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Pain Med. 2008 Jan-Feb;9(1):22-5. doi: 10.1111/j.1526-4637.2006.00153.x.

Hip joint pain referral patterns: a descriptive study.

Author information

1
Department of Rehabilitation Medicine, University of Washington, Seattle, Washington, USA. john_lesher@hotmail.com

Abstract

OBJECTIVE:

To determine hip joint pain referral patterns.

DESIGN:

Retrospective analysis. Setting. Multicenter. Patients. Fifty-one consecutive patients meeting clinical criteria of a symptomatic hip joint. Interventions. Fluoroscopically guided intra-articular hip joint injection. Outcome Measures. Anatomic pain map before hip injection and visual analog scale both before and after hip injection.

RESULTS:

The hip joint was shown to cause pain in traditionally accepted referral areas to the groin and thigh in 55% and 57% of patients, respectfully. However, pain referral was also seen in the buttock and lower extremity distal to the knee in 71% and 22%, respectively. Foot and knee pain were seen in only 6% and 2% of patients, respectively, while lower lumbar spine referral did not occur. Fourteen pain referral patterns were observed.

CONCLUSIONS:

Buttock pain is the most common pain referral area from a symptomatic hip joint. Traditionally accepted groin and thigh referral areas were less common. Hip joint pain can occasionally refer distally to the foot. Lower lumbar spine referral did not occur.

[Indexed for MEDLINE]

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