Pain Location Guide
Hip / Buttock Pain
髖關節、臀部或大腿根痛可以來自髖關節退化、肌腱、腰椎或創傷。長者跌倒後髖痛尤其需要小心。
髖痛若影響行路、坐低起身、上落樓梯或跌倒後持續出現，建議接受檢查。
Common Causes
Common Causes Of Hip / Buttock Pain
Pain in the same area may come from different tissues, including joints, tendons, ligaments, nerves or bones. The following are common possibilities, but diagnosis requires clinical assessment.
髖關節退化
常見大腿根痛、髖部僵硬及行路距離縮短。
長者髖部骨折
跌倒後髖痛、不能負重或走路明顯困難，要盡快評估。
盤骨骨折
創傷或骨質疏鬆人士跌倒後可出現盤骨痛。
髖關節活動受限
穿鞋襪、坐低起身或轉身時痛楚及僵硬。
全髖關節置換術後復康
術後復康需按醫生及治療師指示逐步增加活動。
When To Seek Urgent Medical Help
- 跌倒後不能站立或不能負重
- 髖部或盤骨劇痛
- 長者跌倒後痛楚持續
- 肢體變形或腳長明顯不同
- 發燒、紅腫或傷口問題
How Does The Doctor Diagnose It?
醫生會檢查髖關節活動、步姿、神經功能及痛楚來源。X 光可評估退化、骨折及關節排列；如懷疑隱性骨折、軟組織或盤骨問題，可能需要 MRI 或 CT。
Treatment Direction
治療可包括藥物、物理治療、活動調整、助行工具、注射治療；若出現髖部骨折或嚴重退化，可能需要手術固定或人工關節置換。
Rehabilitation And Prevention
復康目標包括安全步行、改善髖部活動、強化臀部及下肢肌力、減低跌倒風險，並逐步回復日常生活。
If pain persists, affects activity or follows an injury, consider booking an orthopaedic specialist assessment.
Book Orthopaedic AssessmentWhen To Seek Help
When Should You See An Orthopaedic Specialist?
If pain persists, keeps recurring or already affects daily life, you should not simply endure it. Early diagnosis can help identify the source of the problem, guide suitable treatment and reduce the chance of worsening or repeated injury.
Pain Does Not Settle
If pain has not improved after one to two weeks, or keeps recurring, consider professional assessment.
Affects Daily Life
If pain affects walking, stairs, work, exercise or sleep, it should not be delayed for too long.
Joint Swelling, Locking Or Instability
Swelling, locking, weakness or repeated sprains in joints such as the knee, shoulder or ankle may involve ligaments, meniscus, tendons or cartilage.
Numbness Or Weakness
Numbness, tingling or weakness in the limbs may be related to nerve compression or spinal problems and should be assessed early.
Pain After Fall Or Sports Injury
Obvious pain, swelling, difficulty moving or inability to bear weight after injury should be assessed to exclude fracture or significant soft tissue injury.
Pain After A Fall In Older Adults
In older adults, even mild pain after a fall may still indicate an occult fracture, especially in the hip, wrist or spine.
Patient FAQ
FAQ
No. Many orthopaedic problems can first be managed without surgery, such as medication, physiotherapy, posture and activity modification, braces, injections or rehabilitation training. The specialist’s role is to identify the cause of pain and recommend suitable options.
In general, it is better to see a doctor first for symptom review and clinical examination, then decide whether X-ray, MRI, ultrasound or other tests are needed. Different pain problems require different tests.
If pain recurs, becomes more frequent, affects exercise or daily activity, or is associated with numbness, swelling, weakness or locking, consider an orthopaedic assessment.
Minor strains may improve with rest. However, if there is obvious swelling, inability to bear weight, instability, limited movement, severe pain or suspected fracture, seek medical care promptly.
Not necessarily. Older adults, especially those at risk of osteoporosis, may still have an occult fracture or spinal compression fracture even if they can walk. Persistent hip, back, wrist or shoulder pain should be assessed.
Many orthopaedic problems benefit from rehabilitation after treatment to improve range of movement, strength, balance and function. The doctor will recommend a suitable plan based on the condition and recovery progress.
Pain does not always need to be endured. Early assessment may help prevent worsening.
Many orthopaedic problems do not require immediate surgery. An orthopaedic specialist will first understand your symptoms, perform a clinical examination and arrange X-ray, MRI, ultrasound or other investigations if needed, before recommending suitable options such as medication, physiotherapy, injections, braces, rehabilitation training or surgery when appropriate.
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