How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. Arun Phophalia Your Own Question

Dr. Arun Phophalia
Dr. Arun Phophalia, Doctor (MD)
Category: Health
Satisfied Customers: 29648
Experience:  MBBS, MS (General Surgery), Fellowship in Sports Medicine
5625079
Type Your Health Question Here...
Dr. Arun Phophalia is online now
A new question is answered every 9 seconds

I am having extreme hip pain upon weight bearing and ...

Resolved Question:

I am having extreme hip pain upon weight bearing and moving the leg. It does not hurt at all when at rest, unless I move my leg. I have had x-ray and c-scan, both show no fractures. I have had cortizone injections and oral steroids, non of which helped. Please help!!
Submitted: 6 years ago.
Category: Health
Expert:  Dr. Arun Phophalia replied 6 years ago.

Greetings.

What specialist have you consulted? Have you been to physical therapy? Was your lumbosacral spine examined or imaging done? Do you have history of any trauma or accident?

Dr. Arun

Customer: replied 6 years ago.
Reply to Dr. Arun Phophalia's Post: My PCP did cortozone injection and perscribed oral steroids, when this did not help, he sent me for x-rays. X-rays showed no fractures, he then sent me for cat-scan, just called me with the results of that today, scan showed no hip abnormalities. I have an apt with ortho Monday. Pain is incredable upon movement of leg, i feel like it is popping in and out of socket, but scan should show that, right?
History, geez, are you ready for this? I have had between 15-17 surgeries on my legs. Most of which were on my right leg (this current pain is my left leg, previously call my "good leg:(" My last surgery (approx 1 year ago) was a knee replacement on my right leg, which did significantly change my gait, as my R. knee was severly damaged and caused a significant limp. Because of this change of gait, my pcp's first thought was bursitus in the "good hip", but cortozone and steriods did not help, that is why he then suspected a fracture, but that wasnt it either.........Original issue leading to all the mentioned surgeries was a gun shot wound invetro (sp?) my mother was 8 months pregnant when she was shot. the bullet went in my hip and came out my back, affecting lower extremities (no sensation in right leg below the knee), bladder and kidneys. (hows that for a history?)
Expert:  Dr. Arun Phophalia replied 6 years ago.

Hello,

This is mind boggling. Just a Hollywood script. But gave me a clue and indication for the diagnosis. I was perplexed with your amount of pain being just 40 years of age.

The first thing in consideration obviously would be osteoarthritis. Second would be looking for avascular necrosis. I would also look to your back for causing aggravation of this problem by some abnormality there, like scoliosis and pinched nerves there. An MRI is better investigation than the CT scan to assess the joints and back. Apart from MRI, according to the findings, bone scan may also be needed. Braces (you must be knowing very well about them), deep electrotherapy (electrical stimulation, iontophoresis, phonophoresis), physical therapy, analgesics, etc would be helpful.

Please feel free for your follow up questions.

Dr. Arun

Dr. Arun Phophalia, Doctor (MD)
Category: Health
Satisfied Customers: 29648
Experience: MBBS, MS (General Surgery), Fellowship in Sports Medicine
Dr. Arun Phophalia and 3 other Health Specialists are ready to help you
Customer: replied 6 years ago.
I cant imagine osteoarthritis having such a suden onset? would avascular necrosis have a sudden onset? I have a TENS unit (sp?) can i try electronic stimulation on my own? PT is impossible at the moment, any movement causes extreme pain. Is it possible for bursitus to cause such extreme pain? PCP again put me on oral steroids (to get me through the weekend till my apt. with Ortho on Monday). I have also been prescribed celebrex, but have pretty much discontinued use as it didnt seem to be having any affect. Have Lortab and percocet, but havent been taking those either cuz i dont want to feel drugged-and i am pain free when not moving...and they dont seem to help with the extreme pain upon movement. Sorry to go on and on, just picking your brain i guess....i am scheduled to go out of town next week for work and sooooooo am trying to "heal myself" before Monday...any suggestions for home care would be greatly appreciated.
Expert:  Dr. Arun Phophalia replied 6 years ago.

Hello,

All these chronic conditions many at times do present with acute onset of presentation, when there is abnormal weight bearing. Without an examination, it is difficult to give you the diagnosis, but bursitis of any sort has some pain free movements and weight bearing should be not so painful.

I won't agree with your steroid treatment. In the absence of diagnosis, it is not indicated. But some Lortab and Percocet is indicated. TENS is good and you can use it as much as you can, although it too has some tolerance. Not much, I can say as a home treatment but local analgesic patch should be helpful. So do the hot fomentation or Ice (according to your preference).

Dr. Arun

Dr. Arun Phophalia, Doctor (MD)
Category: Health
Satisfied Customers: 29648
Experience: MBBS, MS (General Surgery), Fellowship in Sports Medicine
Dr. Arun Phophalia and 3 other Health Specialists are ready to help you

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
< Last | Next >
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
  • I have been dealing with an extremely serious health crisis for over three years, and one your physicians asked me more questions, gave me more answers and encouragement than a dozen different doctors who have been treating me!! Janet V Phoenix, AZ
 
 
 

Meet The Experts:

 
 
 
  • Nurse Milli, RN

    Nurse (RN)

    Satisfied Customers:

    4043
    20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.
< Last | Next >
  • http://ww2.justanswer.com/uploads/NU/nursescare4u/2013-3-31_03429_JApic.64x64.jpg Nurse Milli, RN's Avatar

    Nurse Milli, RN

    Nurse (RN)

    Satisfied Customers:

    4043
    20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Doctor

    Satisfied Customers:

    102
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor (MD)

    Satisfied Customers:

    5622
    Emergency Medicine and Family Practice for over 26 years
  • http://ww2.justanswer.com/uploads/drphophalia/2007-08-23_095626_dr._arun_phophalia.jpg Dr. Arun Phophalia's Avatar

    Dr. Arun Phophalia

    Doctor (MD)

    Satisfied Customers:

    17025
    MBBS, MS (General Surgery), Fellowship in Sports Medicine
  • http://ww2.justanswer.com/uploads/VA/VANP/2012-6-6_235535_Skye2.64x64.jpg A. Schuyler, NP's Avatar

    A. Schuyler, NP

    Nurse Practitioner

    Satisfied Customers:

    12170
    Board Certified NP, MS, RN. Private practice & hospitalist
  • http://ww2.justanswer.com/uploads/TA/tazechip/2012-6-7_135230_drpic.64x64.png Dr. Chip's Avatar

    Dr. Chip

    Doctor (MD)

    Satisfied Customers:

    10029
    Over 20 yrs of Family Practice
  • http://ww2.justanswer.com/uploads/neurosurg/2009-10-06_120923_profile.jpg Dr. Mark's Avatar

    Dr. Mark

    Doctor (MD)

    Satisfied Customers:

    6234
    U.S. Physician/Surgeon in Neurosurgery