The Independent on Saturday

10 reasons your hips may be aching

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1 You’re chained to a desk: Office workers spend as much time sitting as the elderly, according to new University of Edinburgh research.

Worst off are men aged 45, who are seated for almost eight hours a week on average “half an hour longer than over-75s ... Prolonged sitting at sub-optimal workstatio­ns is associated with musculoske­letal dysfunctio­n,” according to one 2012 study, which also reported evidence that correctly adjusted chairs helped reduce hip pain.

A rule of thumb: knees should be approximat­ely level with, or lower than, the hips. 2 Your golf game: Almost one in five golf players has hip pain, predominan­tly in the “lead hip – the left hip in righthande­d golfers” or the other, the “trail hip”. During a golf swing, the hips rotate rapidly and the forces generated may be linked to changes in the shape of the hip joint, leading to pain. 3 Wear and tear: Osteoarthr­itis, sometimes called “wearand-tear arthritis”, affects about 2.5 million Britons. Pain is the result of thinning of the cartilage lining the joint and allowing smooth movement.

The only cure is a full joint replacemen­t, so sufferers are advised to stay active and at a healthy weight. 4 Blame your body shape: Femoro acetabular impingemen­t, more commonly known as hip impingemen­t, affects a third of the population. It occurs when either the ball or socket of the hip joint become an abnormal shape, preventing the joint from moving smoothly. The early stages are often not painful, so can go undiagnose­d for years. 5 Tendon inflammati­on: Tendonitis (inflammati­on of the tendons) is associated with the lower arms and legs, but can also affect the hip area.

It is typically caused by overuse (repetitive movements) which is why dancers and athletes suffer this type of injury.

Those with unsteady or uneven walk, or using a walking aid, are also at risk. 6 Weak buttocks: Pain in the front of your hips (the hip flexor muscles) can be caused by weak gluteal, or buttock, muscles, meaning the other muscles in the hips are forced to work harder. 7 Pinched nerve: Sciatica is when the sciatic nerve, which runs from the pelvis to both feet, becomes trapped or irritated, often because of a slipped disc in the spine which presses on the nerve. 8 Is it a bursa? Bursas are small, fluid-filled sacks situated near the major joints to reduce friction.

These can become inflamed, a condition called bursitis, characteri­sed by a dull ache and swelling which worsens during movement. Repetitive or strenuous movement is often to blame. 9 Bone breakdown: A rare cause of hip pain is a disease called osteonecro­sis, which is when the blood flow to the bone is cut off or decreased, which causes the bone in the hip joint to die and break down.

This can be a side-effect of illnesses such as arthritis, osteoporos­is and lupus, or a result of intensive cancer treatments. 10 Blame it on your knees: Trauma to the knees, for instance in a fall, can cause injuries to the femoral nerve, which runs up the thigh and through the hip, or the illiotibia­l band – the tissue ligament which runs from the hip and down the outside of the thigh before crossing the knee to attach to the top of the shin.

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