HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
159 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

What Does This Xray Report For Pelvic Pain Indicate?

I recently saw a PA at my Doctor s office. My chief complaint was pain in the pelvic area - specifically in the right hip. I ve had this pain for about 3-4 months. It comes and goes. It s not sharp, but the dull pain is always there when I lean on my right leg or do certain stretches. I play tennis and may have aggravated it a few weeks ago, wherein it got worse. When I went to my apt, the PA ordered a blood test (I have Arthritis and Osteoporosis that runs in my family). He did an x-ray as well. The blood test came back today and showed everything as Normal . The x-ray showed Minimal DJD changes in Right acetabulum . My question is this: 1) What is minimal DJD changes in the Right acetabulum 2) Should I go see a Orthopedist to get a second opinion and another x-ray? 3) Should I go see my OB/GYN for an exam to rule out Pelvic Inflammatory Disease? (Although I m not having any pain or discomfort in my abdomen or vaginal area) Thanks for your help, Kellie
Tue, 1 Dec 2015
Report Abuse
Orthopaedic Surgeon 's  Response
Hello Kellie,
Welcome to HCM
Going with answers to your questions
1) DJD means- degenerative joint disease, mild DJD is, therefore, mild degenerative changes in the right acetabulum area. (Mild osteoarthritis Hip)
2) whether you should visit an orthopedic surgeon or not depends on x-ray picture and also on certain other factors I will answer it later.
3) Pelvic inflammatory disease would have been an issue if you were having- white/yellow/green foul-smelling vaginal discharge, burning sensation while urination, dull pain in stomach or below umbilicus area, fever, nausea etc.
It would have helped in discussing treatment part if your age would have been mentioned in this query
My current recommendation are
1) Over the counter painkiller for pain relief.
2) lifestyle modifications
Avoid stressful activities causing exacerbation of pain.
weight reduction if it's above limits- excess weight puts more pressure on hips and knees.
There is a great range of exercises to stretch hip joint maintaining muscle tone, muscle strengthening also decreases wear and tear of joint cartilage and helping in some patients.
If you have tried these and still have no relief with symptoms visit Gynaecologist as well as Orthopedician. your symptoms could be due to PID and mild DJD Acetabular changes could be an incidental finding. The gynaecologist will treat PID and orthopedics will help in preventing progression of OseteoArthritis Hip. It can also be another way round where OBG specialist will rule out PID and orthopaedician will treat the DYD. The only way to confirm is a physical examination.
for any further query/ second opinion follow me at HCM
Regards
Dr. Sumit Chawla
I find this answer helpful

Note: For further follow up on related General & Family Physician Click here.
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 

Related questions you may be interested in


Loading Online Doctors....
What Does This Xray Report For Pelvic Pain Indicate?

Hello Kellie, Welcome to HCM Going with answers to your questions 1) DJD means- degenerative joint disease, mild DJD is, therefore, mild degenerative changes in the right acetabulum area. (Mild osteoarthritis Hip) 2) whether you should visit an orthopedic surgeon or not depends on x-ray picture and also on certain other factors I will answer it later. 3) Pelvic inflammatory disease would have been an issue if you were having- white/yellow/green foul-smelling vaginal discharge, burning sensation while urination, dull pain in stomach or below umbilicus area, fever, nausea etc. It would have helped in discussing treatment part if your age would have been mentioned in this query My current recommendation are 1) Over the counter painkiller for pain relief. 2) lifestyle modifications Avoid stressful activities causing exacerbation of pain. weight reduction if it s above limits- excess weight puts more pressure on hips and knees. There is a great range of exercises to stretch hip joint maintaining muscle tone, muscle strengthening also decreases wear and tear of joint cartilage and helping in some patients. If you have tried these and still have no relief with symptoms visit Gynaecologist as well as Orthopedician. your symptoms could be due to PID and mild DJD Acetabular changes could be an incidental finding. The gynaecologist will treat PID and orthopedics will help in preventing progression of OseteoArthritis Hip. It can also be another way round where OBG specialist will rule out PID and orthopaedician will treat the DYD. The only way to confirm is a physical examination. for any further query/ second opinion follow me at HCM Regards Dr. Sumit Chawla