The Most Common Reason for Chronic, Debilitating Hip Pain

Categories: Uncategorized

By Dr. Leone

Hip pain is a common problem with many potential causes.  Pain may be caused by problems with your hip joint, the muscles that support your hip joint, and/or diseases and conditions in other areas of your body.  Many times, hip pain can be controlled with medication and physical therapy.  For many people, though, pain may become chronic and disabling. 

The most common cause of chronic hip pain and disability is arthritis, including osteoarthritis, rheumatoid arthritis, and traumatic arthritis.

Normally, all parts of your hip work in harmony, allowing you to move easily and without pain.

Arthritis causes the cartilage that normally cushions the hip bones to become inflamed, wear away, or break, causing pain and stiffness.

Graphics courtesy of American Academy of Orthopedic Surgeons.

 At The Leone Center for Orthopedic Care, we specialize in treating hip joint destruction due to arthritis.  Many of our patients who were sidelined from the tennis court or golf course because of hip pain are now back in the game!

If you have any questions or want to share a positive experience about how hip replacement surgery has helped you, please leave a comment below.

204 Responses to "The Most Common Reason for Chronic, Debilitating Hip Pain"

  1. Nicola Foster
    Nicola Foster Posted on December 8, 2013 at 3:40 pm

    Since very early childhood I have experienced severe hip and back ache that varies in intensity; doctors have ran many tests but because no cause has been found they seem disinterested, despite also suffering from spina bifida occulta and slight scoliosis – I have put up with it for an extremely long time as generally it is a dull ache that I subside daily with anti-inflammatories, however every few months I have an unexplained flare up of debilitating pain that can travel into my legs and at it’s worse stop me from walking, it becomes unbearable and the only other thing that eases it slightly is heat. I have been told that I am too young to have arthritis as I am only 17 but it seems the only other logical explanation, my hip appears to displace itself slightly when I walk and my bones feel like they overlap and cause loud cracking noises when I stand up after sitting for any given period of time, my hip swells slightly when I am in pain and during an episode of harsh pain I feel run down and I also experience a kind of crunching sensation when I lift my leg in the groin area – could this all be connected and have you ever seen symptoms like this before in any patients with arthritis? Any input would be appreciated because all I want is am answer, I’m constantly told to just take ibuprofen or naproxen but after over 10 years of taking them regularly i fear it could be doing more harm than good,
    Thank you

  2. Debbie
    Debbie Posted on August 16, 2014 at 2:12 am

    I have had pain in my right hip, in the center of my right buttock for a little over 4 years now..i notice severe pain when driving long distances and i cannot sleep on my right side, if i do it is only for a minute before the pain becomes unbearable. I have tolerated this nuisance without seeing a doctor because i was not completely uncomfortable and i figured it would just go away someday. Two days ago, the pain was so bad that i decided to go to a walk in clinic. They did xrays and said my bones looked good. They say it is probably sciatica and to take a steroid pack and muscle relaxers to see if that will help. I do feel a slight relief but the pain is still present..i still cannot lie on my right side..while i appreciate a temporary somewhat fix..i know that there is something very wrong. I have scheduled an appt with my primary care physician for next week. This will be a first visit so I am hoping that she helps me. I am so worried.

    • Moselle
      Moselle Posted on August 5, 2015 at 12:27 pm

      I meant to include that I have felt like I was sitting on bone at the bottom of my rear, primarily on the left but pain was also on the right. Couldn’t sit or lue down. Sleep has been horrible. When raising the left leg from a prone position, about half way up it catches & hurts then mives on. It also catches bending forward & in trying to extend it backward. I told the doctors and other health experts this. This there may be a spasm. No one lustens to me. Either this or FAI. Today a physician’s assistant saud it was trochanter burcitis & finally injected me with cortisone in both hips. Said U have no muscular strength in abductors. No joke. After two failed hammer toe surgeries in less than two years on a two that was a slught imperfection, this seems to have been my nemesis.

    • Sharra
      Sharra Posted on January 24, 2016 at 11:25 pm

      I know this messed is older but I have been dealing with this for a while… I was in a car accident which was the first time it started, as far as pain, that was in 2003 but the lain went away after I started doing water therapy… now 2014 I fell of my truck at work and it is back full force and I have had X-ray MRI and what not and they keep trying to tell me my body es are fine… I do understand your pain I have constantly ignored the pain but now that some dad I can barely walk, lying flat is a complete no no for me that makes it super worst…. I was told I had spinal stenosis, arthritis, degerative and I just need to lose weight… heard it all. Now when I did have my accident they did say I had a hair line fracture… But it is so hard to get some to tell you what the heck is wrong and stop giving me pills, pain pills at that. I am a big girl yes but I will run circles around my children and I have seven.. so I I have heard so from is straight BY… So if you find out let me Know, because I am so done with being ignored, while I stay in pain. Like they want me to just ignore it!!!

  3. Teefah Cameron
    Teefah Cameron Posted on September 13, 2014 at 2:11 am

    Hi my left hip has been causing me severe pain since i was about 10 or 11 years old. I am now 19 and the pain keeps getting worse. My hip always cracks when i move it and i can’t stand for long periods of time. It is also very hard for me to walk. I have a limp. I have had xrays and mris done and was told there was nothing wrong with me. They also told me that I need to exercise more. I recently started delivering newspapers and it seems as though the pain keeps on getting worse. Recently I have started to trip more often than I usually do and in places that dont really make that much sense to me. I was wondering if you might have an idea as to what is causing me this severe pain. It has been going on for so long i dont know what it feels like to have 2 hips free of pain.

    • holycrossleonecenter
      holycrossleonecenter Posted on September 25, 2014 at 9:10 am

      Dear Teefah,

      It is possible that your hip is causing the difficulties you are describing, but it also could be something masquerading as hip pathology. I recommend that you see an orthopedist who specializes in hip problems and has expertise in hip arthroscopy or joint preservation, perhaps even a pediatric orthopedist.

      That doctor will want to review any X-rays or MRIs you have had. The quality of X-rays and MRIs continues to improve so depending on when you last had these tests done, the doctor might want them repeated. A simple intra-articular injection with a local anesthetic might be appropriate to help determine if the problems and symptoms you’re having are originating from the hip. If the pain is relieved even for a few hours and you find you can walk much easier and not limp, it would be a strong indicator that your hip is the problem.

      Other important considerations include:

      * if the symptoms are in one hip or both
      * if you had hip problems as a baby
      * is there a history of hip problems with other family members
      * did symptoms start suddenly or after a particular activity or have they developed slowly
      * do certain positions make the symptoms worse and can you relieve your symptoms by doing something else, such as resting or assuming a particular position

      The history you can relate to your physician ultimately will help in figuring out exactly what is wrong and the treatment course.

      If it is determined that your difficulties are due to a hip problem, every effort should be made to resolve the problem without joint replacement. A logical conservative or even surgical treatment regime can’t be outlined until the diagnosis is understood.

      I wish you all the best in figuring out what is wrong and how to resolve it.

      Sincerely,

      Dr. William A. Leone

    • Ron muzila
      Ron muzila Posted on September 13, 2016 at 5:20 pm

      hello I’m a 61yr. White male .. Having pain in left hip area seems to be expanding into my upper left leg. .. The more I walk more pain sometimes can’t walk and can’t lay on left side also can’t stand long? .. Had x-ray shows nothing ? But why do I have so much pain!! Please advise ..???

      • holycrossleonecenter
        holycrossleonecenter Posted on September 26, 2016 at 3:29 pm

        Dear Ron,

        While it’s still possible that the pain you are feeling in you hip and thigh is from hip pathology, which is not obvious on a plain X-Ray, it’s more probable the pain is being generated from another source. Classically, lower back pathology which results in lumbar nerve root irritation can generate the symptoms you are describing. I would suggest you discuss these concerns with you medical doctor. I also would consider being evaluated by an orthopedic surgeon.

        I wish you a full recovery.

        Dr. William Leone

        We thank you for your readership. If you would like a personal consultation, please contact our office at 954-489-4584 or by email at LeoneCenter@Holy-cross.com. General comments will be answered in as timely a manner as possible.

      • Jim Bock
        Jim Bock Posted on November 12, 2016 at 4:45 am

        I have the same thing only on my right hip area.

  4. abe wilcox
    abe wilcox Posted on November 16, 2014 at 12:35 pm

    hi, I am a 39 yr old male and have been suffering with a right hip/knee problem for about 8 yrs or so. It has come and gone throughout the yrs but seems to be coming to a head as of recent and it is now hard to manage. Nothing in particular seems to be make it come and go. The pain is on my right side and starts at my hip (and lower back) and travels down to my knee. Years ago i would have this problem and would go to a chiropractor and he would adjust this area and it would go away. Ive been going recently to a chiropractor for the same problem with no success. It may feel a little better at the time but it seems to spring right back. I also went to a rolfer and she told me the i have a few muscles in my hip joint that are really tight (psoas, illiacus?) I really feel a lot of tension when i bend over or squat down either on the on the outside of the hip joint or at the location of my right psoas. Now it seems to be causing other problems with other parts of my body, i now have plantar faciatis in both of my feet but mostly in my left foot, and now my upper spine gets tight and pops really hard in 3 or for spots when i bend over at the waist. and of course i have poor knees. I have worked as a home improvement contractor for close to 20 yrs and have done quite a bit of the work myself, so I’m sure that this has contributed to this over the yrs. I have tried to work out the muscles with weight training but the next day my legs have this weird tingling feeling that can also be described as a very tense dull ache that seem to only hurt in my quad muscles. It doesn’t feel like muscles that have been worked out though (i used to be a religious gym attendee), it feels like a dull ache in that general region. It will take a few days to go away and in the meantime it is very difficult to do any activities that require kneeling down or bending over. Also, i have a pop in my hip when i extent my right leg, from the research i have done on this it seems that i have snapping hip, when a tendon is sliding over the hip joint and gets caught. I have always been very active and having this is very frustrating. I have not been to a doctor about it, and need some advise on what this could be before going somewhere. My first thought is that the muscles are weak surrounding my mid section and hips but i really don’t know…any advise would help, since i have only got feedback from my chiropractor and miofascial massage therapist, nothing against them but it seems that it may be an underlying problem.

    Thanks, Abe Wilcox

    • holycrossleonecenter
      holycrossleonecenter Posted on December 12, 2014 at 10:19 am

      Dear Mr. Wilcox,

      It is critical that the underlying etiology of your symptoms is understood before a course of action or treatment plan can be designed. From the description of your symptoms, a problem with your lower back versus your hip must considered. Because both of your quad muscles develop a “tense dull ache” associated with tingling, it could be that a nerve or nerves in your back have been compromised. In fact, pathology in the lower back region is very common. I would recommend you seek a medical physician, an orthopedist who specifically can assess your back, help you define the underlying problem and then direct a treatment course.

      I wish you the best,
      Dr. William Leone

  5. Penny
    Penny Posted on May 1, 2015 at 11:28 pm

    I have been diagnosed with left hip disphlagia, fibromyalgia, rheumatoid arthritis and degeneration along with spinal stenosis. I’ve had hip/groin pain since 2009 that was just thought to be bursitis. Since my diagnosis one year ago, I’ve been experiencing shooting pain down my left leg to my knee and the top of my chin bone. Also my thigh muscles ache horribly. What’s wrong with me that the doctors are not finding

    • holycrossleonecenter
      holycrossleonecenter Posted on May 13, 2015 at 9:18 am

      Dear Penny,

      Your description of the pain radiating down your leg and into your knee is a common presentation of hip joint pathology. Many people also complain of thigh muscle discomfort. If these symptoms are originating from your hip, then I would expect them to be affecting your gait. A limp can be associated with “shin” pain due to the awkward or abnormal body mechanics placing increased stresses on muscles and fascia in the lower leg. Many patients describe this discomfort to me as “shin splints.”
      A lower back problem like spinal stenosis can mimic these same symptoms, so you need to find a doctor who can help you define the problem and isolate the main source of your symptoms. It’s possible that your symptoms are being caused by both hip and back pathology. Many patients who have been diagnosed with spinal stenosis have been treated with epidurals. If you’ve been treated with epidurals, it would be important to know if your symptoms were resolved after these injections, even if only temporarily. A hip injection test may also help distinguish the primary source of your pain. Sadly, many patients with rheumatoid arthritis do develop significant symptomatic hip arthritis in spite of X-rays not showing obvious pathology as readily as with some other conditions that cause hip joint arthritis. If your hip is causing all or even a significant amount of your symptoms, you may benefit greatly from a total hip replacement.

      I wish you the very best,
      Dr. William Leone

  6. Jamie
    Jamie Posted on June 14, 2015 at 7:07 am

    I am a 27 year old female. I was recently diagnosed with CRPS but am unsure about it. Not necessarily because I am in denial. I am afraid of a misdiagnoses…ah well…

    I did not hurt myself at any point. No falls, no anything. It feels as if it just happened.

    I have had pain in my left hip/knee/back of knee/leg/ankle/heel/foot/toes coming and going for 1.5 years. It started in my hip. Pretty sure it started yeeeeaaaars ago as a mild uncomfortable feeling deep in the front part of my hip (near groin). Chalked it up to my needing to stretch. Then over the course of 2013, that mild uncomfortable feeling started to get worse. At the time, I had a personal trainer, was on my feet at least half the day to all day and moderately active. That same area of my hip turned into a restriction of flexibility (from pain) when I would lift my left leg from my hip, bent at the knee and tried to bring in my leg close to the body. I could only pull my leg in so far before I felt a sharp pain. Eventually, I had an uncomfortable feeling in my hip, stretched and felt a popping sensation and relief. Same sensation part way through the same day, repeated stretching, felt popping again only to have half of the relief. Again, the accumulation of that uncomfortable feeling in my hip. Stretched it but no popping sensation nor relief. Over the course of 2.5 days, I ended up not being able to walk due to sudden weakness and pain. The ambulance took me to the emergency and was admitted into the hospital due to concern of infection. I had a low grade fever, mildly high white blood cell count, mild inflammation and fluid in both hip joints but significantly more in my left hip rather than the right. The Dr.s found no infection. In fact, they found nothing. The only thing that I ever have (consistently) tested back positive for is the ANA blood test and that is always barely above normal. I have had numerous blood tests, MRI’s, X-Rays and a couple of cat scans (sp?) and everything always looks great.

    Spent couple of months bed ridden due to instant weakness of my leg. I could only pull my leg forward by inching my toes forward. Finally I went to a low cost/free hospital/clinic to get help because I had no insurance. It took months to receive the help I needed and by then, I was already starting to feel better.
    Physical therapy got me to walking again but remember feeling a weird feeling in my knee but ignored it. I remember mild inflammation in foot and ankle but it was so mild and would come and go that I figured it was irritation from my leg and not having walked on it for months and months. The pain in my hip had nearly gone away but not quite.

    All of a sudden it comes back and I rest in bed for 2 weeks. Felt like I might have done too much and agitated whatever the issue was. So, I called the orthopedist I originally had seen and went back for help a few weeks later Althoug, randomly (after 2 weeks), the pain let off. Enough that I could walk again. The pain never went away and was still mild but a little worse than the first time I was walking. By the time I saw the Dr. (weeks later), I was already feeling better but she ordered me more P.T. but that was something I had to wait a month and a half for.
    Other than this, I had no pain or irritation anywhere else in my left leg.
    Out of no where (for no reason) the pain gets worse again but this time (for the first time), it wasn’t just my hip. It was all over my hip in certain places…It was my knee/foot/leg/ankle/heel/toes. This happened with 1 week left of my P.T.

    The severity of my symptoms comes and goes but never fully goes away. The pain in my hip is just pain. Sometimes I have mild tenderness but most of the time it is just pain.
    My thigh mildly aches and can be tender (not to the touch) but I think this could be due to radiating pain.
    My kneecaps are much looser than they should be. They always have been. Underneath my left kneecap, I always feel tenderness, it is always sore but severity comes and goes. Sensitive but not necessarily always painful. Sometimes I get mild swelling, mild heat with mild burning sensation and mild redness. Sometimes I have mild nerve pain in the back of my leg (same area of leg where my kneecap is). Sometimes I don’t but I always have tender pain in this area upon bending leg at the knee.
    My calf is always tender and becomes more tender going down the calf. It doesn’t hurt when poked but I am more sensitive to touch the more I get poked down my calf. Discoloration (pink, dark red) upon standing or sitting but goes away when sitting with legs straight out in front of me or upon elevation.
    Sometimes my heel gets mildly swollen, red, warm and the skin looks shiny. Can be sensitive when I press on it. While sleeping (when it is acting up) I lift my leg up while sleeping (due to being uncomfortle) and I get this sharp intense pain that builds for a few seconds, hits its peak and goes down quickly and then I will be fine for hours. If acting up, may not happen while sleeping at all but could happen 1-4 times a night.
    My ankle is always sore and is tender. It doesn’t hurt to the touch but is slightly more sensitive than my right ankle. It is definitely tender when I press on it. This also applies to the rest of my foot and toes. Sensitivity gets worse going along my foot towards my toes and my toes are the most sensitive. All of my ankle/foot/toes are always swollen but severity comes and goes. Never is my skin shiny. Sometimes my ankle/foot/toes are warm or hot and sometimes it is colder than my other foot. I do get discoloration in my ankle/foot/toes, upon standing or sitting. Mostly red but can be purplish red, as well (sometimes blotchy). The color goes back to normal as soon as I extend my leg up or elevate it.
    Also get occasional painless and mild twitches in my toes and foot.

    If I try to stand on my left leg, I feel lots of pressure and tingling with tenderness and pain. It doesn’t feel like nerve pain, though.

    I do get stiffness in my entire leg that is worse in the morning and gets better throughout the day. The severity of it comes and goes. Always have some sort of stiffness in ankle and toes.

    Alongside of this, I have had upper body chronic pain since I was 19. It has gotten significantly better throughout the years. The pain I feel is nothing like my left hip/leg.
    This pain in my upper body is accumulative. My upper body always feels exhausted. The best way that I can describe it is that feeling one gets when they hold their arm out for a very long time while hold something in their hand that has mass. They keep holding their hand out and over time, their arm will feel more and more exhausted. Then there is a mild sore, achey, tender feeling that slowly comes on and intensifies. This is how my upper body feels

    I am afraid that I will never walk again. I would do almost anything to walk and lay on my side.

    • holycrossleonecenter
      holycrossleonecenter Posted on June 24, 2015 at 9:15 am

      Dear Jamie,

      I am so sorry to learn that you are suffering and feeling so disabled. Due to the myriad of symptoms you describe, I don’t feel that hip or knee disease is your primary problem. I would recommend a though rheumatologic work-up. Many times, the tests are not specific even though there is a distinct autoimmune problem. New classes of biologic medicines have been developed to help people with these conditions. It would be appropriate to discuss this with your physician or rheumatologist as soon as possible.

      You describe most of your symptoms occurring in one of your lower extremities and not both. This is a clue. I think a diagnosis of Complex Regional Pain Syndrome or Reflex Sympathetic Dystrophy strongly has to be considered also, especially if your rheumatologic work-up is negative. I would seek out a pain management specialist with a particular interest/expertise in this area. Treatment with precisely placed injections or blocks can be effective when combined with physical therapy.

      I wish you the best of luck with your difficult problem.
      Dr. William Leone

  7. Mary Wallace
    Mary Wallace Posted on June 26, 2015 at 7:16 pm

    I am a 48 year old female with severe left hip pain. The more I stand or walk the worse it gets. Feels like bone rubbing on bone. Went to a pine specialist who did an MRI that showed nothing wrong with my back, nothing. The left hip pain radiates down the left outer thigh (no pain in back or buttock) and never radiates to the other side. I have been to physical therapy which were mostly low back issues with no relief. I do have a lipoma on my lower back that I feel is pushing on a nerve, but the Dr’s do not seem to think that is the issue. I do not know what to do now. My quality of life is being severely impacted. I am overweight and realize that does not help the matter any but it’s hard to exercise when my hip hurts so bad. Please advise. I do not know where to go from here since the MRI did not show any issues but I KNOW the pain is there!!

    • holycrossleonecenter
      holycrossleonecenter Posted on July 2, 2015 at 9:20 am

      Dear Mary,

      From what you describe, it sounds like your pain and disability is from your hip and not your back. I would suggest you see a physician who will examine and X-ray your hip. It’s always useful to obtain an X-ray of your entire pelvis (AP pelvis) so the left hip can be compared to the right hip on the same film. If your hip exam is positive and the X-rays demonstrate pathology, it might not be necessary to have any further tests. If obvious pathology is not observed, then an MRI or even an intra-articular hip pain injection test may be reasonable.

      A course of action or treatment plan can’t be developed until a clear diagnosis is made.

      I wish you the very best,
      Dr. William Leone

    • Dena
      Dena Posted on February 23, 2016 at 6:15 pm

      I have had the EXACT same problem… just had an injection in my back(nerve block) and it helped the nerve pain but I am still unable to walk without excruciating pain in my right hip, I have to limp when walking and have been off work since Nov. 2015. I am so frustrated that with all the specialists I have seen and all the tests (mri, xrays, injection,) that I have no relief. The only time my hip is ok is when I am at rest. When I go out, if I am walking over 10-15 mins sometimes 5mins I am in SO much pain…. just in the right hip and lower right side of back…. the hip is the most painful. I am seeing my doctor for a follow up tomorrow to let her know how I am doing since the injection. I see the nerve specialist that did the injection in March. I just don’t know what to do…. I was reading about my symptoms on line and it sounds like I have either FAI or SI joint dysfunction.
      I need HELP !! I want to go back to work!!

