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Had fallen and have hip pain. X-ray normal, put on tramadol and cocodimol but still in pain. Suggest?

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mother 93 had a bad fall over a week ago she is in severe pain in her hip been to a&e no breaks detected after 2 x rays the care home doctor has put her on tramadol and cocodimol still in a lot of pain pain killers don't seem to be touching it
Posted Tue, 8 Oct 2013 in Bones, Muscles and Joints
Answered by Dr. Shruti Rijhwani 13 minutes later
Brief Answer:
Possibilty of fracture remains high.

Detailed Answer:
Dear sir,

Thank you for posting your query on XXXXXXX

Well looking into your problem I would like to tell you that at this age of 93 years possibilty of fracture femur exists and tops the priority . Still if you say that the x rays are clear we need to look for Avascular necrosis of hip and hip arthritis .

History of fall is a very strong evidence for thinking about fracture and rest possibilities are very less . Kindly consult an experienced orthopaedician and get an MRI of hip region done with his advise . May be that will help to establish the diagnosis.

Take care.

Dr. Shruti
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