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What Causes Pain On Hip That Radiates To Groin And Thigh Area?

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Posted on Tue, 16 Sep 2014
Question: I am having pain from. My right hip and radiating down my groin and thigh area. I cannot stand upright because the pull in my groin area is too painful when I try to stand upright. My leg is burning and so painful. It feels like I have a serious burn on my leg.I want to know what type of doctor is best for my condition and what tests should be performed for proper diagnosis?
doctor
Answered by Dr. Chobufo Ditah (3 hours later)
Brief Answer:
Start with your primary care doctor!

Detailed Answer:
Hi and thank you so much for this query.

I am so sorry to hear about these symptoms that you have reported. They are for sure probably very annoying and no one would like to deal with such. What even makes it worse is the fact that no one has been able to correctly identify the cause and offer relief.

The description of your symptoms are suggestive of a nerve pain radiating down the leg. This sounds like sciatica. I will like to see a complete and comprehensive clinical examination and basic testing including Imaging studies to identify the problem and propose solutions. If this is beyond his competency, then a referral would be issued to the right specialists. For now, pain medications like Ibuprofen and Tylenol and postures/positions that relief pain is highly encouraged while we work on identifying the exact cause and providing long lasting solutions.

In all, start with evaluation by your PCP. Should you not want to, then a neurosurgeon is the best single specialist to start with as this seems to be related to the nerves. Tests would mainly include imaging studies and further testings would be guided by preliminary findings.

I hope this helps. I wish you well. Thank you so much for using our services and do feel free to ask for more information and clarifications if need be.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Chobufo Ditah (19 hours later)
Thank you for your detailed information. I have an appointment with a physical medicine doctor who was referred by my primary care physician. He ordered X-rays of my hip but no MRI. My appointment tomorrow I understand that he was going to use needles to locate the nerve damage? Is this an accepted practice before or in place of a MRI?
Thank you
doctor
Answered by Dr. Chobufo Ditah (2 hours later)
Brief Answer:
Acceptable!

Detailed Answer:
Hi and thank you so much for this follow up precision.

It is okay to try and locate the exact nerve damage using pins before an MRI. MRI looks for problems with the bone and soft tissues and cannot locate nerve problems. If the Xray had been suggestive of a possible bone lesion, he would have asked for more informative imaging. Probably, there were no arguments in support of this and the reason why he is not pursuing in this direction.

In all, the preliminary findings do not seem to be suggestive of structural abnormalities and further detailed imaging may not help in this light. I have no worries getting the nerve being affected mapped out with pins. Feel comfortable too and follow through hoping we finally get answers to address your concerns and relief the pains.

I hope this helps. I wish you well. Thanks so much for using our services and feel free to keep the discussion alive if need be.



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

General & Family Physician

Practicing since :2009

Answered : 6323 Questions

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What Causes Pain On Hip That Radiates To Groin And Thigh Area?

Brief Answer: Start with your primary care doctor! Detailed Answer: Hi and thank you so much for this query. I am so sorry to hear about these symptoms that you have reported. They are for sure probably very annoying and no one would like to deal with such. What even makes it worse is the fact that no one has been able to correctly identify the cause and offer relief. The description of your symptoms are suggestive of a nerve pain radiating down the leg. This sounds like sciatica. I will like to see a complete and comprehensive clinical examination and basic testing including Imaging studies to identify the problem and propose solutions. If this is beyond his competency, then a referral would be issued to the right specialists. For now, pain medications like Ibuprofen and Tylenol and postures/positions that relief pain is highly encouraged while we work on identifying the exact cause and providing long lasting solutions. In all, start with evaluation by your PCP. Should you not want to, then a neurosurgeon is the best single specialist to start with as this seems to be related to the nerves. Tests would mainly include imaging studies and further testings would be guided by preliminary findings. I hope this helps. I wish you well. Thank you so much for using our services and do feel free to ask for more information and clarifications if need be.