  8. Liz
    Liz Posted on July 4, 2015 at 4:47 am

    I am a 50 year old female. For the last two years off and on I have had what feel like a loss of functioning or strength in my legs. I fell off my bike and it was a strange fear I had because I had no strength in my legs to get up. I had to push myself to get up. This has happened A more in the last year. This last week I am having pain in my hips when I stand up, lay down and walk.
    I did ask my Dr 6 months ago what it was and he said inflammation from the food I eat. The weakness in my legs really worries me.
    Can you give me some advise on this? thanks Liz

    • holycrossleonecenter
      holycrossleonecenter Posted on July 9, 2015 at 11:35 am

      Dear Liz,

      I am sorry to learn that you are struggling. From your description, I suspect a neurologic problem might be causing these symptoms. One main clue is that both legs are involved and your main complaint seems to be the progressive loss of strength, particularly in the leg muscles that are closest to your torso. The problem could be coming from pathology in your spine compromising your nerves or nerve roots, or from a primary nerve problem or condition. Muscular dystrophy also must be ruled out. A hip problem does have to be considered, but first I would suggest having your neurologic system thoroughly evaluated. I would discuss this with you doctor or consider being evaluated by a neurologist.

      I wish you the best.
      Dr. William Leone

  9. George
    George Posted on July 10, 2015 at 8:02 am

    I sustained a cycling injury 27 months ago, and still have not had it sorted. It was a period of time
    where I was doing a lot more training, and this increase in distance and severity was very sudden.
    I also made a change to my bike set­up during this time: I changed my stem so it was 3 cm
    longer, which was, thinking back, too much of a stretch and put me in too much of a flexed
    position on the bike. On one of my rides I started getting tightness and pain in my right hip, so I
    decided to give the bike a rest for a week, which I did. I tried a few times during that week to go
    back on the bike, but each time within a few minutes I would have to stop as this movement of the
    hips/legs was too painful. However, I had no pain off the bike. After a week’s rest, I tried once
    more to ride, but after just 20 seconds the pain came on a lot lot stronger than before, which put
    me in severe pain and barely able to walk for a few months. After this, I remained in pain, but
    could do some walking.

    On 16 April this year I had surgery for Gilmore’s Groin, but after surgery it turned out I didn’t have Gilmore’s Groin after all. Things have got worse since then. I am now at the stage where I can
    barely walk, and I use crutches because of the right hip pain.

    I have been seeing various people through the NHS for 2 years (orthopeadic, rheumatology,
    vascular and physio people, all to no avail: so far, nothing has been detected on either ultrasound
    or MRI scans). My right hip snaps when I flex the leg and then extend it, and it is also extremely tight when doing hip flexor or
    iliopsoas stretches, compared to my left side. The symptoms I get are pain at the front of the hip, in the groin and sometimes down my buttock and front of the thigh into the knee. Things that
    make it worse are any flexion of my hip, such as climbing stairs or putting socks/shoes on.

    I’m wondering if the overuse I did in cycling and not stretching at all, combined with the more flexed
    position on the bike, created a problem with my hip flexors or iliopsoas tendon/muscle? I have
    done research on it and it is as if it was written about me.

    • holycrossleonecenter
      holycrossleonecenter Posted on August 3, 2015 at 8:14 am

      Dear George,

      From the symptoms you describe, iliopsoas tendonitis has to be considered. However, from my experience, your present symptoms seem more disabling than just the result of that condition. Because your symptoms significantly worsened after your April surgery, further injury or nerve entrapment to the inguinal area and fascial confluence has to be considered.

      I’m assuming you’ve had extensive imaging studies including X-rays and an MRI which, to date, have not revealed a diagnosis. Specifically, a hip arthrogram with MRI may be illustrative. I would be particularly interested in the condition and symmetry of your right hip, iliopsoas tendon bursa and psoas muscle as compared to your left. I would consider having a through urologic exam. Selective pain injections, including an intra-articular hip injection, also should be considered. The hope is that they can help pinpoint the etiology. If pain is significantly relieved, even temporarily, it would strongly suggest an intra-articular etiology. If it is not relieved, other selective injections should be considered such as an iliopsoas tendon bursa injection and an epidural.

      I wish you the best in solving this difficult problem.
      Dr. William Leone

  10. Sammi
    Sammi Posted on July 10, 2015 at 10:25 am

    I need help. My fiance has had a very dull pain in his hip for two days. Nothing major. Than the other night he woke up in such excruciating pain. He can hardly bear weight, he can not lay comfortably, he can hardly sleep, and he can’t move his leg much. We went into the ER and they told him they THINK it’s just inflammation. They didn’t do any tests or scans. They told him to take hydrocodone and naproxen. Neither medication even touched the pain. I have never seen him in this much pain. His muscle in his thigh is so tight and even just placing my hand gently on it hurts him. He said he can feel the pain in his bones. He has not complained of any groin pain or pain in the buttocks. Just his hip. I can’t stand to see him like this.

    • holycrossleonecenter
      holycrossleonecenter Posted on August 3, 2015 at 8:17 am

      Dear Sammi,

      I think finding the etiology is very important. First, it must be determined if the pain and symptoms are truly from the hip and not another etiology. Infection, occult fracture and an intra-articular hip mechanical etiology all must be considered, if it is from the hip. I would suggest following up with an orthopedist, preferably one with a special interest in problems associated with the hip.

      The best of luck to your fiancé,
      Dr. William Leone

  11. Jen
    Jen Posted on July 13, 2015 at 7:25 am

    Desperate need of advice!
    First, let me say I am only 28 weigh 150 & 5’11. However, for the past 4 years my lower back has been a major problem that prohibits bending over. Currently, for the past 2 years my hips hurt so bad it’s unreal. When I can finally stretch completely out my hips pop, and if I cross my ankles my lower back pops. On mornings when I can’t stand up I have to bend my back/hips down until they release so I can stand up. I have looked all over to find out why my hips/lower back pops when ankles cross. After this when I am walking my left hip will completely go out and can barely catch myself. I do not have insurance and no family doctor. Any advice/suggestions would be great.

    • holycrossleonecenter
      holycrossleonecenter Posted on August 3, 2015 at 8:16 am

      Dear Jen,

      I think you need a through medical workup to define if your disability is from your back or hips, or from a more general “systemic” problem with your tissues or immune system. This does require access to good medical care and most likely a specialist. I don’t know from what country you are writing, but the strategy must be to “get into the system” so you can avail yourself of this care. The problem can’t be solved until it is understood. That being said, I would minimally encourage a strengthening and stretching program designed to improve flexibility, core strength and balance.

      The best of luck to you
      Dr. William Leone

  12. Marcie
    Marcie Posted on July 25, 2015 at 3:16 pm

    I am a 50 year old female..Starting late June I developed hip/groin pain on my right side which is steadily worsening. It seems to ease somewhat when I walk but does not go away. It worsens by the end of the day to the point that it hurts doing nothing. The pain goes from my groin to above my hip. I have had xrays and an mri on my hip revealing nothing. I also had a cat scan for abdominal pain about 2 weeks before the hip pain started. One Dr. suggested it could be adhesions from previous abdominal surgery, also on the right side. What do you think?

    • holycrossleonecenter
      holycrossleonecenter Posted on August 5, 2015 at 10:07 am

      Dear Marcie,

      The fact that your hip X-rays and MRI were read as “normal” does suggest that there isn’t anything wrong with your hip. Typically, hip pain does not radiate up from the groin but rather down. It might be worth it to have an orthopedic surgeon examine you, if you still are concerned that the pain is originating from your hip. Many times I find hip pathology during a patient’s exam even though the standard images that a patient provided to me failed to show that pathology. An abdominal etiology such as adhesions or pelvic pathology like an ovarian cyst or hernia all must be considered and ruled out.

      I wish you well,
      Dr. William Leone

  13. diane
    diane Posted on August 3, 2015 at 12:26 am

    I have been having severe chronic low back aches along with severe aching in my groin area. Standing and walking eases the ache; but sitting and especially lying down makes the pain unbearable. I cannot lie in any position without severe aching. What can this be?

    • holycrossleonecenter
      holycrossleonecenter Posted on August 5, 2015 at 10:04 am

      Dear Diane,

      Although hip disease classically presents with groin pain, many times it does not. Lower back pathology can also create groin pain. If the etiology is from intra-articular hip pathology, then I would expect weight-bearing activities such as walking and standing to make the pain worse not better. Sitting or lying down might be increasing lumbar nerve root compression which would help explain why your symptoms are exacerbated.

      I think a thorough back workup is indicated. A simple image of your pelvis will give a lot of information and help rule out hip disease. I would suggest seeing an orthopedic specialist who can help you sort out the etiology of your symptoms and develop a treatment plan for you.

      I wish you the best,
      Dr. William Leone

  14. Ann
    Ann Posted on August 7, 2015 at 9:55 pm

    I have severe hip osteoarthritis and bone spurs. A month ago I had a cortisone injection in my hip which relieved a great deal of my pain. In the past week I have experienced sharp pains in my upper thigh while walking. It is now more difficult to walk than before the injection. Has anyone else experienced this?

    • holycrossleonecenter
      holycrossleonecenter Posted on August 18, 2015 at 11:26 am

      Dear Ann,

      A cortisone injection may relieve joint pain temporarily but will not cure the underlying condition or change the unfortunate natural progression of the arthritis. Many patients with hip arthritis experience sharp thigh pain, especially when walking. Some people do experience increased symptoms after an injection due to the trauma caused by the actual injection. Injecting a hip joint can be much more difficult than injecting other joints like the knee or shoulder because the potential space where the needle must be inserted is much smaller or “tighter.” This situation often is more difficult when the hip is arthritic. If symptoms are worse after an injection, they usually improve or resolve after several days or a week. For many folks, the anti-inflammatory effect of the cortisone will not be fully realized for a week to two.

      If you have severe hip arthritis and are no longer getting desired relief with conservative measures like a cortisone injection, I would suggest that you discuss with your doctor if you are a candidate for a total hip replacement.

      I wish you the very best,
      Dr. William Leone

  15. Rayanna Posney
    Rayanna Posney Posted on October 13, 2015 at 5:01 pm

    I am only 17, but for the past 2 1/2 years, i’ve had problems with my hips hurting. I sprained my ankle in 7th grade(5 years ago) and went to the doctors and they said that the outer tendons on my ankles were longer than they should be, so they sent me to a specialist. A year later, my knees started to give me problems(knock-kneed) and they started to hurt when I walked. it’s been two and a half years since my hip pain started, but it’s gotten increasingly worse. in the past 6 months or so and especially lately, whenever I walk, I walk with a limp, or more so, I walk like I weigh 500 lbs. I do the penguin stepping waddle, if you will. I don’t believe my “walking like a penguin” has much to do with my ankles, because i never used to walk like this. i have to walk like this so my hips don’t hurt as much. I am not overweight( according to the BMI Chart), if that helps with anything. I’m 5’5 1/2″ tall and weigh 147.6 lbs. It is getting increasingly harder to walk and sit straight, and i have gym everyday, which makes it worse. Going upstairs is almost a no-go operation because of how bad it hurts. Do you have an idea what’s up with my hips and what kind of doctor I should see?

    • holycrossleonecenter
      holycrossleonecenter Posted on October 19, 2015 at 1:21 pm

      Dear Rayanna,

      Many young people experience significant, lower-extremity joint pain during their teenage years because their bodies are growing so quickly. This may be what’s causing your pain or at least adding to it. It sounds like you have genu valgus or knock-knees. This condition can put abnormal stresses on your hips and ankles. The altered mechanics can lead to lateral or outer hip pain causing greater trochanteric bursitis.

      I would suggest a physical conditioning program that emphasizes stretching and strengthening without causing pain in your hips or knees. I also suggest that you see and orthopedic doctor to help you better understand what’s happening and how best to treat it.

      I wish you all the best.

      Dr. William Leone

  16. Dan Danowski
    Dan Danowski Posted on October 13, 2015 at 8:36 pm

    I fell at work three years ago. Messed up my back, sholuder, hip and arm. I have had therapy ,surgeries and injections. Nothing worked, My pain is in my hip, pelvis, back and left butt cheek. I have burning and constant pain 24/7. Do not want to do this anymore, unbearable. Can I kill nerves from my waste down on left side? Would rather be in wheel chair than feel pain all the time.

    • holycrossleonecenter
      holycrossleonecenter Posted on October 19, 2015 at 1:16 pm

      Dear Dan,

      I am so sorry to learn of the difficult time you are having. It’s critical to focus your efforts on learning the primary source of you symptoms. The limited description you gave suggests a neurologic etiology from your back. If this is true, then full therapeutic energies need to be directed to this source. If it is determined that your symptoms cannot be relieved with nonsurgical or surgical treatments, then an implantable pain pump and / or stimulator is a consideration.
      I wish you relief and a full recovery.

      Dr. William Leone

  17. Lauren
    Lauren Posted on October 14, 2015 at 12:04 pm

    I am a 27 year old female with severe pain in my outer hips, going on 1.5 years now. Two orthopedists have told me I’m “too young to have hip problems”, although two Physician Assistants I’ve seen diagnosed it as trochanteric bursitis, which makes sense because that’s exactly where the pain is. They then did cortisone injections into the bursae, which made me pain free for 3-4 months at a time. My pain is now back and debilitating 6 months after my last injection. I have done physical therapy and two rounds of the cortisone shots, and the pain is now so severe again that it is affecting work and sleep. It spreads to my lower back and down to my knees as well. The pain is centered on the outside of my hips. Does this sound like bursitis? The two doctor’s I’ve seen just keep saying that I’m too young to have bursitis. What else could this be? No one has taken me seriously and it’s really affecting my quality of life. Thank you.

  18. Lauren
    Lauren Posted on October 14, 2015 at 12:13 pm

    Continuing from my post above, the pain seems to be brought on/made much worse by sitting up straight at work. On the weekends when I’m moving around or laying down, the pain is not as bad. Additionally, aleve and ibuprofen do nothing for the pain.

    • holycrossleonecenter
      holycrossleonecenter Posted on October 19, 2015 at 1:18 pm

      Dear Lauren,

      Often a diagnosis of greater trochanteric bursitis is made when pain develops on the lateral or outside aspect of the hip. The trochanteric bursa is a normal structure that separates the outer aspect of the upper femur or greater trochanter from overlaying soft tissue and muscle. It can become inflamed and painful and form a “bursitis” from a number of causes. Some include overuse or repetitive activity, direct trauma, or even prolonged pressure. Altered body mechanics also can lead to bursitis because the overlaying tissue abnormally rubs against the greater trochanter. In my experience, this has been the most common cause in young women. Altered mechanics can stem from obesity, scoliosis, knock-knee deformity, or even foot and ankle abnormalities.

      The fact that both of your hips have developed lateral recurrent pain that was temporarily relieved after a cortisone injection does make the case for greater trochanteric bursitis being the correct diagnosis. Ruling out an underlying intra-articular hip etiology as well as back pathology as the etiology would appropriate, particularly with the condition’s chronicity.

      Assuming that other causes are ruled out, then focusing on conditions or factors that may be causing or exacerbating your bursitis, you should look carefully at activities or particular body positions that are irritating and then avoid them. If pain increases, it’s being further aggravated. Physical conditioning and weight loss (if appropriate) becomes an absolute prerequisite for resolution. Modalities such as ice or heat and NSAIDs also may be appropriate. Having your back, knees and ankles/feet evaluated as part of the over-all work-up also is important.

      I wish you the very best.

      Dr. William Leone

  19. wowo
    wowo Posted on October 15, 2015 at 6:51 pm

    I had back surgery L5 l4 s3 something like that. My back pain is still there but not as painful as it was. Now my hips on both sides are very painful especially in the morning when I frist try to get out of the bed. I also feel tingling down my thighs and legs.If I try to reach above my head the pain is there when I bend down it hurts. what could my problem it getting worse. I had a mri on my back and they said my S2 S3 is burgling but said i could wait to do surgery for awhile . the MRI was taken in December of 2014

    • holycrossleonecenter
      holycrossleonecenter Posted on October 26, 2015 at 9:09 am

      Dear Fisheriamblessed,

      From your limited description, I suspect the symptoms you’re experiencing in both hips are referred pain from continued back pathology. I would suggest you discuss your symptoms and concerns further with your spine surgeon and also your therapist, if one is still involved. I also would emphasis physical strengthening and conditioning.

      I wish you a full recovery.

      Dr. William Leone

      We thank you for your readership. If you would like a personal consultation, please contact our office at 954-489-4584 or by email at LeoneCenter@Holy-cross.com. General comments will be answered in as timely a manner as possible.

  20. wendy
    wendy Posted on November 10, 2015 at 3:05 pm

    i have been having lots of pain in my right hip and lower back i also get pins and needles and cramp in my feet nothing found on mri or x ray pain get worse on walking and can only walk a short distance or i am in severe pain doctor said i have limited movement in my right hip why is nothing showing up

    • holycrossleonecenter
      holycrossleonecenter Posted on November 24, 2015 at 1:29 pm

      Dear Wendy,

      Your description of “pins and needles” discomfort suggests a neurologic etiology. Your limited ability to walk may be from hip or back pathology and/or another cause. If your physician found your hip motion “limited” and suspects hip pathology, you might consider a diagnostic hip injection test. If a local anesthetic is injected into the hip joint and pain is relieved temporarily, it would suggest that the pain is being caused by a hip intra-articular problem.

      On the other hand, if lower back pathology is more strongly suspected, especially with negative X-rays and MRI of your hip, then I would suggest a full back work-up including an MRI. If a specific area of the spine is suspected, similarly a selective injection may give insight as to where your pain is emanating from.

      I wish you a full recovery.

      Dr. William Leone

      We thank you for your readership. If you would like a personal consultation, please contact our office at 954-489-4584 or by email at LeoneCenter@Holy-cross.com. General comments will be answered in as timely a manner as possible.

  21. Amelia
    Amelia Posted on November 10, 2015 at 3:50 pm

    I am 31 years old. Pain started in my right hip about 5-6months ago. At that point the pain seemed to come and go, seemed more severe around my monthly, so I paid no attention and took as much otc as I could till it went away. Then a month after all the pain started it was in both hips simultaneously. Now For the past 3 months plus the pain has not gone away. I can not stand for long periods of time, in fact I came home from work the other day I started sweeping the kitchen and had to stop within minutes because the tightened pain was so bad I had couldn’t stand it. I stood at the sink spread my legs wide, bent my knees, and sort of moved side to side I had some sort of relief but not much. I went back to sweeping and ended up giving up cause the pain started radiating up my back and around my abdomen. The pain is more predominant in my right hip. I can not sleep on my side, which is my favorite so in the middle of the night I’ll wake up in pain clause I naturally turn that way in my sleep. I sometimes feels,like there is a ball growing in my hip. Also laying on the couch in my stomach I found is a huge nope!! Just to get up I had to roll of the couch and bending my hip sent severe shooting pains in my hips, my mid section and back. Again I’m 31, not obese but out of shape yes, I have 2 jobs on my feet and sitting, 3 kids so with all that I’m constantly going, but constantly going in pain. Also I have a bout a .25 long driveway and in the am when I walk my kids down to get them on the bus on my walk back I have to stop, sometimes the pain is so bad I’m in years. Please help! Give me some sort of relief knowing this pain will stop. And nsaids do nothing for me! They don’t even touch the pain.

    • holycrossleonecenter
      holycrossleonecenter Posted on November 24, 2015 at 1:25 pm

      Dear Amelia,

      It is important that you understand the etiology of your hip pain. Although your hip pain may be from a hip problem, not infrequently it can originate from another source. A lower back etiology has to be considered as well as pelvic pathology, or and autoimmune problem like rheumatoid arthritis. I’ve had female patients report increased hip symptoms during their menstrual cycle which I believe this is caused by hormonal cycles exacerbating a synovitis. I believe this could be a clue as both of your hips are affected.

      I would recommend that you discuss your symptoms with you PCP. He or she may initiate a work-up to determine the diagnosis and treatment options. If this broader work-up does not elucidate the diagnosis, I would suggest that you see an orthopedic specialist.

      I wish you a full and speedy recovery.

      Dr. William Leone

      We thank you for your readership. If you would like a personal consultation, please contact our office at 954-489-4584 or by email at LeoneCenter@Holy-cross.com. General comments will be answered in as timely a manner as possible.

  22. Jasmine
    Jasmine Posted on November 14, 2015 at 3:05 am

    Dr. Leon,

    My name is Jasmine and I am 23 years old and weigh 215lbs 5 “7. I have been experiencing pain In my right outer hip/buttock for 2 years now only when I sleep on my side or put pressure on my right side and now it’s getting annoying and feels like a bruise I can’t stop touching. It’s now starting to hurt on my left side now… I know I’m overweight but even when I was 30lbs lighter this was happening. Any advice?

