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New hip pain

Posted by sassysaveur @sassysaveur, Jun 24 4:54am

I have hip pain that’s worsening. It is outer hip but also down front of thigh and sometimes front groin aches. It hurts when I stand or walk around. And now it even hurts when I’m at rest.
Since I am on prednisone treatment I asked rheumatologist about seeing an orthopedic who specializes in hips. She said first step xray. Which I got and I think essentially negative from what I can see. I have not heard back from doc who ordered it. Is an xray sufficient investigation? What are next steps? I don’t want a work up on my hip by my rheumatologist.
I am in pain for weeks and don’t want to leave it too long. Can I just call an orthopedic and make appointment or do I need doc to refer me? I’d like to find someone who isn’t just a general ortho surgeon but one who has experience with AVN just in case this is what is or evolves. How does one find that?
Any insight on how to best move forward is appreciated.

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tgreer1972 | @tgreer1972 | Jun 25 12:07pm
In reply to @sassysaveur "@ennaoj44 I’m hoping to be referred to ortho for thorough evaluation. MRI is next step I..." + (show)
Profile picture for sassysaveur @sassysaveur

@ennaoj44 I’m hoping to be referred to ortho for thorough evaluation. MRI is next step I take it? I don’t think I need formal referral could probably call for appointment. But now that my rheumatologist did xray I feel a bit caught in middle. Thank you for weighing in and sharing.

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@sassysaveur

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tgreer1972 | @tgreer1972 | Jun 25 12:10pm

X-rays show inflammation just not as good as CAT scans or MRIs. So your issue could be tendon or ligament related. Do you sleep on the hip that's hurting?

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loyd1957 | @loyd1957 | Jun 25 1:18pm

Many of us are in your situation. I had diagnosis of Bursitis then gluteal tendinopathy. The bursa was inflamed and hurt when lying down, walking, squatting, etc. After some injections and PT, all calmed down. Now, I have both hips, glutes and low back hurt sometimes with sharp pain on some movement. Doctor still believes Gluteal Tendinopathy. Could be a labral tear, gluteal tear or just worn-out tendons. Definitely get an MRI from Orthopedic to make sure nothing is torn or trapped. No more corticosteroids as that damages tendons over time if you do it too much. It does feel great though.

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sassysaveur | @sassysaveur | Jun 25 1:54pm
In reply to @loyd1957 "Many of us are in your situation. I had diagnosis of Bursitis then gluteal tendinopathy. The..." + (show)
Profile picture for loyd1957 @loyd1957

Many of us are in your situation. I had diagnosis of Bursitis then gluteal tendinopathy. The bursa was inflamed and hurt when lying down, walking, squatting, etc. After some injections and PT, all calmed down. Now, I have both hips, glutes and low back hurt sometimes with sharp pain on some movement. Doctor still believes Gluteal Tendinopathy. Could be a labral tear, gluteal tear or just worn-out tendons. Definitely get an MRI from Orthopedic to make sure nothing is torn or trapped. No more corticosteroids as that damages tendons over time if you do it too much. It does feel great though.

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@loyd1957 yes I’m hoping to get an orthopedic on board that can evaluate me now and perhaps in the future, if need be.
I do believe the high dose steroids for three months is behind all of this. I never had any issues before however, the medication was unavoidable and hopefully I can stay off it at some point.
Thanks for your response

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