Hip – Leg Issue – Where Next

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  • Hip – Leg Issue – Where Next
  • Premier Icon oikeith
    Subscriber

    Post on behalf of my friend (male – early thirties – lives in the South West) who for the last few years has been struggling with a hip/leg issue, not sure what caused it, could be crashing the bike, general tom fooley or his manual job.

    He has been to the NHS who at first gave him an injection in his foot then thought it was sciatica before just leaving him on daily pain killers. He’s seen physios and chiropractors, all who think they can fix it, but do the same things and dont. He’s also gone private to get a scan (MRI I think)and review it with a consultant with no outcomes except being referred back to the NHS.

    Id say he’s completed his options in the SW, can anyone recommend something or someone further afield which could help diagnose this? Thinking there might be a specialist clinic somewhere in the country, have looked on Google but couldn’t really see the woods through the trees.

    DT78
    Member

    I have had hip and leg issues for a couple of years.

    Going to need a lot more info to be of any use….(and I’m not a medical practitioner, just someone who has spent literally thousands of hours trying to sort my problems out)

    Do they do any type of stretching or core routines? Like yoga? Are they desk based? Are there any positions or stretches they can do which can give some temporary relief? A good physio should really be able to narrow it down. They may find that there is no ‘cure’ and what they need to do is daily stretching and strengthening. I’m a year into my rehab.

    My remaining issues seem to be psoas related and a combination of poor posture (lots of sitting) followed by a sport that compounds poor posture (cycling in aero positions) with not enough conditioning or stretching. I now do more stretching/strenthening hours than biking.

    This is useful reading – presumably your friend is likely to have a pretty good understanding of anatomy – this really helps you to narrow stuff down when talking to professionals
    https://yogainternational.com/article/view/8-poses-for-iliopsoas-release

    stumpy01
    Member

    How old is he and what sort of problem is it?

    My Mum went back to the doctors with hip trouble.
    They repeatedly told her it was sciatica & she had various rounds of physio/aquafit etc. to try and ‘sort it out’.
    The exercises she had to do at home were too painful for her to actually carry out.

    After about 18 months and it getting constantly worse she went back to the doctors who said ‘oh, actually it’s not sciatica, you need a new hip….’

    Depending on his age, perhaps he needs a second opinion. Although something like that should have been picked up at a scan, I would have thought.

    FunkyDunc
    Member

    When he went to see the consultant privately

    1. Was the surgeon actually a good one?
    2. What did he have MRI’d
    3. What actually did the Consultant say?

    ton
    Member

    surely if he goes see his doctor, the doctor will refer him to go for a xray ?
    and if the xray shows damage to his hip, he will see a hip specialist, who will decide if he needs surgery/further treatment.

    this was the route I went down, prior to have a full hip replacement.

    Premier Icon oikeith
    Subscriber

    DT78 – Hes been given lots of different stretches and routines to do, he has been doing them with no help. He’s a carpenter so fairly active and fairly fit too

    Stumpy01 – 33, his description is a pain in his hip/side when moving or getting up to move

    FunkyDunc – not sure if any good, lower back & groin area, it was along the lines of nothing obvious and back to the NHS you go

    ton – he’s had the x ray showed nothing, its why they thought it was sciatica. Instead of waiting for months for the MRI he went private and paid for it, the MRI also didnt show anything

    undarra
    Member

    I’ve had hip/groin pain for the last two and a half years. Went through NHS physio then an MRI to discount hernia. Then i paid privately to see oesteopath than chiroproctor, none of which got to the bottom of it. Was eventually referred to private specialist and x-ray, as soon as he saw the x-rays he said it was new hip time (4 weeks today). He said they should have seen the clues on the MRI scan but hey they were looking for a hernia.

    nealglover
    Member

    He said they should have seen the clues on the MRI scan but hey they were looking for a hernia.

    Exactly the same as me.
    I’d had all sorts of investigations and “treatment” for my hip pain over about 5 years.
    Custom foot beds, physio treatment, yoga, Pilates, ended up on 8 x tramadol every day due to nothing working.

    Went for a private referral eventually and they said almost straight away that it was Osteoarthritis in my hip and it needed replacing.

    Apparently it was really clear on the x-rays that were in my file, but nobody was looking for arthritis in a sub-40 year old so it wasn’t spotted.

    stumpy01
    Member

    Interesting reading the above.

    I thought this was irrelevant earlier, so didn’t comment on it, but….
    As mentioned above, my mum recently had a replacement hip.
    When she first reported the problem, she had an x-ray & was told it was sciatica and not arthritis in the joint.
    I suspect the waters were muddied a bit because she’d had hip pain for a long time (and refused to see the doctor, putting it down to ‘old age’). She had started walking with a limp, which perhaps bought on some sciatica as she used to complain of shooting pain all the way down her leg. I reckon this was a direct result of hobbling around on a gammy hip for a couple of years and confused the diagnosis as the doctors were ‘looking’ for sciatica.

    It was only after trying all avenues to sort her ‘sciatica’ out that someone re-visited her x-rays and say her hip joint was buggered & she needed a new one.

    ton
    Member

    can I just add, the joy of a new hip is awesome.

    years of hobbling about with pain is relieved the minute you have the needle in your spine.

    get it done.

    Pieface
    Member

    I would have thought that if there was anything up it would have come up in the MRI. If they’ve paid for it then they should have a copy of it, can they get it looked at by another (NHS?) specialist? I thought that an MRI would show up bone / nerve / tendon and ligament issues. If there’s nothing present of that nature then would it be a muscle imbalance issue?

    Denise Park is very good, but based in Clitheroe however She may know of people down your neck of the woods.

    undarra
    Member

    can I just add, the joy of a new hip is awesome.

    years of hobbling about with pain is relieved the minute you have the needle in your spine.

    get it done.

    I hope that’s the case for me too, there’s so many simple things that i can’t do anymore.

    whitestone
    Member

    +1 to Tony’s comments about a new hip, one of the best decisions I’ve ever made.

    Premier Icon jezzep
    Subscriber

    Hiya,

    I had Had a very tight ltb band in my hips coming from growing too quickly as a kid. By the time I hit 30 I was in constant pain. In fact I don’t think I’ve ever felt pain since as bad. There is a treatment for it and worth checking because not many GP’s know about it. My GP spotted it because he was a surgeon and knew what the operation was. Ask your friend if he has a clicking or popping sensation, when he articulates his leg in such a way normally it is when your sitting and you bring your knee up.
    I couldn’t wish this on anyone having been through it but look this up:

    https://academic.oup.com/jhps/article/5/3/296/5068229

    The operation is simple and takes about 4-6 weeks to recover from if not sooner.

    Let me know how he gets on hope it helps

    BR
    JeZ

    alric
    Member

    Interested- I have a hip/glute pain for a year or so.
    I got checked out at the nhs clinic, they said it was not a worn hip, it must be a back problem
    So I really dont know. Its not the IT band, but is in that area

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