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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes A Radiating Pain?

Hi Dr.herrick , one dr has diagnosed me with hip labral tear and FAI. Whereas another dr says i just have osteitis pubis, and very weak core muscles...is there any way to differentiate where the pain is coming from..i have deep musculoskeletal pain radiating to legs and extrreme foot pain
Mon, 17 Apr 2017
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Orthopaedic Surgeon 's  Response
Hi i am Dr Ahmed Aly
thanks for using HealthcareMagic site ,
I had gone through your question and understand your concerns ..

That could be sciatica due to nerve compression , as it may cause radiating throbbing neuropathic pain as mentioned in your give history , numbness and tingling may also be felt .
For my patients i recommend painkillers ( NSAIDs ) like tylenol 400mg tabs when needed , gentle massaging with topical anti-inflammatory gels , muscle relaxants , B12 vitamin supplements , in more severe or chronic cases steroid tabs ( vicodeine ) or injections and anti epileptics like gabapentin are prescribed if required .
You may try to avoid heavy lifting , over weighing , obesity , vigorous movements and bad sleeping or sitting postures will be helpful in most of cases
If medical and physical medications failed for 6 consecutive month i recommend you undergo further investigations like X rays and MRI scans to exclude any spinal injuries or disc herniation and follow them up with your neurologist for proper evaluation and management .

Please click and consider a 5 star rating with some positive feedback if the information was helpful. Wish you good health,
Any further clarifications feel free to ask.
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What Causes A Radiating Pain?

Hi i am Dr Ahmed Aly thanks for using HealthcareMagic site , I had gone through your question and understand your concerns .. That could be sciatica due to nerve compression , as it may cause radiating throbbing neuropathic pain as mentioned in your give history , numbness and tingling may also be felt . For my patients i recommend painkillers ( NSAIDs ) like tylenol 400mg tabs when needed , gentle massaging with topical anti-inflammatory gels , muscle relaxants , B12 vitamin supplements , in more severe or chronic cases steroid tabs ( vicodeine ) or injections and anti epileptics like gabapentin are prescribed if required . You may try to avoid heavy lifting , over weighing , obesity , vigorous movements and bad sleeping or sitting postures will be helpful in most of cases If medical and physical medications failed for 6 consecutive month i recommend you undergo further investigations like X rays and MRI scans to exclude any spinal injuries or disc herniation and follow them up with your neurologist for proper evaluation and management . Please click and consider a 5 star rating with some positive feedback if the information was helpful. Wish you good health, Any further clarifications feel free to ask.