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 Coachrobmd Your Own Question

Coachrobmd
Coachrobmd, Internal Medicine MD
Category: Medical
Satisfied Customers: 1785
Experience:  •Fmr. Dir. Hep. C Clinic. •Fmr. Dir. Head Trauma Rehab Ctr.
Type Your Medical Question Here...
Coachrobmd is online now
A new question is answered every 9 seconds

pain in and around the pelvic and hip area lower back , pain on both sides?

Customer Question

pain in and around the pelvic and hip area
lower back , pain on both sides?
Submitted: 2 years ago.
Category: Medical
Expert:  Coachrobmd replied 2 years ago.

Coachrobmd :

Hi, I'm Doctor Robert, a Medical Internist (MD) who deals with diseases of all organ systems. All my education has been completed in the US.

Coachrobmd :

The views expressed here are for educational purposes only and do not establish a physician-patient relationship. It is NOT intended to replace your own physician's advice or diagnosis. If this is an emergency, stop now and please call 9-1-1 or go to the nearest Emergency Room.

Coachrobmd :

Are you there? If so, NOW is the time to chime in so we can chat.

Coachrobmd :

Lower hip pain can be due to:

Coachrobmd :

1. disk disease in the lumbar area

Coachrobmd :

2. uterine fibroids

Coachrobmd :

3. iliopsoas (muscle) damage or cysts

Coachrobmd :

4. psoas tendon injury

Coachrobmd :

This would require an MRI to evaluate the anatomy of this area to discern which, if any, of these items exist.

Coachrobmd :

Each has different therapies, so it is important to distinguish between them.

Coachrobmd :

I see you've had 'shots' but that doesn't explain where, by whom, etc.

Coachrobmd :

So, I'm in the dark a bit here.

Coachrobmd :

Are you there?

Customer:

Yes I'm here

Coachrobmd :

Can we chat now? Yes or No?

Customer:

yes i'm here. what can you tell me

Coachrobmd :

Have you read what I've written so far? Yes or No?

Coachrobmd :

Please keep your answers on the short side so we can communicate back and forth more easily.

Customer:

yes i'm here, what can you tell me. yes.

Coachrobmd :

I need to know if an MRI was ever done? Yes or No? Please type just ONE of those words so you don't have to type so much.

Customer:

yes

Coachrobmd :

When,and what did it show?

Customer:

degeneration of disk, the shots I had was a a set three, and I had shots three times.

Coachrobmd :

Well, if you have disk degeneration, that's the cause.

Coachrobmd :

Let me continue please.

Coachrobmd :

The shots, called intrathecal, are an attempt to get nerve numbing stuff into the spaces between the vertebrae which are squishing the nerves. This is called "neurogenic disk pain" and is VERy tough to treat.

Coachrobmd :

I had the same issue,and it took me some time to find the right radiologist to inject me. This is a very techincal procedure and if not done by the person with the right experience, it's not going to work.

Coachrobmd :

Then there is the issue of whether or not the medication gets to the right spot.

Coachrobmd :

So, there are many factors as to whether or not this is going to work.

Coachrobmd :

Does this make sense? Yes or No? Please type just ONE of those words so you don't have to type so much.

Customer:

yes

Coachrobmd :

Please stay with me so I can help you better. I need you to respond to my questions.

Coachrobmd :

So, given what I've said, and having suffered horrifically with back pain myself, I've been exactly where you were. So much so that I could no longer walk.

Coachrobmd :

And then I went to a neurosurgeon and he had two suggestions.

Coachrobmd :

1. Tough it out if you can (I couldn't)

Coachrobmd :

2. Consider neurosurgery.

Coachrobmd :

This can involved a laminectomy, a diskectomy, or a lumbar fusion. I chose the fusion, and can now walk pain free.

Coachrobmd :

Has this been discussed by a neurosurgeon with you? Yes or No? Please type just ONE of those words so you don't have to type so much.

Customer:

no

Coachrobmd :

Can you see one for a consultation?

Customer:

yes

Coachrobmd :

Okay, Let me continue please.

Coachrobmd :

1. Schedule an appointment with one that a friend has seen.

Coachrobmd :

2. Bring your medical records

Coachrobmd :

3. Bring the MRI itself. Go to the radiology suite where it was done, and they will burn a copy to a CD disk.

Coachrobmd :

4. Let the neurosurgeon look at it himself. The written report is NOT good enough; he needs to see it himself.

Coachrobmd :

5. Ask him if he things a laminectomy, disk procedure, or spinal fusion will help.

Coachrobmd :

6. If not, ask him who HE sends his patients to for pain injections. He may have a top notch guy who does a great job. Not knocking YOUR pain guy, but they're not all created equally :- (

Coachrobmd :

7. After that, you'll have a better plan of attack.

Coachrobmd :

Does this make sense? Yes or No?

