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What Does This X-ray Report Of Hip Mean?
Result of hip x-ray: Findings: Ovoid calcification or ossification adjacent to the superior aspect of the greater trochanter is seen compatible with chronic calcific tendinitis/bursitis. Impression: The osseous structures are intact without fracture. Degenerative arthritic changes of the hip and calcific tendinitis/bursitis is present. What does it mean and how do I get rid of the pain in my hip and thigh and knee?
Thu, 21 May 2020
Hello,
Your bone is general are intact (nothing broken) but you have some age related bone changes like 'wear and tear of life' - this is what degenerative arthritic changes mean. You also have some hardening (calcification) over your tendons and ligaments (these are the soft tissues that attach the muscle to the bone close to the joints) which is usually result of chronic inflammation. If you have a lot inflammation over time these tissues can become calcified.
In terms of the pain, there are ever options: physical therapy is effective, these are exercises under supervision which make the muscle stronger which in turns relieves the pain in joints. You can also get a cortisone shot in the hip area or knee area which tends to provide pretty quick relief. Taking anti-iflammatory medications can be helpful but you need to discuss with your doctor to make sure it is ok for you, they can have some side effects.
If the degenerative changes in the bone get very bad a hip replacement is an option but I don't think you are at that point and your pain is likely a combination of the bone "wear and tear" changes and soft tissue (tendon, bursa, ligament) inflammation for which the above modalities are more effective. Also, if you are overweight, weight loss is recommended as it alleviates the burden on your joints.
Hope I have answered your question. Let me know if I can assist you further.
Regards,
Dr. Kamila Seilhan, Internal Medicine Specialist
Your bone is general are intact (nothing broken) but you have some age related bone changes like 'wear and tear of life' - this is what degenerative arthritic changes mean. You also have some hardening (calcification) over your tendons and ligaments (these are the soft tissues that attach the muscle to the bone close to the joints) which is usually result of chronic inflammation. If you have a lot inflammation over time these tissues can become calcified.
In terms of the pain, there are ever options: physical therapy is effective, these are exercises under supervision which make the muscle stronger which in turns relieves the pain in joints. You can also get a cortisone shot in the hip area or knee area which tends to provide pretty quick relief. Taking anti-iflammatory medications can be helpful but you need to discuss with your doctor to make sure it is ok for you, they can have some side effects.
If the degenerative changes in the bone get very bad a hip replacement is an option but I don't think you are at that point and your pain is likely a combination of the bone "wear and tear" changes and soft tissue (tendon, bursa, ligament) inflammation for which the above modalities are more effective. Also, if you are overweight, weight loss is recommended as it alleviates the burden on your joints.
Hope I have answered your question. Let me know if I can assist you further.
Regards,
Dr. Kamila Seilhan, Internal Medicine Specialist
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