Non-Hip Pathology Causing Hip Pain

Remember, there are a wide variety of problems which can cause hip pain. Pain may be referred from pathology elsewhere.

Referred from musculoskeletal pathology at other sites:

• Spine (referred pain) can present with hip pain (and hip range of movement may not be restricted).
• Knee, foot and ankle pathology causing biomechanical pain at the hip - again without restricting the range of movement at the hip.

Non-Musculoskeletal Pathology:

• Surgical (e.g., appendicitis, testicular torsion, inguinal hernias).
• Infections (e.g., psoas abscess, pelvic abscess).
• Metabolic (e.g., rickets, mucopolysaccharidoses, muscle disease and myopathies).
• Haematological (e.g., sickle-cell anaemia).
• Gastrointestinal (e.g., Coeliac disease which may cause associated myopathy or there may be symptoms from osteomalacia due to malabsorption- inflammatory bowel disease may have an associated inflammatory joint disease which can present with hip pain).
• And many others…so a careful clinical assessment is needed!