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Medical Forum / Diseases and Disorders / Arthritis / April 2005Hip Joint
I wonder if anyone can give me some information about the hip joint. I am 48F. I currently have osteoarthritis in the neck and a pinched nerve to the left arm, and a frozen shoulder on the left side (i am scheduled for physical therapy starting next week). In spite of that, i still try to walk 1 to 1-1/2 miles or so fairly regularly. Lately i've noticed pain in my left hip joint, not when i walk but when i stretch my leg out to the outer side. It's in the groin area. No pain when i'm just sitting or lying down still. (i first noticed it during...uhhh....intercourse...and it was annoying!) It's just been for a couple of weeks, and i'm trying to stretch it out gently, in addition to the shoulder exercises i've started doing. I admit to having been real bad about stretching before and/or after my walks. :-( It feels like something is out-of-place and needs to snap back (but doesn't), very similar to the pain in the frozen shoulder although not as frequent or intense. Sometimes i get the same feeling in the left knee, too. I hope it's not osteonecrosis, since i had Prednisone for a couple weeks last October - i was told that's extremely rare. I'm prematurely post-menopausal and have been on HRT for 5 years for high osteoporosis risk. I am at the low end of normal weight, eat relatively healthy including calcium, and i often consume moderate caffeine in the day and wine in the evening after dinner or with my cheese 'n crackers (i love my wheat thins and swiss cheese!) I'm wondering if the shoulder thing has thrown my walk off or something causing these other things? I'll talk to the PT about this when i go next week, but if anybody can refer me to an exercise program or something that's gentle but stretches all these things safely, i'd be interested! Or any other info. Thanks! Before I had my hip replacement, pain in the groin area was the first thing I noticed. The nurse told me that is where the hip problem usually starts giving pain. I don't know if stretching would do any good. Gwen >Before I had my hip replacement, pain in the groin area was the first >thing I noticed. The nurse told me that is where the hip problem >usually starts giving pain. I don't know if stretching would do any >good. probably can't hurt. hopefully, anyway.. Gwen wrote: > Before I had my hip replacement, pain in the groin area > was the first thing I noticed. The nurse told me that is > where the hip problem usually starts giving pain. I don't > know if stretching would do any good. When I was diagnosed (the second opinion) with ankylosing spondylitis in 1977 with sever back pain and a stiff neck, the doctor told me I would eventually need a hip replacement. At my first appointment with a new RD in 2000, he asked where my pain was. When I pointed to the groin, he remarked that WAS the hip, and that too many patients point to their butts, which is NOT the hip joint. Although referenced pain could be there, that is not where the hip is located. I did have the THR in July that year, and it was the best medical decision I've ever made. ... Programmer's wedding vow: Set answer=I DO. Before I had my hip replacement, pain in the groin area was the first thing I noticed. The nurse told me that is where the hip problem usually starts giving pain. I don't know if stretching would do any good. Gwen same with me.Groin pain was my worst before THR janice |I wonder if anyone can give me some information about the hip joint. | I am 48F. [quoted text clipped - 27 lines] | gentle but stretches all these things safely, i'd be interested! Or any other | info. Thanks! >same with me.Groin pain was my worst before THR >janice wow, i hope i can avoid that. i'll keep stretching and walking. >|I wonder if anyone can give me some information about the hip joint. >| I am 48F. [quoted text clipped - 40 lines] >other >| info. Thanks! > I wonder if anyone can give me some information about the hip joint. > I am 48F. [quoted text clipped - 10 lines] > couple of weeks, and i'm trying to stretch it out gently, in addition to the > shoulder exercises i've started doing. Sounds a bit like the start of the pain when I began getting the fractures in my dead (osteonecrosis) hips. I was still doing babrbell squats with a fair amount of weight during the beginnings of this. An x-ray showed nothing. An MRI showed osteonecrosis and multiple fractures lifting about a third of the articular surface away! > I admit to having been real bad about stretching before and/or after my > walks. :-( It feels like something is out-of-place and needs to snap back > (but doesn't), very similar to the pain in the frozen shoulder although not as > frequent or intense. Sometimes i get the same feeling in the left knee, too. > I hope it's not osteonecrosis, since i had Prednisone for a couple weeks last > October - i was told that's extremely rare. The only way to tell for sure is an MRI. Have