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Suggest treatment for severe hip pain, weak thigh and gluteal muscles

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Posted on Sat, 29 Nov 2014
Question: Hello. I developed fairly severe hip pain on the right side of my body a few months ago. I was sent to physical therapy, where I am told that my glute muscles and thigh muscles are all very weak. Bursitis has been ruled out. Also occurring is an achy pain down my right leg as I try to sleep at night. Are they related and what actions should I take? Thank you.

XXXX
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Answered by Dr. Sudhir Kumar (52 minutes later)
Brief Answer:
May be having disc prolapse/lumbar spondylitis

Detailed Answer:
Hi,
Thanks for your query.
I'm Dr Sudhir Kumar.

After going through your query I think you are suffering from lumbar disc prolapse with sciatica. You can confirm it by MRI lumbar spine.

Treatment of it is rest in position of comfort usually lateral position with hip and knee bend. Analgesic such as ibuprofen are helpful in pain relief. Mecobalamine is helpful in recovery.

Second possibility is lumbar spondylitis treatment of it is back exercise, analgesic, glucosamine and Mecobalamine. You can also rule out osteoarthritis of hip X-Ray of hip joints.

You can discuss it with your doctor.
Hope I answered your query. If you have further clarification please don't hesitate to write to me.I will be happy to help you.

Wishing you a good health. Take care.
Above answer was peer-reviewed by : Dr. Vaishalee Punj
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Follow up: Dr. Sudhir Kumar (24 minutes later)
Thank you for your reply. I reread my question and want to clarify something I stated. My hip hurts when walking (I can only walk slowly now) and hurts a great deal when I step up on stairs. Then at night the same side (right) leg hurts in an achey way. I am 56. My Physical Therapist believes it is all from very weak muscles in the pelvic girdle- the glutes and the thigh muscles also. Thank you.
doctor
Answered by Dr. Sudhir Kumar (1 hour later)
Brief Answer:
You may be having early oesteoarthritis of hip

Detailed Answer:
Hi XXXXXXX

After going through your query and follow up query I thought pain may be due to spinal origin as you mentioned it to be severe one and mentioned about it felt in night down in right leg. After carefully considering your query and follow up query I consider that you are most likely having early osteoarthritis of right hip joint.It can be confirmed by X-ray pelvis with both hip-AP view. Treatment of it is analgesic such as ibuprofen for pain relief. Diacerine and glucosamine sulfate help in prevention of cartilage degeneration and promote cartilage regeneration.

I still consider second possibility as lumbar spinal cause (lumbar disc prolapse or lumbar spodylitis). These can be evaluated by lumbar spine MRI as already discussed.

I don't think it due muscle weakness,however muscle weakness can be caused by disuse of hip due to pain.

Other things already discussed.
You can discuss with your Doctor about it.

Hope I have answered your query.
If you have any clarification then I will be happy to help you.If you have no clarification then you can close the query and rate the answer.

Wishing your friend good health.
Take care.
Above answer was peer-reviewed by : Dr. Vaishalee Punj
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Answered by
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Dr. Sudhir Kumar

Orthopaedic Surgeon

Practicing since :1993

Answered : 3345 Questions

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Suggest treatment for severe hip pain, weak thigh and gluteal muscles

Brief Answer: May be having disc prolapse/lumbar spondylitis Detailed Answer: Hi, Thanks for your query. I'm Dr Sudhir Kumar. After going through your query I think you are suffering from lumbar disc prolapse with sciatica. You can confirm it by MRI lumbar spine. Treatment of it is rest in position of comfort usually lateral position with hip and knee bend. Analgesic such as ibuprofen are helpful in pain relief. Mecobalamine is helpful in recovery. Second possibility is lumbar spondylitis treatment of it is back exercise, analgesic, glucosamine and Mecobalamine. You can also rule out osteoarthritis of hip X-Ray of hip joints. You can discuss it with your doctor. Hope I answered your query. If you have further clarification please don't hesitate to write to me.I will be happy to help you. Wishing you a good health. Take care.