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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Hip Pain, Eases When Lying Down. Help

I was carrying a baby in a car seat down stairs several times after which I noticed a pain in hip area on right hand side. pain comes on at end of day not every day by any means and when comes on gets very intense for which I find only way to ease it is to lie down in bed. It generally takes one to two hours to ease and then it is fine until next bout . sometimes will go a number of days and sometimes couple weeks or more. find different sitting positions will bring it on or twisting around such as when sewing and ironing sitting on a stool. And being on feet all day. This started after the above mentioned over 12 months ago now. Have been to an osteopath but this has not cured it.
Wed, 31 Jul 2013
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Orthopaedic Surgeon, Joint Replacement 's  Response
Hi, thanks for writing to HCM.

All the symptoms in the description suggests that you have some problem inside the Hip joint. This could propably be due to cartilage wear in the head of femur or in the acetabulum.

You need an initial xray to detect any joint space narrowing in the hip joint.

The preliminary management is as follows -

* PHYSICAL THERAPY : The mainstay of treatment in the early case is physical therapy, which should be directed at maintaining joint mobility and improving muscle strength. Other measures, such as massage and the application of warmth, may reduce pain.

* LOAD REDUCTION : Protecting the joint from excessive load may slow down the rate of cartilage loss. It is also effective in relieving pain. Weight reduction for obese patients, wearing shock-absorbing shoes, avoiding activities like climbing stairs and using a walking stick are worthwhile.

* ANALGESIC MEDICATION : Simple over the counter medications like acetaminophen is sufficient in most cases. If this fails to control pain, a non-steroidal anti-inflammatory drug may be better.

I suggest you to consult an orthopedic surgeon and act according to the advice.

Hope this information is helpful. Good day
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Hip Pain, Eases When Lying Down. Help

Hi, thanks for writing to HCM. All the symptoms in the description suggests that you have some problem inside the Hip joint. This could propably be due to cartilage wear in the head of femur or in the acetabulum. You need an initial xray to detect any joint space narrowing in the hip joint. The preliminary management is as follows - * PHYSICAL THERAPY : The mainstay of treatment in the early case is physical therapy, which should be directed at maintaining joint mobility and improving muscle strength. Other measures, such as massage and the application of warmth, may reduce pain. * LOAD REDUCTION : Protecting the joint from excessive load may slow down the rate of cartilage loss. It is also effective in relieving pain. Weight reduction for obese patients, wearing shock-absorbing shoes, avoiding activities like climbing stairs and using a walking stick are worthwhile. * ANALGESIC MEDICATION : Simple over the counter medications like acetaminophen is sufficient in most cases. If this fails to control pain, a non-steroidal anti-inflammatory drug may be better. I suggest you to consult an orthopedic surgeon and act according to the advice. Hope this information is helpful. Good day