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Suggest Treatment For Weakness And Pain In The Hips
Question: at present some times i have pain in both of my hips and some times also feel pain in my right knee. some times also feel weakness and pain in my legs below knee when i walk too mich or have too much exertion. in march 2016 i had my mri done for both hips where doctor told me that i am having avn of grade 3 in right hip and grade 2 in left hip. is it sciatica or avn only and will it lead to hip replacement in future also?
Brief Answer:
AVN Grade 3 requires hip replacement. Less chance of sciatica needs evaluat
Detailed Answer:
Hi there.
Thanks for the query.
The pain in the hips is because of the AVN. This can also cause knee pain because of the common nerve supply between the hip and the knee regions.
AVN Grade 3 warrants hip replacement whereas there are other surgeries for AVN Grade 2 early stage.
Sciatica wife present will cause shooting pain from the lower back or the buttock, down the back of your thigh and leg, associated with tingling and numbness sometimes.
It does not appear that you have Sciatica, but since you have weakness of the leg muscles, it is better to get yourself evaluated for slip disc and spondylosis of the lumbosacral spine by your Doctor and am MRI of the lumbosacral spine could help in the diagnosis.
I hope I have answered your query.
I will be available to answer your follow up queries.
Regards,
Dr. Aashish Raghu
AVN Grade 3 requires hip replacement. Less chance of sciatica needs evaluat
Detailed Answer:
Hi there.
Thanks for the query.
The pain in the hips is because of the AVN. This can also cause knee pain because of the common nerve supply between the hip and the knee regions.
AVN Grade 3 warrants hip replacement whereas there are other surgeries for AVN Grade 2 early stage.
Sciatica wife present will cause shooting pain from the lower back or the buttock, down the back of your thigh and leg, associated with tingling and numbness sometimes.
It does not appear that you have Sciatica, but since you have weakness of the leg muscles, it is better to get yourself evaluated for slip disc and spondylosis of the lumbosacral spine by your Doctor and am MRI of the lumbosacral spine could help in the diagnosis.
I hope I have answered your query.
I will be available to answer your follow up queries.
Regards,
Dr. Aashish Raghu
Above answer was peer-reviewed by :
Dr. Prasad
so the lab test for slip disc and spondylytis of lumbosacral spine is required only for leg muscles only or is it required to confirm for avn as well...
at present i am taking tablet ald3 which includes alfacalcidol and calcium carbonate and tablet allmec which includes methylcobalamine, alpha lipoic acid,folic acid and pyridoxine salt once a day and also one tablet whose name i dont remember but its empty stomach once a week and probably the salt is risedronate. these tablets i am taking for last 6 months.so should i continie these tablets or should i stop due to some possible side effect or should i start some new medicines to delay the decaying of hip ball and the possible hip replacement.
at present i am taking tablet ald3 which includes alfacalcidol and calcium carbonate and tablet allmec which includes methylcobalamine, alpha lipoic acid,folic acid and pyridoxine salt once a day and also one tablet whose name i dont remember but its empty stomach once a week and probably the salt is risedronate. these tablets i am taking for last 6 months.so should i continie these tablets or should i stop due to some possible side effect or should i start some new medicines to delay the decaying of hip ball and the possible hip replacement.
Brief Answer:
Many risks of medication, need to discuss with your Doctor
Detailed Answer:
The MRI Scan is needed to look for slip disc only.
The medication that you are on is acceptable for reducing the progression of AVN of head of the femur.
There can be done side effects like bone pain and possibility of Oesophageal cancer risk, osteonecrosis of the jaw, gastritis, suppression of Bone turnover. It is usually advisable to avoid more than 1 year therapy, though clear standards of care in this regard haven't been established.
It is best to consult with your Doctor regarding these risks and the possible benefits that you are facing in this situation before changing the treatment regime.
Many risks of medication, need to discuss with your Doctor
Detailed Answer:
The MRI Scan is needed to look for slip disc only.
The medication that you are on is acceptable for reducing the progression of AVN of head of the femur.
There can be done side effects like bone pain and possibility of Oesophageal cancer risk, osteonecrosis of the jaw, gastritis, suppression of Bone turnover. It is usually advisable to avoid more than 1 year therapy, though clear standards of care in this regard haven't been established.
It is best to consult with your Doctor regarding these risks and the possible benefits that you are facing in this situation before changing the treatment regime.
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
ok thanks. any other medicine you want to advise which canbe helpful for me to increase blood circulation in the affected area or to strengthen the decaying bone....
Brief Answer:
Non loading cardio exercise
Detailed Answer:
I would suggest regular Mon loading cardio exercise as this will help in the natural blood circulation such will do wonders.
No need for any other Medicine.
Non loading cardio exercise
Detailed Answer:
I would suggest regular Mon loading cardio exercise as this will help in the natural blood circulation such will do wonders.
No need for any other Medicine.
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
ok thanks. as you have shared the side effects of medicines so should i stop all 3 medicines after 1 year or are you refering to any one specific medicine only.can you also share the benefit of allmec tablet which i am taking.please also share some ?ore details on mon loading cardio exercise.
Brief Answer:
No common side effects. Static cycling and swimming
Detailed Answer:
That Medicine doesn't have much of side effects but should be taken only as your Doctor has advised. You can do Static exercise bike cycling and swimming.
No common side effects. Static cycling and swimming
Detailed Answer:
That Medicine doesn't have much of side effects but should be taken only as your Doctor has advised. You can do Static exercise bike cycling and swimming.
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.
Above answer was peer-reviewed by :
Dr. Prasad
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