Mom is 92. One kidney. 5 ft tall..113 lbs. uses walker. She has had this pain for 5 weeks. She has pain in low lumbar, into hip, down side of leg only to knee , and lifting her leg causes hip and groin pain. Coughing causes groin pain almost down to vaginal area. Not much pain at all when walking or standing. When she is in the act of sitting down, or can’t find a comfortable position to stay seated, it’s severe, but once she “gets over that spot”, it’s mild. This is not a result of falling. The act of standing up from being seated is painful. MRI of hip is normal…. MRI of lumbar shows lots of degeneration , loss of disc space, etc but nothing jumps out as a cause like herniation . CT of lumbar is ok. Had epidural of L 4-5 … no help. Bursa injection.. no help. Now they want to do a bone scan AND bone density test.
1. Does this sound like hip or back. We have differing opinions. One ortho says back … another says hip… therefore bone scan. But mom is concerned about taking it due to one kidney and creatinine range of 1.3 up to 1.7. ( the contrast)
2. One says rest it… the other says PT.
3. Should we push for another epidural at L 3-4???
4. They want her to take gabapentin but drowsiness is issue , esp with walker etc. Takes Ultracet.
We are at a road block not knowing what to do