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Treatment for musculoskeletal disorders - Online Doctor Chats

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

General & Family Physician
Practicing since : 2004
Answered : 37 Questions
User :   7 years ago i fell whilst playing basketball.it was an accident caused by another player.i had to drag myself off the court because of the pain.when the pain subsided i realised i could not walk on my right ankle.it was diagnosed as a sprain initially as i could n`t move it and there was no swelling.it was later discovers i broke a bone in the ankle and it will not heal properly.when i started walking on my ankle(still have problem with the ankle) i started having back low back problems and it started two weeks after i started walking on the walking.i have had three to 4 sessions of rehab but i always go back into relapse after a couple of weeks.i must say my range of movement is not so bad as i always keep to my timetable of stretching and strengthening exercises.i have been put on pain killers had injections in my back but i am still having issues.i mentioned to my doctor who asked to have the scan for my hips as i tend to struggle with abduction exercises and lifting not to mention climbing stairs especially when the are more than two cases to climb.i also tend to walk slouching as it does not cause me a lot of pain as compared to when i try to walk upright.i struggle standing for long periods and with sitting i tend to alternate buttocks when i sit.alsoi have been recently diagnosed as haviing a hip cyst on my left and dysplasia on my right hip ,sacroilitis was initially diagnosed but was deemws as inconclusive.
1.i would like to know if i am classed as disabled now and would i be classed as a disabled after treatment?
2.would i be able to run again or even play basketball after treatment bearing in mind i am only 32?
3.which one of these disorders causes lower back pain,pain in and around the tailbone,pain when i have to go pass stool,hot sensations between my scrotum and anus ,shooting pain in my thighs,knee pain as well as pain in the ankle (left)pain
User :   in the buttocks and limping when i walk as well as pain in buttocks and lower back when i walk(worsens when i try to walk briskly).
4. can any of these problems cause sacroilitiis or problems ith my illiac bone and if yes does it make the tail bone and the bone between and above (the extra extension of the spine)the two buttocks cheek hurt?
Doctor :   hi
User :   hi
Doctor :   plz wait
Doctor :   I am reading query is big
Doctor :   Yes
Doctor :   1.i would like to know if i am classed as disabled now and would i be classed as a disabled after treatment?
Doctor :   can you walk now?
Doctor :   Are you there?
Doctor :   I need to ask few Questions before I answer your questions?
Doctor :   Are you there?
User :   hello i`m here so sorry
User :   i can alk but i`m doing that with a limp
User :   there is pain in my lower back and buttocks ( right side)
User :   i am sitting now the same pain i get whe i walk
Doctor :   can you tell me the prese3nt problems
Doctor :   back pain?
User :   back pain
User :   ,limping
User :   pain in the buttocks
Doctor :   ok
User :   when i move my leg
User :   and the same pain when i stand for some time#
Doctor :   ok
Doctor :   you have been diagniosed with hip cyst on left and dysplasia on right hip , sacroilitis
User :   yes
Doctor :   Was there any MRI to prove it?
User :   but hte sacroilitis the dr said it was inconclusive
User :   yes
Doctor :   sacroilitis is inflmaation?
Doctor :   but what about hip dysplasia?
User :   yes right side
User :   the scan was done in dcember
User :   along with the hip cyst scan
Doctor :   Is it Ultra sound ?
Doctor :   or MRI?
User :   no xray
Doctor :   ?
User :   sacroilitis was an mri
User :   cyst and displasia were x rays
Doctor :   x But the MRI did not show any thing in the jips?
Doctor :   *hips?
User :   the mri only scanned for the lower back
User :   they later checked the hips as i complained about it
Doctor :   I recommedn MRI of the both hips
User :   k
Doctor :   It will show arthtris, cyst and also show sacriilic joints
User :   i was shown the xrays and they were both obvious
Doctor :   What kind of work u used to do?
User :   showing problems on both hips though
User :   i am soldier storeman
Doctor :   definitely there are abnormalities in hips
Doctor :   Medically , legallt MRI is straong evidence to prove
Doctor :   *legally
User :   k
Doctor :   What kind of work u used to do?
User :   i am soldier i deal with stores
User :   lifting, packing
User :   unpacking and storage
Doctor :   ok
Doctor :   but there is no disc disease
Doctor :   but back pain is there
User :   yes
Doctor :   back defintely comes from vertebra
User :   i am told i got bit of wear nd tar there
Doctor :   but u more hip and illiac probklem
User :   tear there
User :   yes with back pain too
Doctor :   that is called Osteoarthritis
User :   oh yes
Doctor :   But I assume the back is from hip and sacroilica pathology
User :   k
Doctor :   so all thse questions cab ve answered by MTI of hip, back
Doctor :   get a strong evidence
User :   k
Doctor :   and take the clincial history from doctor
Doctor :   and applty for disability
User :   i`m having an assesment on thursday
User :   k
Doctor :   At this time they called call it as occupational disability'
Doctor :   how old are You?
User :   32
Doctor :   OH!
User :   i have been in the army only 7and half years
Doctor :   u straiked my heart
Doctor :   Anyway You need objective evidence (MRI)
Doctor :   And com[lain that you have hip pian and back pain
Doctor :   and use the cane
User :   k
Doctor :   Let us how it works?
User :   k
User :   will definately do that
Doctor :   When there is evidence they will consider it
User :   what about kne and ankle pin can it cause it too
User :   knee
Doctor :   it is very complicated
Doctor :   It will not cause
User :   because these days i get pain in both knees at alternatin times of the day
User :   and left ankle pain too
Doctor :   no
Doctor :   as long as the pins are fine they are ok
Doctor :   They will only cause local pain
Doctor :   2.would i be able to run again or even play basketball after treatment bearing in mind i am only 32?
User :   pins and needles u mean
Doctor :   U asked that
User :   yes
Doctor :   How can u expect this outcome amomng so many issues
Doctor :   Think practically
User :   k
Doctor :   u sked/....
Doctor :   3.which one of these disorders causes lower back pain,pain in and around the tailbone,pain when i have to go pass stool,hot sensations between my scrotum and anus ,shooting pain in my thighs,knee pain as well as pain in the ankle (left)pain
j tamakloe: in the buttocks and limping when i walk as well as pain in buttocks and lower back when i walk(worsens when i try to walk briskly).
Doctor :   sacriilitisa , hip pain cause back pain
Doctor :   u have back bone problem it iself that cause shooting back pain
Doctor :   lower tailbone is a kind of back bone'it is called sacral /cococoyal bon
User :   k
Doctor :   so back is invi=olve
Doctor :   4. can any of these problems cause sacroilitiis or problems ith my illiac bone and if yes does it make the tail bone and the bone between and above (the extra extension of the spine)the two buttocks cheek hurt?
User :   saying back u mean the spine
Doctor :   sacroilic joint isa unique joint
Doctor :   yes
Doctor :   when the sacroilic joint is involved u get back pain,
User :   k
Doctor :   so many joints are effected in ur case
User :   i see
Doctor :   Do you have any other queries to ask?
User :   no
User :   i1m good for now
User :   thanks
Doctor :   feel Good dude
Doctor :   COntinue Physical theraphy
Doctor :   Cont some pain med
User :   k
Doctor :   Maiatan the qi=uality of liefe
User :   k
Doctor :   Love you
Doctor :   Bye
User :   thanks somh for ur support
User :   bye
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