Orthopedics Questions? Ask an Orthopedist for Answers ASAP
Hi. Welcome to JustAnswer. My name is Uzair.I am reviewing your post and will get back to your reply momentarily.
What is your age and gender?
An ESR of 85 means there is chronic inflammation and not an acute one. CRP shows acute inflammation and absence of fever and a normal CRP rules out acute inflammation, this along with symptoms of bilateral hip pain indicate joint inflammation. An x ray is an inadequate imaging to evaluate the hip joint so, I would advise that you have an MRI of the hip done along with a serum Ra factor to rule out arthritis. This is not a life threatening situation so there is no need to be alarmed. Just follow up with your physician for the required tests and ensure a proper evaluation.
Hope this helps.
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No, as I stated, CRP is only raised in acute inflammatory reactions where as the ESR is an indicator of chronic inflammation. So, a raised ESR from 8.5 to 85 in 2 months means there is a chronic inflammatory reaction going on which should be investigated.
The calcium is normal and the Ra factor is negative, that means an MRI of the hip should be done to see if there is really any changes in the joints depicting arthritis. Arthritis can be seronegative, which means that it can be present with negative Ra factor.
Thanks for the reply.
You need to see an orthopedics or rheumatologist when you get the final report for further management.
Fluid can build up due to any inflammation within the joint and the most common cause is arthritis and most likely osteoarthritis in your case.
It can be infection or inflammation of the bursa called bursitis.
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Let me know if you have followup questions.