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Hip pain Assessment Questionnaire

Questions Your Doctor May Ask - and Why!

During a consultation, your doctor will use various techniques to assess the symptom: Hip pain. These will include a physical examination and possibly diagnostic tests. (Note: A physical exam is always done, diagnostic tests may or may not be performed depending on the suspected condition) Your doctor will ask several questions when assessing your condition. It is important to openly share any pertinent information to help your doctor make an accurate diagnosis.

It is also very important to bring an up-to-date list of all of your all medical conditions, medications including dosages, and names of numbers of any specialist you see.

Create your printable checklist by answering questions that your doctor may ask below:

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  1. How long have you had the hip pain?

    Why: to determine if acute or chronic.

  2. Is it unilateral or bilateral?
  3. Can you tell me how the pain started?
  4. Could you describe the pain?

    Why: pain associated with the hip joint is usually described as a deep aching pain, aggravated by movements and felt in the groin and front to inner side of the upper thigh, sometimes exclusively around the knee.

  5. Point to where the pain is exactly?

    Why: pain in the hip, buttock, groin and upper thigh tend to be related. True hip pain is usually groin pain or is referred to the inner aspect of the knee.

  6. Does the pain come on after walking for a while and stops as soon as you rest?
  7. History of trauma or an injury, such as a fall?

    Why: would suggest that there may be a fracture or sprain of the hip joint. Note a fracture of the hip in the elderly can often occur with no history of trauma.

  8. Sporting activities?

    Why: may help to determine risk of sporting trauma or overuse injuries.

  9. Risk factors for secondary osteoarthritis?

    Why: e.g. previous trauma to hip, congenital dislocation of the hip, acetabular dysplasia, slipped upper femoral epiphysis and past inflammatory arthritis.

  10. Obstetric history?

    Why: may be relevant for sacro-iliac pain.

  11. Age of the person with the hip pain?

    Why: hip pain has a significant age relationship. From newborn to age 4 need to consider congenital dislocation of the hip. From age 4 to age 8 need to consider Perthes' disorder or transient synovitis of the hip. From age 10 to age 15 need to consider Slipped upper femoral epiphysis (SUFE). After the age of 40 need to consider a variety of diagnoses including sciatica, intermittent claudication, osteoarthritis and fractures.

  12. Family history?

    Why: e.g. osteoarthritis, rheumatoid arthritis, inflammatory bowel disease, ankylosing spondylitis, psoriasis.

  13. Hip stiffness, especially first thing in the morning and how long does the stiffness last?

    Why: Morning stiffness classically occurs in Rheumatoid arthritis and other inflammatory arthropathies (such as ankylosing spondylitis, Reiter's syndrome, psoriatic arthritis); Polymyalgia rheumatica.

  14. Back pain?

    Why: Pain originating from disorders of the lumbosacral spine may radiate to the hip joint.

  15. Knee pain

    Why: Pain originating from disorders of the knee may radiate to the hip joint and pain from the hip joint may be referred to the thigh and knee.

  16. Abdominal pain?

    Why: disorders of the abdomen may cause hip and groin pain.

  17. Limp?

    Why: consider any disorder of the hip joint.

  18. Similar ache around the shoulders?

    Why: may suggest polymyalgia rheumatica.

  19. Weight loss recently?
  20. Fever?

    Why: must consider septic arthritis, osteomyelitis, rheumatoid arthritis, pelvic inflammatory disease, pelvic abscess, ischiorectal abscess, tuberculosis.

  21. Night pain?

    Why: may indicate inflammation, bursitis or bone tumor.

  22. Symptoms of congenital dislocation of the hip?

    Why: e.g. may present from age 1 to 4, walks with a limp (if walking) however usually nil pain, bilateral in 1/3 of cases, short leg may be evident.

  23. Symptoms of Perthe's disease?

    Why: e.g. may present from age 4-8 with an aching hip, walks with a limp, sometimes may be bilateral. Occurs in males: females in a ratio of 4:1.

  24. Symptoms of transient synovitis (irritable hip)?

    Why: e.g. may present in a child from age 4-8 with a sudden onset of hip pain and limp. There may be a history of trauma. The child can usually walk (some may not).

  25. Symptoms of Slipped upper femoral epiphysis?

    Why: e.g. may present in a child from age 10-15 with a limp, irritability of hip on most movements and knee pain. Most common in the oversized and undersexed such as the obese pre-pubertal boy. May be bilateral in 20 %.?

  26. Symptoms of osteoarthritis of the hip?

    Why: e.g. presents usually after age 50, may be bilateral usually starting in the one hip and following in the other, insidious slow onset. At first pain is worse with activity and relieved by rest, then later get night time pain and pain after resting. Hip stiffness , especially after rising is a feature. Walks with a limp with the leg deviated inwards towards the other leg and the foot slightly turned outwards.

  27. Symptoms of sacro-iliac pain?

    Why: e.g. usually have a dull ache in the buttock but can be referred to the groin or posterior aspect of the thigh. Pain may be unilateral or bilateral. May have a heavy aching feeling I the upper thigh. May be due to ankylosing spondylitis, Reiter's syndrome, psoriatic arthritis, enteropathic arthritis (due to Crohn's disease or ?ulcerative colitis), infection such as tuberculosis, osteitis condensans ilii, osteoarthritis or trauma.

  28. Symptoms of gluteus medius tendonitis and trochanteric bursitis?

    Why: e.g. pain on the outer side of hip radiating down the outer side of the thigh. The pain of bursitis tends to occur at night. The pain of tendonitis occurs with such activity as long walks and gardening.

  29. Symptoms of Polymyalgia Rheumatica?

    Why: e.g. typically occurs in ages 60-70 presenting with pain and stiffness in shoulder, hip and cervical spine; symmetrical distribution; early morning stiffness. May be systemic signs such as weight loss, loss of appetite and fatigue. Painful restriction of movement of shoulders and hips.

Conditions listing medical symptoms: Hip pain:

The following list of conditions have 'Hip pain' or similar listed as a symptom in our database. This computer-generated list may be inaccurate or incomplete. Always seek prompt professional medical advice about the cause of any symptom.

Select from the following alphabetical view of conditions which include a symptom of Hip pain or choose View All.

View All A B C D E F G H I J L M O P R S T U

Conditions listing medical complications: Hip pain:

The following list of medical conditions have 'Hip pain' or similar listed as a medical complication in our database.

 

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