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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Severe Leg Pain And Hip Arthritis

My right leg is giving me lots of trouble. It is painful in the front, where the leg meets the pelvic bone. Sometimes I hear a snap when I change from a standing to a sitting position. I never know when I stand up if it ll make the snapping sound or if I can put weight on it right away when standing. My hips are arthritic and the right one has bone spurs, but there s still a little cartilage there. It s not bone on bone. Celebrex 2 times a day has not alleviated the condition at all, so I don t think it s inflammation from arthritis. I think it s the ligaments in the front. I used to do splits (I m 69) and can still do them tho not all the way down. The last time I did them was 2 weeks ago. I suspect doing splits a few times a month was probably not so good for those front ligaments. I m a very active person. I played tennis for 25 years, bowled, play golf (I walk 9 holes for some exercise). The exercise that seems to help the most is elliptical machine, or being in the swimming pool where I do a bicycle motion with my legs and a figure 8 motion with my arms. The recombant bike aggravated it, as does reclining in a chair with the legs straight out. When I sleep I try to bend my legs so they re not straightened. I m thinking of going to a sports med doctor. Is there any way to check the health or condition of the front ligaments?
Thu, 9 Jul 2015
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General & Family Physician,  's  Response
Hi, I had gone through your question and understand your concerns.


osteoarthritis of right hip is your diagnosis,it is evidenced by your history of excess physical activity and age.

In this condition there will be loss of cartilage between two bones which is a protective from both bone ends to get rubbed. So loss of cartilage leads to exposure of actual bone and they get rubbed each other and there will be loss of bone contour.
Bone spurs are indicative of osteoporosis in which bone mineral density decreased and as a compensation there will be excess calcium deposition.

To prevent further damage.
-have good rest.
-take calcium supplements
-avoid excess hip movements and decrease weight on hip by using a cane if you like

Permanent treatment will be done by surgical procedure,like total hip replacement or by refining the surfaces.
Use pain killers like ibuprofen.

About the front ligaments, once the hip pathology decreases it will automatically comes down.Stiffness is due inflammation around the joint due to friction of the bone ends.

Consult a orthopedic or sports medicine specialist.

Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions.
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Suggest Treatment For Severe Leg Pain And Hip Arthritis

Hi, I had gone through your question and understand your concerns. osteoarthritis of right hip is your diagnosis,it is evidenced by your history of excess physical activity and age. In this condition there will be loss of cartilage between two bones which is a protective from both bone ends to get rubbed. So loss of cartilage leads to exposure of actual bone and they get rubbed each other and there will be loss of bone contour. Bone spurs are indicative of osteoporosis in which bone mineral density decreased and as a compensation there will be excess calcium deposition. To prevent further damage. -have good rest. -take calcium supplements -avoid excess hip movements and decrease weight on hip by using a cane if you like Permanent treatment will be done by surgical procedure,like total hip replacement or by refining the surfaces. Use pain killers like ibuprofen. About the front ligaments, once the hip pathology decreases it will automatically comes down.Stiffness is due inflammation around the joint due to friction of the bone ends. Consult a orthopedic or sports medicine specialist. Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions.