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I recently slipped at work on linoleum in high heels. I caught

 
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  • Answered by:neuromd2012
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Customer Question

I recently slipped at work on linoleum in high heels. I caught myself from falling, however, in doing so my left leg went in front of me with my foot at an angle. Since that time, my hip has been painful on the outside and all of the way to my foot in certain stances, as well as if I bring my leg in towards my right leg (indian style). The joint is noticeably disjointed by at least 1/2 inch. What should I do? There is also some lower back pain associated since this time - pinching sensations.

 

Optional Information:
Person's Gender: Female
Person's Age: 46

Already Tried:
Ice, heat, ibuprofen.

Submitted: 303 days ago.
Category: Neurology
Value: $38
Status: CLOSED

Accepted Answer

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Expert:  neuromd2012 replied 303 days ago.


neuromd2012 :

HI

neuromd2012 :

are you there?

Customer :

yes

neuromd2012 :

ok

neuromd2012 :

so it sounds from your description that you have something called a anterior labral tear

neuromd2012 :

but I wanted to ask some questions first

neuromd2012 :

ok?

Customer :

okay.

neuromd2012 :

so you were on heels, and you slipped with your leg extended in front and your ankle rolled a little like if you were to sprain it, an eversion sprain correct?

neuromd2012 :

and now your hip bone is sticking out a little? the head of your femur?

Customer :

yes, that is correct. caught most of my weight on my back leg but no pain there. and yes the head of my femur is sticking out at least .5 inches compared to the right side and i cannot bear weight on it for a long amount of time.

neuromd2012 :

not good

neuromd2012 :

here is a webpage, if you scroll down you will read on something called an anterior acetabular labrum tear, it can happen in a one time trauma, I think it says that

neuromd2012 :

http://www.orthopaedia.com/display/Main/Acetabular+labral+tear

Customer :

It has progressively worsened over the last few days. So what type of doctor should I see and what are the expected outcomes? surgery?

neuromd2012 :

you need to see an orthopedic that specializes in hips. and you need an MRI of your hip

neuromd2012 :

you may need surgery

neuromd2012 :

sometimes PT can get it to pop back in, it depends on the MRI

neuromd2012 :

orthopedic surgeon

Customer :

Well, that is what I thought it would come to. Once upon a time, I was a pre-med major........but since the injury is not getting better I am now concerned.

neuromd2012 :

yes, you can tear up your acetabulum more and more as you walk

neuromd2012 :

the head of your femur is displaced and there might be a fragment in the way

neuromd2012 :

fragment of the acetabulum, which is the cup

neuromd2012 :

the anterior ridge of your cup got hurt

Customer :

Thank you for your information and help. Because I am on my feet more often than not, that explains the increasing pain. (900000 steps in 5 days....). I will call for an appointment on Monday morning.

neuromd2012 :

wow, yes, you need to chill you hip. and see a doc ok?

neuromd2012 :
Customer :

Understood! I will try and take it easy and go for medical treatment. I appreciate your help.

neuromd2012 :

if you feel I answered your question, please rate me as that is how I get compensation. thank you Dr Frank T

neuromd2012 :

you are welcome

Customer :

I will. Thank you.

Expert TypeBoard Certified Physician
Category: Neurology
Pos. Feedback: 95.5 %
Accepts: 5540
Answered: 7/7/2012

Experience: General Adult Neurologist. Board Certified. Experimental Neuroimaging and Neurodiagnostics

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