    Thanks

    • holycrossleonecenter
      holycrossleonecenter Posted on December 11, 2015 at 9:41 am

      Dear Jasmine,

      Most likely what you are experiencing is coming from a lower back etiology and not your hips. Significant weight loss and conditioning is paramount. Out-patient physical therapy to learn an appropriate exercise, stretching and strengthening program may also be helpful. If your symptoms don’t improve, I would suggest seeing an orthopedic surgeon who will help define the exact problem and suggest and appropriate plan.

      I wish you the best,

      Dr. William Leone

      We thank you for your readership. If you would like a personal consultation, please contact our office at 954-489-4584 or by email at LeoneCenter@Holy-cross.com. General comments will be answered in as timely a manner as possible.

  23. Nikie
    Nikie Posted on November 18, 2015 at 12:16 am

    Dr. Leone, I am a 27 year old female who has recently (the last 3 or 4 months) has been suffering from severe and intermittent pain in the right hip. It comes on without warning and goes quite quickly (within about 1 min). The pain is similar to, although more intense than, the feeling a person gets just before their hip pops, which usually relieves the pain but mine wont pop. I got my drivers license in June and am wondering if the two may be related as the pain started within 2 months of getting my license. Walking, stretching, and NSAIDs do nothing for it. I know you cant diagnose my problem but I was wondering if you might have an educated guess or any suggestions about what to do that I might look into it further.
    Thank you in advance,
    Nikie

    • holycrossleonecenter
      holycrossleonecenter Posted on December 11, 2015 at 9:52 am

      Dear Nikie,

      From the description of your symptoms, it does sound as if the problem is coming from your hip and not another area. I would suggest that you be evaluated by an orthopedic surgeon who will help define the precise etiology. Once again from your description, an intra-articular hip etiology such as a labral tear must be considered.

      I wish you all the best,

      Dr. William Leone

      We thank you for your readership. If you would like a personal consultation, please contact our office at 954-489-4584 or by email at LeoneCenter@Holy-cross.com. General comments will be answered in as timely a manner as possible.

  24. Jeffrey Schaffer
    Jeffrey Schaffer Posted on November 19, 2015 at 2:56 pm

    In November 2014, I went to Disney World a suffered extreme pain in my hips after walking for about 10 minutes. I’d sit down or stop walking and the pain would go away. When I would start walking again, the pain would return after about 5 minutes. For the next year, I would develop severe hip pain after walking continuously for about 10 minutes.. I went to an orthopedic surgeon and he said that he didn’t see anything on X-Ray. He said that it might be gout (which I have a history of).
    In November of 2015, I went to Disney again and the severe pain returned after about 10 minutes of walking. Same thing happened the following week when I went on my first cruise. When I returned, I went to my Family Physician who is sending me for an abdominal duplex vascular ultrasound (aorta Illiac) for a possible evaluation of Claudication. My test is tomorrow.
    I have been a paramedic for 39 years. On Monday, I came home from the firehouse and got on a treadmill for 20 minutes. However, I did the treadmill in my bedroom slippers. The next morning (and ever since) I have SEVERE pain in my right hip and slightly down into my calf every time I go to my feet from a sitting or lying position. This pain is new. It lasts for about 30-45 seconds and goes away after I limp around for about 5-10 steps. Besides being old and falling apart, does this sound like anything obvious ? I can understand the Claudication because I have Factor 5 Leiden. I also have a 100% blocked right coronary artery from 23 years ago and had no angioplasty because of good collaterals. And had a mini-stroke 10 years ago. Every year I do a treadmill test during my fire department physical and have no issues. Any obvious things to look at ? It’s strange that I have severe pain every time I stand and start to walk, but just for about 3-4 days. I guess that I should just let them run all the tests needed. Thank you for listening

  25. Karen
    Karen Posted on November 21, 2015 at 12:08 am

    I was diagnosed with Antiphospholipid Antibody Syndrome at 24yo following a severe DVT that completely occluded my leg from the groin down. I spent a few weeks in the hospital with the goal being to properly anticoagulate me, wait for the clot to breakdown, avoid a PE (not successful on that score) and avoid having to have my entire left leg amputated. An active career woman in great shape, I was shocked at the diagnosis, but was determind to follow my hemonc’s instructions to the letter regarding taking my coumadin, avoiding foods high in Vitamin K, wearing custom compression stockings and consistent low impact exercise. I was a stellar patient.

    Fast forward twenty-two years to late 2014. I developed my six DVT, again as always in my left leg; however, something was very different and very wrong. The pain was excruciating compared to my other DVTS, my calf was swelling to proportions that aren’t found in nature and I had this overwhelming sense of dread. Being an expert on when things start going wrong in that leg, I went immediately to my PCP. He sent me to my vascular surgeon for a duplex ultrasound which was rapidly followed up by a cardiac echo. I was then pushed across the street to see a hemonc to discuss the APS and the potential to have an IVC implant. Hemonc is completely against filter usage and sent me back to the vascular surgeon who was now avialable to read my ultrasound results and see me. At this moment, I was diagnosed with Chronic Venous Insufficiency and informed it was progressive and cumulative and that I was not a surgical candidate for a number of reasons. I was going to be fitted for a lymphadema pump which I would have to use for three hours per day every for the balance of my life to try and maintain my leg…once again avoiding amputation. oh, and to add fun to the party, the CVI caused such disruption in my circulatory system that I have now developed high blood pressure.

    This brings us to today, November 20, 2015. I am in pain twenty-four hours a day. I was advised by my PCP, hemonc, vascular surgeon and neurologist, that my working days were over and I should file for disability.
    I held out six months using the compression pump, wearing my stockings while on my feet, watching what I eat, taking my coumadin and getting frequent INRs as I am an occasional “coumadin failure patient” and spending time in the pool to help provide some relief of pain, pressure, heaviness and itching in the left leg. I stubbornly thoughtthat as a former athlete I could overcome the problem. As intelligent as I am, that was clearly not my best move. Not only has the problem become worse, my pain meds have been doubled and Ativan has been added to potentiate the pain medication when it is not enough. I used to take three pills a day…two 5mg coumadin and one 500mg metformin. I now take seven different medications totaling over 400 pills a month. Full disclosure, I have well controlled DMII and mild Lupus (which produces occasional flares that knock me out for days to weeks until the doc says the pros outweigh th cons of blowing up my glucose and gives me a very sturdy shot of steroids). My APS is considered secondary to the Lupus.

    I have developed hard, flaky and discolored skin on my left leg. And now, I have developed my first ulcer despite being a great patient and following instructions to the letter. Most days I need a walker for short distances. If I want to take my children to a museum or ballpark, I have to go in a wheelchair with elevating legs with pillows for comfort. I have been unable to leave my house for almost four weeks due to the debilitating pain and inability to stand still or walk more than 100 feet without the swelling, heaviness and excruciating pain increasing exponentially.

    So here are the options as I see them. (1) I move up to the next class of pain relief…Dilaudid or Fentanyl patches, and pray it is years before that no longer works and my ulcer heals; OR (2) convince the doctors that amputating my leg would greatly reduce my pain (yes, I know about the potential for phantom pain, but I will gladly take that risk over actual, unrelenting pain), improve my overall health, ditch the lymphadema pump treatments and potentially remove four of my medications from my daily life permanently. I am fine with a titanium or carbon fiber leg. I could wear heels again. I could dance again. I could run again. I can play with my little boy again. I could sleep through the night without a wedge and without waking up several times during the night to reposition to lessen the pain. That means my husband could sleep through the night again. 🙂

    I would appreciate your opinion on the two options I have listed above…or your own option if you have a better idea. I am desperate to live a normal, pain free life that I can actually live again. I cannot work. I cannot cook. I cannot do laundry. I cannot clean the floors or the bathrooms. I cannot buy groceries. I can no longer volunteer. I have had my professional and personal identities stolen by this disease. All I do is prop, pump and take pills. Please, please, please tell me you have an idea of what can best improve my situation. I am not certain I can tolerate the pain much longer. Thank you in advance dor your time.

    Appreciatively, Karen/Atlanta

    • holycrossleonecenter
      holycrossleonecenter Posted on December 11, 2015 at 9:43 am

      Dear Karen,

      Your story almost brought me to tears. It sounds like everyone has done everything right and that you have been a model patient. Many years ago as a chief orthopedic resident, I vividly recall a professor telling me one evening before he went home (and I was left “senior” man holding the torch until morning), “Sometimes it is better to save the life and not the limb.”

      I honestly don’t know what your best choice is, but if I were you, I would learn all I could about what you can expect if indeed your leg was removed.

      I wish you only the very best,

      Dr. William Leone

      We thank you for your readership. If you would like a personal consultation, please contact our office at 954-489-4584 or by email at LeoneCenter@Holy-cross.com. General comments will be answered in as timely a manner as possible.

    • holycrossleonecenter
      holycrossleonecenter Posted on December 11, 2015 at 9:55 am

      Dear Jeffrey,

      Your physician is evaluating you for vascular claudication. This absolutely is appropriate, particularly considering your genetics and past history. Neurogenic claudication should also be considered and I would also recommend a back work-up looking for possible pathology that may also be adding to your symptoms.

      I wish you the very best,

      Dr. William Leone

  26. NotSure
    NotSure Posted on November 22, 2015 at 6:26 pm

    Hi,

    I’m a very active 40-year-old woman. I exercise most days a week, mainly with dance, bodyweight training, and flexibility classes. For more than 20 years, I have had a snapping sensation in my right hip, but it was never a big problem except when my hip would seem to go out of place a bit and I needed to shake it back into a normal, non-painful position. The training I’ve been doing in the last 18 months has strengthened my muscles and the snapping sensation has become very rare.

    Recently though, I’ve started having pain in my hips. First, I experienced a sudden, intensely painful spasm in the back of my upper right thigh, which seemed to match up with sciatica symptoms That pain mostly disappeared in a couple of weeks, but since then I’ve had two bouts of pain in my left hip, that begin with spasms while sitting or lying down. The spasm starts in the outside of the hip, and hurts intensely when sleeping or not very active. It improves with moderate walking or cycling. After a day or two, the pain moves to the front of the hip, and increases when raising the leg or pulling the knee to the chest. Both times this has happened, the pain has subsided entirely after a week.

    I don’t have much lower back pain and do a lot of strengthening exercises, but due to a car accident five years ago, my spine was left straighter than it should be and the sacrum had locked up at the time. Whether from this or from the pre-existing right hip issue, my hips are apparently uneven. I can see it myself when trying to pull my knees to the chest (the right one can’t come straight in, but has to open out to the side a bit), and doctors have commented on it when I get back x-rays, but they’ve never told me if there is a specific problem or cause.

    Do you think it’s likely that the recent bouts of hip pain are related to a pre-existing physical problem, or could it just be muscular, provoked by the moderate splits and back flexibility training I’m doing? I’m not currently seeing a doctor since the pain has been passing fairly quickly, but I just don’t know if this seems like a problem that is likely to keep reoccurring or even worsen. Thanks so much for any input.

    • holycrossleonecenter
      holycrossleonecenter Posted on December 11, 2015 at 9:54 am

      Dear Notsure,

      I suspect that your symptoms are related to your long-standing back pathology coupled with chronically altered alignment and pelvic obliquity with contracture possibly being further exacerbated from your current exercise regime. You might consider changing your workout or simply stopping for several weeks to see if your symptoms improve. If they persist, my advice would be to see an orthopedic surgeon who can assess both your back and hips to better pinpoint the source of your symptoms so that a treatment regime can be developed.

      I wish you well.

      Dr. William Leone

      We thank you for your readership. If you would like a personal consultation, please contact our office at 954-489-4584 or by email at LeoneCenter@Holy-cross.com. General comments will be answered in as timely a manner as possible.

  27. Sandra
    Sandra Posted on November 26, 2015 at 8:46 pm

    I was on a diet and started to walk on my lunch hour for about three weeks wearing flat shoes not sneakers. After the three weeks I decided to walk at my local park and on the 2nd day noticed my hip started hurting, I thought maybe I didn’t stretch enough. I continued walking about 5 more time then realized the pain started going down my leg and into my foot causing numbness. I had a previous car accident 5 years ago and had my L4 and L5 discs bulging as a result of the accident. Within a year and 1/2 after the accident I was running again. Now I am going back to my previous pain :-). I went to an urgent care about the pain and they did an x-ray and said it was Bursitis of the hip. They gave me an injection on the spot and a 7 day steroid pack which didn’t help. I decided to go to a Orthopedic Specialist who took x-ray and sent me for a MRI which showed my disk bulging. He sent me to a Surgeon who said I didn’t need surgery just that I should go to a Pain Management Dr. I went to the previous Dr. I used five years ago who knows my history and he looked at the MRI and didn’t see any significant change since 5 years ago. Between April thru today I have gotten several cortisone shots, another 7 days steroid pack and 2 Epidural Spinal Blocks and nothing is helping me. I decided to go to my primary Dr to run some blood tests to see if something was wrong with me. The results showed severely Anemic and my ANA came back positive. I asked what that meant and the Dr. said “It could be Rheumatoid Arthritis, Lupus or another Auto Immune Disease. I was in pain last week and went to the ER I told them about the medical findings from my blood work and they ran another ANA test and it came back negative. I am very confused and scared because this pain problem have been going on since April 2015. My Spine Specialist says it’s definitely my spine. The ER said I should see a Rheumatology Specialist. I am losing my mind with this excruciating pain if I walk, sit, stand and sleep and over the counter pain killers are not helping. I wish someone can help me and reading Dr Google is really scaring me.

    • holycrossleonecenter
      holycrossleonecenter Posted on December 18, 2015 at 11:25 am

      Dear Sandra,

      Your situation is confusing. Returning to your rheumatologist for further testing seems reasonable to more fully define if you do have an underlying autoimmune condition. I also would recommend that you discuss your symptoms with your primary care physician, who can help determine why you are anemic and may have other thoughts about the inconsistent ANA. Possibly, this is all related.

      The symptoms you developed after walking sound radicular from a lower back etiology. I would have expected these symptoms to have improved, at least temporarily, from the injections you’ve been given and the steroids you took by mouth. I think formal physical therapy is reasonable. I would consider returning to your orthopedist to re-evaluate your joints, especially considering your lack of improvement with the treatment administered, thus far, directed at your spine.

      I wish you a full and satisfactory recovery.

      Dr. William Leone

      We thank you for your readership. If you would like a personal consultation, please contact our office at 954-489-4584 or by email at LeoneCenter@Holy-cross.com. General comments will be answered in as timely a manner as possible.

  28. Stephanie
    Stephanie Posted on November 28, 2015 at 12:59 am

    I am 35 years old, and suffering pain in my lower right back, hip, groin, and now it has spread into the front of my body between my hip bone and pelvis. I did suffer a very traumatic fall about 3 years ago, where an MRI revealed 2 herniated discs. I was advised to stop physical activity for about 3 months and then I could proceed as usual. The pain initially was so extremely unbearable, it was like an electric shock throughout my entire body any time my right leg was moved even in the slightest. The pain has never fully been gone, but over the past 6 months it has been increasing tremendously. I am a runner, but I always stretch before and after running. When I am running, or doing strength training, it doesnt seem to bother me. Within the past 2 weeks I cannot hardly do anything. It feels so stiff in my back, I feel it pulsing when I sit, it hurts when I walk, it hurts when I stand, it hurts when I sleep; it wakes me up, it hurts when I try and soak in the bath, and sit on the toilet. The pain is definitely progressing, and the groin and front of my body is what is starting to concern me, I really feel like my hip is fractured or something. When I stand up, I can see that my shoulders are not even, and my right foot is slightly longer than my left, its like I jarred it or jammed it when I fell, I really dont know. I have tried adjustments but it doesnt help. I have ignored it as long as I can, but I am trying to hold off for my insurance to kick in…I was just curious what this sounds like to you. The chiropractor did x rays and said that my spine is tilted. I also notice it in my neck now as well, the right side of my neck pops really bad when I roll my head around. Please help me, any professional opinion would be greatly appreciated. Thank you for your time.

    • holycrossleonecenter
      holycrossleonecenter Posted on December 18, 2015 at 11:29 am

      Dear Stephanie,

      I would recommend you have your spine re-evaluated. Your symptoms very well may be related to your past spine injury and now you could be experiencing further nerve root irritation and compromise.

      I wish you a full recovery.

      Sincerely,

      Dr. William Leone

      We thank you for your readership. If you would like a personal consultation, please contact our office at 954-489-4584 or by email at LeoneCenter@Holy-cross.com. General comments will be answered in as timely a manner as possible.

  29. Shree
    Shree Posted on December 7, 2015 at 3:05 am

    My boyfriend is 45 and he has been having this pains in his hip like a burning sunsetin in his right hip and on his right thigh feel numbness and on the bottom of his right foot he get this stabbing needle feeling what is wrong with me

    • holycrossleonecenter
      holycrossleonecenter Posted on December 18, 2015 at 11:28 am

      Dear Shree,

      I suspect your boyfriend is having radicular pain from a lower back source. I would suggest he start his investigation by seeing a doctor who will specifically evaluate his lower back.

      Good luck,

      Dr. William Leone

      We thank you for your readership. If you would like a personal consultation, please contact our office at 954-489-4584 or by email at LeoneCenter@Holy-cross.com. General comments will be answered in as timely a manner as possible.

  30. Judy Schafer
    Judy Schafer Posted on December 8, 2015 at 3:47 pm

    I am 60 yrs old. about 6 months ago after a tennis match, I had some throbbing in my front thigh. Then symptoms moved to groin/psoas, lower back, hip, butt, and down leg. Had xrays, mri. Primary said i had a little artritis according to xray and my symptoms kind of sound like a pinched nerve. 1He prescribed antiinflammatory then physical therapy. After 6 sessions of phsical therapy went to orthopedic and he did the mri and said results showed a cyst and small tear on labrum around hip with some arthritis, but that he did not think that was the cause. He prescribed a cortizone shot which seemed to be helping but some of the symptoms reappeared. Then went to another ortho and he did another xray and said you have a lot of arthritis and you need a hip replacement. I said sometimes it feels like i have a pinched nerve so he went ahead and referred me to get emg to make sure which i will have that done this month. My question is if i was moving well 6 onths ago and due to something i did during that tennis match which i remembered jumping up to get a high volley a few times, why would i all of sudden need a hip replacement?

    • holycrossleonecenter
      holycrossleonecenter Posted on December 18, 2015 at 11:22 am

      Dear Judy,

      In my experience, hip symptoms often develop suddenly and worsen quickly. This is in direct contrast to knee arthritic symptoms for which I typically see a slow progressive demise over a long time period.

      Also, I see hip symptoms develop suddenly with a steep downhill course in people who are active and in shape. I don’t know why this is but I suspect it’s because their strong body conditioning protected the joint and improved body mechanics for as long as it could, before the joint wore down.

      I wish you a full and speedy recovery.

      Sincerely,

      Dr. William Leone

      We thank you for your readership. If you would like a personal consultation, please contact our office at 954-489-4584 or by email at LeoneCenter@Holy-cross.com. General comments will be answered in as timely a manner as possible.

  31. sandy
    sandy Posted on December 9, 2015 at 11:21 am

    Hi I had a hip injury back in 2004 and for about two years my hip pop when I walked, Now I am having problems that if I sit down for two long it hurts to stand and takes me a while before I can walk straight.{ I have early arthritis in my both ankles and knees and shoulders and wrist} they believe related to a injury I a stained in 2007 from a 18 wheeler accident.
    Now I am having problems when I first wake up every morning to even walk. I try not to sit on the floor for fear I can not get back up, the pain is there all day in my hip and the inside of my foot.
    I don’t want to be on pain meds and what I take occasionally is Aleve
    what can I do ?

    • holycrossleonecenter
      holycrossleonecenter Posted on December 18, 2015 at 11:27 am

      Dear Sandy,

      Your history suggests degenerative osteoarthritis in your hip, probably secondary to the trauma sustained in years past. I would recommend that you be evaluated by an orthopedic surgeon, preferably one with a particular expertise in hip replacement surgery.

      I wish you a full and satisfactory recovery.

      Sincerely,

      Dr. William Leone

      We thank you for your readership. If you would like a personal consultation, please contact our office at 954-489-4584 or by email at LeoneCenter@Holy-cross.com. General comments will be answered in as timely a manner as possible.

  32. Mary
    Mary Posted on December 10, 2015 at 4:58 pm

    I am only 17 and for years now I’ve been dealing with major back pain, migraines, hip pain. recently I was laying down on my back with my knees bent so that my feet were flat on the floor, I tried to get up and found excruciating pain around the left side of my tail bone and I couldn’t move, when I did manage to stand up I couldn’t straighten up I had to call a friend over to help me.
    It was more than an hour before I could walk with tolerable pain. I know my mom’s side of the family runs with severe rheumatoid authoritis and know it is possible for me to have developed juvenile authoritis at such a young age but what can I do to ease the pain so I can at least walk? Its gotten to where I’ve taken 4-5 pills that are 250mg of Acetaminophen, 250mg of Aspirin, and 65mg of Caffeine with no effect on my headaches and other pains

    • holycrossleonecenter
      holycrossleonecenter Posted on December 18, 2015 at 11:23 am

      Dear Mary,

      I suggest you share your concerns with you mom. It’s troubling for one so young to be experiencing all this pain and to be taking so many medications. I would recommend a medical work-up with your personal physician that includes testing for an autoimmune inflammatory disease like JRA, considering your family history and your specific apprehension.

