*Welcome to the OutUK series looking at gay men and their health brought to you in association with the NHS* website.**
	Each week we'll tackle a different topic in our A to Z of Gay Health. We'll have features and advice on everything from relationships, sexual health, mental and physical conditions and how to stay fit. You can follow any of links provided below for more information direct from the NHS website, or see this week's feature O: Orthodontics.

Hip Pain

Hip pain is common, especially as you get older. There are things you can do to ease the pain, but get medical help if your hip is very painful or the pain does not get better.

There is separate information about hip pain in children.

Causes of hip pain

There are lots of possible causes of hip pain. It might be caused by a sudden injury or a longer-lasting problem such as arthritis.

Your symptoms might give you an idea what could be causing the pain. But do not self-diagnose, see a GP if you're worried.

Symptoms	Possible cause
Pain, swelling or bruising after intense or repetitive exercise	Sprain or strain
Over 45 years of age, pain worse when walking and stiffness after moving	Osteoarthritis
Pain and stiffness worse after not moving (for example, when you wake up)	Rheumatoid arthritis
Hot, swollen hip and a high temperature or feeling hot and shivery	Joint infection (septic arthritis)
Severe pain and unable to walk after a fall or injury	Hip fracture

How you can ease hip pain

There are things you can do to help ease hip pain.

Do

try to avoid putting too much strain on your hip - it's best to keep moving if you can, but try not to overdo things
put an ice pack (or bag of frozen peas) in a towel on the painful area for up to 20 minutes every 2 to 3 hours
use painkillers such as paracetamol or ibuprofen gel (or ibuprofen tablets if needed)
wear comfortable, shock-absorbing shoes with a soft sole
try to lose weight if you're overweight
try gentle hip stretching exercises

Don't

do not carry anything heavy
do not sit in low chairs - this can put extra pressure on your hips

Exercises for hip pain

Versus Arthritis: exercises for the hips

See a GP if:

hip pain is stopping you doing normal activities or affecting your sleep
the pain is getting worse or keeps coming back
the pain has not improved after treating it at home for 2 weeks
you have hip stiffness for more than 30 minutes after waking up

Ask for an urgent GP appointment or get help from NHS 111 if:

you have severe hip pain that started suddenly but you've not had a fall or injured your hip
your hip is swollen and feels hot
the skin around your hip has changed colour
you have hip pain and feel generally unwell and have a high temperature or feel hot and shivery

You can call 111 or get help from 111 online.

What we mean by severe pain

Severe pain:: always there and so bad it's hard to think or talk
you cannot sleep
it's very hard to move, get out of bed, go to the bathroom, wash or dress
Moderate pain:: always there
makes it hard to concentrate or sleep
you can manage to get up, wash or dress
Mild pain:: comes and goes
is annoying but does not stop you doing daily activities

Call 999 or go to A&E if:

you have severe hip pain after a fall or injury
you're unable to walk or put weight on your leg
you have any tingling or loss of feeling in your hip or leg after an injury

Find your nearest A&E

Treatments for hip pain

Treatment for hip pain depends on what's causing it.

A GP might:

prescribe stronger painkillers
give you some simple exercises to try
refer you for physiotherapy for more help with exercises and stretches to ease the pain
refer you for occupational therapy - an occupational therapist can help with things to make your life easier, such as walking sticks or walking aids
refer you to a specialist - the specialist may do a scan and discuss treatments such as steroid injections or surgery

Some people with pain caused by a damaged hip joint may eventually need a hip replacement if other treatments do not help.

Self-refer for treatment

If you have hip pain, you might be able to refer yourself directly to services for help with your condition without seeing a GP.

To find out if there are any services in your area:

ask the reception staff at your GP surgery
check your GP surgery's website
contact your integrated care board (ICB) - find your local ICB
search online for NHS treatment for hip pain near you

OutUK's A to Z of Gay Health continues and you can read this week's feature O: Orthodontics. We have covered many subjects in this series and you can catch up with all of our Previous A to Z Features. If you want to find out more about this particular topic you can visit the Original article on the NHS website. If you are worried by any aspect of your health make sure you go and see your doctor or book an appointment at your local clinic.
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