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Having bulging discs, hip pain. Had multiple soft tissue injuries. How long this will last?

hi ,i fell 4 meters ,,13 feet from a ladder last june i had multiple soft tissue injuries to my lumbar region//and my rt hip.. mri showed bulging discs with l5s1 2lower discs the worst ,,also some degenarative diesease would have been there before the accident ,,also small schmorls nodules hip has lost feeling like the nerves are damaged i.e no feeling when i scratch the area ,but the hip itself causes me alot of pain as does my lumbar region at site of trauma .my condition is not improving i use aid of crutch to walk ..any ideas how long this will last
Asked On : Fri, 1 Mar 2013
Answers:  2 Views:  27
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General & Family Physician 's  Response
Hi and thanks for the query,

It might be difficult to predict from this description for two main reasons. It is of utmost importance to actually measure the degree of the traumatic lesions, and secondly, effectively exclude or confirm the presence of an associated autoimmune disease or degenerative bone disease.

I suggest the opinion of a rheumatologist to effectively screen for osteoarthritis and exclude osteonecrosis of the femoral head whihc could in most circumstances explain the hip pain. Rheumatoid arthritis and other inflammatory soft tissue diseases should be carefully checked for and excluded in the rheumatologic evaluation. It is only after this that an effective treatment and management plan can actually be instituted and followed up. Thanks and kind regards as I wish you the best of health.

Kind regards.

Bain LE, MD.
Answered: Sat, 7 Sep 2013
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Orthopaedic Surgeon, Joint Replacement Dr. K. Naga Ravi Prasad's  Response
Jul 2013
Hi, thanks for writing to HCM.

The conservative management of Lumbar disc disease is as follows

* avoid lifting heavy weights as it imparts more strain on your back
* avoid forward bending activities as it will worsen the disc protrusion
* Use a lumbosacral back support to augment your spinal muscles
* Intermittent pelvic traction to cause a regression of disc
* Maintain optimum body weight,if you are obese
* Physiotherapy to strengthen your back muscles. Physiotherapy has to be done only after the acute pain has subsided.
* Judicious use of analgesics and muscle relaxants as needed.

An xray of the painful hip is necessary to see for any arthritic changes, if it is inconclusive an MRI scan is needed to establish the cause of your pain. The treatment depends upon the diagnosed condition.

Hope this information is helpful. Good day
Answered: Sat, 7 Sep 2013
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