      I wish you good health,

      Dr. William Leone

      We thank you for your readership. If you would like a personal consultation, please contact our office at 954-489-4584 or by email at LeoneCenter@Holy-cross.com. General comments will be answered in as timely a manner as possible.

  33. ElizabethS
    ElizabethS Posted on December 11, 2015 at 1:27 pm

    I am 48. About 15 years ago I started getting what felt like severe cramps in my hip joints. Several years later I was diagnosed with degenerative disc disease. About 5 years ago I started having mild sciatica, which has progressed to severe over the last several years. I go in every 90 days for injections in my spine and that does bring some relief to the leg and foot pain from the sciatica, but does not help with the lower back pain. Over the course of the last year I started having shooting pain in my hips when I would do any task that had slight bending – vacuuming, unloading the dish washer, taking clothes out of the dryer, etc.

    3 months ago my spine doc cauterize do the nerve branches at L4 and L5. The sciatica went completely away, and the hip pained lessened by about 30%. Unfortunately the relief only lasted about 70 days. Now the pain in my hips is so bad it feels like I have been stabbed with large spikes in each hip anytime I bend forward – even slightly, for more than 30 seconds. I assumed the hip problems were related to my spine, but my PT suspects it’s a separate issue. The pain is so severe I cannot do normal daily activities. I do get almost instant relief when I sit or lie down. Do you have any idea what is going on? I have also started getting aching pain (which can be sharp) in my shoulder, my fingers and one of the joints in my foot. Could this all be some form of arthritis? Thank you!

    • holycrossleonecenter
      holycrossleonecenter Posted on December 28, 2015 at 9:17 am

      Dear Elizabeth,

      I would be suspicious that your symptoms are mainly from your back condition. Seeing an orthopedic surgeon to also evaluate your hips shows sound judgment. If you are this disabled from your lower back pathology and did get significant, though temporary, relief with nerve “ablation” therapy, then it may be time to see a spine surgeon and find out what options and treatments can be offered. I would seek several opinions.
      I wish you a full recovery.

      Dr. William Leone

      We thank you for your readership. If you would like a personal consultation, please contact our office at 954-489-4584 or by email at LeoneCenter@Holy-cross.com. General comments will be answered in as timely a manner as possible.

  34. Bettina
    Bettina Posted on December 11, 2015 at 2:18 pm

    Hello,

    I am a 20 year old female who had had problems with both hips since age 17. Primarily my left hip gives me the most problems, where as the other is a dull pain occasionally. When sitting up, sitting on the ground, or twisting in the wrong way I have excruciating shooting pain. The pain almost makes my hip feel like it is locked in that position until I have to find a gentle way to move myself out of it. The pain is very sharp and unexpected, and shoots out of the side of my hip and radiates out- sometimes down my leg. I will also occasionally fall down when trying to get off the ground- its almost as if it’s ‘giving out’ sensation, and it there is no control of my left hip/femor. I was a high intensity athlete for many years- and when I had checked my hip with my trainer they had told me it was a hip flexor problem. Now I am not active at all.
    I tend to sleep on my side, and most of my weight is carried around my glutes, so I don’t know if that is part of the problem?

    • holycrossleonecenter
      holycrossleonecenter Posted on December 28, 2015 at 9:14 am

      Dear Bettina,

      The etiology of your problem needs to be determined so a treatment plan can be created. Your description suggests hip(s) instability. Labral pathology has to be considered. If you do have a significant problem with you hips, it is better that you treat these sooner rather than later because more joint destruction will occur with time and the treatment outcome will become less certain. I would suggest you seek the advice and direction of an orthopedic surgeon, preferably one who has a special interest in hips and arthroscopy.

      I wish you a full recovery.

      Dr. William Leone

      We thank you for your readership. If you would like a personal consultation, please contact our office at 954-489-4584 or by email at LeoneCenter@Holy-cross.com. General comments will be answered in as timely a manner as possible.

  35. mira
    mira Posted on December 13, 2015 at 6:10 pm

    Please I need help….I am 30 weeks pregnant and from 3 weeks I have pain in my left hip going down to the knee sometimes…but only when I try to walk…not when I sit, lay down or stand still ( maybe is because I consciously put more of my weight on the good, right leg).
    I cannot lift my left leg at all – when I keep it straight- in laying position, but I can bend the knee. I feel a little doll pain the left buttock all the time.
    When I am limping or try to walk all the femoral and other muscle and nerves around the hip become stiff and I feel pain at the iliopsoas muscle and in front mid knee cap.
    I am doing chiropractic exercises 3 times a week with a doctor ( she does also acupuncture sometime to me on the stiff muscles) but I see no improvement.

    Thank you.

    • holycrossleonecenter
      holycrossleonecenter Posted on December 28, 2015 at 9:19 am

      Dear Mira,

      I suspect your pain is sciatic from irritated lumber nerve roots. A primary hip problem also has to be considered. I suggest you be evaluated by an orthopedist. During an appointment, a decision may be made not to have X-rays done to prevent your baby from being exposed. You also may benefit from physical therapy. I also think NSAIDs and/or an injection may not be appropriate considering your pregnancy. Hopefully as your baby moves its position in your uterus, your symptoms may lessen or resolve. More probably, after your baby is born, you will recover.

      I wish you and your family the best.

      Dr. William Leone

      We thank you for your readership. If you would like a personal consultation, please contact our office at 954-489-4584 or by email at LeoneCenter@Holy-cross.com. General comments will be answered in as timely a manner as possible.

  36. Diana
    Diana Posted on December 13, 2015 at 7:54 pm

    Mid-hip pain – both sides – started this year. Pretty severe. Feels inflamed. Only happens when I am sitting forward (forearms on thighs). Takes a minute to stand up straight – some popping sounds. Pain goes away after walking a minute, or sitting back, or sitting with my legs straight and spread apart. Had a spinal MRI a few years ago. No real issues. Had a hip X-ray around same time. Was told I had mild arthritis. I had no hip pain back then, just severe frontal groin pain on right side of uterus – removed appendix – no issues with it – also had V ultrasound – no issues – physical therapy – no relief – finally, after a couple years and trips to Chiropractor (who found a severely rotated lower vertebrae that the spinal doctor did not – I see Chiro monthly now), the groin pain had gone away, but is now back with the added hip pain. I do have plantar fascitis.

    • holycrossleonecenter
      holycrossleonecenter Posted on December 28, 2015 at 9:15 am

      Dear Diana,

      I would suggest you have your hip re-evaluated, including repeat X-rays. It may prove valuable to compare the most recent ones to those taken several years ago. If the situation still is not clear, you might consider a hip “pain” injection test to learn how much of the symptoms disappear (though temporarily) when the inside of the joint (intra-articular) is anesthetized with a local anesthetic.

      I wish you good luck and a full recovery.

      Dr. William Leone

      We thank you for your readership. If you would like a personal consultation, please contact our office at 954-489-4584 or by email at LeoneCenter@Holy-cross.com. General comments will be answered in as timely a manner as possible.

  37. Suffering
    Suffering Posted on December 17, 2015 at 4:40 pm

    I have been suffering with degenerative osteoarthritis for many years now. I’ve had surgery on both knees, the left has had a unicompartmental replacement. It’s been three years and it’s still very painful. I don’t dare to get the other knee done. For about a year now I’ve had back pain (herniated L4) and bulging L1 to L3. I work as a CNA and an EMT usually 16 hour shifts. I don’t have any choice or I would take it easier. The pain runs from my hip/groin area down to the out side of my thigh, numbness with searing shocking jolts..I have to sit down and let it pass enough to get back up and work again over and over till my shift ends, I get in my car to drive home an hour away..relief doesn’t stay, after about 5 minutes, a continuous ache resumes for the remainder of my drive home. I step out of my car and listen to my knees crunch and take excruciating steps to my home. What else can be going on..I feel like I’m not going to be able to take this much longer..

    • holycrossleonecenter
      holycrossleonecenter Posted on December 28, 2015 at 9:20 am

      Dear Suffering,

      The pain that is radiating down your legs may be from lower back pathology. Hip disease must also be considered and ruled out for it also can cause groin pain and pain that radiates down the leg (commonly the outer thigh). Hip disease can also cause referred knee pain. Selective injections may be appropriate to temporarily ease the pain and more importantly give insight as to what arthritic process is causing the biggest problem. If an epidural relieves significant pain and allows you to be more functional, even if only for a short time, then your back pathology may merit the first efforts to resolve it. If knee injections give you significant relief, then it may be most appropriate to re-address your knees.

      Partial knee replacements do spectacularly. If yours isn’t, then understanding why it isn’t is important so that the problem can be corrected. Infection always must be considered as well as loosening or pain from arthritis arising from the compartments of the knee that were not replaced.

      I would encourage you not to give up but rather steadily search for treatments that can help you.

      Sincerely,

      Dr. William Leone

      We thank you for your readership. If you would like a personal consultation, please contact our office at 954-489-4584 or by email at LeoneCenter@Holy-cross.com. General comments will be answered in as timely a manner as possible.

  38. Shara
    Shara Posted on December 19, 2015 at 7:21 pm

    Hello,

    I am a 37 year old female. I have had pain in my left hip, on the very outside, off and in for years. The pain is on the point of my hip that sticks out the farthest and it sticks out much furtger than tge right side. Occasionally while walking it would be triggered and would also cause me to limp. I have had several primary care docs look at it and they would order xrays that come back normal.
    3 days ago I was awaken frim my sleep with horrible pain in that hip. When I stood up, the pain now also radiates from the same point around to the top back of my hip. I limp very badly. The pain is worse while sitting or lying down. The pain is searing, it feels like I’m tearing my body in half. While walking it only hurts when I’m bringing my leg forward. Thats where the limp comes in. The pain is constant, it never goes away now. Not t h robbing, just constant searing pain. My doctor will not see me for this due to the xray being normal. Any advice?

    • holycrossleonecenter
      holycrossleonecenter Posted on January 4, 2016 at 9:22 am

      Dear Shara,

      From the description of your symptoms and reported normal hip X-rays, I suspect that you might have developed a greater trochanteric bursitis. I wrote a recent blog article dealing with this topic and I’d suggest you review it. See the link below.

      http://holycrossleonecenter.com/blog/greater-trochanteric-bursitis-a-common-cause-of-hip-pain/

      Greater trochanter bursitis is an extra-articular cause of hip pain that it can be debilitating and persistent. Often the plain X-rays of that hip are normal. Cortisone injected into the greater trochanter bursa can be both diagnostic as well as therapeutic. Physical therapy with modalities also can be effective. Occasionally, a shoe modification or an orthotic also is appropriate.

      Changing the mechanics that lead to the bursitis and now sustain it is important to resolving it. For example, it’s important to understanding if the bursitis developed secondary to a pelvis which is not level to the floor (pelvic obliquity), from scoliosis or other spinal pathology, leg length inequality or other soft tissue contractures. Local trauma, repetitive activities and anatomic abnormalities also might be a cause.

      My advice would be to discuss your continued disability with your physician. If your doctor is not comfortable or eager to treat your condition, then request a referral to another physician who is. Minimally, ask if they will initiate physical therapy.

      I wish you a full and speedy recovery.

      Dr. William Leone

      We thank you for your readership. If you would like a personal consultation, please contact our office at 954-489-4584 or by email at LeoneCenter@Holy-cross.com. General comments will be answered in as timely a manner as possible.

  39. Sherry
    Sherry Posted on December 24, 2015 at 5:53 am

    Please help with an opinion. I am a 56 year old woman. I have had total knee replacement of the left knee in 2006 and a failed lamenectomy (please forgive misspelling) and fusion of L5-S1 in 2012. I have been diagnosed with degenerative disc and joint disorder; spinal stenosis; bulging disc without nerve impingement of C3, C4, C5, L3, L4; cartilage shrinkage of left knee; osteoarthritis in majority of my joints; fibromyalgia; hypertension controlled with medication; type 2 diabetes controlled with diet and exercise; high cholesterol controlled with medication and exercise; depression controlled with medication; damage of nerves controlling my ability to urniate now controlled by medication; depression controlled by medication; lifetime Coumadin due to 100% occlusion of the subclavian artery in 2004 follwed by PEs; and lifetime controlled substances due severe nerve damage from surgeries. I have been in physical therapy (land and water), chiropractic care, and massage therapy for almost a year.I have undergone cortisone injections of both hips for bursitis and in my left knee that last no more than 30-days.

    I am asking for your opinion and help. I had been experiencing moderate to severe pain in my lower back, left hip, and knee. This morning around 3:30 I was awaken with excruciating pain in both hips but more severe in the right hip. I could not move my legs or shift my hips without screaming in pain. I am a side sleeper, so my first thoights were that I slept wrong; however, this extremely different. I am familiar with referred pain and thought this maybe coming from the low back. I took four Tylenol Arthritis medication at 4:30 and just took my controlled medication. The pain is about a 3 now. I know I took to much medicine but I have only experienced such pain once when I herniated my disc and the sciatica was affected.

    Dr. Leon can you give me some baselines to review with my orthopedic neurosurgeon? I appreciate your help!

    • Sherry
      Sherry Posted on December 24, 2015 at 6:15 am

      Correction : it was total knee replacement on the right knee. I am suffering from severe muscle spasms in both legs. Because I cannot have epidural injections due to Coumadin, I have been using ice to reduce swelling in the joints, heat for the muscle, and tens unit to try and reduce pain and spasms.

    • holycrossleonecenter
      holycrossleonecenter Posted on January 4, 2016 at 9:28 am

      Dear Sherry,

      I suspect that the pain and spasm you’re experiencing in both hips is from lower back pathology. I would suggest that you discuss these new symptoms and concerns with the orthopedic neurosurgeon who has been helping you manage these conditions. A rheumatologic work-up also would be appropriate, especially considering your diagnosis of fibromyalgia. Narcotic addiction further clouds your situation. Narcotics can make you feel depressed, ashamed and make it more difficult to find physician who will take care of you.

      I think you must take your health into your own hands and do everything you can do to get healthy. This may mean losing weight, getting physically fit and weaning yourself off all narcotics.

      I wish you the best of health.

      Dr. William Leone

      We thank you for your readership. If you would like a personal consultation, please contact our office at 954-489-4584 or by email at LeoneCenter@Holy-cross.com. General comments will be answered in as timely a manner as possible.

  40. anne
    anne Posted on December 28, 2015 at 12:59 am

    I had a hip replacement…highly successful and skilled anterior approach just over one year ago. It was a like a miracle. No pain. I am a cancer caregiver to my husband and he is getting worse. I got the surgery done because I knew this would happen. I have trying to help him and I have been sitting on the bed, an uneven surface, and two weeks ago, I felt a shock type pain down the non hip replacement leg that felt like a stenosis/sciatica pain…like the nerve was too short for the leg. Since then, my non hip replacement leg has been clicking or snapping. I am back to the pain i used to feel in my leg that is fixed. Need to lean against a wall to talk to someone or wait in line, bending over in line or at the store like I am tying my shoe but it looks ridiculous I can only stand for like three minutes before I have to lean over. The clicking is making me nuts. I am heartbroken and angry because if I have to have surgery in this leg…the formerly good leg, I cannot do it because my husband is getting much worse and I am very afraid I will not be able to care for him when he needs me to. I am also mad at him…irrationally…because I know it was caring for him that caused this. He is still at a point when he can do much for himself but refuses. I am very mad at myself too. I should not have sat on the bed every night to help him with foot and hand care…a total of 1.5 hours per session, two times per day to total three hours. I see hip clicking or snapping on the Internet. I am very afraid that if I do not get this looked at immediately that I could end up like before. The pain is actually worse than when I needed surgery on the other side. I am looking for hip clicking solutions. My ortho surgeon is across the state. The only tool I have locally is my chiropractor who I will see this week but he can only help me with dealing with the pain until I find the real reason for what is going on. Do I call my surgeon and drive across the state right away? I am so fearful that I will not be able to take care of my husband. Can hip cicking get worse? I keep seeing exercises on the Internet but can those cure the clicking which is the tendon riding over a bone. I just hope it is not the labral tendon doing this…

    • holycrossleonecenter
      holycrossleonecenter Posted on January 4, 2016 at 9:20 am

      Dear Anne,

      Beating yourself up or blaming anyone other than the untenable situation you, and your family, find yourself in simply is not constructive. Approximately 70 percent of the time, the conditions that resulted in you having a hip replacement on one side also are present on the other side, therefore very possibly would be treated optimally with a THR. Fortunately, the experience you had with THR was very successful, which speaks favorably that the surgery was performed for the correct indications and expertly by a surgeon you trust.

      I would recommend a full evaluation by a local orthopedist. Hopefully, hip versus lower back / sciatic etiology can be distinguished. A treatment plan then can be recommended. If it is determined that your symptoms are from an arthritic hip, then consider communicating with your surgeon to see when he or she could care for you. A cortisone injection may give you some temporary relief, but also may increase potential complications, including infection, that are associated with hip replacement surgery. Minimally, it may delay surgery as to when your surgeon would feel comfortable doing the THR, if that is recommended. Trialing therapy and modalities or an NSAID all are appropriate but may not be successful.

      Finally, I think you have to share your concerns with you husband and ask for his input and support. If you’re unable to stand and walk, then the reality is you’re unable to provide the care for him that you desire and you may be forced to care for yourself first in order to care for him later. If his current condition is better than it will be in the near future, it may be better for you to care for yourself sooner rather than later.
      I wish you and your family health and strength.

      Sincerely,

      Dr. William Leone

      We thank you for your readership. If you would like a personal consultation, please contact our office at 954-489-4584 or by email at LeoneCenter@Holy-cross.com. General comments will be answered in as timely a manner as possible.

  41. Heidi
    Heidi Posted on December 28, 2015 at 10:11 pm

    Hi, I’m 47 and have been having a progressively worsening pain that began radiating only from my right hip and buttocks. The pain is actually worse at night and when sitting. Over the past few days, the pain has moved up along my right side (at waist level) but still radiating through my hip as well. I have been keeping a heating pad on it and Tylenol isn’t touching the pain (I can’t take ibuprofen due to stomach issues). I originally thought it was due to lack of exercise and that I needed to stretch but the treadmill and stretching seems to be worsening the pain. My back does not have any pain at all so I don’t feel that it is related to back or spine (although that may be the case). I don’t really know where to turn to subside my pain. Any advise is appreciated!

    • holycrossleonecenter
      holycrossleonecenter Posted on January 7, 2016 at 11:18 am

      Dear Heidi,

      I suspect that your pain is from a lower back etiology despite your lack of back pain. I would suggest you discuss your symptoms and concerns with your physician. Further study and physical therapy may be beneficial. Tylenol and the heating pads you’re using also seem appropriate.

      I wish you a fully and speedy recovery.

      Dr. William Leone

      We thank you for your readership. If you would like a personal consultation, please contact our office at 954-489-4584 or by email at LeoneCenter@Holy-cross.com. General comments will be answered in as timely a manner as possible.

  42. flora
    flora Posted on January 2, 2016 at 11:49 pm

    I fell 7 months ago from a 2 foot ledge on my left hip n h has escalated to pain i cant sit n it hurts I cant lay on my left side in bed it hurts I take ibuprofen like 6 times every day it still hurts, what did I do n is bad enough to go to doctors

  43. Whendy Hedrick
    Whendy Hedrick Posted on January 3, 2016 at 10:14 am

    I have the exact same symptoms but my orthopedic doctor says the pain is coming from my back. I have a slipped disc in my lower back. I can’t hardly walk. I had an epidural but got no relief. Defective hips run on my Mother’s side. Have you gotten any relief..?

  44. keli
    keli Posted on January 4, 2016 at 9:12 am

    Since shortly after 2003 i started experiencing terrible back back in my mid back and hips i thought it was due to me having a baby. the pain in my back can be very overbearing i cant get comfortable i can hear n feel my bones in my back crack n shift as i shift around i didnt go to a doctor until the pain in my hips starting to grow unbearable it feels as if they are locking up sometimes and caused me to litterally stop walkung from so much pain laying on my stomach maybe 10 minutes they almost lock up and im almost in tears to bend to get back up ive been noticing ive been getting some pains shooting about mid top buttcheek where the indent in your hipbone bit runs down my entire cheek mainly on the right but it has hurt in the left once or twice.. long periods of walking really hurt or standing.. i find myself limping or finding waysvto lean to trybto atretchn make the pain go away..sometimes i can only cry.. i kept telling the doc it feels like everythings in the bones he took xrays n told me i had arthritis in my back n hips the pain was so bad i insisted there was more he sent me off for an mri but i couldnt complete the very last 5 minute test but from what i understood it said spurring in the hip region n degenerative disc disease i asked a doc once what the spurring is and was told calcium deposit growth n that only if it grew large enough would they ever do anything… i just cant stand this pain i even failed pt … i even told the doc i had let a friend crack my back one time n she said she could do my hips i said no but she went to press down and another friend pinched my butt causing me to tighten up the exact moment she pressed down .. i told the doc i feel maybe its an injury from that but bc im 33 n heavy set its oh lost weight n exercise well mind u i was a miserable 285 lbs n down to 219 the pain didnt decrease… please if u can reply to my email as im not sure ill find this site again i need help badly

    • holycrossleonecenter
      holycrossleonecenter Posted on January 7, 2016 at 11:22 am

      Dear Keli,

      The symptoms you describe seem most consistent with pain emanating from lower back pathology. Hip disease also must be ruled out. I would suggest that you be evaluated by an orthopedic surgeon who can evaluate you, help diagnose the root cause and then make recommendations. I would suggest you continue your weight-loss program and do the exercises you learned during physical therapy.

