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What Causes Nerve Pain In The Hip?

Posted on Wed, 7 Jun 2017

Question: Alright , My Question is I'm paralyzed from l-10,11,12? doing therapy range of motion exercises heard a crack! Turned out to be a fracture around the base of the ball on the femur.The Dr. at UC XXXXXXX said they would remove the ball. I didn't think about it at the time but couldn't it have repaired itself in 6 weeks or more? So before the surgery I asked is it reversible incase something in back changed,Oh yeah!" RIGHT" So the nerve pain in my hip plus ,And my leg muscles contracting is very uncomfortable . I asked so you said it's reversible reverse it They said nobody would touch it,WTF They lied to me there was options ! I want to get up get braces and stand up,This being paralyzed suchs the complications suck,having my bowels not cooperating with me is painful to the point sometimes It drives me nuts ! I'm 56 yrs old and I'm going to stand up with help. My mom was 89 yrs old the put a hip in her,why can't they do it to me?

Answered by Dr. Prof. Kunal Saha (1 hour later)

Brief Answer:
The blood supply to femoral head is likely to be compromised

Detailed Answer:
Thanks for asking on HealthcareMagic.

I have gone carefully through your query and understand your concerns. The blood supply to the femoral head is through the center of the ball (from inside of the socket in the hip) and a fracture of the neck of the femur is likely to compromise this blood supply. This leaves the femoral head avasuclar (without blood supply) and eventually dead, thus susceptible to collapse and unable to bear weight. Surely, you can wait for it to actually happen. The other alternative is to be presumptive and to undertake the femoral head replacement outright. I hope that explains why the doctor wishes to undertake the procedure. Had the crack been elsewhere, possibly he would not have opted for this.

Let me know if I could help further.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Prof. Kunal Saha (3 hours later)

So is a hip replace ment possible ,they removed the ball of my hip and trimed the femur saying this would feel better it doesn't, can they replace my hip.? I want to use a walker and try to walk

Answered by Dr. Prof. Kunal Saha (7 hours later)

Brief Answer:
Has the ball been replaced?

Detailed Answer:
Clinical discretion is required here. The hip joint consists of a ball and a socket. I assume that the ball has been replaced but I am not certain that there is anything wrong with the socket and I doubt if it needs to be replaced. The exact parameters need to be looked into but that is beyond the scope of an online discussion. You would therefore have to discuss directly with your treating doctor.

Feel free to write back.

Regards

Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar