→ 髋骨疼痛影响很大求解答！
髋骨疼痛影响很大求解答！
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医生我髋骨疼了大半年了。坐着特别疼，可以说是几乎不能坐。跑步也很受影响。去拍片说骨头没问题。是什么原因呢？我是学生，常久坐。和这个有关系吗？
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Hip pain in runners !
One of the most common running
髋关节痛---最常见的跑步损伤之一
"Hip injuries, bursitis, ITBS,
snapping hip explained :) "
"髋关节损伤,滑囊炎,
髂胫束综合症,
髋关节声响的解释
There is no doubt about it: runners are
susceptible to hip injuries,hip pain and long term hip conditions
when running. Hip pain in runners are such conditions as hip
bursitis, snapping hip and ITBS. These can be painful, even
disabling - and they can create havoc for your running
毫无疑问：跑步者容易发生髋关节损伤，髋关节痛，跑步的长期髋关节问题。髋关节滑囊炎，声响髋关节和髂胫束综合症，都可能导致跑步者的髋关节痛。它们可能是疼痛，行走困难，甚至毁了您的跑步人生！
So, knowledge is power - and one of the
best ways to protect yourself from these hip injuries is to learn
about them.
因此，知识就是力量，最好的预防方法是了解髋关节损伤。
what the symptoms of the most common hip
injuries in runners are
the treatment of hip pain in
and how to avoid developing these hip
injuries in the first place.
Main thing for hip injuries and running is
to find out the cause for the problem.
最常见的跑步者髋关节损伤症状有哪些
跑步者髋关节损伤的治疗方法
如何避免这些髋关节损伤的发生
髋关节损伤和跑步，关键是找出问题的原因。
Ok, 让我们开始吧
Let's have a closer look as some of the
most common hip injuries from which runners, even well practiced
and experienced runners - may fall victim to:
Hip bursitis, the snapping hip, ITBS and
"the dark horse" : upper hamstring injuries.
让我们仔细看一下最常见的，以跑步者，甚至是跑步老手为受害对象的髋关节损伤：
髋关节滑囊炎，声响髋关节，髂胫束综合症和“黑马”：上部腿筋损伤。
Hip Bursitis. A cause of hip pain in
runners that often can be easily fixed.
髋关节滑囊炎，跑步者髋关节痛的原因之一，通常，容易治愈。
Hip bursitis is a common problem. It
creates pain around the outside of the upper
髋关节滑囊炎，一个常见的问题，导致的疼痛出现在大腿上方的外侧。
Basically, this painful condition gets its
name from the "bursa" - sac filled with fluid that we all have
around our joints.
基本上，这种疼痛得名于" bursa " & 一种充满液体的囊，位于我们关节的周围。
This bursa is a good thing to have as the
fluid allows for the smooth movement between two uneven surfaces -
i.e. your bones.
具有这个囊是一件好事，因为液体可以使2个不平整的表面，即您的骨头，活动自如。
We all have a bursa between the two bony
bits over the outside of the hip - the greater trochanter and the
hard tendon that passed over this bone.
我们都有一个囊，位于髋关节外侧，在2根骨头一样的东西之间---大转子和通过这根骨头的硬肌腱。
Your pain will thus be :
On the outside of the hip.
About in the height when you stand with
your arms to the side of your body - and right where your hands
You feel a "bony" thing there, that is the
greater trochanter.
您的疼痛是这样的
位于髋关节外侧，
大约高度，当您双臂在您的二侧立正时---正好是您的手腕，
您感到那里有“骨头一样的”东西，那是大转子。
Ordinarily, all is well with this bursa,
but if it becomes inflamed, you're in for a painful jolt each time
the tendon slides over the bone - which is basically every time you
move your hip of your leg : a regular occurrence for
Unfortunately, runners can commonly get
this condition.
Even more unfortunately, this injury is
often overlooked.
