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What Causes Persistent Pain On The Right Side Of Thigh And Hip Joint?

Posted on Tue, 11 Oct 2016

Question: Hello Docor, Good morning!
My problem is, since last about 15 days, I am feeling slight pain on the right side of my thigh-hip joint. Slight pain when I sit cross legged, when I sleep, when I walk etc. Now, the pain has shifted to the depression between right thigh and right pelvis on the lateral side. The pain is located about few inches deep. I also get similar slight pain on the lateral side of the right calf muscle.

Answered by Dr. Neeraj Kumar (1 hour later)

Brief Answer:
Get investigated as advised and continue treatment

Detailed Answer:
Hello,
I have gone through your question and understand your concerns.
At this age you may be having lumbosacral radiculopathy caused by compression of nerve root exiting from foramina.
Other possibility may be hip or sacroiliac joint involvement.
You need to get xray of pelvis region.
Persistent pain should be investigated with Mri of lumbosacral spine region if xray of pelvis is normal.
The medications are OK and needs to be continued.
Avoid sitting crossed leg, stooping forward, squatting.
Hope you found the answer helpful
Do get back to me for further queries.
Regards
Dr N Kumar
Neurologist

Above answer was peer-reviewed by : Dr. Veerisetty Shyamkumar

Follow up: Dr. Neeraj Kumar (5 hours later)

Q1. How long do I have to take these medicines?
Q2. Will these medicines cure and remove the compression of nerve root?
Q3. X ray of Pelvis region from front or behind or sides? Please write the exact words.
Q4. My pain is not persistent. It is off and on. So, MRI is not necessary?
Q5. I worship God by sitting (Palthi mar XXXXXXX baithhna) on the floor. Pain is bearable now. No problem?
Q6. For strengthening my legs and knee joints, daily I do an exercise of carrying 5 Ltr. water full jug in left hand from ground floor to first floor. No problem?
Q7. I am in XXXXXXX Can you recommend some good neurologist?
Q8. What is permanent solution of this problem?
Q9. Will the problem aggravate in due course?
Q10. I know Dr. A. M. XXXXXXX the great neurologist, of River Bank Colony, XXXXXXX Out of touch for many years now. Can you give his contact number?

Answered by Dr. Neeraj Kumar (17 hours later)

Brief Answer:
Take treatment as advised and get investigated

Detailed Answer:
Hello,
The medication need to be continued for 3-6 months depending upon response.
The compression is improved with precautions, regular exercises for back strengthening.
Mri is not necessary and may be postponed.
Xray pelvis AP view and lumbar spine lateral view digital images.
Continue exercises for leg under guidance.
You can continue any neurologist in XXXXXXX or XXXXXXX
Contact number are available online and we cannot put someone number on this forum.
The symptoms may improve but age related changes persists in spine.
Wishing you good health and early recovery.
Regards
Dr N Kumar
Neurologist

Above answer was peer-reviewed by : Dr. Priyanka G Raj

Follow up: Dr. Neeraj Kumar (9 hours later)

Q1. 'Xray pelvis AP view and lumber spine lateral view digital images': Kindly clarify if it is one Xray or two separate xray?
Q2. The medication was taken by me for 7 days only, starting 18/8/2016. I got sufficient relief. So, I think, continuing the medicines for another month should cure this problem. Till then, I want to postpone xray proposed. Will it be alright?

Answered by Dr. Neeraj Kumar (18 hours later)

Brief Answer:
Continue treatment

Detailed Answer:
Hello,
If are getting adequate benefits then xray can be postponed.
Continue treatment and physiotherapy.
Xray can be taken in single film also but requires two images.
Regards
Dr N Kumar

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

Follow up: Dr. Neeraj Kumar (26 hours later)

Please review the medicines prescribed above to me and say if you would like to make any change. These were prescribed by a general physician, not a neurologist.

Answered by Dr. Neeraj Kumar (4 hours later)

Brief Answer:
The drug as advised can be taken

Detailed Answer:
Hello,
THIOSPAS TAB A-4 BD--- is for pain and muscle relaxation and can be taken for 1-2 weeks. Can be extended according to response.

DEFLORID 6 TAB BD ----is steroid and is not required and may be stopped.

GABAMIN TAB 1 HS is for neuropathic pain and can be continued and dose increased if required.
Wishing you good health and early recovery.
Regards
Dr N Kumar
Neurologist

Above answer was peer-reviewed by : Dr. Vaishalee Punj