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Sever pain in right hip

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fearman

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For over a year now I have had a severe pain in my right hip, it can be minor, manageable during the day and can make me limp, but at night it can be awful. It wakes me up most mornings around 4 to 5 am and makes me cry in pain. I have been a type one diabetic for 41 years and seem to have a poor healing factor (I tore something in my right shoulder lifting my infirm Father out of the bath 5 years ago and it still hurts, same problem at night as my hip). My GP just says to take pain killers but even cocodomol doesn't work and I'm not happy taking them for this long. Does anyone have something similar, is this diabetes related?
 
Can you work out if there was any trigger to this pain starting? I had awful pain in/near my hip, which was due to a torn ligament. Like you, it was worse at night, presumably because of sleeping in certain positions. I finally found some exercises that helped after a period of many months healing.

Have you been given any answers as to what it is? Is it actually in the hip joint or ‘on’ it?

I’d be asking for a referral to a specialist if your GP can’t identify the cause of the pain.
 
Thanks for the reply Inka. Nothing I can think of that started the pain, just so irritating that it's gone on for so long. It has gotten a lot worse over recent weeks but haven't been doing much due to lockdown. The pain starts if I lie on my right side so I always turn over, when it wakes me in the morning I am lying on my back or right side. The pain shoots in from my lower back or right side always on the hip joint. I cant make an appointment till lockdown is over but will push it further if I get the same response from my GP. The pain in my shoulder was a definite injury but again has gone on for so long, my shoulder and hip just seem to be taking it in turns to keep me awake.
 
Hi and welcome @fearman. I too have bad shoulders and hips, my left hip especially, and that’s the one I lie on in bed. I went to the GP who sent me for an XRay to confirm what he was thinking, bursitis. Inflammation of the bursar. Ironically enough that’s what I now have in my shoulders after suffering from frozen shoulder. He told me to stop walking so much, that was never going to happen, although sometimes I get to 5 miles and have to limp back, other days I can do 10/15. I’ve had codeine, tramodol etc etc. The other option he gave me was a steroid injection which I haven’t taken him up on yet. Wear and tear was mentioned too, I’m 60. I would try and speak to your GP as they are doing “ ordinary” appointments and see if he can suggest anything. I don’t think it’s anything to do with diabetes, but I’m not a doctor. Good luck.
 
Mine was my left hip and I had exactly the same sleeping. In the end I had to totally stop sleeping on that side. That didn’t cure it but it made it less aggravated. Try something like a big ‘pregnancy pillow’ that you can position to ensure the best sleeping position.

Another option, which someone suggested to me, is to speak to a good sports physio. They can help identify the source of pain and make it easier to work out what it is. I’m not sporty at all, by the way. It’s just that they have experience of pinpointing injuries. Might be an option while you’re waiting for medical input.

Also, could it be some form of sciatica? A nerve getting trapped?

It was actually me that identified mine was a torn ligament. I found the GP didn’t have much experience and the local physio didn’t either as she mainly dealt with retirees and age-related problems.

One caution - make sure you don’t subconsciously adopt an awkward position to protect your hip. I did this and caused additional problems by that strange posture. I found very gently, very limited stretches helped a little as mine was prone to stiffness too, especially in the morning. Check your seats, your cushions, your driving position in case you can help there. Certain seats aggravated mine.

I hope you get it sorted. It’s miserable to be in pain.
 
I agree with @eggyg. it sounds a lot like bursitis. I had that in my hip some years ago, and it was fixed with a steroid injection into the bursa, done by my GP. Most GPs won't do that, so it might need referral to an orthopaedic specialist. It's best, in my experience, to use local anesthesia with the steroid, otherwise it does tend to have the punters screaming.

For sure, it's nothing to do with diabetes.
 
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Thanks for the replys everyone, I'm 45 today so was hoping it isn't just my age, just fed up with the pain and everyone saying it's because I'm diabetic. I will speak to my GP again and let you know what happens.
 
I have had frozen shoulder a couple of times since my mid-40s (one each!) which both gradually cleared up on their own after a couple of years.

I was referred for physio / assessment the first time but knew rhe drill second tome and just waited it out. It was never debilitating enough for a steroid injection for me.

Would a referral to a physio for further assessment be worth it?

Sounds like it is really troubling you, and getting it checked by a specialist would be worthwhile - then you can decide the best way forward based on expert advice.
 
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