
What Causes Severe Pain In Right Buttock And Iliac Crest Post Injury?

Get a CT scan with 3D reconstruction done
Detailed Answer:
Hello.
Welcome to HCM.
This is Dr. Swarnava Dattagupta answering your query.
I have gone through your detailed query and understand your concern.
This can be a soft tissue injury but the chances of bony injury cannot be ruled out. You are getting an MRI done which will reveal any soft tissue or muscular injury. You have said that an Xray has also been done but no bony abnormality has been found. In such case, a CT scan pelvis with both hip joint with 3D reconstruction can reveal any minute bony injury.
For the time being, you can take oral painkillers, apply painkiller gel locally, take trypsin-chymotrypsin tablets if there is any swelling, avoid excess weight bearing on the affected hip and limb, do simple exercises like isometric spinal exercises and straight leg rising etc.
You can send me the Xray and MRI plates and reports so that I can help you further regarding the diagnosis and management.
Also, getting clinically examined by an orthopedician would be helpful. Accordingly, treatment can be planned.
Hope this was helpful.
You can consult me for any further queries.
Regards.


A CT scan should be done
Detailed Answer:
Hello there, Welcome back to HCM .
As the pain has persisted for quite some time, bony injury should be excluded first. So as Xray revealed nothing, CT scan is the next option to detect minute bony injuries, if any. So I would suggest it to be done.
Whereas, MRI can reveal soft tissue injury. So, it should also be done but only after thorough physical examination by your Orthopaedician . It can rule out any soft tissue damage from the trauma as well as give the present picture of your lumbar canal stenosis and disc herniation.
Therefore I would put emphasis on clinical examination by an orthopedician as it is very important in cases of long standing pain due to trauma.
Do continue with the conservative management as advised above.
It will help relieve pain and continue your daily activities.
Hope this helps.
Regards.

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