      I wish you a full recovery.

      Dr. William Leone

      We thank you for your readership. If you would like a personal consultation, please contact our office at 954-489-4584 or by email at LeoneCenter@Holy-cross.com. General comments will be answered in as timely a manner as possible.

  45. holycrossleonecenter
    holycrossleonecenter Posted on January 7, 2016 at 11:10 am

    Dear Flora,

    The cause of you pain needs to be diagnosed. Seven months is a long time since your injury and I would expect a soft-tissue injury to have healed. Yes, I would strongly recommend you be evaluated by your physician at this point, so a diagnosis can be made and a treatment regimen planned.

    I wish you a full recovery.

    Dr. William Leone

    We thank you for your readership. If you would like a personal consultation, please contact our office at 954-489-4584 or by email at LeoneCenter@Holy-cross.com. General comments will be answered in as timely a manner as possible.

  46. Peggy
    Peggy Posted on January 10, 2016 at 6:39 pm

    I’m a 47 year old female. Last June, when starting out on a hike, I had a sudden pain in the front of my right hip, at the very top of my leg. I know it wasn’t a smart decision, but since it was a flat terrain, I went ahead and completed all 8.5 miles of the hike (in pain).

    I thought the pain would go away over time, with rest, stretches and medicine, but the pain would become so severe that I couldn’t lift my leg to go up a step, or get into my car.

    About a month later I saw my doctor and had an X-ray which showed a small amount of arthritis. My doctor prescribed tramadol for pain, and diclofenac sodium for pain and inflammation. While the pills sometimes take the edge off the pain, they never make the pain go away completely.

    A couple months after the initial injury, the pain began spreading down the front of my thigh. And a few months after that, it now spreads around my outer thigh and includes the top of my right buttock.

    Odd things I’ve noticed: the pain will go away after sitting for a bit, but if I try to go for a walk, I only get about 200 yards before the pain comes back. Sometimes while sitting, my hip won’t hurt, but I’ll feel the pain in my upper thigh. I can walk around my house, barefoot, and often don’t feel pain unless I twist a certain way.

    Background: my right leg is slightly longer than my left. I’ve had two scopes in my right knee, and ACL surgery in my left knee. Two years ago, I had surgery in my right foot for hallux rigidus/bunion, and since that surgery, I sometimes have pain on the bottom of my right foot (it feels like ‘m walking on a marble, so I suspect arthritis of sorts is present). This may or may not relate, but I’ve also had carpal tunnel surgery on both hands.

    As long as I can remember, I’ve had occasional lower back pain on my right side – which I’ve always attributed to my right leg being longer. Also, back in the days of doing full-on situps in school gym class, my hips would always pop.

    Lastly, even though I said that my right leg is longer than my left, I now have reason to suspect that might not be true. My sister who has also spent much of her life thinking she had one leg longer than the other, has just recently been told that she does NOT have a longer leg, but instead there is a problem with how her hips are shaped. This sister has also had knee scopes, ACL surgery, and carpal tunnel surgeries.

    I’m tired of hurting and miss going for walks/hikes.

    • holycrossleonecenter
      holycrossleonecenter Posted on January 29, 2016 at 1:03 pm

      Dear Peggy,

      From your description, it sounds as if your symptoms are from an arthritic hip. I’m wondering if what you attributed to your back over the years actually was from your hip all along? It’s also interesting that you recall even in high school how your hips would pop. They might have been subluxing or impinging.

      An intra-articular hip injection may give you insight as to how much of your disability is due to your hip arthritis and also may provide some temporary relief.

      Ultimately, you may benefit from hip replacement surgery. That surgery would only be indicated when you feel disabled enough and the conservative measures like PT and NSAIDs are no longer giving you adequate relief.

      I would recommend seeing an orthopedic surgeon who specializes in THR to discuss your concerns and formulate a plan.
      I wish you a full recovery.

      Dr. William Leone

      We thank you for your readership. If you would like a personal consultation, please contact our office at 954-489-4584 or by email at LeoneCenter@Holy-cross.com. General comments will be answered in as timely a manner as possible.

  47. Nettie
    Nettie Posted on January 14, 2016 at 10:36 pm

    I had totally knee replacement on both knees,the right was done last six months after the left one but since then I start having right hip pain and the pain runs down from right hip to my right thigh,and knee and I am now limping too ,I can’t stand to walk on concrete it’s really unbearable when I go into stores with concrete floors,I had X-rays done was told I needed a hip replacement and that I have Spurs sticking out causing some of the pain too ,my doctor said I can’t have the surgery until I loose some weight but he never said how much weight ! My hip and knees are popping and my right leg appear shorter than the left leg is this normal

    • holycrossleonecenter
      holycrossleonecenter Posted on January 29, 2016 at 1:00 pm

      Dear Nettie,

      It does sound as if you really would benefit from having a total hip replacement. Going into surgery weighing less and being in better physical condition clearly makes the surgery safer and the rehab easier. It is understandable that losing weight and getting more fit becomes even more difficult when you are inactive and can hardly walk.

      I still would suggest you make an earnest effort to lose weight. You might consider asking your primary care physician for assistance or advice about other weight-loss avenues in your community. I think having a goal is beneficial and you should ask your surgeon how much weight he or she recommends you should try to lose, in order to optimize the surgery.

      I think it’s always a good idea to get additional opinions from other hip surgeons as well.
      I wish you a full recovery.

      Dr. William Leone

      We thank you for your readership. If you would like a personal consultation, please contact our office at 954-489-4584 or by email at LeoneCenter@Holy-cross.com. General comments will be answered in as timely a manner as possible.

  48. Ivory
    Ivory Posted on January 27, 2016 at 8:30 pm

    I too have hip pain. I wake with pain in my hips every day. Often times I will take an episode, for lack of better term, that lasts for hours, intense searing pain, pain won’t let up it just nags, nothing makes it worse as its already severe, nothing eases it either, usually lay in bed in tears with a heating pad for comfort but not relief, I have popping, cracking, locking in the groin, and I also suffer from lower back pain. My episodes happen with seemingly no trigger other than knee pain and problems and I can’t seem to get doctors to listen to me about my pain. I’m also hypermobile, suffer pain daily, my knees have dislocated, and I assume my hips are lax because sometimes it feels like they’re trying to dislocate. Partial dislocation, maybe? I have to sleep with a pillow between my knees or I’ll wake up to one of my episodes with my hips. Mostly, I wake up everyday feeling like I have the flu. I don’t know how much more of this I can take. My knees are hard enough to deal with. My hips and back added to the mix is debilitating. Basically, from mid waist down to my toes I’m having pain problems. Any advice would be greatly appreciated or just the acknowledgement that there is something wrong.

    • holycrossleonecenter
      holycrossleonecenter Posted on February 18, 2016 at 10:56 am

      Dear Ivory,

      I think it is very important that you fully understand the etiology or underlying disease leading to your arthritic joint pains and hypermobility if an optimal treatment plan is to be developed. I would discuss this with your primary care doctor. A full rheumatologic work-up directed by your primary or a rheumatologist would be appropriate. Physical therapy with core strengthening also would be appropriate. If a particular joint, hip or knee truly is destroyed, then you may benefit immensely from joint replacement surgery.

      I wish you a full recovery.

      Dr. William Leone

      We thank you for your readership. If you would like a personal consultation, please contact our office at 954-489-4584 or by email at LeoneCenter@Holy-cross.com. General comments will be answered in as timely a manner as possible.

  49. Pam
    Pam Posted on January 28, 2016 at 11:08 am

    Since December 1, I have been having throbbing pain in my left groin. I am a mail carrier. When I get out to deliver pkgs, sometimes the pain is so severe I can hardly walk. I can apply pressure to the spot in my groin as I walk and this seems to ease the pain. It is worse at night and it hurts to lay on my left side. The pain is not in my hip, but in my groin. I can barely shave my legs because standing on my left leg causes severe pain. Also, crossing my legs. I researched Hip Bursitis but I have no pain in hip, just the spot in my groin. Also, don’t really think it could be a Hernia. I have had a Hysterectomy but I still have my Ovaries. I have no other side effects. Do you have any suggestions and what type of Dr do I need to see.

    • holycrossleonecenter
      holycrossleonecenter Posted on February 18, 2016 at 10:57 am

      Dear Pam,

      Groin pain is a classic symptom of hip disease. Although it is not always present with hip disease, when it is present, it strongly suggests a hip problem. The description of your symptoms seems very consistent with a hip problem. I suggest you see an orthopedic surgeon who will be able to help you define the etiology of your groin pain and hopefully outline a course of treatment. Minimally, I would suggest having X-rays taken of your pelvis and hips.

      I wish you well.

      Dr. William Leone

      We thank you for your readership. If you would like a personal consultation, please contact our office at 954-489-4584 or by email at LeoneCenter@Holy-cross.com. General comments will be answered in as timely a manner as possible.

  50. Ashley Owens
    Ashley Owens Posted on January 29, 2016 at 1:57 pm

    Hello
    I am 27 years old and for about a year now iv had sharp pain in my right hip/butt area, but it only comes on after walking at work for 5 hours, I slipped and feel when i was around 21 (not sure if it matters). The pain makes it hard to put any pressure on my right leg at all. iv never felt any pain like this before, but i find it strange it takes 5 hours to hurt then it almost brings me to tears. I need some idea as to why?

    • holycrossleonecenter
      holycrossleonecenter Posted on February 23, 2016 at 9:53 am

      Dear Ashley,

      It’s important to understand the etiology of your pain in order to prevent or correct it. Many people develop deep buttock pain, especially after being on their feet for a long period of time, which actually is originating from the lower back. If this is the case, exercises to strengthen your core, improve your flexibility, especially your hamstrings, and comfortable supportive shoes may help. If you try these things and pain persists, please discuss your complaints with your primary care physician. Possibly a form of out-patient therapy may help.

      I wish you well.

      Dr. William Leone

      We thank you for your readership. If you would like a personal consultation, please contact our office at 954-489-4584 or by email at LeoneCenter@Holy-cross.com. General comments will be answered in as timely a manner as possible.

  51. Ivy Muller
    Ivy Muller Posted on January 30, 2016 at 11:56 pm

    I am currently 15 years old. I have had a bad right hip for the past 3 years now and it used to pop out and hurt a lot maybe like twice a year, then it went on to once every 3 months, to once every other month and now it happens weekly or more than once a week. It will pop out like I’ll feel the click and it will be painful to sit and it hurts to walk. My mom says I kind of waddle when my hip hurts. I’ve seen chiropractors for help to pop it into place, but it continues to pop out and give me pain. If anybody has any helpful answers or ideas please let me know, because it’s getting ridiculous how I’m constantly in pain.

    • holycrossleonecenter
      holycrossleonecenter Posted on February 23, 2016 at 9:58 am

      Dear Ivy,

      It is not good for the health of your hip to “pop out” or subluxate. If it persists, you may develop arthritis as an adult. You absolutely want to avoid this. I would try to learn exercises that you can do to tighten the hip muscles. If this persists, I also would consider seeing an orthopedist who specializes in hip arthroscopy for a capsular tightening procedure.

      The best of luck to you,

      Dr. William Leone

      We thank you for your readership. If you would like a personal consultation, please contact our office at 954-489-4584 or by email at LeoneCenter@Holy-cross.com. General comments will be answered in as timely a manner as possible.

  52. Linda
    Linda Posted on February 8, 2016 at 12:50 am

    I only have hip pain when I try to get out of bed in the morning. I feel like my hip is locked and I can’t straighten up. Try to roll on my side or get on my stomach but the pain is so excruciating that I break out in a sweat and almost pass out. I sleep well and have no pain during the day or dong any activites. I sleep sitting up in a recliner or on a incline pillow in bed so that I don’t have the pain when I wake up. What can be causing this?

    • holycrossleonecenter
      holycrossleonecenter Posted on February 23, 2016 at 10:01 am

      Dear Linda,

      Hip pathology does have to be considered. Your symptoms seem elicited when moving from an extended position (lying in bed) after a period of inactivity (sleeping) to sitting (flexing). This is a common complaint some people experience with intra-articular hip pathology, such as arthritis or an unstable labrial tear. It seems unusual that symptoms are so severe with this activity only and you are able sleep throughout the night and do not have any problems during the day. I would suggest you have an orthopedic surgeon evaluate you.

      I wish you well.

      Dr. William Leone

      We thank you for your readership. If you would like a personal consultation, please contact our office at 954-489-4584 or by email at LeoneCenter@Holy-cross.com. General comments will be answered in as timely a manner as possible.

  53. Laken
    Laken Posted on February 9, 2016 at 6:52 am

    I woke up with pain in my hips this morning it is radiating down both legs but the main pain is coming from my hips and both knees. It is worrying me since it is sudden and both legs. I was reading online about blood clots they run in my family. I don’t know what to do. Can anyone help?

    • holycrossleonecenter
      holycrossleonecenter Posted on February 23, 2016 at 10:00 am

      Dear Laken,

      I doubt specific hip or knee pathology is causing your sudden, new onset pain. A blood clot has to be considered but I would expect that to form on one side or the other, not both at the same time. A lower back etiology such as sciatica has to be considered. I would strongly recommend you discuss you concerns and symptoms with you primary care physician.

      I wish you well.

      Dr. William Leone

      We thank you for your readership. If you would like a personal consultation, please contact our office at 954-489-4584 or by email at LeoneCenter@Holy-cross.com. General comments will be answered in as timely a manner as possible.

  54. vic
    vic Posted on February 10, 2016 at 2:30 pm

    Hello,

    I was diagnosed with mild trochanteric bursitis (had an MRI for that) and I am about to start physiotherapy. Although the pain was mild and really manageable so far, today that I am on the first day of my cycle, the pain seems to have changed to something like a spasm or cramp (on lower back as well) and it’s really killing me. Could it be my period?

    • holycrossleonecenter
      holycrossleonecenter Posted on February 23, 2016 at 10:08 am

      Dear Vic,

      Usually greater trochanteric bursitis is characterized with point tenderness when pressing on the lateral (outside) aspect of your greater trochanter (upper part of you thigh bone). Usually it hurts with certain positions or pressures. I don’t recall anyone complaining of spasm or cramps in that area that I thought were due to a bursitis. If these are your symptoms and are associated with lower back pain, then very possibly they are related to your menstrual cycle and not a greater trochanter bursitis. If your symptoms are constant and persistent and don’t vary with your cycle, then another etiology must be considered, such as sciatica.

      The best of luck to you,

      Dr. William Leone

      We thank you for your readership. If you would like a personal consultation, please contact our office at 954-489-4584 or by email at LeoneCenter@Holy-cross.com. General comments will be answered in as timely a manner as possible.

  55. Tyffany
    Tyffany Posted on February 11, 2016 at 11:47 am

    I’ve had constant back pain for about 6-7+ years now. I’m 17 years old and the pain hasn’t gone away, it’s just gotten worse. The pain started in the lower middle region of my back, and my back sides. I constantly have to put pressure, or crack it in order for it to be okay again, but the pain would start back up anyways. Since the ending of November, I believe… I’ve started having hip pain. I’ve slept with a heating pad for about 4+ years now, to help relax my back pain so that I’m able to sleep at night. I’ve tried everything! Physical therapy, medication, marijuana, the pain is ALWAYS comes back. I want to know why, or what I can do to make it go away forever. I can’t stand it anymore. All the doctors I’ve gone to suggest physical therapy, and that hasn’t seemed to help since I’ve taken Physical Therapy 3 or 4 times now, I’m over it. I want answers!

    • holycrossleonecenter
      holycrossleonecenter Posted on February 23, 2016 at 10:07 am

      Dear Tyffany,

      I’m so sorry to learn that you are suffering so much. I feel how frustrated you are. An underlying etiology for your pain needs to be discovered. I would discuss this with your parents and your pediatrician or primary care doctor. I also would suggest seeing a rheumatologist and a pediatric orthopedist. Then, consider a fitness program designed to strengthen your core, preferably in a pool.
      The very best of luck to you,

      Dr. William Leone

      We thank you for your readership. If you would like a personal consultation, please contact our office at 954-489-4584 or by email at LeoneCenter@Holy-cross.com. General comments will be answered in as timely a manner as possible.

  56. Mattie
    Mattie Posted on February 12, 2016 at 7:05 am

    Broke my hip after getting hit by a car at age 5, 40 years ago. Now my hip hurts when it’s cold, if I stand in one place too long or put too much weight on it. The pain is tolerable, aleve makes it go away but I hate taking meds. I know I need to lose weight and more importantly, I don’t want to have to get hip replacement until I’m older. Is there anything I can do now (during winter) that will help. Anything I can eat to aide it? I’m trying to follow the Hippocrates quote of “Let food be thy medicine and medicine be thy food.” But so far, no foods are helping that I can tell.

    I swim during the summer and the pain goes away but I can’t swim year round. I haven’t spoken to my doctor about this yet but I will if needed.

    • holycrossleonecenter
      holycrossleonecenter Posted on February 23, 2016 at 10:04 am

      Dear Mattie,

      Hip replacement seems inevitable for you in the future. I wholly agree with your desire to avoid having a hip replacement until you are older. If this really is your goal, then you need to create a strategy that will minimize your symptoms so you can continue to be active, engaged in life and happy until the hip symptoms become so severe that surgery no longer can be avoided. I’ve always been struck or “impressed” over the years when I meet someone with a horrible, long- standing hip arthritis but who reports only resent complaints of pain and immobility. Almost invariably these patients exercise regularly in the pool, are not overweight, and in general are healthy and into maintaining their health.
      Sadly I don’t know of any other short cuts or special foods that can accomplish this.
      I wish you well.

      Dr. William Leone

      We thank you for your readership. If you would like a personal consultation, please contact our office at 954-489-4584 or by email at LeoneCenter@Holy-cross.com. General comments will be answered in as timely a manner as possible.

  57. Michael
    Michael Posted on February 16, 2016 at 10:47 am

    Hello,
    My wife is 49 years old and has had off and on pain in her left hip and across her lower back for over a year. Over the last 3 months, the pain has become worse so that it’s pretty much constant, but much worse at night even waking her up. She’s had xrays of her hip, SI joint and spine. Hip and SI show no abnormalities, the spine shows a slight narrowing of the spacing around the L5, but not sure if that would be cause of so much constant pain. She’s been going to physiotherapy for 6 weeks but the pain is worse than before with no improvement. Any thoughts or insights would be appreciated. Thank you! Michael

    • holycrossleonecenter
      holycrossleonecenter Posted on February 23, 2016 at 10:05 am

      Dear Michael,

      I would encourage your wife to see a physician with a special interest and focus in spinal problems and to have a complete neurologic and back workup. Having an epidural or selective L5 nerve root injection as a test also is reasonable, to see if it temporarily resolves her pain.

      I wish you both well.

      Dr. William Leone

      We thank you for your readership. If you would like a personal consultation, please contact our office at 954-489-4584 or by email at LeoneCenter@Holy-cross.com. General comments will be answered in as timely a manner as possible.

  58. Marianne
    Marianne Posted on February 17, 2016 at 10:15 am

    I have been struggling with pain for almost 10 years. I am 58 and about 120 pounds. I have always been very active, but have not done any impact type sports for about 10 years due to the problems I currently have with pain.

    I had a right side L4L5 laminectomy in June 2014. It has helped me to move my right leg, but when I sit or stand I still have the pain pinching down my leg and it gets very painful. But at least now I can MOVE the leg without excruciating pain. I then had a right side L5S1 Foraminectomy (both surgeries for severe stenosis) in September 2015. That does not seem to have added any improvement. I also have been suffering with this gnawing groin pain on the left side that I have had for about 3 years. NO one can see anything other than mild arthritis (via MR-Arthogram of hip). And, only mild spinal stenosis on the left side and a mild bulging disc around L4L5. I tried injections on this side from L2, L3, L4, L5 and also 2 hip injections and nothing has touched this deep gnawing groin pain. I tried SI injections and a piriformis injection as well. In fact, the second hip injection has made the leg even harder to use (I just had that injection yesterday). The groin pain is there all the time, but makes walking very painful. I cannot use the leg for any (even non-weight bearing) motion without this deep gnawing groin pain. I had to give up freestyle swimming because of this. I had EMG testing on the left in December 2015 at a major medical facility, and it shows nothing abnormal. My local diagnostic pain doctor is going to have me get a bilateral EMG and then if that reveals nothing, he will order a Bone Spec. I am at my wit’s end. I love my current pain doctor but he is also scratching his head! This groin pain is making my life miserable. Well, of course, so is the inability to sit or stand because of the left pain but also the remaining right side pinching. Any ideas? Thank you for reading these from those of us who are desperately trying to find relief.