one done if it will set your mind at ease. How much prednisone were you on? Dosage is important in terms of its links to osteonecrosis. > I'm prematurely post-menopausal > and have been on HRT for 5 years for high osteoporosis risk. I am at the low [quoted text clipped - 4 lines] > I'm wondering if the shoulder thing has thrown my walk off or something > causing these other things? That'd be my first guess. I bought a book to improve my running when I was a teenager, I think it was called "Awareness through movement" or something similar and it was based on the Feldenkrais method of movement reeducation. The lessons learned have helped me to relearn to walk after each change to my anatomy. This is not to be confused with the newish attempt to cash in on the the demand for variety in health club classes that use the Feldenkrais name. I have no clue about these, and they wouldn't be appropriate anyway. > I'll talk to the PT about this when i go next > week, but if anybody can refer me to an exercise program or something that's > gentle but stretches all these things safely, i'd be interested! Or any other > info. Thanks! the book I mentioned above, and also the book "Stretching" by Anderson are probably good places to start. Here are some urls to sources: http://www.amazon.com/exec/obidos/ASIN/0062503227/qid=1113385325/sr=2-1/ref=pd_b bs_b_2_1/103-2758870-9644647 http://tinyurl.com/7y788 http://www.amazon.com/exec/obidos/ASIN/0936070226/qid=1113385448/sr=2-1/ref=pd_b bs_b_2_1/103-2758870-9644647 http://tinyurl.com/4xrez cheers, Ari  Signaturespammage trappage: replace fishies_ with yahoo I'm going to die rather sooner than I'd like. I tried to protect my neighbours from crime, and became the victim of it. Complications in hospital following this resulted in a serious illness. I now need a bone marrow transplant. Many people around the world are waiting for a marrow transplant, too. Please volunteer to be a marrow donor: http://www.abmdr.org.au/ http://www.marrow.org/ >the book I mentioned above, and also the book "Stretching" by Anderson >are probably good places to start. Here are some urls to sources: [quoted text clipped - 10 lines] > >Ari Thank you very much! :-) >The only way to tell for sure is an MRI. Have one done if it will set >your mind at ease. How much prednisone were you on? Dosage is important >in terms of its links to osteonecrosis. I can't recall what the dosage was, but they called it a "taper". Started out with several pills (4 or 5?) for so many days, then one less for a few days, then one less, etc. until it was 1 every other day. The whole process, if i recall correctly, was about 2 weeks. Wish i'd kept the bottle or instructions. The doctor did say it comes with a risk of osteonecrosis but that's very rare. >>The only way to tell for sure is an MRI. Have one done if it will set >>your mind at ease. How much prednisone were you on? Dosage is important [quoted text clipped - 6 lines] >instructions. The doctor did say it comes with a risk of osteonecrosis but >that's very rare. ok, found my notes, it lasted for 12 days, 30 pills. >>>The only way to tell for sure is an MRI. Have one done if it will set >>>your mind at ease. How much prednisone were you on? Dosage is important [quoted text clipped - 8 lines] > > ok, found my notes, it lasted for 12 days, 30 pills. That doesn't really tell me the dosage without knowing how big each pill was. They could have been 5mg each, so 5x5=25mg which is a relatively low dose. If you were 100mg+ each day, then that would be a high dose and the risk of osteonecrosis is there. I've come accross some anecdotal references to some people having problems at moderate dosages (50mg+ each day) but this is not nearly as common as high dose corticosteroids. At low doses, osteonecrosis is very rare, like your doctor said. Ari Signaturespammage trappage: replace fishies_ with yahoo I'm going to die rather sooner than I'd like. I tried to protect my neighbours from crime, and became the victim of it. Complications in hospital following this resulted in a serious illness. I now need a bone marrow transplant. Many people around the world are waiting for a marrow transplant, too. Please volunteer to be a marrow donor: http://www.abmdr.org.au/ http://www.marrow.org/ I'd think there's a very good chance that your neck and shoulder stuff are throwing your body off balance enough to be causing the hip pain. In fact, I remember when my husband's frozen shoulder was really bad, it affected how he slept (couldn't lie on that side at all) and left him with many aches and pains. IMHO, you've got a good plan - try some gentle stretches and definitely mention it to the physical therapist.. If the PT person is any good, s/he will probably have more ways tohelp you. Here's one good website about stretching that might be helpful to you. SignatureNann remove the Gator cheer to email me Simply the thing I am shall make me live --- William Shakespeare |
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