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What Is The Treatment For Pain In Groin And Pain Behind The Knee And Hip?

Posted on Fri, 17 Jan 2014

Question: Hello, I have pain in the groin on the right side. It's painful to sit on that side. I have pain in the right shin, behind the right knee, and in the right hip. I've had a vaginal ultrasound which ruled out problems with female organs. I've had pain in the groin off and on for years, but keeping active seemed to minimize this. Now I have been less active, and the pain seems worse. What do these symptoms indicate?

Answered by Dr. Rakesh Karanwal (36 minutes later)

Brief Answer: Get an MRI of right hip joint+lower backbone done Detailed Answer: Hi Mrs. XXXXXXX Thanks for your query. From the information provided, you are apparently suffering from either, 1. Osteoarthritis of the Right Hip joint with possible erosion and thinning of the joint's wall; 2. Degeneration of the head of the right thigh bone due to disruption of its blood supply. It might also be "pinching" (pressing upon) the nerves which supply the right lower limb; 3. Weakening and collapse of the lower back bone due to osteoporosis, causing pressure over the nerves of right lower limb; or, 4. Disc herniation in the lower back bone, leading to "pinching' of the nerves of right buttock and right lower limb. I would therefore recommend that you get an MRI of the hip joint and lower backbone done, which will reveal the exact cause. Consult your doctor and apprise him of my opinion. I am certain that he will agree with my opinion; order MRI scan and other required tests, and- based on the reports- will arrive at a certain diagnosis and prescribe suitable treatment as advised. Hope I have addressed to your concerns to your complete satisfaction and you find my response helpful and informative. I will be happy to answer further queries, if any. Fond regards and have a nice day, Col (Dr.) Rakesh Karanwal

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Rakesh Karanwal (16 hours later)

Dear Dr. Karanwal, Can you provide ideas of possible treatment for these conditions? If the MRI shows #1, for example, what would the treatment be? If it is #2, what would the treatment be, etc.? I suffered a herniated disc of the lower back in my twenties. Rest was the treatment followed by crunches. In a separate injury, I fell straight down on to my right hip in a roller skating fall during those years. Do these problems exacerbate the current pain problems? Would exercise on the treadmill help or further damage the bones/joints involved? Thank you so much, Cathy King

Answered by Dr. Rakesh Karanwal (4 hours later)

Brief Answer: Orthopedic/Neuro Surgeon's consult is 1st priority Detailed Answer: Hi Mrs. XXXXXXX The precise treatment would be best known to the orthopedic surgeon. However, for Condition No. 1, either a bony graft to reinforce the joint wall; or, hip replacement may be required, depending on MRI findings and the Surgeon's decision. For Condition No. 2, replacement of the head of thigh bone, with prosthetic head; or, hip joint replacement may be required. For No. 3 & 4, decompression by removing the culprit discs and offer support to the back bone with bone grafts or a metal plate. Disc herniation sustained in early years, is responsible for your pain in right lower limb. Any undue physical exertion can aggravate discs' herniation and even cause weakness in the leg. It would be preferable if you consult an orthopedic and neurosurgeon: let them evaluate the condition of bones and degree of nerves' compression. Depending on their final conclusion, they would be best judge to advise you appropriate exercises. till then, I will recommend AGAINST treadmill exercise. Instead, you should go for leisure walks. Fond regards, Dr. Rakesh Karanwal

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Rakesh Karanwal (3 hours later)

Dear Dr. Karanwal, Thank you for your discussion of my problems. I do appreciate it, and will consult my family doctor first, and then get the necessary referral to the Orthopedic Surgeon. My brother is a Physiatrist, and I'll probably discuss it with him as well. He's really against back surgery, so I'll have to see. Thanks again. Gratefully, Cathy King

Answered by Dr. Rakesh Karanwal (21 hours later)

Brief Answer: Have a nice day Detailed Answer: Hi Mrs. XXXXXXX My pleasure, ma'am. Warm regards, Dr. (Col) Rakesh Karanwal

Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar