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Hi There, I’m Just Trying My Luck As An Orthopaedic

Posted on Sun, 9 Feb 2020

Question: Hi there, I’m just trying my luck as an orthopaedic surgeon was brought up if I have seen one due to my situation, so I have had pain in my left hip for 4 years since I was pregnant with my daughter, came and went, now after I had my son 15 months ago the pain has been severe, constant, causing a limp, and affecting my day to day life like laying down comfortably, lack of sleep due to the pain etc.. now I had an X-ray in December 2019 which said flattening of the femoral head joint, gp referred me to a pain specialist who done a referral for an mri on my hip which I had done today, now I know I should wait but I won’t see the pain specialist until next month so won’t know results or report until than unless I can get it sent to my gp, since you as a specialist were brought up I’m wondering if you can have a look at my mri and be honest and tell me if you can see anything that pops out as concern so I know if I should seek or push appointments forward for treatment, is there anything visible with my joints/bones etc..? I will be attaching photos of my mri

Thank you so much, I hope you can help, because I can’t keep living in pain day in day out

Answered by Dr. Dr. Praveen Tayal (3 hours later)

Brief Answer:
Mild flattening of the head of femur seen.

Detailed Answer:
Hello,
Thanks for posting your query.
I have seen the attached MRI scan images. Although there is a series of many images, from the provided images, there can only be a limited evaluation. There is a mild flattening of the femoral head may be due to mild necrosis. This is not an emergency situation that needs an early appointment but can cause a chronic pain in the joint so as to cause the limping. Rest and avoiding all the painful activities can help. You can also take mild pain killers to relieve this pain.
I hope this answers your query.
In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out.
Wishing you good health.
Regards.
Dr. Praveen Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Praveen-Tayal

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Praveen Tayal (8 minutes later)

Thank you for that, atleast I know it has been seen on the mri aswell as well as the X-ray & confirmed by a specialist, thank you for confirming that, what can I do in the case of painkillers are not relieving pain at all? Or even rest?
Is this something that will ever go away? Or am I stuck with it? Will it get worse? What treatments are there?

It’s making it very difficult to walk even short distances and much harder at the moment as I have 2 kids to play around with, it’s making me feel so bad only being able to do limited things daily, I’ve even had several falls down my stairs as I also have weakness in that leg due my condition (functional neurological disorder) and twice landing on that leg also, am I going to make it worse because I have kids and can’t rest as much as I should?

Follow up: Dr. Dr. Praveen Tayal (2 minutes later)

Sorry just want to add another question, every blood test that I’ve had in the last 3 months, my white blood cell count has been high aswell as my neutrophil count, could this be anything to do with what is wrong with my hip? Is there signs of inflammation that could be causing this?

Follow up: Dr. Dr. Praveen Tayal (10 minutes later)

I’ve also read with the necrosis that their are stages with the severity, what stage does the flattening of the joint put me at? & where does this put me treatment wise?

Answered by Dr. Dr. Praveen Tayal (2 hours later)

Brief Answer:
Details below.

Detailed Answer:
Hello.
Thanks for writing again.
The painkillers will only provide a temporary relief. Taking proper rest will help in decreasing the further deterioration. Further treatment depends on the severity of the problem and its rate of progression. The high white blood cell count and neutrophil count is suggestive of an infection. This can be due to an infection in the hip joint also.
The flattening of the femur head is the initial stage and can reverse if the infection is properly controlled.
Hope my answer is helpful.
Do accept my answer in case there are no further queries.
Regards.

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Dr. Praveen Tayal (2 days later)

Hi there, so I’ve just recieved my mri report on the hip and I am very confused on the report and the results, it’s saying nothing is wrong pretty much, any ideas? I’ve attached a photo of the report

Answered by Dr. Dr. Praveen Tayal (13 hours later)

Brief Answer:
Mild joint effusion only.

Detailed Answer:
As per the report there is only a mild joint effusion that might be causing the inflammation. A radiologist is the best person the evaluate the MRI scan images. The indentation of femoral head may happen due to an artifact or angulation. It is good that there is no evidence of necrosis.
Regards.

Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

Above answer was peer-reviewed by : Dr. Prasad