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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Persistent Hip And Groin Pain

I have had ongoing hip and groin pain for 2 months . have been seen by my physician he is new to due to a change in health policy. went on to see a ortho md had xray of my knee MRI o0f my lumbar sacaral spine.this show 2 bulging disk at my lower spine. I am 77 years old and until this pain came in Jan of this year I was walking without pain was able todo household repairs.now I use a cane to walk and in ongoing pain. have been using advil foe pain it doesn provide much relief also my legs are restless. sleep very poor. on wed afternoon I am schedule to have some guided injection in my hip. but I did have a fall on the frozen grass in feb . do you think I may have a small fracture in the aera of my pain.
Thu, 29 Sep 2022
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Anesthesiologist,  's  Response
Hello,

Persistent hip and groin pain is one of the common symptoms in the elderly. A few causes are degenerative lumbar disc disease, lumbosacral disc herniation, avascular necrosis of femoral head, femur neck fracture, hamstrings injury, hip tendinitis and bursitis, lumbosacral spondylolisthesis, iliopsoas tendinitis, meralgia paresthetica and slipped capital femoral epiphyses.

As you had the MRI done and it showed some disc bulging, we can attribute your pain to lumbosacral disc problem. I also recommend MRI of hip joint to rule out other causes like avascular necrosis of femur head. If you don't have any kidney dysfunction, you can use NSAIDs such as ibuprofen and Aceclofenac for pain control. Corticosteroid like prednisolone 5mg can be used for 1 week and then slowly tapered. Acetaminophen and Tramadol hydrochloride can also be used as analgesics.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Pallavi M., Anesthesiologist
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Suggest Treatment For Persistent Hip And Groin Pain

Hello, Persistent hip and groin pain is one of the common symptoms in the elderly. A few causes are degenerative lumbar disc disease, lumbosacral disc herniation, avascular necrosis of femoral head, femur neck fracture, hamstrings injury, hip tendinitis and bursitis, lumbosacral spondylolisthesis, iliopsoas tendinitis, meralgia paresthetica and slipped capital femoral epiphyses. As you had the MRI done and it showed some disc bulging, we can attribute your pain to lumbosacral disc problem. I also recommend MRI of hip joint to rule out other causes like avascular necrosis of femur head. If you don t have any kidney dysfunction, you can use NSAIDs such as ibuprofen and Aceclofenac for pain control. Corticosteroid like prednisolone 5mg can be used for 1 week and then slowly tapered. Acetaminophen and Tramadol hydrochloride can also be used as analgesics. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Pallavi M., Anesthesiologist