正常情况下，有了这个囊，一切都平安无事。如果它出现炎症，您就会在肌腱从骨头上滑过时感觉到疼痛---基本上是当每次移动您的大腿根时：跑步者的常规动作！
不幸的是，跑步者常常发生这种情况。
更不幸的是，这种损伤常常被忽视。
I have seen it myself with many runners
that could have been quite easily treated. Instead they have
continued for months with the same kind of nagging pain in each
我亲眼看到许多有此伤的跑步者原本可以被相当容易地治愈，但是，他们继续跑好几个月，每一步带着同样的，挥之不去的疼痛。
Hip bursitis may be diagnosed by pain or
swelling over the bones you can feel at the top of your hip. Any
good physiotherapist (not always good to trust the doc ! ) will be
able to palpate this.
髋关节滑囊炎的诊断，可以通过您在髋关节顶部感觉到的疼痛或肿胀。任何理疗师（内科医生不是永远值得信赖的！）都有能力诊断髋关节滑囊炎。
From there, an x-ray will ordinarily be
carried out to confirm the diagnosis and discount bone spurs or
calcified growths.
从此时开始，通常是拍X-光片，进行确诊，排除骨刺或骨质增生，
If you, a runner, get a diagnosis of
hip bursitis, this is what you can do :
The first course of treatment is to
control the inflammation, through rest and anti-inflammatory
Icing the area can also help to alleviate
the pain and swelling.
Long-term, the bursa may need to be
drained by a doctor, using a needle into the affected
如果您，普通的跑步者，要诊断髋关节滑囊炎，您应该做的是
治疗的第一步是通过休息和服用消炎药物控制炎症；
局部冰敷，也有助于止痛和消肿。
长期，滑囊可能需要排液，医生将用针插入患区。
A course of cortisone injections may also
be prescribed.
还可能需要可的松注射。
You should not be afraid of cortisone
shots in the bursa. This is a "sac", so an injection into the sack
is only positive - no negative effects (as long as the doc has a
steady hand!) as no tissue outside it is affected (like
tendons,muscles).
您不必害怕滑囊可的松注射。因为它是一个“囊”，注射在这个口袋里不影响任何外部组织（比如，筋腱和肌肉），所以，只有正面---没有负面影响（只要医生的手别抖动！）。
So cortisone shots are often discussed,
but for bursitis, it is a "common" understanding that is is
perfectly ok.
可的松注射常引发讨论，但是对于滑囊炎，“共同的”认识是它是绝对OK的。
To prevent the injury recurring, once this
bursitis attack has been alleviated, you will need to undergo
physical therapy which strengthens and stretches the muscles and
tendons in this area of the iliotibial band.
为了预防复发，一旦滑囊炎症状缓解，您应该理疗髂胫束区域，增强肌肉，拉伸筋腱。
Plus, main thing :
Know what caused it (usually too intense
training/too much running combined with strength work in a short
period of time)
Try and massage up the muscles with cross
friction massage on the outside of the hip. This is often much more
effective than strength work and stretches.
另外，主要的事情
1. 了解导致髋关节滑囊炎的原因
(通常是，训练强度过大
/ 跑步结合力量，短期内过多)
2. 试着用十字摩擦的按摩手法，舒缓髋关节外侧的肌肉。通常，摩擦比力量训练和拉伸更加有效。
Better toned muscles and tendons should
then glide more easily and not cause hip bursitis to flare up again
in the future.If you follow this advice, surgery to remove the
bursa should not be necessary except in extreme
circumstances.
经调养的肌肉和筋腱，更加灵活，不会导致髋关节滑囊炎的复发。如果您能遵守这些忠告，除了极端案例，没有必要手术切除滑囊。
Snapping Hip. Unpleasant and
sometimes painful!
声响髋关节，不舒服，有时疼痛！
Second of the hip pain injuries in running
: snapping hip
第2种跑步引起的髋关节损伤：声响髋关节
In this unpleasant condition, a snapping
sensation, and maybe even an audible popping noise from the hip may
be experienced. Usually, this snapping hip syndrome is caused by
tendons catching on bones protruding at the hip. This can be due to
three main causes:
在这种不愉快的情况下，您可能会有髋关节发出声响的感觉，甚至可以听到爆鸣声。通常，声响髋关节综合症的原因是在髋关节处，筋腱和突出的骨头相互接触。以下是3个主要原因：
1. As a result of the Iliotibial Band
This wide, thick tendon covers outside of
the hip joint. This can unfortunately lead to hip bursitis, as
discussed above.
