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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Osteoarthritis Of Hip, MRI Suggests Spinal Stenosis, Mild Disc Bulging. Is Hip Surgery Required?

My mother has osteo arthritis of her hip no notice of fx or boney abnormalities but her MRI suggests spinal stenosis , L-4-5 mild disc bulging L3-4 mild listhesis of L4-L5 and my brother feels she should go in for hip surgery I feel there are tow components to this and want to know what questions to ask the surgeon since he only noted the osteoarthrisis on the hip and did not mention the back at all
Wed, 26 Jun 2013
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Orthopaedic Surgeon, Joint Replacement,  's  Response
Hi, thanks for writing to HCM. You have mentioned about the MRI findings but not about your mothers symptoms. Generally, symptoms arising from the hip are localised to groin in the front and gluteal region in the back by way of having pain in those areas. Whereas pain due to spinal problem will originate in the midline of lower back and continue down along hip, thigh,knee,ankle and toes especially along the posterior part of leg.
So, its always wise to rule out any pathology in the hip prior to planning any surgery on the spine. Hope this helps
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Osteoarthritis Of Hip, MRI Suggests Spinal Stenosis, Mild Disc Bulging. Is Hip Surgery Required?

Hi, thanks for writing to HCM. You have mentioned about the MRI findings but not about your mothers symptoms. Generally, symptoms arising from the hip are localised to groin in the front and gluteal region in the back by way of having pain in those areas. Whereas pain due to spinal problem will originate in the midline of lower back and continue down along hip, thigh,knee,ankle and toes especially along the posterior part of leg. So, its always wise to rule out any pathology in the hip prior to planning any surgery on the spine. Hope this helps