Customer:

yes, can i print this?

Coachrobmd :

Yes, and here's how.

Coachrobmd :

To copy this, click at the top of this page with the mouse button, drag the cursor all the way down to the bottom (this will highlight the text), and then go to the EDIT menu and select COPY. Then EDIT:PASTE it into a text document. That's a way to save it.

Coachrobmd :

I cannot email it because the site does not allow it. If you accept this answer, i can email you the link tomorrow to this (the site doesn't allow it to be done the same day) and in that email, you'll find the link to this question).

Coachrobmd :

Then, you'll have it forever.

Coachrobmd :

Does this make sense?

Coachrobmd :

Are you still there?

Customer:

ok at the bottom of screen it says save and exit, is this ok. i do need all the imformation you gave.

Coachrobmd :

I don't know, because I can't see your screen. But if you click accept, I'll send you the link. That works for everybody.

Coachrobmd :

They just made site changes, so everything is different on both our screens.

Customer:

i accept

Coachrobmd :

Click on it and I'll send you the link. I can't do that unless accept has been clicked and that option becomes available.

Coachrobmd :

I don't design the site; I just answer the qeustions :- )

Customer:

i can't get the click accept to work do i just do the rating?

Coachrobmd :

Do the rating and I'll have Customer Service Representative (CSR) do the accept.

Coachrobmd :

then I'll be able to send the link.

Coachrobmd :

Are we set?

Coachrobmd :

POSITIVE feedback is FREE for you to leave about our session today. It is VERY important for me to get feedback so I can help customers the best way possible. This is VERY different than an office setting where I can see if you're satisfied with our discussion. Please consider taking one minute to fill this out. Thank you.

Customer:

ok thank you very much , you have been very helpful.

Coachrobmd :

And I pray you get relief.

Coachrobmd :

Thanks for coming to JustAnswer.com today. If you ever want me again for other medical issues, please type FOR COACHROBMD ONLY in the subject line. Have a great day.

Coachrobmd :

try accept one more time if you don't mind.

Coachrobmd :

Take care,

Coachrobmd :

CoachRobMD

Coachrobmd, Internal Medicine MD
Category: Medical
Satisfied Customers: 1785
Experience: •Fmr. Dir. Hep. C Clinic. •Fmr. Dir. Head Trauma Rehab Ctr.
Coachrobmd and 3 other Medical Specialists are ready to help you
Expert:  Coachrobmd replied 2 years ago.
The site is here. Now you can find it!

best of luck and write back when you know more.

CoachRobMD

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 feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
< Last | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
  • 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
 
 
 

Meet The Experts:

 
 
 
  • Dr. Thomas, MD

    Board Certified Physician

    Satisfied Customers:

    46349
    Internal Medicine--practice all of internal medicine, all ages, family, also Integrative, CAM, etc
< Last | Next >
  • http://ww2.justanswer.com/uploads/DR/DrThomasMd/2012-7-25_134438_Imagess1.64x64.jpg Dr. Thomas, MD's Avatar

    Dr. Thomas, MD

    Board Certified Physician

    Satisfied Customers:

    46349
    Internal Medicine--practice all of internal medicine, all ages, family, also Integrative, CAM, etc
  • http://ww2.justanswer.com/uploads/MY/mysticdoc/2012-6-8_15615_mysticdoc3.64x64.jpg Dr. D.J.'s Avatar

    Dr. D.J.

    Board Certified Physician

    Satisfied Customers:

    14679
    MD
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Board Certified Physician

    Satisfied Customers:

    76
    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

    Satisfied Customers:

    2562
    Emergency Medicine and Family Practice for over 26 years
  • http://ww2.justanswer.com/uploads/DR/drappapo/2013-8-16_22576_drdavid.64x64.jpg Dr. David's Avatar

    Dr. David

    Board Certified Physician

    Satisfied Customers:

    224
    Treat children/young adults, former chief resident, multiple publications
  • http://ww2.justanswer.com/uploads/DrDLove/2009-08-12_141522_DrDLove.jpg Dr. D. Love's Avatar

    Dr. D. Love

    Doctor

    Satisfied Customers:

    11961
    Family Physician for 10 years; Hospital Medical Director for 10 years.
  • http://ww2.justanswer.com/uploads/CO/commissure/2011-4-15_192514_REISD20080926JR1090.64x64.jpg Dr. David's Avatar

    Dr. David

    Board Certified Physician

    Satisfied Customers:

    10667
    Experienced Physician trained in New York City. I'm ready to help.