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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Raised ESR Levels And Hip Pain?

Blood tests revealed raised ESR of 31 three weeks ago have had tests repeated and this has revealed raised ESR and CRP levels. I am 36 and experiencing dull achy pain in my right hip for over a year which is sometimes worse at night. I am generally feeling fatigued however a year ago I had a full abdominal hysterectomy. Should I be concerned.
Thu, 18 Sep 2014
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Orthopaedic Surgeon 's  Response
Hello,

I have studied your case with diligence.
Raised CRP and ESR suggest arthritis
As per your history there is possibility of polyarthritis.

You may need further investigation to diagnose reason for raised esr.

Till time take analgesic like etodolac 300 and cartilage protecting medication like glucosamine sulphate.
For hip arthritis joint flexion, extension and rotation exercises will help.
Physiotherapist will help you better to learn more exercises in proper protocol.
If required intra-articular injection can be given if no relief with medication.

Diet rich in calcium and protein will help.

You may consult physiotherapist for further guidance. He may start TENS, or ultrasound which is helpful in your case.


Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.

Wishing you good health.

Take care.
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  User's Response
HI
Well come to HCM
The elevated ESR is not the alone indication of any disease but underlying cause of this need to be found out, elevated value of ESR just shows that some pathological condition is there, some time this can be seen in normal subject, if the hip pain is due to some infection then ESR would be high, hope this information helps.
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What Causes Raised ESR Levels And Hip Pain?

Hello, I have studied your case with diligence. Raised CRP and ESR suggest arthritis As per your history there is possibility of polyarthritis. You may need further investigation to diagnose reason for raised esr. Till time take analgesic like etodolac 300 and cartilage protecting medication like glucosamine sulphate. For hip arthritis joint flexion, extension and rotation exercises will help. Physiotherapist will help you better to learn more exercises in proper protocol. If required intra-articular injection can be given if no relief with medication. Diet rich in calcium and protein will help. You may consult physiotherapist for further guidance. He may start TENS, or ultrasound which is helpful in your case. Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care.