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What causes right-sided hip pain?

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Posted on Tue, 30 Dec 2014
Question: My 14 year old daughter is having pain in her right hip. Lateral rotation is painful and restricted. Medial rotation and flexion are fine. Duration is 3 months. XRays are normal. Physical therapy did not help. Ibuprofen provides marginal relief. She is very active, primarily as a dancer (10 hours per week). MRI scheduled for next week, but I am pessimistic about finding an answer there based on what I've read through this site. Here primary care doctor is speculating piriformis syndrome, iliotibial tract tendonitis, or hip bursitis, but none of those are likely to be confirmed or rejected based on MRI if I understand correctly. Please help if you can, dance competition season is fast approaching!
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Answered by Dr. Dr. Sudhir Kumar (58 minutes later)
Brief Answer:
Transient synovitis may be there.

Detailed Answer:
Hi,
Thanks for your query.

I'm Dr. Sudhir Kumar,

After going through your query I concluded that your daughter may be having synovitis of hip as she has restriction of movements of hip and x ray is normal(excludes arthritis). Now there are three possibilities
1.Transient synovitis- but age and duration is not favoring.
2. Perthes Disease(early stage )
3.Tubercular synovitis -but there is no other symptoms such as loss of weight , loss of appetite and low grade fever.

Till MRI report comes treatment is rest to joint , avoid walking and analgesic such as ibuprofen for pain relief. ESR , TLC and DLC test may be of help.
You can discuss with your treating Doctor about it.

Hope I have answered your query.
If you have any further questions I will be happy to help.
You can also write to me directly on below link:
https://www.bit.ly/askdrsudhirortho

Wishing your daughter a good health.
Take care.

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
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Answered by
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Dr. Dr. Sudhir Kumar

Orthopaedic Surgeon

Practicing since :1993

Answered : 3355 Questions

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What causes right-sided hip pain?

Brief Answer: Transient synovitis may be there. Detailed Answer: Hi, Thanks for your query. I'm Dr. Sudhir Kumar, After going through your query I concluded that your daughter may be having synovitis of hip as she has restriction of movements of hip and x ray is normal(excludes arthritis). Now there are three possibilities 1.Transient synovitis- but age and duration is not favoring. 2. Perthes Disease(early stage ) 3.Tubercular synovitis -but there is no other symptoms such as loss of weight , loss of appetite and low grade fever. Till MRI report comes treatment is rest to joint , avoid walking and analgesic such as ibuprofen for pain relief. ESR , TLC and DLC test may be of help. You can discuss with your treating Doctor about it. Hope I have answered your query. If you have any further questions I will be happy to help. You can also write to me directly on below link: https://www.bit.ly/askdrsudhirortho Wishing your daughter a good health. Take care.