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Cause of shooting pain in hip similar to nerve twitching - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Bones, Muscles and Joints
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1361 Questions
User :   I have a shooting pain that started in my hip and is now shooting down my thigh. It feels like a cross between a pinched nerve (occasional numbness in areas), and a sprained muscle (feels like a thing swollen muscle or something).
It has been growing in in intensity over the last 3 days, making it harder to stand up and sit down. Now I walk like a 90 year old. Tonight, I literally can't sleep because I can't find a comfortable position.
Doctor :   Hello.
User :   hi
Doctor :   Let me read your query.
User :   ty
User :   i can also feel pain timed to what feels like my pulse going through the artery in my leg
User :   sort of throbbing in time w/ it
Doctor :   Since when are having this pain?
User :   couple days ago
Doctor :   Ok.
User :   got a ton worse today
Doctor :   Give me you age, height and weight?
User :   41, 6'1", 170lbs
Doctor :   Ok.
Doctor :   Are you able to walk?
User :   yes but i have to very carefully position my legs. the slightest twist in the wrong direction sends shooting pains, making my knees about buckle
Doctor :   Ok.
Doctor :   Did you get any injury to the back?
User :   not that i am aware of. back feels fine. haven't lifted anything heavy recently.
Doctor :   Ok.
User :   tried coughing to see if it was sciatica and if that might make the pain worse, but it didn't really
User :   also relaxing my back different ways doesn't seem to affect the pain at all
Doctor :   Can you rate your pain from 1 to 10, 10 being the maximum pain.
User :   when it hits, it's like 9. right now in bed it's a dull throb pain at like 4ish
Doctor :   Ok.
User :   if i move the wrong way though, it really hurts
Doctor :   Is it possible for you bend forward?
User :   yup
Doctor :   Ok.
User :   back feels fine
Doctor :   Ok.
Doctor :   Is the pain present all the time?
User :   it's like on the left of my left thigh, sorta buried underneath, coming from the butt
User :   now it is
User :   the dull throb is enough that i can't sleep
Doctor :   It probably looks like a nerve pain.
User :   ya seems nerve related to me too
User :   like maybe a pinched nerve or something, but no angle i put my leg at in relation to my hip joint seems to help, suggesting the nerve isn't "unpinching"
Doctor :   May be the pathology is in the spine.
User :   wee
User :   spinal procedures sound like a fun new hobby. ;)
Doctor :   You have to consult a orthopedic and get a proper examination done.
User :   any thoughts on how to find a good one in my area?
Doctor :   Give me your location.
User :   are they called orthopedics or orthopedic specialists or orthopedic surgeons?
User :   santa AAAAAAA ca
User :   419 raymond ave. #3
User :   i have no car and am having trouble walking, so close is king. :)
Doctor :   They are called orthopedic.
User :   cool
Doctor :   Give me a moment.
User :   looks like i need to get over to st. john's. seems to be the hotbed of orthopedics.
User :   is it safe to wait until tomorrow morning to call and go?
Doctor :   If the pain is more the 7 any time, you can go to ER immediately.
User :   go to er whenever i want. just wondering whether i need to. it's expensive! :)
User :   i guess i'll ride this out tonight, see if i can take it
User :   maybe it'll get better
User :   then i can catch a bus over to st. johns. think it's cool to just do a walk-in crying "uncle"? :)
Doctor :   avoid any activities that increase the pain for you
User :   k
Doctor :   have you tried taking any pain medication?
User :   no not a fan of treating symptoms
Doctor :   how did the pain start? can give me the details of its onset?
User :   not sure. it started subtle, i think after i woke up one morning.
User :   felt like things were a little out of alignment or something in my hip. don't know how to describe it. just didn't feel quite normal.
Doctor :   if the pain started when you got up in morning without any injury or identifiable precipitating cause
Doctor :   it could probably be a hip joint problem related to the ligament strain
User :   can that pain persist even when your leg is relaxed?
Doctor :   this can be identified by doing simple tests that the orthopedician will do while examining you.
User :   k
Doctor :   yes, the pain if it is originated in hip joint can persist even at rest
User :   gotcha
User :   thanks doc. can you recommend an orthopedic to visit nearby?
Doctor :   and a MRI will show any changes and strain to the affected ligament
Doctor :   once that is identified the treatment can be done appropriately
Doctor :   the more delay you do to take medical help and treatment, the more worse the pain will get
Doctor :   since in the pain scale you rated the pain as 9
Doctor :   it is recommended that you take emergency treatment
User :   so like go to the er now?
Doctor :   In your area of location, you can meet Dr. XXXXXXXX A. Kropf, M.D.
Doctor :   he should be able to help you
Doctor :   else visit the ER if you are not getting appointment within 24 hours time.
Doctor :   meanwhile you can do cold compress at home to get some pain relief
Doctor :   do itevery20-30 mins for10-15minutes duration
Doctor :   have you followed what I have said?

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