How Getting rid of pelvic pain and hip joint - #20255

Hello dear See I can suggest some preventive measures In addition to that tests must be done to rule out of abnormalities are three Mri pelvis Pelvic USG Crp Esr You can follow below precautions for improvement Physiotherapy exercises especially stretching excercise twice a day for 1 month Voveron xr 50 mg twice daily accordingly if required Diclofenac sodium gel topical application twice a day for 15 days Crave bandage only on emergency In case of no improvement consult orthopedic surgeon in person for better clarity Also share the report with concerned physician only Regards

This is NOT likely a serious hip joint disease

Most consistent with rotational stress–related soft tissue or capsular irritation

MRI not needed now

Conservative care is appropriate

Avoid provocative movements

Gentle strengthening is key

Expect improvement in 4–8 weeks

Hello,

This pattern suggests likely soft-tissue / tendon / muscle strain or possibly hip labrum irritation or femoroacetabular impingement (FAI), but nothing severe since daily activities are painless.

Most likely causes Gluteal tendinopathy / hip stabilizer strain Hip flexor or adductor strain

Less likely but possible: early hip labral irritation or mild FAI (since rotation provokes pain)

🛑 MRI is helpful only if pain is persistent or worsening. Since you can function normally, conservative treatment is reasonable first.

Avoid painful positions: deep hip rotation, twisting, extreme stretching, “W” or “V” sitting. Rest from heavy exercise / sports for now. Ice or warm compress. Gentle hip-strengthening later (glute bridges, core strengthening) only when pain reduces.

if Pain worsens or You develop clicking/locking of hip or Pain starts during walking or Numbness, weakness, fever, trauma history consult a orthopedic surgeon in person

Expected recovery

Soft-tissue injuries usually improve in 4–8 weeks with rest and proper care. If not improving by then, MRI or specialist review may be needed.

I trust this helps Thank you

Hello Yousif, thank you for sharing your concern. Based on your symptoms, this is most likely a gluteal tendon / deep hip rotator strain (tendinopathy), commonly caused by prolonged W-sitting or externally rotated sitting postures. This fits well because your pain appears only with specific rotational movements, while walking, sitting, and rest are painless, and the X-ray is normal.

A hip labral tear or FAI is unlikely at this stage since those usually cause groin pain, clicking, locking, or pain during daily activities, which you do not have.

MRI is NOT required now. Conservative treatment is appropriate.

What to do: - Avoid W-sitting, cross-leg sitting, twisting on a planted foot - Ice the painful area 15 min, 2–3× daily for 7–10 days - Paracetamol if needed for pain - Start gentle exercises after pain reduces (glute squeezes, side-lying leg lifts, pelvic tilts)

Avoid: - Forcing painful hip rotation - Deep stretching or sudden twisting movements

Recovery: - Improvement expected in 2–6 weeks - Seek further evaluation only if pain worsens, starts during walking, or persists beyond 6–8 weeks

Overall, this condition usually resolves without MRI or surgery with proper rest and rehabilitation.

Feel free to reach out again.

Regards, Dr. Nirav Jain MBBS, DNB D.Fam.Medicine

Hello Yousif Thanks for describing your symptoms so clearly. Based on your age, the location of pain (right hip/pelvic area), and the fact that it’s triggered only by certain rotational or stretching movements—not by walking, standing, or sitting—the most likely cause is a muscle or tendon strain around the hip joint, possibly involving the hip flexors, rotator muscles, or the gluteal muscles.

This kind of pain is common after minor injuries, overuse, or awkward movements, and usually isn’t serious if there’s no swelling, redness, numbness, tingling, or weakness.

What This Means - The pain is likely due to a mild strain or irritation of the muscles/tendons around your hip. - Since it’s not constant and doesn’t radiate, it’s less likely to be a nerve issue or something serious like a fracture.

What You Can Do 1. Rest: Avoid movements that trigger the pain for a few days. 2. Ice: Apply an ice pack (wrapped in a cloth) to the painful area for 10–15 minutes, 2–3 times a day. 3. Gentle Stretching: After a few days, gentle hip stretches can help, but don’t push into pain. 4. Pain Relief: If needed, you can use paracetamol for pain (as per package instructions), but avoid self-medicating with stronger drugs. 5. Monitor: Watch for any new symptoms like swelling, redness, fever, numbness, or weakness

Rx- Diclofenac gel - apply on affected area thrice a day Tab Zerodol sp - once a day after food for 7 days Tab Neurobion forte - once a day after food for a month Tab vit d3 - once a week for a month

Most mild muscle strains improve within 1–2 weeks with rest and care

Thank you