    • holycrossleonecenter
      holycrossleonecenter Posted on February 23, 2016 at 10:03 am

      Dear Marianne,

      I think it’s imperative that the etiology of your pain be determined. Achieving an intra-articular hip injection is often difficult. Often, a small amount of dye is injected during this test to make sure that the local anesthetic is being instilled within the joint capsule properly. If you temporarily obtain significant relief of your groin pain, it would suggest the pain is from that source. If it does not or you’re convinced you’ve already had a hip intra-articular pain injection test and it was negative, then other etiologies for groin pain also must be ruled out. An inguinal or femoral (internal) hernia, a GYN pelvic etiology, and further lower back pathology are prime suspects. Very selective spinal root injections may also help elucidate your problem.

      I wish you a full and satisfactory recovery.

      Dr. William Leone

      We thank you for your readership. If you would like a personal consultation, please contact our office at 954-489-4584 or by email at LeoneCenter@Holy-cross.com. General comments will be answered in as timely a manner as possible.

  59. Dwayne
    Dwayne Posted on February 21, 2016 at 9:09 am

    My Left hip hurts unbearably. I can feel it moving around when I sit or shift my direction too fast. going to the bathroom is indescribable. even with diclofenac and tramadol. I also have been battling Multiple Sclerosis for 15 years also so sometimes I don’t know what is what. I am uninsured and have been turned down by the government programs. hoping to get medicare in another year. just at the end of my rope. Nobody to talk to about this. Who would understand?

    • holycrossleonecenter
      holycrossleonecenter Posted on February 25, 2016 at 9:27 am

      Dear Dwayne,

      I’m sorry to learn that you are struggling so much. The description of your symptoms suggests hip arthritis, but this needs to be fully evaluated. Other sources of pain also can cause some of these symptoms. Having a thorough evaluation including a hip and pelvic X-ray is appropriate. If significant hip arthritis is diagnosed, then you may possibly benefit greatly from a THR. I also am hopeful that you will persist in finding the right medical personal to help you.

      Sincerely,

      Dr. William Leone

      We thank you for your readership. If you would like a personal consultation, please contact our office at 954-489-4584 or by email at LeoneCenter@Holy-cross.com. General comments will be answered in as timely a manner as possible.

  60. Dave
    Dave Posted on February 21, 2016 at 4:53 pm

    Hi there, I’ve read all the stories and can’t exactly determine where I fit in, so here’s mine?
    2 months ago, I was sitting at my desk at work and while getting up I felt a strange sensation from my right hip. It was not sore, no popping, no tearing, I just recall a strange sensation and shook it off.
    The next day I was in a bit of pain and it felt like it radiated from my groin, over the next couple days the pain got worse and worse, and I could feel the pain all around my hip. My muscles are sore, I have a sore knee and shin splints (I’m assuming this is because I’ve been limping for a while now although sometimes the knee pain feels worse). I can barely put any weight on my leg and can’t walk for long. The pain wakes me every night now and I have no idea what to do. It’s not sore to the touch and I have a lot of movement in my leg without pain. I.e. When I lay down I can bring my knee to my chest. It is painful when I extend my right leg to the right, the pain will mainly come from the outer hip.

    I’ve been to the doctor 3 times and had X-rays with no sign of the cause. I’m 33 and in pretty good shape, not 100% active but not too lazy. I used to think I had a high tollerence for pain but this is changing my mind.

    • holycrossleonecenter
      holycrossleonecenter Posted on February 25, 2016 at 9:25 am

      Dear Dave,

      Your description suggests intra-articular hip pathology, such as a labrial tear. If your X-rays and prior exams have not yet elucidated the diagnosis, I’d consider an MRI scan of your hip. Depending on the MRI, first having an arthrogram followed by the MRI may demonstrate any labrial pathology more clearly. Adding a hip pain injection test may also help determine if the hip is truly the source of your present pain.
      I wish you a full recovery.

      Dr. William Leone

      We thank you for your readership. If you would like a personal consultation, please contact our office at 954-489-4584 or by email at LeoneCenter@Holy-cross.com. General comments will be answered in as timely a manner as possible.

  61. Amy Stallings
    Amy Stallings Posted on February 23, 2016 at 11:23 am

    I have been experiencing pain in left outer hip region since last March. I am 37 years old and have been an active runner for years. Of course, I have not ran much since the onset of my hip pain. I have seen an orthopedist on multiple occasions who performed two cortisone injections (for bursitis), without relief. He has obtained an x-ray of my hip, an MRI of my left hip, and an MRI of my lumbar. The MRI of my hip showed gluteus minimus tendonitits. I have also presented to my family doctor with the pain who also insists hip bursitis.
    I have been bearing the pain, which is not all the time. Mostly occurs if I lay on my left side, walk up stairs, and of course wear the wrong shoe (heels or boots).
    Today, it feels like it is on fire. While walking, I pressed by fingers on my hip (because it hurt) and felt a popping on the outside of my hip with every step I took.
    Any suggestions? Who to see (ortho, chiro, PT)?
    The pain has stated to radiate down the outer left side of my leg to the outside of my knee.
    Any suggestions/help would be greatly appreciated.

    • holycrossleonecenter
      holycrossleonecenter Posted on February 29, 2016 at 8:49 am

      Dear Amy,

      Your symptoms do sound consistent with greater trochanteric bursitis. The treatment you’ve received also sounds appropriate. Unfortunately, greater trochanteric bursitis can be chronic and difficult to resolve. In my experience it does, however, eventually get better.

      I would not recommend any additional cortisone injections. These can weaken tissue. Formal physical therapy at this point may be appropriate. I would go with the goal of learning specific exercises and modalities that you can do on your own. It’s important to avoid activities or positions that cause pain and equally important to figure out what activities you can do, such as bike riding or swimming. A number of studies have looked at PRP injections. Their role is still being defined, but it is a consideration.

      Most importantly, I would emphasize abductor strengthening exercise and avoiding pain.

      I wish you a full recovery.

      Dr. William Leone

      We thank you for your readership. If you would like a personal consultation, please contact our office at 954-489-4584 or by email at LeoneCenter@Holy-cross.com. General comments will be answered in as timely a manner as possible.

  62. Heather
    Heather Posted on February 29, 2016 at 6:25 am

    Wow this dr really sounds like he knows what he’s doing.

    My name is Heather , I should start with I have fibromyalgia , for ten years now. About three months ago. Got stuck in a car driving for seven hours the trip normal only takes 2 and half hours. But due to traffic it took seven. Since this point, I’ve got very bad hip bad. It’s come on slowly. But it’s killing me now. But only when I lay down on my hips. If I could fall asleep on my back it would be fine. I have notice if I’m in pain with my hips and I put both legs up, on a wall or the back of the sofa it goes away very quickly . Any ideas .

    Heather

    • holycrossleonecenter
      holycrossleonecenter Posted on March 11, 2016 at 10:00 am

      Dear Heather,

      It sounds like you may have developed greater trochanteric bursitis. I wrote a blog article on this subject that you might consider reading (click here). Often greater trochanteric bursitis resolves by strengthening your hip abductors. These are the muscles that insert into the very top of the femur bone and help to stabilize the pelvis when you walk. Strengthening, stretching, ice, and an NSAID all are part of the conservative treatment. Occasionally a steroid injection can help, especially when the condition is relatively acute.

      Pain originating from a lower back etiology also has to be considered as another source for your discomfort. My recommendation would be to try these conservative measures but if the discomfort continues, see an orthopedic surgeon who can more precisely diagnosis the underlying problem and outline an optimal treatment plan.
      I wish you a full and speedy recovery.

      Dr. William Leone

      We thank you for your readership. If you would like a personal consultation, please contact our office at 954-489-4584 or by email at LeoneCenter@Holy-cross.com. General comments will be answered in as timely a manner as possible.

  63. Elizabeth Parkhurst
    Elizabeth Parkhurst Posted on March 2, 2016 at 12:06 pm

    I am 26 and I have always had joint problems and pain with my joints. About a month ago I was getting out of the car and the person driving wasn’t paying attention and started pulling out and the pillar hit me in the hip. They had just started pulling out so it wasn’t hard, just enough to knock me over. It hurt when it first happened but with my other joint pain I just figured it had been bruised.
    Since then the pain has been getting worse; it’s at a point where even sitting down hurts from the outside of the hip where I was bumped to the front of groin. I have been having to sit twisted with all my weight on my other side to be able to even get through a work day. I don’t know if the two things are related or if it is just back to my joint problems, I have arthritis in one knee and my wrist. I do have a history of weaker bones too, four broken arms by the time I was 12.

    • holycrossleonecenter
      holycrossleonecenter Posted on March 29, 2016 at 10:45 am

      Dear Lizzie,

      You may have developed a greater trochanteric bursitis or sciatica from the awkward body mechanics that resulted from your trauma. I would consider an exercise program emphasizing stretching and strengthening. An over-the-counter NSAID and modalities such as ice compresses and heat also would be appropriate. If symptoms persist, consider seeing an orthopedic surgeon to precisely diagnosis your condition and develop a treatment regime. Out-patient physical therapy may be helpful. Exercising in a pool also would be appropriate.
      I wish you a full recovery.

      Dr. William Leone

      We thank you for your readership. If you would like a personal consultation, please contact our office at 954-489-4584 or by email at LeoneCenter@Holy-cross.com. General comments will be answered in as timely a manner as possible.

  64. Gary
    Gary Posted on March 3, 2016 at 3:19 pm

    Hello,

    This has built up over the last year to where it is now: after I walk for about 3 minutes, my hips and right buttock feels like a vise is clamping them, then after another minute, my right out shin area goes numb, then another 1-2 minutes of walking my left big toe, then foot goes numb, then another minute, my right thigh goes numb. It also comes on after sitting in my recliner for a movie then standing and brushing my teeth, etc.

    I can relieve it easily by bending over and hanging for 1-2 minutes, then it all goes away until I start up again.

    I was told it was neuropathy in my physical a year ago, but I didn’t notice anything then. It’s progressed to the above over the last year.

    Any thoughts, and what type of doctor to see for this would be very very helpful and appreciated.

    • holycrossleonecenter
      holycrossleonecenter Posted on March 29, 2016 at 10:47 am

      Dear Gary,

      Your description is classic for spinal stenosis. I would suggest you see an orthopedic surgeon for a though evaluation of you back.
      Good luck.

      Dr. William Leone

      We thank you for your readership. If you would like a personal consultation, please contact our office at 954-489-4584 or by email at LeoneCenter@Holy-cross.com. General comments will be answered in as timely a manner as possible.

  65. susana ventura
    susana ventura Posted on March 3, 2016 at 6:33 pm

    Dear Doctor

    In 2005-2006 i was treated with interfereon and ribivirin for Hepatis c for 6 months during which time i was totally inactive and also gained 25 pounds
    At the end of this treatment and since i have suffered with hip pain. it is hard for me to get down on the ground and all but impossible for me to rise with our pulling myself up by my arms.What has happened? what can i do?

    susana

    • holycrossleonecenter
      holycrossleonecenter Posted on March 29, 2016 at 11:04 am

      Dear Susana,

      I don’t fully understand the etiology of your weakness. The act of getting up from the floor requires considerable lower extremity and truncal strength and control. A form of muscular dystrophy has to be considered. Even if motor neuron units were damaged or lost, others can be recruited. Persistent therapy / exercise designed to improve strength and balance would be appropriate. Understanding your diagnosis and discussing your concerns with your primary care physician and neurologist is important.
      I wish you well.

      Dr. William Leone

      We thank you for your readership. If you would like a personal consultation, please contact our office at 954-489-4584 or by email at LeoneCenter@Holy-cross.com. General comments will be answered in as timely a manner as possible.

  66. Lisa
    Lisa Posted on March 10, 2016 at 4:20 pm

    I had back surgery L5 S1 with fusion in 2007 and total left hip replacement in 2008. I have been experiencing excruciating pain in my right hip for 5-6 years. I’m constantly waking up at night to readjust my posistions. Lying on that side is painful and when I lie on the other side it feels as if its slipped out of place. I feel it knocking whether I’m sitting, standing still or walking. Medication really doesn’t help I’ve been on morphine 30 mg while taking Percocet 15mg without Tylenol added and nothing. Currently I’m just taking oxycodone 10 times a day because my current doctor says that’s all he’s allowed to prescribe. I know the laws have recently changed but so has my pain it’s worse. I can’t step up with this leg, I can’t lift it up if I’m lying on my back, can’t lift it up to put on socks or shoes. Please any suggestions would be greatly appreciated.

    • holycrossleonecenter
      holycrossleonecenter Posted on March 29, 2016 at 10:41 am

      Dear Lisa,

      Your description of your symptoms suggests a mechanical problem with your total hip, although a lower back etiology must also be considered, especially due to your past history. Learning the root cause is imperative so that a treatment plan can be directed to resolve it. Treating your symptoms with ever increasing amounts of pain meds, including narcotics, is both ineffective and dangerous.

      I suggest you return to the surgeon who implanted your hip for a full evaluation. The work-up will include a physical exam and X-rays, which can then be compared to earlier films. I would also consider an ESR and CRP, which are blood studies that assess inflammation and determine any possible signs of infection. If your hip work-up proves negative, then return to your spine surgeon.
      I wish you the best

      Dr. William Leone

      We thank you for your readership. If you would like a personal consultation, please contact our office at 954-489-4584 or by email at LeoneCenter@Holy-cross.com. General comments will be answered in as timely a manner as possible.

  67. Lisa
    Lisa Posted on March 10, 2016 at 4:23 pm

    I’m sorry that’s oxycodone 10 mg 3 times a day.

  68. Lalania
    Lalania Posted on March 25, 2016 at 10:10 am

    I have had right hip pain for over 10 years…my second son was born facing the wrong way and my hip pain first presented it self in the next pregnancy…it has steadly gotten worse. It feels like if I could nust pull it out of socket it would be better.
    My primary did mri and said I had a bulging disc who.sent me to back doctor who said nothing was wrong with.my back maybe I just needed to get in shape and was poszibly just going through menopause (im 44 bjt had a hysterectomy) and he bet Id be just fine in 5 years…6 years later I still hurt and have since developed neck and shoulder pain and carpul tunnel which I was told was arthritis and went throjgh physical therapy which helped somewhat…I have also developed cold uticaria where I break out in hives if my zkin is exposed to cold for longer than 25 minutes….I have trouble sleeping and walking I weivh 215 and am 5’6″ gained most of weight after hysterectomy hut but when I try to exercise hip pain just gets worse and worse…

    • holycrossleonecenter
      holycrossleonecenter Posted on April 7, 2016 at 11:37 am

      Dear Lalania,

      Weight loss is 90 percent food intake and the choices we make about food. Making healthy choices sounds easy but usually folks just don’t know where to start. I would discuss these concerns with you primary care doctor. A hormonal imbalance also might be present which could make losing weight difficult. I would prioritize by first educating yourself regarding your diet. Professional nutritionists and support groups are very effective for many. I suspect you will feel much better with weight loss and that many of the conditions you now are experiencing will improve or resolve.

      However that doesn’t rule out that you might still have a hip problem. I would recommend that you be evaluated by an orthopedist who can help distinguish if your complaints of hip pain are from hip disease or another source. Possibly an intra-articular injection of a local anesthetic into the hip joint may help define if your underlying problem is from hip pathology.
      I wish you well.

      Dr. William Leone

      We thank you for your readership. If you would like a personal consultation, please contact our office at 954-489-4584 or by email at LeoneCenter@Holy-cross.com. General comments will be answered in as timely a manner as possible.

  69. Lindsey
    Lindsey Posted on April 9, 2016 at 1:05 am

    Hi,
    Im writing in despitation, I am a 26 yr old female who has been diagnosed with bilateral trochanteric hip bursitis (worse on the right) about 2 & 1/2 years ago. I have tried & failed oral anti-inflammatories, physical therapy, & last year alone i had 4 cortisone shots in the right hip & 3 in the left hip. I dont like getting the shots but they are the only relief i get which only lasts a month or two. It affects my sleep and my daily life, basically my quality of life sucks. My Surgeon is to the point now that he wants to try one more medication & if it doesnt work he wants to proceed with surgery. I am even considering acupuncture prior to surgery to try and prevent having to have surgery. However my question is why would I have chronic bursitis being as young as I am? I clogged for nearly 20 years, could that be why?
    Please help!!
    Thanks!!

    • holycrossleonecenter
      holycrossleonecenter Posted on May 5, 2016 at 1:23 pm

      Dear Lindsey ,

      Unfortunately, trochanteric bursitis can be both chronic and debilitating. An underlying intra-articular hip problem, which can present as bursitis, must be ruled out. Other underlying causes such as hip dysplasia or lower back pathology must also be considered and hopefully ruled out. If an underlying cause is diagnosed, it must be addressed in order to treat the greater trochanteric bursitis symptoms you are experiencing.

      Potentially, clogging could have led to hip arthritis or injury to your hip abductors, with the bursitis developing secondarily. Strengthening your abductors is critical to resolving the problem.

      If you do have primary trochanteric bursitis, I would suggest formal therapy that also will teach you exercises you should then do on your own. Changing hip mechanics possibly with different shoe wear or an orthotic also may help. Physical conditioning is critical to resolution. If you’re overweight, losing weight with strengthening also will change hip mechanics and help resolve this issue. The key is to find activities that strengthen and improve flexibility without causing pain. If you’ve already had several cortisone injections, I’d discourage more. Almost certainly their results would be temporary and the very tissue you need to strengthen could be weakened further. NSAIDs and ice are appropriate. I honestly don’t know if PRP injections will be effective but it’s a consideration. The jury is still out on how effective this treatment really is for this problem. I would avoid surgery.

      I wish you a full recovery.

      Dr. William Leone

      We thank you for your readership. If you would like a personal consultation, please contact our office at 954-489-4584 or by email at LeoneCenter@Holy-cross.com. General comments will be answered in as timely a manner as possible.

  70. Kathy
    Kathy Posted on April 23, 2016 at 8:10 pm

    I have severe pain in both hips but predominantly in my left hip. This begant after my first child was born 17 years ago. I have difficulty walking any distance of length and the pain is semi relieved if I bend over at the waist to take a break. It seems to almost be in my groun area and radiate downbeat to the top of my thighs. I have in the past had X-rays and mri’s and they have to be nothing. I am overweight and told to lose weight that will solve everything. I have also been a type 1 diabetic for 42 years. Wondering if there is any correlation as diabetes can cause joint issues.

    • holycrossleonecenter
      holycrossleonecenter Posted on May 5, 2016 at 1:13 pm

      Dear Kathy,

      It’s encouraging that your hip studies, including X-rays and MRI scans, are reportedly negative. Many overweight people don’t have the symptoms you described, however weight loss and conditioning is advisable.

      The etiology of your pain must be understood before a more specific treatment plan can be developed. Pain that is relieved when you bend over is “a clue.” Sometimes, spinal pathology results in nerve roots compression, which can create the symptoms you describe. Bending forward decreases pressure on the nerve roots and symptoms are diminished.

      I would recommend you discuss your continued difficulties with your physician or orthopedist with the goal that the root cause of your symptoms can be diagnosed.

      I wish you a full recovery.

      Dr. William Leone

      We thank you for your readership. If you would like a personal consultation, please contact our office at 954-489-4584 or by email at LeoneCenter@Holy-cross.com. General comments will be answered in as timely a manner as possible.

  71. Desiree
    Desiree Posted on May 8, 2016 at 8:16 pm

    I am a 54 year old woman and in December was put on a a medication for depression. Mirtizapine. I began to have groin pain, then shoulder pain and then lower back to hip pain. The prescribe basically abandoned me during the holidays and never returned messages and there were many. After a few weeks taking this drug, I slowly started to wean myself off. The stinging pain in my hips was tremendous. I was un able to move my legs side toi side, in bed. I had an MRI of the lower back and all’s fine. I had two steroidal injections in the lower back and it lasted for 48 hours and the pain returned. Not only were the above areas of my body affected but so was my left knee. The leg blew up so much the skin was tight. Additionally, I while trying to sleep or in sleep I’ll have either cramping in the leg and wake up in pain or pain in the bone and wake up in pain. Last night, this happened at least six times. Sleeping is the worse and making contact with the mattress is uncomfortable. The right shoulder was injected a few moths ago, the pain went away and now it is back. I am unable to do my hair, dress, reach my arm around for a blanket, sit for long periods, getting up from sitting to walk is horrific pain, I do feel better once walking but I’m aware of the stiffness, pain and heavy feeling of my thighs legs, I walk slow, waddle and when I walk and is more comfortable to walk pigeon toed. By buckling my knees together I can use this as a means to get up and have stability. I’m even un able to sit on the toilet or wipe myself. The doctors seemed to be at a loss. For pain, I was already on cymbalta , neurotine, volteran, flexirle. One doctor has stopped my neurontine and put me on Lyrcia. The insidious stinging has gone away but the pain remains and I’m not getting any better. Forget PT, I’m both too weak and in too much pain. Have any thoughts to this mystery?