髂胫束发出的声音---髂胫束，一条宽厚的筋腱，覆盖着髋关节外侧，不幸的话，可能导致髋关节滑囊炎，如上所述。
2. Iliopsoas Tendon Snap is less
It is caused when the tendon which should
slide over the front of the hip joint catches on the pelvis.This
can be annoying but is not usually as problematic or as painful as
the above cause of snapping hip syndrome.
其次是，髂腰肌肌腱发出的声音---原因是，髂腰肌肌腱应该从髋关节前面滑过，却碰到了盆骨。这很烦人，但是，没有上一项的问题大，或没有那么痛。
3. A hip labral tear is the least common
cause of snapping hip syndrome.
It is a tear of the cartilage within the
hip joint, which can then become loose and cause a snapping
sensation when the hip is moved. Usually, a pop can't be heard, but
the person suffering it may experience instability within the hip
and so feel uneasy on their feet.
在3个声响髋关节综合症的主要原因中，最不常见的是髋关节软骨撕裂---髋关节软骨撕裂，然后，变松，当髋关节动作时，有发声的感觉。通常，听不到爆鸣声，但是，由于髋关节不稳定，人会感到腿脚不舒服。
Snapping hip syndrome - whatever the
reason for it - is usually diagnosed by way of x-rays to see
whether there are any bony growths or bones sticking out around the
joint which may be rubbing and causing the popping. However, these
are usually normal.
声响髋关节综合症---无论起因如何---通常是通过X光拍片，检查在髋关节周围是否存在因摩擦可以导致声响的骨质增生或骨刺。然而，这些通常是正常的。
Diagnosis may later involve an MRI scan if
a tear in the hip cartilage is suspected, but this can be difficult
to ascertain.Thererfore, to find a good clinical doctor and see the
common signs of the injury is always important.
随后的诊断包括核磁共振，如果怀疑髋关节软骨撕裂，但是很难确诊。因此，永远是重要的是找一个好的临床医生，观察该损伤的共同特征。
How can I treat snapping hip syndrome
Often, treatment of snapping hip syndrome
is not needed.
我该怎样治疗声响髋关节综合症？
声响髋关节综合症，通常，无需治疗。
It could be that once the person is
reassured that there is nothing seriously wrong with them that they
are happy to put up with a bit of musical accompaniment to their
movements! However, anti-inflammatory injections and possibly
cortisone injections can help. Stretching the muscles and tendons
through physical therapy can also be useful in alleviating the
symptoms of a snapping hip.
可能的情况是，当患者再一次确定没有大碍时，他们会在运动时愉快地忍受一小点音乐伴奏！然而，注射消炎药物，也可能是可的松注射，有一些帮助。进行理疗，拉伸肌肉和筋腱，也有助于缓解声响髋关节的症状。
It is rare that surgery is needed for this
condition, but if the pain is severe and last a long time, then
surgical procedures to relax the tendons or to remove the torn
cartilage can be carried out.
手术治疗非常罕见，除非是剧烈疼痛和久治不愈，手术可以是松解肌腱，或切除受损的软骨。
Moving forward. To Illibitial Band
Syndrome. One of the major running injuries in general.
让我们继续，髂胫束综合症，主要的跑步损伤之一。
Ⅲ.ITBS -Itiotibial band syndrome and
hip pain in runners.
ITBS -髂胫束综合症和跑步者的髋关节疼痛
Iliotibial band syndrome (ITBS) is caused
by an inflammation of the iliotibial band, the tendon that runs
around the outside of the hips on both sides of the body.
The iliotibial band also runs down the
outside of the leg.The iliotibial band runs from the hip to the
shin, finishing just below the knee joint. Together with several of
the thigh muscles, the iliotibial band acts to provide stability to
the outside of the knee joint.
