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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Need Treatment For Hip Pain

I had a fall 6 months ago that resulted in pelvic fractures, mainly on the right side. Those have healed, but I have significant pain in the left hip, primarily noticeable when walking or putting weight on that joint. That joint was replaced 5 years ago, and the surgeon has advised me it is in place and healthy. I had extensive back surgery 6 years ago involving the lumbar area, including fusion and installation of hardware. The back surgeon also advises me, after an MRI, that the surgery is holding up well. I seem to be at a dead end as far as discovering the source of my current pain. I am scheduled to have a CT scan of my lower back as there is an indication of a disc that is deteriorated. However, the pain in my hip includes a grinding feeling and actually some sound of movement that I don t experience on the other side. Any advice on how to proceed would be appreciated.
Tue, 3 Jun 2014
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Orthopaedic Surgeon 's  Response
Hello,

I have studied your case.

You may need to do MRI spine again with contrast to see for nerve compression

If your new MRI shows disc bulge with nerve compression then surgery may help.
Due to compression of this nerve root there is tingling numbness in your leg and pain associated with it.

Bone scan or SPECT SCAN WILL help for hip implant loosening or pain due to it.

For these symptoms analgesic and neurotropic medication can be started.
Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help.
Physiotherapy like ultrasound and TENS therapy will help


Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.

Wishing you good health.

Take care.

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Need Treatment For Hip Pain

Hello, I have studied your case. You may need to do MRI spine again with contrast to see for nerve compression If your new MRI shows disc bulge with nerve compression then surgery may help. Due to compression of this nerve root there is tingling numbness in your leg and pain associated with it. Bone scan or SPECT SCAN WILL help for hip implant loosening or pain due to it. For these symptoms analgesic and neurotropic medication can be started. Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help. Physiotherapy like ultrasound and TENS therapy will help Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care.