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Category Archives: Hip Pains
Close proximity of pelvis side wall (Ischium) and lesser trochanter of hip can cause pains in groin or buttocks. This ischiofemoral-impingement might required trimming or lesser trochanter. This is new to me.
Certain Orthopedic Issues over 70 yr Old – Easy Pain Help – low Dose Radiotherapy- But Will you ever see it?
Low dose Radiotherapy over age 70 has minimal risks but can often drop pain by 1.9/10 in following issues – sore heel and achilles pains, knee pains, and trochanteric bursitis.
Sad News of Hip Replacement – Less Pain and Better Function but No Increase in Physical Activity Seen
J Arthroplasty. 2017 Jul;32(7):2191-2198. doi: 10.1016/j.arth.2017.02.002. Total Hip Arthroplasty Improves Pain and Function but Not Physical Activity. Jeldi AJ et al https://www.ncbi.nlm.nih.gov/pubmed/28285898 30 cases ages 67 +/- 7 yrs Physical Activity of Total Hip Arthoplasty patients was quantified to 12 … Continue reading
Have and elderly fellow that just persevered with severe left groin pain as was just something he should put up with. He had not been sleeping and daughter noted cognitive decline with it. Exam of hip was a bit sore … Continue reading
Steroid injection into hip with impingement or labral tear only gave relief for 10 days.
Hip/Knee Arthritis – Not Satisfied With Acetaminophen? – Using Arthritis Pills (NSAIDs) Instead Helps
When Osteoarhtritis patients were allowed to try NSAID instead of acetaminophen, “proportion of patients on acetaminophen treatment during the study decreased from 74.8 % at baseline to 23.9 %, while the proportion on non-steroidal anti-inflammatory drugs (NSAIDs) increased from 59.8 … Continue reading
Unresectable Painful Bone Cysts – IV Zoledronic acid For Adults and IV Pamidronate For Children Gives Rapid Relief
Painful large and unresectable bone cysts responded rapidly to IV biphosphonate therapy within first cycle in 88% of cases. Adults received 4 mg of Zoledronic acid (Zometa®, Novartis), and children got IV pamidronate 1mg/kg. Zoledronic acid, if more than one … Continue reading
Distribution of pain originating in the hip was 89 % to the groin, 38 % to the buttock, 33 % to the anterior thigh, 29 % to the knee, 27 % to the greater trochanter, 17 % to the low … Continue reading
Hip Blocks Help Pain For Up to 3 Months – But Used Steroid So More Likely That Effect – And How to Block a Hip
Injecting articular branches femoral nerve and obturator nerve can give some relief for up to 3 months. However, results are more likely from the steroid used.
Chronic sciatica /buttock pain – I recently received a request for help…
Recent analysis had put hip fracture rates with bisphosphonate osteoporosis meds at 1/1000 per year. This is way too common – I have a suggested treatment.
Have a patient with this problem. Recent article goes over an option.
Recent article found 10-15% of inguinal groin pain actually comes from an abnormality of the front of the hip joint. These people often are involved in multiple investigations when, injection of hip joint with local, proves the diagnosis.
Much of the work I do is treating the “peripheral sensitization” – the tissues that become locally sensitive and knotted. Working these areas allows me to get a feel for how much is coming from the spine or other sources, … Continue reading
Are these legitimate arguments? 1) One shot should fix it and if it doesn’t then that’s it (I call this the “one shot wonder” attitude). I think the only person who could be sure to fix things at one go … Continue reading
Trochanteric side of hip pain is common yet rarely properly diagnosed. Actual Gluteal tears can be a cause and by age 60, 10% of people have them. Twenty Percent of chronic back pains (average age of 54 yrs) have trochanteric … Continue reading