髂胫束综合症 (ITBS)是人体两侧髋关节附近的筋腱，髂胫束发炎引起的。髂胫束沿者大腿外侧向下延伸，从髋关节至小腿骨，刚好止于膝关节的下方。髂胫束的作用是结合数块大腿肌肉，提供膝关节外侧的稳定性。
ITBS occurs when this band becomes
inflamed or irritated. The pain is usually felt at the knee,
around the end of the thigh bone where the iliotibial band crosses
over the bone and the muscle. There should be a bursa here, which
makes it easy for the iliotibial band to slide and the leg to move
easily. However, if there is inflammation, it can't do that and
pain ensues.This pain usually gets worse with exercise and improves
with rest.
当髂胫束发生炎症时，出现髂胫束综合症
(ITBS)。通常，有疼痛感，位于在膝关节处，大腿骨下端附近，髂胫束穿过这根骨头和肌肉的的地方。那里，有一个可以方便髂胫束滑动和腿部动作的滑囊。但是，如果发炎，则影响髂胫束滑动和腿部动作，导致疼痛。通常，运动使疼痛加剧，休息使疼痛缓解。
Causes of ITBS in runners and
treatment.
髂胫束综合症的原因和治疗
ITBS is commonly developed in runners when
they seek to increase the number of miles that they run. Or run
them too intense at a pace that does not have enough variation. It
can also occur in those who have an awkward gait, such as in people
who are bow-legged.
跑步者在追求高里程，或高强度而配速变化不够的时候，极易患上髂胫束综合症。步态不正的人群，比如O型腿，也可能发生髂胫束综合症。
Treatment begins with ensuring that
footwear is good and supports movement, as well as icing the
affected area.
Anti-inflammatories and cortisone
injections may be prescribed.
A system of stretching exercises is also
good treatment for ITBS, after a period of rest to recuperate from
the injury.
Low-impact cross-training can also be
useful in strengthening the muscles which will help to prevent a
recurrence of ITBS.
It is rare that surgery is needed and
certainly all these other treatments would need to be tried
治疗的第一步是，使用合适的跑鞋和矫形鞋垫，以及局部冰敷。
服用抗过敏药物，或可的松注射。
在休息和调理一段时间之后，系统的拉伸练习也是一种很好的治疗。
低冲击力交叉训练，有利于增强肌肉的力量，避免髂胫束综合症的复发。
手术治疗非常罕见，除非所有的其它治疗手段已经用尽。
In addition to this get some cross
friction massage on the muscles. If done correctly, this can
release much of the stress in the area and resolve the problem
completely ! Once you are "healed" from the injury, remember to do
more variation in your training paces to prevent this injury
to re-occur.
除了这些，使用十字摩擦法进行一些肌肉按摩。如果操作得法，可以释放该区域的应力，彻底解决问题！一旦您“治愈”损伤，记住，您应该更多地变化您的训练配速，预防髂胫束综合症的复发。
We are now approaching the end of the
article about hip pain in runners.Wish you all the best with
the injury prevention, treatment and future running!
这就是本文《髋关节痛--最常见的跑步损伤之一》的结尾。祝您在预防损伤，治疗和将来的训练中万事如意！
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问：月经过后,分泌物中有血,颜色深,同时左髋骨里面疼,连带着左膝也疼,小肚子胀,隐约感到痛,走路也极不舒服,几个月了,请问是不是得什么大病了&&......
答：这个情况不排除 炎症的可能.建议进一步的检查看. &&......
问：您好,我的腹部左下部有点拧的感觉,是在里面感觉有点拧的感觉&&不知道是什么原因.&&工作软件开发,活动较少,整天面对电脑.&nbs......
答：你好&&你的年龄?性别?&&考虑是肠道的问题,为了你的健康,应该到医院初步诊断一下,你的叙述不是很清楚! &&......
问：尿尿左小肚疼，左睾丸有点不舒服有点疼痛......
答：您好！引发睾丸疼痛的病因很多，睾丸炎、附睾炎、精索静脉曲张、鞘膜积液、慢性前列腺炎、精囊炎、椎间盘脱出等，都可引起睾丸疼痛。病因不同其治疗方法也不一样，只有针对病因进行治疗才能快速恢复健康。您是否还有其他什么疑问吗？指导意见：　　建议您在日常生活中注......
问：母亲80岁，经常夜间睡觉时小肚偏左疼痛，白天好些.请您什么症状，吃什么药能治疗？&&......
