doddery, so I will be gentle but firm. It's working so far.

OP posts:
YesIDidMeanToBeSoRudeActually · 10/05/2015 15:56

Hopefully the GP visit will be helpful.

"Pottering" is a very good idea, I found it incredibly hard to adjust to though.

Make sure your family know exactly how much pain you are in though, some people just don't realise how debilitating pain can be.

Good luck with your GP, a good one makes a huge difference I have found.

fabfiftyfox · 10/05/2015 16:31

Reading with interest as I have had hip pain for the last year. In my groin area with pain radiating down to my knee. It clunks and catches and really has stopped me doing a lot this last year.
I have been to the doctors twice (different doctor each time) both moved my leg around and determined there wasn't really any problem...so did nothing. I insisted on an x-ray at least but apparently my bones are fine.
I'm 50, and feel 80. Pain medication doesn't help. Some days I can do a lot more than others but I can't just leave it can I .Do I just keep going back to the gp until he does more tests or just accept my limitations.

MatildaTheCat · 11/05/2015 14:47

fab, insist on an orthopaedic referral. You need an MRI and an expert to review you. I had a similar problem and the MRI showed labral tears. This can be treated with minimally invasive surgery. Of course it may be something else or nothing at all but if you have longstanding pain you need to see a specialist.

Dogseggs · 11/05/2015 21:05

Fab: how frustrating not to get a diagnosis, I would definitely persist with a referral - it's miserable having to live with pain like that, especially for such a long time.

OP posts:
Dogseggs · 26/05/2015 14:31

A quick follow up: the GP had a look and yanked my leg in various directions but found no sign of sciatica, thankfully. I've just been having the hip pain since then - back to square one.

OP posts:
hellomynameis · 26/05/2015 17:48

if you do have major degeneration of your hip then you should have an orthopaedic review

MatildaTheCat · 26/05/2015 19:41

hello, I'm sure you are correct but the original post was requesting advice about her hip pain which was not controlled despite analgesia.

New posts on this thread. Refresh page