  72. Mary D. K.
    Mary D. K. Posted on June 14, 2016 at 1:56 am

    I am a 67 year old woman. I have been experiencing pain on my left leg radiating from the groin downwards. When I contacted my physician in March this year, he diagnosed mild osteoporosis and prescribed cadronate 150 medication for 6 months to regenerate the bones and MR Relief to ease the pain . I am now halfway through with the cadronate. The MR Relief did not help much though. Recently the pain persisted and extended to my right leg and I am in continuous discomfort and pain (like stepping on needles mainly with the left leg) especially when sitting, walking fast, climbing and when sleeping. Please advise.

    Thank you.

    • holycrossleonecenter
      holycrossleonecenter Posted on June 29, 2016 at 12:50 pm

      Dear Mary,
      Cadronate (Alendronate) is a medicine used to treat osteoporosis by blocking the action of osteoclasts which are bone cells whose job it is to remove bone. Honestly, I’m not sure what MR Relief is. Osteoporosis is a condition where the density or mass of bone is decreased. The bone itself is normal bone, just less dense. It is more common with aging, particularly in women who are post-menopausal. Osteoporosis in itself does not cause any pain. Fractures more likely occur because the bone density is less. Osteoporotic bone does have normal healing potential.

      The pain you describe is not from your osteoporosis. Your osteoporotic condition may have resulted in or contributed to another condition developing such as vertebral body collapse (fracture) and / or spinal stenosis that causes pain. Pain that originates in the groin and radiates down the leg can be caused by hip disease, however, because your pain is bilateral and associated with parathesia (pins and needles sensations), I’m more suspicious that it is being caused by back pathology.

      My advice is to discuss your continued symptoms and concerns with your physician. I also would consider being evaluated by an orthopedic surgeon who may better be able to help define the etiology of your symptoms and suggest treatment options.

      I wish you a full recovery.

      Dr. William Leone

      We thank you for your readership. If you would like a personal consultation, please contact our office at 954-489-4584 or by email at LeoneCenter@Holy-cross.com. General comments will be answered in as timely a manner as possible.

  73. shivam dua
    shivam dua Posted on June 21, 2016 at 3:33 am

    I suddenly get a operation for my acl or ligament injury in right knee. after some days I feel that with my right leg couldn’t walk straight, I had to turn little more right the leg to walk. my doctor say this because of my hip problem.
    have any thoughts to this problem ?

    • holycrossleonecenter
      holycrossleonecenter Posted on June 29, 2016 at 12:52 pm

      Dear Shivam,

      It’s possible that the symptoms you describe are from your hip. I assume the orthopedic surgeon who replaced your ACL, and who told you that you had a hip problem, also examined your hip. X-rays of your hip and pelvis also will help clarify if your hip is involved. Hip disease also can refer pain to the ipsilateral (same side) knee. Possibly, if the hip is diseased and ultimately treated, then the knee discomfort you have also will resolve.

      My advice is to discuss these concerns further with your surgeon and look for his or her advice and direction.

      I wish you a full recovery.

      Dr. William Leone

      We thank you for your readership. If you would like a personal consultation, please contact our office at 954-489-4584 or by email at LeoneCenter@Holy-cross.com. General comments will be answered in as timely a manner as possible.

  74. Emilee
    Emilee Posted on June 28, 2016 at 1:34 am

    Dear Dr. Leone,
    I’m a 16 year old female. I have excruciating hip pain. It doesn’t happen all the time, but there are periods of time where it’s months before it stops. Even then it’s only because I get a steroid shot. Physical Therapy makes it worse; so does lying or sitting down. When I get up, I can barely walk. I had x-rays. One doctor said there was an inflammation pack on the lower portion of my spine. The other said I had sclerosis of the hips. I don’t know if this is related, but when I was in the second grade I broke the growth plate right above my knee. My grandmother seems to think that might be what’s causing this because I had to walk so funny for such a long time. I want to feel normal again. Please, I don’t know what’s wrong.

    • holycrossleonecenter
      holycrossleonecenter Posted on July 19, 2016 at 11:06 am

      Dear Emilee,

      It is not normal for a 16-year-old to be having these symptoms. Your description suggests that your symptoms are only on one side, not both. This is a clue. Your grandmother might be correct that it is in some way related to your past injury to that lower leg. The exact etiology of your pain must be understood before someone can recommend a treatment plan to correct it.

      I would suggest you return to your doctor and discuss your symptoms and complaints further. He or she may recommend a further evaluation with an orthopedis, which would also be appropriate.

      I wish you a full recovery.

      Dr. William Leone

      We thank you for your readership. If you would like a personal consultation, please contact our office at 954-489-4584 or by email at LeoneCenter@Holy-cross.com. General comments will be answered in as timely a manner as possible.

  75. John
    John Posted on July 2, 2016 at 11:14 am

    Sir,

    I had hip surgery in 2014 labrum tear repair, they extended my tendon, and I also had hip bursitis, I now deal with daily hip pain, when I sit or stand for a long time my hip really hurts and become swollen and feels numb, the pain generates down my leg to my knee that also hurts, my knee really hurts if I squat down, I am unable to bend it. When sitting and trying to stand, I can’t put any pressure on that leg due to the pain, i have to assist myself up, then I have to wait for a few and try to walk it off, the area that I had the surgery is still numb to the touch, but the area also hurts if that makes any sense, when walking for a long time my leg feels like it gives out on me not sure what’s going on with it, I’m now starting to have issues with my other hip, not sure if it is because of the overuse, I am active duty military (20yrs) 44 year old male. Any advice, thanks in advance Sir.

  76. deborah stanton
    deborah stanton Posted on July 10, 2016 at 4:43 am

    I am a 62 yr old women, always been in great shape, had a thyroidectomy, cancer and diagnosed with fibro. My hip began hurting 4 yrs ago and had an MRI, slight labral tear. A cortisone injection, done twice did nothing, Now both hips hurt with parenthesis in both lower legs. Mri on spine shows 3 bulging discs on l3. l4, l5, and severe stenosis. I have shooting electric pain in the right leg around the knee. The mystery now is my hands are stiff and so painful, I can hardly drive. I am confused, spine doctor was not alarmed by MRI, a hip doctor said tear is not so bad but seems this should be enough to cause such pain. Could this be a combination of the labral tear, stenosis, and fibro? Could stenosis cause hand pain? No arthritis in hands. Thank you for your consideration.

  77. Samantha Scott
    Samantha Scott Posted on July 10, 2016 at 5:46 am

    Hi,

    My name is Samantha Scott I am 33 years old I have severe pain in my lower back closer to my buttocks. My hip pops when I lay flat and move my leg forward. I also have degenerative disc disease, osteoarthritis, kyphosis and a pinched sciatic nerve. I have an actual space in my spine where it feels like there is no back bone present. I could have this wrong but I believe it was stated the problem is at the t3 to L1 location. have noticed that when medicated I can lean as far down as possible and try reaching my toes and my back feels like it is sliding into place. I finally get relief like I’m taking pressure off my lower back. What can you make of all this information, what do I do and who do I go to see. Please I just want the pain to stop.

    • holycrossleonecenter
      holycrossleonecenter Posted on August 2, 2016 at 4:03 pm

      Dear Samantha,

      From the description of your symptoms, I’m suspicious you have developed lumbar spine instability and that your symptoms are not from your hip. I would suggest that you have a physician with a special interest in and expertise with spine problems evaluate you.

      I wish you a full recovery

      Dr. William Leone

      We thank you for your readership. If you would like a personal consultation, please contact our office at 954-489-4584 or by email at LeoneCenter@Holy-cross.com. General comments will be answered in as timely a manner as possible.

  78. Darlene Lawson
    Darlene Lawson Posted on July 15, 2016 at 12:31 pm

    I have been told several years ago that I have arthritis of the spine. However, I can run, walk and dance and I have no pain. But when I go to bed a night my hip joints start hurting in about 15 minutes (this doesn’t happen every night) I have to take pain pill in order to go to sleep. Should I see a doctor or is there anything I can do to help myself?

    • holycrossleonecenter
      holycrossleonecenter Posted on August 2, 2016 at 3:56 pm

      Dear Darlene,

      I would suggest you see an orthopedic surgeon who can help diagnose why you are having these symptoms. I think it’s important to understand if you are developing hip pain from primary hip disease or hip pain referred from your back condition. When the etiology of your pain is understood, a thoughtful treatment program can be created with the hope of improving or resolving it. The fact that you report pain in both hips when supine suggests a spine etiology.

      I wish you a full recovery.

      Dr. William Leone

      We thank you for your readership. If you would like a personal consultation, please contact our office at 954-489-4584 or by email at LeoneCenter@Holy-cross.com. General comments will be answered in as timely a manner as possible.

  79. Keanna Wiggins
    Keanna Wiggins Posted on July 15, 2016 at 6:47 pm

    I am a 37 year old wonen who has been having trouble with my left hip for over a year now I have seen 3 to four different ortho Dr’s and I have had physical therapy 3 times and alot of different hip injection , sacrum injection and other injection for my hip my hip hurts on my bone also my knee swells and my left buttocks hurts and it’s hard to walk to sit and to stand for me I’m in pain all of the time the injection worked when I first started to get them now they don’t work at all the pain meds only take the edge off I don’t know what’s wrong I have had mri and x rays done they told me they won’t give me a hip replacement it’s not bad enough yet it don’t know what to do I’m tired of being in pain all of the time can some one please help me

    • holycrossleonecenter
      holycrossleonecenter Posted on August 2, 2016 at 3:58 pm

      Dear Keanna,

      It’s important to understand the etiology of your pain. If it is coming from your hip joint, confirmed by imaging studies, and intra-articular injections relieved your pain temporarily, and other etiologies of hip pain such as back pathology have been ruled out . If you have not responded to conservative treatments such as rest, PT, NSAIDS and other surgical treatments such as hip arthroscopy, has not been recommended, then in spite of your young age you may be a candidate for hip replacement surgery.

      I suggest you find an orthopedic surgeon with whom you feel confident to help you.

      I wish you a full recovery.

      William Leone

      We thank you for your readership. If you would like a personal consultation, please contact our office at 954-489-4584 or by email at LeoneCenter@Holy-cross.com. General comments will be answered in as timely a manner as possible.

  80. Lenka Diedericks
    Lenka Diedericks Posted on July 18, 2016 at 8:28 am

    Dear Dr William Leone, I do hope you can assist/advise me on my concern. I’m 39 and for a while now (I’m guessing maybe about six months or so) I have been getting this extreme burning pain sensation in my hip. It feels like the whole hip joint is a hot burning coal with razor wires burning and churning away at my flesh. It’s worse when I stand (for eg: pealing potatoes or doing the dishes) and as soon as I walk a bit of a distance. It has never been a problem before and I enjoy walking for competition and pleasure. I do have a job where sitting is part of most of my day but I’ve always gotten up and walked around a bit. Recently not so much anymore. I feel the burning/grinding pain when I sit albeit not as bad as when I walk/stand. Whilst walking it feels like a migraine in my left hip and that I can’t wait to sit down just to make the pain stop, but even though I do sit I still feel it, but not as aggravating as when walking/standing. It’s not at all sensitive to the touch and I can still quite easily bend and touch my toes. Anti-inflammatories don’t seem to alleviate the pain and discomfort in any way. Stiffness and comfortability is a major concern as it’s getting progressively worse and starting to affect my walking. It’s like I have to concentrate and make an effort to walk upright and straight and not to just simply crawl into a ball of misery and pain.

    • holycrossleonecenter
      holycrossleonecenter Posted on August 2, 2016 at 4:01 pm

      Dear Lenka,

      You must understand if the pain you are feeling in you hip, exacerbated with standing or walking, is originating from a problem within your hip or referred from another source such as you back. A treatment regimen can’t be outlined until the underlying diagnosis is defined. I would suggest you be evaluated by an orthopedic surgeon who can help determine the root cause and then design a treatment plan which hopefully will help you.

      I wish you a full recovery.

      Dr. William Leone

      We thank you for your readership. If you would like a personal consultation, please contact our office at 954-489-4584 or by email at LeoneCenter@Holy-cross.com. General comments will be answered in as timely a manner as possible.

  81. Alexandra
    Alexandra Posted on July 28, 2016 at 5:14 pm

    I am a 33 year old female. I was in a car accident about ten years ago and my right kneecap was smashed leading to the removal of my right patella. I was told I didn’t need a “fake” one in its place and that I was young enough to heal fine and live a normal life. I recovered fairly well…the only issues I had was that it would “go out” on me once in a while and I can’t run or hardly jog without discomfort. So I moved on accordingly. The last time my knee was x rayed, about six yearsnow, itlooked fine other than some arthritis. About six months ago my hip started giving me problems. It would pop and have a mild achiness. Since then,the pain has gotten stronger and constant for the most part. If I sleep on that side the pain will wake me up. And the pain can sometimes feel like a burning feeling. I can’t tell if it is related to my knee or not. I have to chase a two year old around all day and my knee discomfort is enough to worry about, but now it’s my hip!! Any advise would be appreciated in what direction I should go with regards to physicians or specialists.

    • holycrossleonecenter
      holycrossleonecenter Posted on August 18, 2016 at 3:24 pm

      Dear Alexandra,

      I suspect the car accident resulted in a horrible compression injury to your knee causing a patella fracture. The mechanism often is the result of the knee slamming into the dashboard. The compressive forces also can result in significant injury to your hip. Although the hip may not have been fractured or dislocated, injury to the articular cartilage can lead to arthritis developing years later. You were treated with patellectomy. You learned how to modify your activities.

      Now the question is to define where the pain is originating. Is the primary source your knee, your hip or both? Many patients who have undergone patella removal do well. There is some functional weakness resulting from patellectomy because the extensor mechanism becomes less efficient. If X-rays are demonstrating arthritis, then it is developing in the medial or lateral compartments. It is possible that the extensor mechanism is in some way subluxing, which can cause pain, especially if associated with an angular deformity of your knee. I think it’s also possible that you now are developing hip arthritis and that pain is being referred to your knee.

      I would suggest an evaluation by an orthopedic surgeon who can help define the root cause of your pain and outline a treatment plan.

      I wish you a full recovery.

      Dr. William Leone

      We thank you for your readership. If you would like a personal consultation, please contact our office at 954-489-4584 or by email at LeoneCenter@Holy-cross.com. General comments will be answered in as timely a manner as possible.

  82. Ann Patterson
    Ann Patterson Posted on August 3, 2016 at 7:29 pm

    Dr Leone, I will be 70 in November and have had hip bursitus several times in my life. I would take anti inflammatory medication and be ok after a while. Now I have low kidney function and cannot take them. I have pain in both hips and down the shins of both legs. I am having lot of pain when I walk, especially walking through a large store. Exercising is out of the question except I am trying yoga and going for massage. Don’t know what to do. Any advice would be appreciated. Thank you!

    • holycrossleonecenter
      holycrossleonecenter Posted on August 18, 2016 at 3:26 pm

      Dear Ann,

      Many 70-year-old individuals develop a weakness of their hip abductors and pain over the lateral aspect of the greater trochanter leading to a diagnosis of bursitis. Clinically, I see attritional tearing of the abductor muscular at its insertion into the greater trochanter and bursa-like symptoms develop secondarily. This is similar to what many patients experience in their shoulders when they develop rotator cuff tears, and many refer to the hip abductors as hip rotator cuffs. This condition more accurately can be diagnosed with a MRI scan.

      Treatment must be directed at strengthening the abductors, for which there are specific exercises that can be performed. Pool walking is valuable. Formal physical therapy can be beneficial. Having one or two cortisone injections into the greater trochanter bursa might be considered, although too many may be detrimental because the cortisone potentially can weaken the tissues. Ice always is appropriate and helpful. While NSAIDs can be helpful, if you are developing renal disease, they are not appropriate. Tylenol, while not as effective, still can help. Check with your doctor prior to initiating.

      Sometimes, hip arthritis presents like bursitis and should be considered and ruled out. The pain you’re experiencing in your shins may be due to the awkward body mechanics and limp caused by your hip problem. I would suggest being evaluated by an orthopedic surgeon who more clearly can define your diagnosis and create a treatment plan.

      I wish you a full recovery.

      Dr. William Leone

      We thank you for your readership. If you would like a personal consultation, please contact our office at 954-489-4584 or by email at LeoneCenter@Holy-cross.com. General comments will be answered in as timely a manner as possible.

  83. John
    John Posted on August 9, 2016 at 2:16 am

    Was wondering if you could comment on my question, thanks.

  84. Kaye
    Kaye Posted on August 12, 2016 at 9:47 am

    Hi Doctor. I am a 58 Y/O woman and I have been experiencing chronic (L) hip pain for over a month now which seems to be getting worse and I am now experiencing pain in my (L) abdo area and to a lesser degree my groin. I ave tried various pain medications and heat packs to relieve the symptoms but to no avail. Apart from the pain it is quite uncomfortable especially when sitting and also trying to sleep. It is starting to affect my left leg slightly as well when I walk. I assume this is muscular but I fear it may be something more sinister. Apart from these symptoms I am generally well although I have been suffering slight nausea and some mild diarrhea of late. Obviously I need further investigation but what would your immediate thoughts be?
    Thanks for your time.

    • holycrossleonecenter
      holycrossleonecenter Posted on August 25, 2016 at 12:57 pm

      Dear Kaye,

      I’m suspicious your GI symptoms may be a clue to the underlying cause. While primary hip disease does have to be considered, other etiologies associated with your abdomen or pelvis also need to be ruled out. I would suggest you be evaluated by your primary care physician. Hopefully, your doctor will be able to identify the root cause and direct treatment or refer you to the appropriate specialist who will.

      I wish you a full recovery.

      Dr. William Leone

      We thank you for your readership. If you would like a personal consultation, please contact our office at 954-489-4584 or by email at LeoneCenter@Holy-cross.com. General comments will be answered in as timely a manner as possible.

  85. Megan
    Megan Posted on August 16, 2016 at 1:43 pm

    I am a 30 year old female. I have very, very bad joint paint in my hips, some in my back, my wrists, hands, and now a little bit in my knees. Lately, it is most severe in my hips. When I walk my hips will sometimes lock up. I have fallen twice, once down the stairs. Some days I am fine and other days I limp around.

    I have suffered from severe back pain in the past. After several days of resting and medication it clears up on its own. 3 years ago a lumbar CT scan showed the beginning stages of degenerative discs. This last Spring I had severe lower pelvic pain and my OB doctor had CT scan done of my abdomen and pelvis done. The report noted sclerotic changes along the iliac side of both sacroiliac joints, most likely represent osteitis condensans ilii. Last week I went into see my doctor after I had fallen and he had an arthritis lab panel ran, the blood work came back normal.

    I do not know what else to do. When I am more active I experience more pain, especially afterward. The doctor suggested stretching exercise which I did and the next day I could barely walk and my hips felt like they were locking. It is almost like they get stuck or need to be popped. It is very hard to describe.

    • holycrossleonecenter
      holycrossleonecenter Posted on August 25, 2016 at 12:57 pm

      Dear Megan,

      Osteitis condensans ilii is a benign condensation or sclerosis of the ilium adjacent to the sacroiliac joint. While usually asymptomatic, it occasionally is associated with back pain. Other conditions that mimic or include similar boney changes to your ilium must also be considered, including ankylosing spondylitis and even a metastatic process. With your recent hip symptoms, minimally I would recommend good X-rays of your hips and an exam. If other conditions are ruled out, approaching your symptoms conservatively is appropriate and includes PT, NSAIDs, steroid injections and time.

      I hope you feel better.
      Dr. William Leone

      We thank you for your readership. If you would like a personal consultation, please contact our office at 954-489-4584 or by email at LeoneCenter@Holy-cross.com. General comments will be answered in as timely a manner as possible.

  86. Scon
    Scon Posted on August 17, 2016 at 6:48 pm

    I am 19 and have random hip pain. It clicks and then it is unbearable and unusable for a few minutes until it clicks again (not in anywhere, or even moving) just clicks and then its fine. This happens possibly once a day. It only happens when I make a sudden movement, though only rarely.

    • holycrossleonecenter
      holycrossleonecenter Posted on August 25, 2016 at 12:58 pm

      Dear Scon,

      It is important to diagnose whether your symptoms are being caused by a problem within the hip joint capsule or from a problem outside (extra-articular) the joint capsule. If these mechanical symptoms are being caused by an intra-articular problem, such as a labral tear or capsular laxity with subluxation, it is much better to diagnose and treat this problem earlier rather than later, with the hope of preventing damage to the hyaline cartilage which leads to arthritis. What you describe very well may be from an extra-articular etiology where a soft tissue band or structure is catching on a boney prominence and creating temporary locking or clicking. If this is the case, it probably will resolve with stretching, exercise and time.

      I would suggest being evaluated by an orthopedic surgeon who will help you define the underlying problem and then develop a treatment plan to resolve it.

      I wish a full recovery.

      Dr. William Leone

      We thank you for your readership. If you would like a personal consultation, please contact our office at 954-489-4584 or by email at LeoneCenter@Holy-cross.com. General comments will be answered in as timely a manner as possible.

