Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
What Causes Chronic Groin, Hip And Back Pain?
Question: My son is 13 years old and has been having chronic groin/hip/back pain for the past 2 -2 1/2 years. We have been to numerous doctors including orthopedic, rheumatologist, neurologist multiple times. He's had MRI, X-ray, and sonograms which have shown no injury's and came back normal. His blood test show high levels of inflammation for the past two years. They also show he is anemic. Pain is worst in morning and late afternoon. Pain also gets worse in cycles, for a few weeks he is in server pain then it will subside to a more manageable pain but never disappears. Walking has been affected, trouble with climbing stairs and can no longer play sports. It is heartbreaking to watch my son deteriorate. we are going to another doctor on Monday looking for some answers.
Brief Answer:
I would like to rule out spondyloarthropathy
Detailed Answer:
Hello
Thanks for the query
With the above mentioned symptoms like chronic pain in lower back,hip and groin area for 2 years,early morning stiffness,anemia and raised inflammatory markers;I would like to rule out the spondyloarthopathy(like ankylosing spondylitis).
I would like to know if there is any associated eye symptom or other significant symptoms like burning micturition,pain in small joints
Although the imaging studies like MRI considered to be helpful in diagnosis,it may be normal if done in initial stage.
The other possible diagnosis may be autoimmune disorder,juvenile rheumatoid arthritis,Reiters disease.
So I would like to get him evaluated by a rheumatologist for clinical examination(like restriction of movement of particular joints) and to get some investigations done like ANA(autoimmune disorder),rheumatoid factor(juvenile rheumatoid arthritis),HLA B27(Ankylosing spondilytis) and repeat MRI for further assessment.
The management depends on severity and response to medications.
I request you to attach the reports so that I better able to help you out.
I hope this helps.
Please do ask if you have any more query.
Reagrds
I would like to rule out spondyloarthropathy
Detailed Answer:
Hello
Thanks for the query
With the above mentioned symptoms like chronic pain in lower back,hip and groin area for 2 years,early morning stiffness,anemia and raised inflammatory markers;I would like to rule out the spondyloarthopathy(like ankylosing spondylitis).
I would like to know if there is any associated eye symptom or other significant symptoms like burning micturition,pain in small joints
Although the imaging studies like MRI considered to be helpful in diagnosis,it may be normal if done in initial stage.
The other possible diagnosis may be autoimmune disorder,juvenile rheumatoid arthritis,Reiters disease.
So I would like to get him evaluated by a rheumatologist for clinical examination(like restriction of movement of particular joints) and to get some investigations done like ANA(autoimmune disorder),rheumatoid factor(juvenile rheumatoid arthritis),HLA B27(Ankylosing spondilytis) and repeat MRI for further assessment.
The management depends on severity and response to medications.
I request you to attach the reports so that I better able to help you out.
I hope this helps.
Please do ask if you have any more query.
Reagrds
Note: For further queries related to your child health, Talk to a Pediatrician. Click here to Book a Consultation.
Above answer was peer-reviewed by :
Dr. Prasad
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
