GP triage – Hip Menu
Common Hip Problems
Groin/ Buttock pain
Commonly refers to anterior thigh and knee
Pain on walking, stairs, prolonged weight bearing.
Stiffness of <30 mins after prolonged inactivity
Decreased ROM, crepitus and pain on movement
Unable to touch feet/ functional difficulty with shoes and socks
Symptoms persist more than 3/12 despite analgesics
Considering joint injection
Consider referral for joint replacement surgery if patient restricted and willing
Patient specific factors such as age, gender, smoking, obesity and co-morbidity should not be barriers to referral
Lateral Hip pain
Anterior Hip pain
Deep anterior Hip and Groin pain.
Acute related to Injury or insidious related to overuse
Agg’s: prolonged sitting/ walking/ crossed legs/ during sports and exercise (Flexion/ Medial rotation)
Pain intermittent and mechanical
Decreased hip flexion and Internal rotation
Under 45 years old
Onward referral to MSK service if CAM or Pincer deformity with signs of impingement.
Hip pain with associated systemic symptoms, signs of infection, known primary malignancy.
Severe Muscle spasm, inability to bear any weight, history of a fall.
No response to conservative treatment – refer to MSK service
Posterior Hip pain
Post THR pain
URGENT referral to orthopaedics: Hip pain associated with systemic symptoms, signs of infection, known primary malignancy, severe muscle spasm, sudden inability to bear any weight, history of fall.
If patient has sickle cell anaemia – refer to Haematology.