答：病情分析：你好，根据你的这种情况目前建议可以先试试用些诺氟沙星和溴丙胺太林片治疗，一般会好的指导意见：要避免暴饮暴食，注意凉拌菜的卫生，养成细嚼慢咽的习惯，定时定量，一定要吃早饭，早上空腹不仅对病情不好，工作也易产生身体疲劳，影响工作效率&......
问：女性小肚左侧疼痛后背左面也跟着疼痛是不是什么发炎了啊急求解答谢谢·
&&病情描述:&&疼痛了5天了&&曾经治疗......
答：病情分析：您好，我分析认为，您这是盆腔炎的症状。指导意见：建议可以考虑手术治疗：慢性盆腔炎有明显肿块如输卵管积水或输卵管卵巢肿块者，若经非手术治疗无效，可考虑手术治疗。祝您早日康复。 &&......
问：病情描述:&&女性这几天内偶尔小肚左下侧隐隐疼痛，23岁&&想得到怎样的帮助:&&这是什么情况&&n......
答：病情分析：您好，你的情况考虑是左侧附件炎指导意见：建议你去医院检查，检查彩超和分泌物常规。根据检查结果对症抗生素处理即可 &&......
问：左下腹和左小肚疼痛已经三年多了，是什么病？看了很多次病了都没解决问题还是疼。站着躺着还好点。坐着就很疼。&&......
答：指导意见：腹痛者应查明病因，针对病因进行治疗。有些如绞窄性肠梗阻、胃肠道穿孔、坏死性胰腺炎、急性阑尾炎等尚应及时进行手术治疗。 &&......
问：左睾丸疼痛；牵扯小肚内疼痛是什么病；吃什么药&&病情描述:&&有两天了疼了两次&&曾经治疗情况和效果:&nbs......
答：病情分析：你好。一侧睾丸疼痛，还有牵涉痛，这个要考虑有无附睾炎或者精索炎的可能，从而导致放射疼痛。指导意见：你需要到医院做一个阴囊彩超检查，了解附睾，睾丸还有精索的情况，如果这些没有异常，还需要做一个前列腺液常规和精液常规检查，来判断有无存在感染。从......
收藏快速问医生，随时免费咨询和挂号股骨头坏死存在性别差异，一部分学者认为股骨头坏死的发生与性别有关，这主要是由于以目前的统计来看，在股骨头坏死的患者中，男性明显多于女性。据悉，股骨头坏死多发于
38&65岁之间的男性，患者男女的比率约为5：1。儿童股骨头坏死男女比例更高，为7：1左右。
1、用饮酒的多是来衡量男女比例差异大：
特别是在我国更是如此，男女饮酒比例约为9：1。而饮酒是导致股骨头坏死的一个主要因素。股骨头坏死并不是酒精直接作用股骨头坏死所致，而是脂类代谢异常的结果。临床资料证实，长期大量饮酒者，血脂明显升高，主要原因是消耗烟酰胺腺嘌呤二核苷酸过多，脂肪酸氧化过程受阻，使体内甘油三脂积聚。加之酒精对肝脏的慢性中毒性损伤，以致脂肪肝，而脂肪肝是骨坏死的原发因素。
2、外伤男多于女：
另外一个重要的原因是外伤，男女身体受到外部创伤的比例为2：1，尤其是中老年人，钙质的流失导致骨质疏松，稍不小心，就容易发生的继发性股骨颈骨折，这及其容易造成股骨头坏死。
3、脊柱也是重要的一方面，强直性脊柱炎男女比例较大：
大量资料表明：在这些疾病中，容易牵连股骨头的是强直性脊椎炎。强直性脊柱炎是一种血清阴性的脊柱关节病变，其发病率约为0.5%，发病年龄在
15-30岁之间，主要患病对象是青年男性，其中男女比例约为10：1。股骨头坏死的患者男多于女，对于股骨头坏死患者来说，还不能食用辛辣食物，过酸、过咸的食品。总之，为了更好的康复痊愈，饮食以清单、多钙、多蛋白为主。
因此，这种病也是由多种因素引起的，男女多少也没有较优秀的数字材料，在平时的预防和治疗中也只有从各种生活习惯上找问题了，平时注意还是比较重要的。
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