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.