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Greetings Donna.Was a colored doppler study to assess the arteries done?What did you hip x-ray and MRI show?Dr. Arun
5-6 years ago, before I was diagnosed with Lupus, and RA (but have no joint deformities?) I had begun having severe hip pain and pain into my thigh only at night when I lay down and never when I was walking. It was severe boring pain 9/10 scale, affected one hip and thigh then the opposite. Urgent Care gave a shot of decadron didnt help at all. Lastly the pain stuck with the right hip. The hip pain after many months finally ceased. I had also started having joint pains and swelling. It would come in one joint, lateral non radial aspect of wrist and in a few hours jump to another like the side of the thumb on the other side and had fluid in my elbows which had to be drained, culture neg but did not have gout crystals. CRP 13-18very high, ANA titer was 1300 RA titer high, Antiphospholipids and anti-cardiolypin titers high. After Prednisone courses,Plaquenil, Metho Trexate over 2 yrs, the only thing that helped was Colchine that helped relieved the symptoms. My rheumatologist moved so havent seen one in 2 yrs, but did an ANA titer and CRP at local FMP office and it was now normal last year.
Left knee old injury 40yrs ago to anterior cruixate ligament, use to shift laterally OUCh, ended my tennis, and never repaired. Couldnt be done back then. Left knee would swell twice size of right after working the 2nd 12 hr shift in the ER constantly moving. Left ER now have a job that I sit a lot. Pain began right after leaving ER. Saw a Chiropractor 2 visits last yr about the hip, i think he was (not very knowledgeble) said left leg was inch longer than the right. I tried a 1/4 inch orthotic in shoe, did NOT help my hip pain.
Hip Xray normal, no arthritic changes, MRI L2 and L5 hearniation but was not enough to cause my symptoms the Spinal Surgeon stated. Normal Nerve conduction test. He also stated maybe I had some SI joint arthritis and said he could schedule to do a nerve block under flouroscopy?...see if that helped the pain and if it did then burn the nerve. His office hasnt called me to schedule that yet and its been 3 weeks.
The hip problem progressively worse over 3 yrs shortening the distance I can walk. Does not hurt when I begin walking, but then starts quickly with a very tired pinching sensation in the hip laterally. then progresses to posterior to the femoral head area. It feels like the femoral head bone is going too deep into the socket and moves out laterally to impinge the muscle and nerves. I take only Vicoprofen twice daily and additional Ibuprofen 400 twice a day. I am not wackie, and put off and put off finding out what this is, but especially the progressive walking limitations, has made me determined now, to find out because I need to walk for exercise! I can't shop at the mall anymore without freq. stops and feel I need a cane.
I do smoke, taXXXXX XXXXXtix 4 different times :( Do get pleuritic chest pains and some fibrotic lung changes since I took the Methotrexate yrs ago. Muscle stiffness, more clumpsy that I used to be. Weight 180 and 5'6".
Good Suggestion- color dopplar study not done yet.
Should I return to the Hip Orthopedic Doctor since the spine was not the problem?
Both legs still go numb,tingly weird sensation at times after driving/sitting not every day, and sometimes several times in one day. The sensation is relieved by stretching and bending forward at the waist. Spine doctor said its not spinal stenosis.
Thank you so much for your time and thoughts here. Im sure in your busy day this is just a hobby for you.
Please list any other additional test that could be done in addition to a Color Dopplar Study. Does that test check my femoral artery blood flow, or is it specific to the blood flow to the right hip?
I would be happy to assist you further, if you need any more information.
Just to let you know. I checked my DP pulses in my feet. Usually they are strong and bounding but I had not checked them in a long time. After your comment suggesting it could be vascular I checked my pulses. The right one I was unable to palpate. I went to a Vascular Surgeon and asked for a Color Dopplar study. The tech immediately told me I had 80 percent occluded area near the junction of the aorta in my illiac artery. I had a stent placement the next week with wonderful results!!!! I can now walk, run around my house 5 times without stopping and without pain.
Thank you so much! I tried to leave a nice verbal feedback, but could not find the right link to do so. So this is a note to let you know you were right on target in your suggestion. Thanks again.