Concluded Case

51 Year old male patient with pain in Left Hip Joint for 3 days. Increased pain in morning and decreasing during day time. No pain during walking but increases during sittings and standing from sitting position. Patient is diabetic for 18 years. Sugar is within normal limits with oral hypoglycimic drugs. Patient has history of steroid containing ointment for long duration approximately 2 years or more. Your Valuable Opinion Needed Respected Doctors.

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Concluded answer

Done MRI of this patient. No any abnormalities seen in Lt. Hip Joint. Patient is on NSAID. Aceclofenac 200mg sustained released tablet with significant improvement. Thank you All doctors for your valuable opinion.

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pain in hip joint with history of diabetes and long term steroid use _ first to rule out any AVN changes Though X-ray seems to b normal,MRI evaluation should b done

Thank You Sir for your valuable opinion.
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Stretching of the gluteal muscles and piriformis muscle, and open chain exercises that can be help them

Thank You for your valuable opinion.
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Marginal osteophytes in acetabulum Loss of trabeculae in femoral head Joint space is concentric Further evaluation CBC esr RA factor Crp Uric acid Usg evaluation of both hips Take patient's symptoms seriously inspire of benign looking xrays We could be missing something

Thank You Sir for your valuable opinion.
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Clinical exam is very important. PERIPHERAL NEUROPATHY LUMBER DISC DISEASE LT SACRO-ILIAC ILEITIS VITAMIN D Deficiency ANKOLYSING SPONDYLITIS LUMBER SPONDYLOSIS

Thank You Sir for your valuable opinion.
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Agree with DrAS pt require physiotherpy also

Thank You Sir for your valuable opinion.
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Osteophite is visible on greater trochenter. This can be cause of pain

Dear Dr. Majeed Sir. Already done MRI of Lt. Hip Joint. No any abnormalities seen in Lt. Hip Joint.
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No bony abnormalities,could be radiating pain from the back ,Please advice x ray of lumbar spine.

Please do a neurological examination chances of neuropathy is high if it is normal then please get a MRI early avn changes are not visible on x ray

Thank you Sir. I forgot to mention that this patient has been undergone MRI 8 years back where he was detected AVN in early stage.
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Normal. No avn.

Thank you Sir. I forgot to mention that this patient has been undergone MRI 8 years back where he was detected AVN in early stage.
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No bony abnormality detected.

Thank you Sir.
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