Hip Pain Arthritis? Sitting on Couch?

Chas Tennis

G.O.A.T.
Around January this year, I got a diagnosis of moderate arthritis in left hip. I stopped tennis and took PT. Pain had gone and I was in condition ready to start tennis when Covid 19 put a halt to my plans.

The recent 5 weeks of bad smoke in CA stopped my walking.

The worse pain has been an ache toward the butt that was worse when sitting on a couch. If I got up and walked around it felt better. I could find positions to sleep. I could do deep knee bends. It has improved so that the sitting pain is not so bad. The pain felt more near the butt and reminded me of shoulder ischemia that I had once with a shoulder injury. Now, after the smoke cleared, I walked for a few days and that did not aggravate the hip.
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Fall in 2019. Last year I fell backing up for a lob and landed on my left side butt and hand. I broke my arm's radius at the wrist joint. The butt hurt but it seemed to heal OK. When I got back to tennis after 2 months, after the wrist PT, it was OK at first and then the left hip started hurting. I would have hip pain after tennis for a few days. The worse pain was sitting in a car and lifting my left leg - that pain felt more muscular, groin, than in the hip joint. ? That got worse and I stopped tennis, got a hip X-ray and was diagnosed first time with hip arthritis, worse for the left hip.
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I had hip physical therapy from Jan to March, with no hip pain and felt normal, no tennis. Then, during the recent 5 weeks of CA heavy smoke, when I'm at home, the left hip starts to hurt after many months of feeling OK, triggered usually by sitting on the couch. No recent trauma or stressful movements.

I am not used to the usual hip pain from arthritis.

Especially if you have had hip arthritis-

Does my description of pain initialed by sitting on the couch seem like arthritis? The pain does not seem to depend on joint position but on some pressure on the butt. ?

Butt or hip?

Does it seem like some other issue such as ischemia, necrosis, nerve pinch,........?

Anyone get this kind of pain from too much sitting?
 
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Harry_Wild

G.O.A.T.
I had a hip injury on the right side in beginning of August and a PT friend told me to try hip stretches. It got a whole lot worse. It hurt even getting in and out of bed or going down a step or two. I had to stay in bed for a whole day and half of a day for 2-3 days afterward. It healed itself(no pain now) within 7 days but I am still not doing anything that involves stretching motion for another two weeks to make sure that it heals 100%. I am only walking for exercise. No weight training either.

I hope your hip injury recovers soon! If you are very concern, I would go to a sports doctor and seek their advice.
 
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Rosstour

Hall of Fame
Rest, but move.

Sitting on the couch is horrible.

And hip pain will often 'refer' to the groin.

This is happening to me but to a lesser extent.

I also had wicked hip pain from tennis, and I fixed it by changing my serve motion a bit--I was rocking back on my left heel, Sampras-style, and doing it wrong, creating a lot of pressure on that hip. You may have a similar mechanical issue somewhere.
 

RogueFLIP

Professional
Does my description of pain initialed by sitting on the couch seem like arthritis? The pain does not seem to depend on joint position but on some pressure on the butt. ?

Does it seem like some other issue such as ischemia, necrosis, nerve pinch,........?
Yes, your arthritis is def contributing to your pain symptoms.

Your description does not seem like another issue such as ischemia, necrosis, nerve pinch.


Wouldn't be surprised if you had some leftover tightness/adhesions in the left hip/butt region from your fall even though you felt better.

At least you know a significant factor (sitting) so obviously you'll have to limit that position.

If you're spending a lot of time in that flexed seated position, you should try to spend time in the somewhat opposite extended position. So for example, if I have a break at work and every night before I turn in I'm usually in the prone position like the yoga sphinx pose. I'm either propped up on my forearms or I'll put a pillow under my chest. I'm prob there at least 15-20 minutes either browsing on my phone or quietly meditating.

We have at work at body bridge table that I try to use whenever I can:


Or lying supine over a large physio ball.

I'm not saying that's what you should do, just giving examples of what I do to try to counter all that time I spent in flexion during the day.
 

RogueFLIP

Professional
Might be time to head back to your Physical Therapist.

Ask for another posture evaluation. Wouldn't surprise me if you had some form of anterior pelvic tilt or at the very least some hip flexor tightness. Prob some glut and/or piriformis tightness that needs to be worked on.

Because even if it's mostly arthritic pain, reducing the pressure on the joint bc the muscle and surrounding tissues are so tight might lessen your discomfort. Even so you should consider changing your sitting habits.

Good luck.
 
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