That Ache in Your Hip? It Could Be Pelvic Necrosis

Pelvic necrosis can cause sudden pain in the buttocks.

What initially felt like minor muscle soreness was later revealed as a serious medical condition. Upon further examination, the patient was diagnosed with avascular necrosis of the femoral head, commonly known as pelvic necrosis. This condition occurs when the blood supply to the femoral head is disrupted, leading to the gradual death of bone tissue.

Medical experts warn that if left untreated, pelvic necrosis can progress to arthritis or even require joint replacement surgery. In its early stages, the condition may not cause any symptoms. However, as it advances, patients often experience pain in the groin, buttocks, or thighs, along with noticeable changes in their gait. The pain typically worsens with prolonged standing or walking and, in severe cases, may persist while sitting.

Pelvic necrosis has various causes, with steroid overuse and excessive alcohol consumption being two of the most common. While steroids are commonly prescribed to treat inflammation, long-term use can damage blood vessels and reduce circulation. Heavy drinking can lead to fat embolisms, which block blood flow and accelerate bone death. Other contributing factors include hip dislocation, fractures, and autoimmune disorders.

Diagnosis usually involves X-rays and MRI scans. In the early stages, X-rays may not detect the condition, making advanced imaging techniques essential. Treatment depends on how far the disease has progressed. Doctors may recommend medication, physical therapy to improve blood flow, and weight management in mild cases. Bone grafting or joint replacement surgery may be necessary in more severe cases.

Doctors advise that because pelvic necrosis presents with vague symptoms and is difficult to detect early, persistent hip pain should prompt a hospital visit for a thorough evaluation. They also stress the importance of following steroid prescriptions carefully, limiting alcohol consumption, and maintaining regular exercise to improve circulation as preventive measures.

Early detection and proper management of pelvic necrosis can slow its progression and preserve joint function. Ignoring symptoms can lead to a significant decline in the quality of life. Regular health checkups and awareness of warning signs are essential for protecting your overall well-being.