On Nov 12, 8:16 pm, "Trevor" <[email hidden]>
Quoted message said:As my last thread (calling walking Doctors etc) got severely hijacked.
Can any of you medical folk possibly give an explanation of why I get great
discomfort in my right leg/hip joint after one hour walking on the flat, but
can walk 3 hrs / 1000 m uphill and a further 2 downhill and not have a
twinge ( I have a 20 year history of lower back pain). My doctor or
physiotherapist can't suggest why this should be.
Trevor
East Yorkshire
Hi Trevor,
the human body is a fickle thing, isn't it?
Seeing an orthopaedic neurosurgeon (rather than a neurosurgical
neurosurgeon) for a thorough examination will probably take things
forwards for you. However I think that with symptoms like that, I very
much doubt that any spinal surgery would be recommended to you. The
number of times I've seen GPs and, to a lesser extent,
physiotherapists misdiagnose back/hip/leg pain is countless.
When you say that the pain is in your "leg", do you mean in the thigh,
or does it go below the knee into the calf/foot as well?
Pain from the hip joint is usually felt in the groin, whereas pain at
the side of the "hip" is usually pain radiating from the back (or
greater trochanteric bursitis).
Firstly they need to find out exactly where the pain is coming from -
1) Is it from the facet joints and/or discs in the lower back?
2) Is it caused by nerve root irritation in the lower back i.e
sciatica?
3) Is it from the hip joint, or even the knee joint i.e. early
osteoarthritis?
4) Is it muscular?
5) Is it aggravated by you having a funny gait or unequal leg lengths?
6) Is it something else unusual or rare?
X-rays of your back and hip, along with an MRI scan (which you've
already had) of the back will certainly help, but a thorough physical
examination by an experienced orthopaedic doctor is probably the most
important thing. Getting one in a busy NHS clinic is another matter
though - if you are very worried then it may be worth paying for a
30min private consultation.
If they can pinpoint the cause of the pain (in a significant minority
of patients the exact cause cannot be found) then treatment (likely to
be non-surgical) can be directed as appropriate. If they can't help
you improve the pain then at least you can be reassured that there is
nothing serious going on. I know it's not what you want to hear, but a
guy in his 50s (I seem to remember you saying that's how old you are)
who can walk for 5 hours up and down 1000m hills is in pretty good
overall nick.
Hope this helps.
Gustav.