Can You Tell By What You See Why I Have So Much Pain?

Posted on Thu, 3 Sep 2020

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Thu, 3 Sep 2020 Answered on

24 hours ago Last reviewed on

Question : I've been having bilateral hip pain and left groin pain. It gets worse with any movement, especially walking, standing, lifting. It's best in the morning before I get going. There's less and less time before I have to take Motrin. My doctor referred me to an orthapedic surgeon, but he can't see me until Sept. 11. I did just get a copy of the MRI done on Monday (8/31/20) and out of curiosity, have been looking at it. When I compare it to normal scans on the internet, mine looks pretty bad. Would you please look at the sections I'll attach (just a few instead of about 300) and tell me what you think generally as far as 1) do you see any breaks; 2) do you see any tears; 3) Can you tell by what you see why I have so much pain; 4) taking into account that you are only seeing some of the scans, are you able to predict whether this is something that will be easy to fix so I don't have pain, or am I probably looking at surgery? Thank you so much for your time and effort

Answered by Dr. Aashish Raghu (6 hours later)

Brief Answer:
Answer

Detailed Answer:
Hi there

Thanks for the query

Do you have a report for this MRI scan? Would you be able to share it if possible?

Have you ever taken steroid medication?

From what I see it appears that you have possible Avascular necrosis of the head of femur which is more on the left side than the right. I am not able to comment with certainty because I am able to see only very few cuts of the scan. This means you probably have less blood supply to the head of the femur leading to death of the bone in that region which can be the cause of hip pain.

If you can also share an xray of the hips it would be helpful.

I hope I have answered your query.

I will be available to answer your follow up queries.

Regards,

Aashish Raghu

Above answer was peer-reviewed by : Dr. Nagamani Ng

Follow up: Dr. Aashish Raghu (7 hours later)

I'll try to get the reports and upload them here. I haven't taken steroid medication that I remember. I have taken a fair amount of aspirin, Tylenol and Motrin over the years from various accidents and injuries. I don't have the report on the MRI yet -- they let me have the CD of the images as I was leaving from the test, but I'll see if they have it yet. Thank you.

Answered by Dr. Aashish Raghu (1 hour later)

Brief Answer:
Answer

Detailed Answer:
Thank you for the reply.
Please do let me know if you can get the report or atleast type the conclusion bit in here.

Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

Above answer was peer-reviewed by : Dr. Yogesh D