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Suggest Treatment For Hip Pain And Grinding

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Posted on Fri, 12 Aug 2016
Question: Hi, my hip grinds as I walk, and is audible to others. It only really happens with my right hip, and rarely, if ever with my left. I was diagnosed with CMT as a kid which might have smething to do with it?
doctor
Answered by Dr. Saddiq Ulabidin (1 hour later)
Brief Answer:
It can be due to CMT

Detailed Answer:
Hi! Welcome to health care magic! Thanks for sharing your concerns with us. We will try to help you in best way possible.

First of all, it is sad to know what you had gone through. Based on the history you have shared, regarding the diagnosis of Charcot XXXXXXX tooth disease, the symtoms can be due to demyelination disorders of nerve supplying the pelvic or hip girdle and can lead to grinding or circulatory movements along hip joint. It can be asymmetrical that is by involving one limb more than the other one.

Best management plan would include keeping a close liason with a neurologist as progression of the disease may need repeated neurological examinations and opinion for a suitable management plan by a neurologist. Meanwhile Xrays of hip joints may be needed to see whether the changes are due to bony or joint involvement or not.

An orthopedician opinion to rule out any such involvement including avascular necrosis or other causes should be ruled out too.

Repeated physiotherapies and weight bearing exercises may also be needed along. This all will provide much improvement in your symptoms. Hope it will help you regain your previous best health status again.

Wishing you a speedy recovery. If you have any more questions, feel free to ask. Regards.
Above answer was peer-reviewed by : Dr. Yogesh D
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Follow up: Dr. Saddiq Ulabidin (19 hours later)
Thanks.

Are there any exercises you would recommend?

Also, what are the long term effects this might have?

Mt sister, who also suffers CMT and hip grinding, has been advised a lot of her hip troubles come from foot drop. Although I've never been told my foot drops in the same way it may well do so. Is there a way to help reduce it?
doctor
Answered by Dr. Saddiq Ulabidin (1 hour later)
Brief Answer:
Needs to consult a physiotherapist for a practical demonstration

Detailed Answer:
Hi! Thanks for the detailed follow-up.

The case and disease progression varies between different individuals so the plan which worked with your sister may not be same for you.

Foot drop, if absent, is a good sign and will help to generate good prognosis in hip stability once proper physiotherapy is adopted. It is virtually impossible to dictate or describe the exact excerices or range of movements as these are established after assessing the deformities in person on detailed neuromuscular examination and then practically demonstrating the suitable exercises.

I hope you'll understand what i'm trying to explain to you, fell free to ask further.
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. Arnab Banerjee
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Answered by
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Dr. Saddiq Ulabidin

General & Family Physician

Practicing since :2011

Answered : 3941 Questions

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Suggest Treatment For Hip Pain And Grinding

Brief Answer: It can be due to CMT Detailed Answer: Hi! Welcome to health care magic! Thanks for sharing your concerns with us. We will try to help you in best way possible. First of all, it is sad to know what you had gone through. Based on the history you have shared, regarding the diagnosis of Charcot XXXXXXX tooth disease, the symtoms can be due to demyelination disorders of nerve supplying the pelvic or hip girdle and can lead to grinding or circulatory movements along hip joint. It can be asymmetrical that is by involving one limb more than the other one. Best management plan would include keeping a close liason with a neurologist as progression of the disease may need repeated neurological examinations and opinion for a suitable management plan by a neurologist. Meanwhile Xrays of hip joints may be needed to see whether the changes are due to bony or joint involvement or not. An orthopedician opinion to rule out any such involvement including avascular necrosis or other causes should be ruled out too. Repeated physiotherapies and weight bearing exercises may also be needed along. This all will provide much improvement in your symptoms. Hope it will help you regain your previous best health status again. Wishing you a speedy recovery. If you have any more questions, feel free to ask. Regards.