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Pain due to hip dysplasia - 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 : 37 Questions
User :   i have been diagnosed as having a hip cyst on the left side and dysplasia on the right.prior to this ,I fell playing basketball some 7 years back and started limping on the right foot.i was told it was just a sprain but after two years we found i had actually broken a bone in the ankle.i started walking properly on my ankle some 3 years back and also started having back pain within 2 weeks of walking on the ankle properly .i have been told the ankle will not heal properly i still suffer from pain in the ankle most at times.i had injection in my back to helpalleviate the pain but there was no joy however after rehabilitation of my back i tended to go back into relapse and find myself limping.apart from stiifness and pain in my lower back especially around the tailbone area i also suffer with pain in my buttock and around the hip,pins and needles in my legs,hot sensational flashes of pain in my thighs as well as sharp pains in my thighs and also hot sensations around my scrotum.
as i have been diagnosed with having both hip displasia and cyst in the hip i would want to know if i could work fulltime and what kind of jobs i should be lookng at so as no to negatively impact mt health i am 32 years of age and a soldier storeman.
Doctor :   HI
Doctor :   let me read ur query
User :   hello
Doctor :   it may take a few minute
User :   k
Doctor :   ok
Doctor :   So have any tests been done like a MRI ?
Doctor :   By the hip, you mean hip joint ?
Doctor :   or the hip bone ?
User :   yes
Doctor :   you mean to hip joint , right ? Sorry i just dint get it as hip joint or the hip bone ?
User :   i though they were one and the same thing
Doctor :   no
User :   ok
User :   which is the hip bone
Doctor :   the hip bone is a very large and it forms the whole pelvis
Doctor :   it is the iliac bone to be specific
User :   i see
User :   well most of the pain i feel
Doctor :   the hip joint pain, will be felt only when u walk
User :   comes when i walk and sit and lie as well
User :   does it help[
Doctor :   the hip bone pain is constant and pains more at any time
User :   for know i`m sat
User :   and the pain is more centralisd
Doctor :   are u taking anything for the pain ?
Doctor :   and can u describe the pain
User :   yes cocodamol
User :   30/500
Doctor :   ok
User :   slouching doesn`t ease it
Doctor :   any other treatment given for the same
User :   no treatment yet
User :   when i walk i think my steps aint equal
User :   and i do that with a limp
Doctor :   so u mean to say u limp, while walking ,
Doctor :   ok
User :   going up the stairs makes it sore and standing makes the left side hurt more
Doctor :   the best treatment in your case since u have a limp would be hip replacement and osteotomy
User :   my left hip area feels sore at times and on worse day i struggle to sit and stand up from sitting
Doctor :   since you are young, doing this will improve ur life style
Doctor :   the cyst in the hip needs to be managed based on the location
User :   k
User :   would i be able to go back to my job
Doctor :   if it is within the hip joint, then it can be removed during the procedure
Doctor :   Yes definitely
Doctor :   once the procedure is done you will be up and mobile within 2-3 days
Doctor :   and the pain and discomfort will be reduced
User :   and if it is the hip bone
Doctor :   have your doctors not adviced any treat ment
Doctor :   In case it is the hip bone , then no need of any intervention
Doctor :   as it does not affect you in anyway
User :   he has thought about it and he i consulting other dr`s to see how best to go about it
Doctor :   ok
User :   so if it was the hip bone i wont be in pain at all
User :   is what u are saying
Doctor :   Based on the age, since you r young getting a surgery that is hip replacement would be the best thing
Doctor :   i mean to say, if the cyst is within the Iliac bone and is very small, and not near the hip joint, its not going to cause any issues
Doctor :   But hip cyst is different than hip dysplasia
User :   well he said cyst is on the left and displasia on the right
Doctor :   dysplasia is the deformation or misalignment of the hip joint.
User :   so replacement would be good for the left it is close to the lilac
Doctor :   In that case u may need a replacement of the right side
User :   and on the left
Doctor :   there is no need for that on the left
User :   k
User :   what can be done on the left to sort it out
Doctor :   there is no need to treat it at all
Doctor :   it will not do any harm
Doctor :   in case you have pain in the left side, the cyst can be removed
User :   so i shouldnt worry about the cyst at all
User :   k
Doctor :   which side do u have the pain the most ?
User :   do u think the fall i had initially could have made the displasia worst
User :   i get pain on both sides and i limp on both legs
Doctor :   yes trauma can precipitate the progression of dysplasia
Doctor :   ok,
User :   i feel the pain in the left side more from the centre
Doctor :   depending on which side is more affected by a physical and a MRI
Doctor :   the surgery can be done
Doctor :   the pain could be due to pressure in the nerves ,
Doctor :   not directly related to the none
Doctor :   bONE **
User :   k
User :   very worse when i am ouside in the cold
Doctor :   have any sort of investigations done so far ?
User :   the dr asked mr to lie on the plinth and when i did he was moving my leg when i he noticed i didnt like that so he asked to go for a scan
Doctor :   ok
User :   he was investigating the pain in my bak when he noticed it
User :   also whenn i lie down i cannot lie flat
User :   i need to bend my knees
User :   or use a pillow
Doctor :   ok ,
User :   else i get into pain
User :   is that a usual sympton too
Doctor :   yes
User :   i have been tols
Doctor :   coz, since the hip is involved , it will cause pain
User :   told i will be getting discharged
User :   hence the question about my job
Doctor :   yOU will be able to go to your job,
Doctor :   but the job must be based either a desk job
User :   so i can attribte the displasia to the fall and my job since it involved a lot of lifting
Doctor :   and not involve too much of walking
Doctor :   But after the surgery, you might be able to do any sort of jobs
User :   k
Doctor :   yes , thats right
User :   the funny thing is my dr said the displasia was somrthing i had from birt
User :   birth
Doctor :   Yes, some cases of dysplasia do occur with birth
User :   but i never had any problems untill aftre i fell
Doctor :   in such cases children present within 14 yrs with such problems as in you
User :   diidnt get ur last statement
Doctor :   I hope i have answered your queries
Doctor :   i meant, that in congenital cases , children will have symptoms soon and have hip related issues in their teens
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