Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
121 Doctors are Online

Had previous iliotibial band release and bursa removal. Suffer hip pain. MRI states mild acetabular dysplasia bilaterally. Suggest?

User rating for this question
Very Good
Answered by

Orthopaedic Surgeon
Practicing since : 1994
Answered : 10442 Questions
i had a previous iliotibial band release and bursa removal a year ago. Eight months ago my hip pain returned and after many months of suffering I went back to the surgeon who sent me for another MRI. The new MRI states the following*
There appears to be mild acetabular dysplasia bilaterally. Surface irregularity is noted over the anterior facet of the greater trochanter. The gluteus minimus tendon is irregular, hyperintense and partially torn. It is surrounding by peritendinous oedema. No significant muscle atrophy is seen. Peritendinous fluid is evident superolaterally. Tendon thickening, hyperintensity and irregularity is noted of the gluteus medius tendons at their attachment to the posterior and lateral facets of the greater trochanter. There is surrounding peritendinous oedema but no evidence of fluid to indicate a discrete tear. Moderate atrophy of the gluteus medius muscle is noted.
Articular cartilage of the hip joint appears well maintained. The acetabular labrum appears enlarged consistent with the apparent acetabular dysplasia. No labral tear is seen and there is no fluid in the hip joint.
Oedema over the greater trochanter on the right side is also noted suggesting there may be mild trochanteric bursal thickening or peritendinous fluid.
what does all this mean and how am I going to get rid of the 24/7 pain that I find myself in. I'm 52 yr old woman with an active life.

The pain is constant, difficulty sleeping do to experiencing pain when moving during the night, can't sleep lay on the left side due to intense pain and sometimes numbness. If I've been on my feet all day by evening the pain is intense and feels like my back and hip are ready to explode. There seems to be no release from the pain. Have tried different pain meds some quite strong and some will take the edge off the pain but the pain is always there.

Thank you
Posted Sun, 29 Sep 2013 in Bones, Muscles and Joints
Answered by Dr. Praveen Tayal 17 minutes later
Brief Answer:
Degenerative changes in hip joint.

Detailed Answer:
Thanks for posting your query.
The findings of the MRI are suggestive of degenerative changes in the hip joint. muscle relaxants are the mainstay of the treatment. After the acute pain subsides, regular physiotherapy exercises are recommended to prevent further progression of these degenerative changes.
In case the pain is severe and is not controlled with medical treatment then hip replacement or periacetabular osteotomy may have to be considered.
You can consult your orthopedician for the best line of treatment for you.
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.
Dr. Praveen Tayal.
Above answer was peer-reviewed by
Share on Facebook
Share on Twitter
Share on Google+
Question is related to
Diseases and Conditions
Medical Procedures

The user accepted the expert's answer

Ask an Orthopaedic Surgeon

© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor