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Health

Pelvic bone pain

, medical expert
Last reviewed: 04.07.2025
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It is generally accepted among doctors that pain in the pelvic bones is the most difficult to diagnose correctly and quickly, as it can be caused by a whole host of reasons. People of any age and gender can suffer from this type of pain. How can you determine whether pain in the pelvic bones is a sign of a dangerous disease or is it temporary discomfort associated with less serious processes in the body? We will help you understand this issue and find out what to do if your pelvis hurts.

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Why do pelvic bones hurt?

Often, various injuries become the cause of pain in the pelvic bones. In addition, such unpleasant sensations are caused by inflammatory processes in the hip joint and tendons. In addition, pain in the pelvic bones does not always indicate any problems in the place of its localization - it can be one of the symptoms of damage to various structures of the pelvis or bones, cartilage, muscles or tendons located in close proximity to the painful area.

There is a certain classification of reasons why pain in the pelvic bones may occur:

  1. Pelvic bone tumors (malignant and benign)
  2. Excessive strain during sports training
  3. Diseases of the hematopoietic system
  4. Metabolic disorders in the body
  5. Infectious diseases
  6. Paget's disease
  7. Symphysiolis
  8. Injuries and fractures of the pelvic bones of various nature

Let's take a closer look at the causes of pelvic pain that are most common in modern medical practice.

  • Tumors of the pelvic bones should always be ruled out first, since pain in the pelvic bones is their main symptom. But this is only in the initial stages of the disease. The more complex the stage becomes, the more new, more severe symptoms are added. In the earliest stages, painful sensations appear during movement, any activity, and especially at night. Unfortunately, many people do not attach due importance to such pain in the pelvic bones and do not understand that their increase can be directly related to the tumor growth process. That is why it is a big mistake to consult a doctor only when the pain becomes almost unbearable. It is important to remember that early diagnosis of cancer practically guarantees positive results in the treatment of this disease. The tumor can be located not only on the bone itself, but also in those tissues that are in contact with the bone. This is most often the behavior of fibrosarcoma or histiocytoma. Also, a tumor of the pelvic bones leads to their significant weakening. Subsequently, this leads to fractures as a result of very minor bruises or other injuries, and even simply because the pelvic bones bear a certain amount of human weight while standing. In addition to pain symptoms, pelvic bone tumors can manifest themselves with fever, night sweats, chills, and weight loss. But the presence of such symptoms already indicates that the tumor is spreading to other tissues of the human body. In the event that pain in the pelvic bones is caused by malignant tumors, other sensations and signs may also appear. For example, with melanoma, human skin and warts, moles, and other bumps on the surface of the skin undergo changes. They also change their shape, size, color, and texture, which can result in bleeding. During breast cancer treatment, many patients also experience painful sensations in the bones and joints.
  • Excessive strain during sports training and various injuries, bruises, even muscle strains and contusions can often cause pain in the pelvic bones (or at least radiate to this area). Some weather-sensitive people feel such pain when the weather changes.
  • Diseases of the blood system also cause spontaneous pain in the pelvic bones. When tapping on them, the pain should manifest itself. If such symptoms are present, the doctor may suspect acute leukemia, erythremia, myeloma, bone marrow diseases, chronic myeloleukemia. Myeloma is a malignant tumor of the bone marrow. It can be localized in the ribs, spine, flat bones or pelvic bones. Statistics say that this disease most often affects men from 50 to 70 years old. It is also noteworthy that for a very long time, such a disease can proceed virtually without any symptoms. And we are talking about a period of 5 to 15 years! If a person suffers from myeloma, he is diagnosed with chronic radiculitis, spinal cord compression, fractures that become pathological, hypercalcemia and very strong, unbearable pain in the bones. Acute leukemia can be suspected if chronic fatigue, general weakness of the body, an enlarged spleen and peripheral lymph nodes are added to the pain in the pelvic bones. And if these symptoms are complicated by infectious processes in the body, sweating and an enlarged liver, then we may be talking about chronic myeloleukemia.
  • Metabolic bone diseases include vitamin D deficiency or metabolic disorders, mineral deficiencies in food or problems with their absorption in the intestines, and B vitamin deficiencies.
  • Infectious diseases that can cause pain in the pelvic bones are osteomyelitis and tuberculosis of the pelvic bones. In the case of osteomyelitis, it is hematogenous in nature and, in addition to pain, causes fever, blood changes such as neutrophilic leukocytosis and anemia. If we are talking about tuberculosis of the pelvic bones, it mainly manifests itself in the vertebrae and in most cases it is the result of the transition of tuberculosis infection from other foci (mainly from the lungs).
  • Symphysiolis is a word that is not familiar to many female readers, but at the same time, many of them are personally familiar with this condition. This syndrome occurs due to the divergence of the pubic bones and their unstable state. Symphysiolis most often occurs in women after childbirth. In the case of an acute rupture of the symphysis, the woman feels very severe pain and is prescribed rest and wearing a pelvic bandage. Unfortunately, after the next pregnancy, the symphysiolis syndrome most often makes itself known again.

Which doctors will make the correct diagnosis?

The main factor influencing the successful treatment of pelvic bone pain is timely seeking help from a qualified specialist. Diagnosis of diseases that cause such pain is very difficult and can take a lot of time. Therefore, there is no point in letting the problem take its course and waiting for a miraculous moment when it stops hurting. Depending on your accompanying symptoms and general medical history, completely different doctors can treat you: a traumatologist, surgeon, hematologist, oncologist, rheumatologist. Even if today the pain in the pelvic bones does not cause you too much discomfort, you should not wait for the time when this happens - thereby you greatly complicate the recovery process.

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