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Treatment Options for Hip Pain - Rush University Medical Center

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� Acute<br />

� Sudden onset, sharp rise, and<br />

short course<br />

� Often assoc with autonomic<br />

response (n/v, diaphoresis, etc) or<br />

signs of inflammation (f/c,<br />

leukocytosis)<br />

� Chronic:<br />

� >6 mos duration<br />

� Causes functional disability<br />

or necessitates treatment<br />

� 10-20% of women in US are<br />

affected<br />

� ~10% of all gyn visits due to this<br />

� 12-19% of hysterectomies<br />

per<strong>for</strong>med <strong>for</strong> chronic pelvic pain<br />

� Cyclic<br />

� Associated with menstrual cycle<br />

<strong>Hip</strong> vs. Pelvic <strong>Pain</strong><br />

� <strong>Pain</strong><br />

� <strong>Pain</strong> / ache in vagina or<br />

rectum<br />

� Pressure sensation<br />

� Abdominal tenderness<br />

� Rebound or guarding<br />

� Associated symptoms:<br />

related to menses,<br />

intercourse, urine,<br />

incontinence<br />

� Cramping<br />

� Bloating

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