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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Severe Pain From Hip To Knee After Hip Replacement. Is It A Nerve Issue?

My left hip was totally repalced in June 2013. The oldf hip was in pieces when removed. since the operation I have been having pain form the new hip to to the knee - like sharp pain in the left knne and someimes minor pain it the right knee at the same time. An MRI indocates that the L3rd vertabrae is tiltied to the L4th vertabrae. Also, there is either pain or numbness in the bone , nerve or muscle between the hip and knee. Since the pain is sharp, I assume that it is a nerve issue. - perhaps from the vetabrae.
Tue, 25 Feb 2014
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Orthopaedic Surgeon, Joint Replacement 's  Response
Hello,
Thanks for your query.
Based on your description, this is most probably because of a pinched nerve or lower limb radiculopathy (Sciatica).
Common cause is bulging intervertebral discs in the vertebral column that compress on the nerves as they come out of the spinal cord - symptoms are experienced along the area of distribution / path of that particular nerve.
Here the treatment varies from conservative to surgery. Conservative treatment includes anti-inflammatory medications (pain killers), physical therapy or chiropractic treatment, and avoiding activity that strains the back. Majority of radiculopathy patients respond well to this conservative treatment and symptoms often improve within six weeks to three months.

I do hope that you have found something helpful and I will be glad to answer any further query.
Take care
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Severe Pain From Hip To Knee After Hip Replacement. Is It A Nerve Issue?

Hello, Thanks for your query. Based on your description, this is most probably because of a pinched nerve or lower limb radiculopathy (Sciatica). Common cause is bulging intervertebral discs in the vertebral column that compress on the nerves as they come out of the spinal cord - symptoms are experienced along the area of distribution / path of that particular nerve. Here the treatment varies from conservative to surgery. Conservative treatment includes anti-inflammatory medications (pain killers), physical therapy or chiropractic treatment, and avoiding activity that strains the back. Majority of radiculopathy patients respond well to this conservative treatment and symptoms often improve within six weeks to three months. I do hope that you have found something helpful and I will be glad to answer any further query. Take care