  87. TN
    TN Posted on August 29, 2016 at 8:44 pm

    Hello
    I am a 23 year old female with EDS type 3. For the last 6 months I have had severe bilateral hip pain (deep into the groin and deep into the lower buttocks) that causes me to faint due to it being too painful. It hurts to sit, stand or lay down (the only position I can lay down is in a frog leg position).

    I had an MRI which didn’t show anything apart from sacroiliitis in the left hip (the doctor thought FAI would show up due to the physical exam he did but it didnt). He gave me a steroid injection but that hasnt helped either.

    Could you please help guide me as what to do next because this pain is too debilitating.
    Thank you

    • holycrossleonecenter
      holycrossleonecenter Posted on September 19, 2016 at 1:32 pm

      Dear TN,

      We have learned there is a definite relationship with developing joint pain and Ehlers-Danlos Syndrome (EDS). The hereditary hypermobility can result in pain developing in multiple joints, including hips. While the specific causes may vary, hip subluxation and impingement from hypermobility must be considered. The hallmark treatment is physical therapy, which must emphasize strengthening the muscles that control the joints and improving the patient’s proprioception, i.e., perceiving body and limb movement and position in space. It’s thought that patients with EDS have diminished proprioception, which exacerbates joint destruction. Aquatic therapy can be most beneficial.

      I wish you well.
      Dr. William Leone

      We thank you for your readership. If you would like a personal consultation, please contact our office at 954-489-4584 or by email at LeoneCenter@Holy-cross.com. General comments will be answered in as timely a manner as possible.

  88. Kim Anderson
    Kim Anderson Posted on September 3, 2016 at 4:53 am

    Hi I have sever hip pain I am on Voltaren Ostopandol and Trmadol I have trouble sleeping getting out of bed and sitting on the toilet I also was born with the lower back missing and no lubricant between sometimes I get pain down my legs but the pain in my hips is killing me Please help me

    • holycrossleonecenter
      holycrossleonecenter Posted on September 26, 2016 at 3:28 pm

      Dear Kim,

      The etiology of your pain must be understood in order to treat the underlying cause. While it’s possible that your pain is coming from hip disease, it also is likely that your pain is being generated from back pathology.

      An orthopedic surgeon may be able to help you define the exact cause of your pain in order to develop a treatment plan to treat you.

      I wish you a full recovery.

      Dr. William Leone

      We thank you for your readership. If you would like a personal consultation, please contact our office at 954-489-4584 or by email at LeoneCenter@Holy-cross.com. General comments will be answered in as timely a manner as possible.

  89. Donna
    Donna Posted on September 15, 2016 at 1:11 pm

    I had a total hip replacement march 2015. I had a hard time recovering because I had severe hip pain and some back pain. Went back to surgeon several times for X-ray and finally a bone scan. Everything with hip was fine he said. I then went to another orthopedic doctor for another opinion. He did blood test,X-ray, and hip MRI. Nothing really showed up except he said the cup could be a little too big but didn’t think I needed revision. Meanwhile, I had been going to pain management. I had three epidurals and a nerve block. But they only helped a bit. I still have searing, burning pain in hip, butt, thigh, leg to foot. I tried trial scs which did not help. I have had 4 MRI’s on lumbar back in the past four years. It shows DDD, arthritis ,and also slipped disc at l4. I have been to one spine doctor, two neurosurgeons and only surgery I could get is laminectomy with spinal fusion. Even then, they don’t know if it would be the answer to my pain. I am scheduled for surgery soon, but am going to another neurosurgeon for another opinion. I am in constant pain and it is worse with walking or any activity. I only wish they could tell me for sure it from my back and not the hip replacement. The last year and a half has been horrible. I have done acupuncture, chiropractor, PT and pain management all with little help.

  90. Donna
    Donna Posted on September 15, 2016 at 2:00 pm

    I forgot to mention that I am 66 years old. I was having some hip and back pain before hip replacement. That is when they did an MRI of my hip and determined I needed hip replacement. Thought maybe all my pain was from the hip. Worst decision I ever made as I have been in more pain ever since surgery. My quality of life is gone. Pain consumes your whole life. I will probably go ahead with the spinal fusion because I am out of options.

    • holycrossleonecenter
      holycrossleonecenter Posted on September 26, 2016 at 3:26 pm

      Dear Donna,

      I think fully understanding your symptoms both before and after your THR is critical. Did you ever do well after you hip replacement, even if for only a short time? Are the components truly stable and not infected? Do selective injections into the back temporarily relieve the pain? Is the pain positional? Does the pain increase with activity such as walking or standing? Does the pain wake you up at night? What did your hip X-rays look like before the THR?

      I don’t think I would jump into more surgery until you feel more confident that it is truly addressing the underlying problem.

      I wish you a full recovery.

      Dr. William Leone

      We thank you for your readership. If you would like a personal consultation, please contact our office at 954-489-4584 or by email at LeoneCenter@Holy-cross.com. General comments will be answered in as timely a manner as possible.

  91. Ben Thomson
    Ben Thomson Posted on September 17, 2016 at 7:06 pm

    I’m a 55 year old man

    3 months ago I got ill and ended up in bedrest. I could not use my left leg at all, could barely move it.

    Now my left leg is completely wasted away and I can’t put any weight on it at all. I got up yesterday to try to exercise it and stepped wrong and sprained the ankle.

    The doctor says it will take a month to heal so I can start putting weight on the ankle. I need to put weight on it now to get more blood flow and to get the bone to start building up again.

    I am worried about losing my leg or getting a blood clot. The muscles are completely wasted away and the latest X-ray shows significant loss of bone mass. What can I do?

    Am I in danger of losing the leg and what can I do to prevent this? I do move around the house 9 or 10 times a day on crutches.

    Thank you.

    • holycrossleonecenter
      holycrossleonecenter Posted on September 26, 2016 at 3:25 pm

      Dear Ben,

      I don’t understand the underlying diagnosis that resulted in your extended bed rest and the wasting of your left leg. It sounds as if you were recovering and starting to rehab when you sprained your ankle.

      If this is the case, moving the other joints in your leg and strengthening still are appropriate. It will also help protect you against a DVT (deep venous thrombosis or blood clot). With such profound atrophy and wasting of you leg, a steady and prolonged, supervised rehab course may be most appropriate.

      I would discuss these concerns with your physician and look for his or her advice.

      I wish you a full recovery.

      Dr. William Leone

      We thank you for your readership. If you would like a personal consultation, please contact our office at 954-489-4584 or by email at LeoneCenter@Holy-cross.com. General comments will be answered in as timely a manner as possible.

  92. Cindy
    Cindy Posted on September 26, 2016 at 9:07 pm

    I have a question. Five months ago, I has partial hip replacement in my left hip, results of necrosis due to cancer treatment causing a fracture. While it was rough doing physical therapy, I did continue. After about a month and a half, I found the pain to be getting worse with time to the present with the extent of excruciating, and find it is worse then with the surgery. My right side is now painful to walk as well. So I am in double the pain. Xrays show nothing. I am in pain 24/7, with no relief what so ever. I fear that in about a month I will lose my ability to walk at all, since it gets worse everyday. I am literally losing my mind and cry with each movement. I am scared and lost. Can someone help me?

    • holycrossleonecenter
      holycrossleonecenter Posted on October 31, 2016 at 5:54 pm

      Dear Cindy,

      I would not expect you to have pain at this point following your surgery. Therefore, the etiology needs to be understood. Infection must be considered, especially because you probably are immunocompromised as a result of your cancer or the treatment of your cancer (chemotherapy). Other etiologies that can result in continued and worsening pain after partial hip replacement include component instability, pain referred from another source such as lower back pathology related or not related to your cancer, or even pain being generated from the bipolar mechanism entrapping tissue or eroding against bone in the acetabulum.

      Most patients who develop osteonecrosis (AVN) in one femoral head will develop it on the other side as well. Subtle disease is most easily diagnosed with an MRI scan. I would recommend first focusing on understanding why you are still experiencing so much pain with your left hip before considering surgical treatment on the right.

      I wish you a full recovery.

      Dr. William Leone

      We thank you for your readership. If you would like a personal consultation, please contact our office at 954-489-4584 or by email at LeoneCenter@Holy-cross.com. General comments will be answered in as timely a manner as possible.

  93. Cadmus
    Cadmus Posted on September 29, 2016 at 8:06 pm

    I have never had any regular aches and pains. I am pretty active Recently my dr prescribed me Phentramine. About a week go, I noticed I had a mild ache in my right hip. It has gotten progressively worse and does not seem as though it is radiating. I am also,getting prepared for a colposcopy. I am trying to not over react,

    • holycrossleonecenter
      holycrossleonecenter Posted on October 31, 2016 at 5:56 pm

      Dear Cadmus,

      Phentermine is a stimulant similar to an amphetamine. It acts as an appetite suppressant by affecting the central nervous system. I don’t know if it is associated with musculoskeletal symptoms. I think if your symptoms persist, then you definitely should share your concerns with your doctors and look for they’re advise and experience.

      I wish you well.

      Dr. William Leone

      We thank you for your readership. If you would like a personal consultation, please contact our office at 954-489-4584 or by email at LeoneCenter@Holy-cross.com. General comments will be answered in as timely a manner as possible.

  94. kathie vogelgesang
    kathie vogelgesang Posted on September 30, 2016 at 12:34 am

    I am a 57 year old woman and I had a half hip replacement, part of the bone and all of the ball, not anything else. Since surgery I have had constant on and off again pain. Sometimes it is sharp and goes downs the same left leg I had surgery on, and my knee, leg completely gives out. If there is nothing to grab, I will fall. At times I can ‘t lay on my left side didn’t for an entire year, broke my hip November 13, 2014. I do get steroid shots every 3 to 6 months for pain, it doesn’t last but a couple of weeks. Not sure but am thinking it is the muscle in the back of the hip that has never been right since surgery, I continually feel like I have pulled ham string. Just read about the exercises I can do for that. Only one other possibility I have since surgery noticed a lump in the lower right side of my back my physician isn’t to concerned but says if I want to pay a $500.00 CO PAY for MRI he will set me one up. I just got my hospital bills paid. Not sure I want to spring for that. Here’s my question, how long should I do the exercises to know if they are helping before you would get the Mri? Also just started taking azithromycin for strep throat today. Could that be a cause that my leg gave out today with major pain? I usually do not have the leg issue unless walked a lot that day or sitting in chairs without cushions. Also just got steroid shot last week. Just one more piece of information since surgery I can not bend down like to squat on my knees, therefore haven’t ever been able to clean bottom of refrigerator, clean under our buffet, etc. Bending is extremely hard for me (am only about 10 lbs overweight, if that 132 lbs and am 5’4). Tired of not being normal truly don’t feel like I had a great surgeon, did physical therapy for 3 weeks after surgery in-patient, and did 3 months out-patient. Never has been good. Any suggestions would be appreciated,

    • holycrossleonecenter
      holycrossleonecenter Posted on October 31, 2016 at 5:57 pm

      Dear Kathie,

      You need to learn the root cause of the continued pain you’re experiencing in order to develop a smart plan to treat it. It would be important to understand where the steroid shots are being injected and if all or just part of the pain is relieved. Did these symptoms develop after you fractured your hip and had partial hip replacement or were they present prior as well? A problem with the implant has to be considered and ruled out. In general, keeping the muscles that control your hip strong will help balance the joint and decrease symptoms, so I would recommend you continue to exercise if the specific exercises are not causing pain.

      My suggestion is to discuss your continued concerns with you physician and ask his or her opinion as to what is causing the continued disability and then the best way to diagnose and solve it.

      I wish you well.

      Dr. William Leone

      We thank you for your readership. If you would like a personal consultation, please contact our office at 954-489-4584 or by email at LeoneCenter@Holy-cross.com. General comments will be answered in as timely a manner as possible.

  95. Debra
    Debra Posted on October 4, 2016 at 7:00 pm

    I am 62 female. I fell and broke my ankle and top of my foot. 4 months ago.I was healING well but fell with my walker. Now my hiphurts and I can’t move my leg. My leg doesn’t hurt just feels like it’s stiff.

    • holycrossleonecenter
      holycrossleonecenter Posted on November 21, 2016 at 5:13 pm

      Dear Debra,

      A hip fracture must be considered and ruled out. If these symptoms persist, stiffness in your leg and inability to walk, I would strongly recommend you go to your doctor for an evaluation.

      I wish you well.

      Dr. William Leone

  96. Johannah McD.
    Johannah McD. Posted on October 12, 2016 at 7:55 am

    Hello, I have been suffering from hip pain (front left hip) for about 4 years now. I am 28 years old and very active. It hurts to walk on after I have been sitting for any length of time or exercise, walking down stairs, sleeping on that side, and even when I turn a certain way while sitting. The pain eventually goes away after I get up and start walking a little bit. There was an X-ray taken and I was told there was some slight/early stages of arthritis seen and I was tested for Lupus, gout, and rheumatoid arthritis; all negative. I have been to ortho surgeon, but since insurance is making it difficult to get an MRI we are at a stand still. I did a few treatments of PT, but the exercises given to me are exercise I do before and after a workout, so I no longer go. Any advice on what this could be or how I should proceed would be helpful. Thank you.

    • holycrossleonecenter
      holycrossleonecenter Posted on November 21, 2016 at 5:14 pm

      Dear Johannah,

      The underlying etiology of your hip symptoms must be understood, especially considering that you are only 28 years old, so that every effort can be made to preserve your hip. I would challenge your insurance company, or enlist your treating physician to challenge them for MRI approval, if your physician thinks it’s crucial to have this test. You can also shop different centers to learn which will perform the study for less money. Recognize all MRI scans are not the same, some facilities produce a much better quality than others, providing more information.

      I wish you a full recovery.

      Dr. William Leone

  97. Cruzie
    Cruzie Posted on November 2, 2016 at 6:40 pm

    Hello I have had hip pain knee pain lower back pain and butox pain on the left side of my body for 5 years now Ive seeing a pain management doctor for over 3 years now and the pain is still there the pain runs down from my hip butox knee and heal foot area My doctor does not know what is going on with my condition also alittle numnes as well I was diagnosed with scoliosis when i was just a young boy i am 38 years old now Im at my limit with this and dont know who to turn to Thank You

    • holycrossleonecenter
      holycrossleonecenter Posted on December 8, 2016 at 12:29 pm

      Dear Cruzie,

      Your symptoms suggest that you have nerve root irritation or sciatica from back pathology. The exact etiology must be understood in order to treat it effectively. If you have been treated extensively by a pain management specialist without resolution, then you may benefit from further study and an opinion from an orthopedic surgeon, optimally one who specializes in spine surgery.

      I wish you a full recovery.

      Sincerely,

      Dr. William Leone

      We thank you for your readership. If you would like a personal consultation, please contact our office at 954-489-4584 or by email at LeoneCenter@Holy-cross.com. General comments will be answered in as timely a manner as possible.

  98. Jacqueline
    Jacqueline Posted on November 10, 2016 at 3:05 am

    I am a 34 year old female. I have mild to severe pain in my right hip on a constant basis. Some days it’s mild others like today severe. I have a constant dull pain and when I perform any movement getting up reaching twisting….. A sharper more sever pain shoots through just the hip area. There is slight additional pain if I push in just the right area. I can usually find a comfortable sitting position but when trying to adjust or move pain. Laying flat on my back I cannot get up I have to roll and kind of slide out of bed then coming to a straight stand hurts as well. Most days walking is ok the pain is there put not bad then others stepping with the left side cause more sharp shooting pains. It started a few years ago after the birth of my fourth child. I would be walking no pain everything fine then a sudden jolt of pain like my hip was going to pop right out of it’s socket which has gradual lead to this constant pain. Over the counter meds do nothing at all the pain is just always there sometimes ignorable but as time goes it gets worse. Tonight is probably one of the worst I have had. I haven’t seen a doctor yet I work nights and it’s hard to get there…. SO I suppose I am wondering if i should be seeing a doctor? I have been previously advised after having 4 kids very close togerther to be taking calcium supplements but I am not very good at remembering

    • holycrossleonecenter
      holycrossleonecenter Posted on December 8, 2016 at 12:33 pm

      Dear Jacqueline,

      I would advise you seeing an orthopedic surgeon.

      The exact etiology of your pain has to be determined if an optimal treatment regime is to be recommended. During pregnancy and child bearing, hormones levels result in many soft tissues becoming laxer, which is so important for delivery. Possibly tissues associated with your hip also became more lax, resulting in your femoral head subluxating and injuring the labrum or capsule.

      If the condition is not improving on its own and you feel disabled, then I would suggest you see a physician.

      I wish you a full recovery.

      Dr. William Leone

      We thank you for your readership. If you would like a personal consultation, please contact our office at 954-489-4584 or by email at LeoneCenter@Holy-cross.com. General comments will be answered in as timely a manner as possible.

  99. Scott
    Scott Posted on November 28, 2016 at 9:29 am

    Greetings. I’m a 47 year old Male that has never ever had any hip issues. About two weeks ago I started getting this very painful stabbing that races through my right hip/buttocks. It happens very suddenly and is VERY painful and then is gone. It may happen once a day. Sitting or standing. Or it can happen 2 or 3 times a day. It surprises me every time it happens. No warning.. or buildup of pain. Just wham and then gone. Any ideas what that could be?

    • holycrossleonecenter
      holycrossleonecenter Posted on January 3, 2017 at 11:49 am

      Dear Scott,

      While it is possible that your symptoms are coming from hip pathology, it is also likely that what you are experiencing is coming from another source. Lower back pathology can result is lumbar nerve root irritation and frequently elicits pain in the buttock / posterior hip area. Because your symptoms have only been present for a couple of weeks, I think it would be reasonable to attempt some stretching and strengthening exercises for your lower back, emphasizing your hamstrings (consider researching online home exercise programs for lower back), modalities (ice or warm compresses) and an over the counter NSAID if not medically contraindicated. Gentle pool walking and getting into a hot tub if available may also be beneficial.
      If symptoms persist despite these conservative measures, I would recommend you be evaluated by and orthopedic surgeon.
      I wish you a full recovery.

      Dr. William Leone

      We thank you for your readership. If you would like a personal consultation, please contact our office at 954-489-4584 or by email at LeoneCenter@Holy-cross.com. General comments will be answered in as timely a manner as possible.

    • holycrossleonecenter
      holycrossleonecenter Posted on January 6, 2017 at 10:26 am

      Dear Scott,

      While it is possible that your symptoms are coming from hip pathology, it is also likely that what you are experiencing is coming from another source. Lower back pathology can result is lumbar nerve root irritation and frequently elicits pain in the buttock / posterior hip area. Because your symptoms have only been present for a couple of weeks, I think it would be reasonable to attempt some stretching and strengthening exercises for your lower back, emphasizing your hamstrings (consider researching online home exercise programs for lower back), modalities (ice or warm compresses) and an over the counter NSAID if not medically contraindicated. Gentle pool walking and getting into a hot tub if available may also be beneficial.
      If symptoms persist despite these conservative measures, I would recommend you be evaluated by and orthopedic surgeon.
      I wish you a full recovery

      Dr. William Leone

      We thank you for your readership. If you would like a personal consultation, please contact our office at 954-489-4584 or by email at LeoneCenter@Holy-cross.com. General comments will be answered in as timely a manner as possible.

  100. Ghiwa
    Ghiwa Posted on December 1, 2016 at 7:50 pm

    Hi, I am a 19 year old female. I’ve been having pain in my left hip. I feel that the pain is coming from the frontal part of my hip,in the middle and a little bit to the left. Whenever I have an exam or stress or I woke for some time I feel pain when I put my bodyweight on my left leg. Pain also gets worse whenever I have my period or I have an exam. I did an mri and an xray in the last two weeks and 2 doctors have looked at my file and said that there is nothing. I also took anti-inflammatory drugs ; arcoxia and proxin and the pain remained. In the last few days, the weather has become colder and I started experiencing like a sudden cramp and I won’t be able to move my left hip. It takes a bit of time to return to normal.But the cramp is frontal and more to the right side. My other right hip is perfectly normal. I do not have anyone in my family who has experienced such a thing. I used to dance. I stopped in april. My pain started during a traveling trip where I walked a lot and pain so much until I reached a point where I tripping a little. But After I came back and rested the pain disappeared and a weeklater the pain started again and since then I’ve been experiencing problems with my hip. Please Dr., what could it be? And what am I supposed to do?

    • holycrossleonecenter
      holycrossleonecenter Posted on January 3, 2017 at 11:33 am

      Dear Ghiwa,

      The underlying etiology of your symptoms must be defined. While your symptoms may seem to be coming from your hip, another source also has to be considered. An intra pelvic problem such as a hernia, diverticulitis or ovarian cyst have to be considered. A thorough history to understand what brings on your symptoms and what relieves them may give a clue. Is it positional or weight bearing? Because your symptoms are exacerbated when you are having your period or are under stress suggests a hormonal relationship. A thorough physical exam is also critical, including seeing if symptoms, such as tenderness, a mass or a bulge can be determined during the exam.
      If you have seen orthopedic surgeons who do not think the etiology is from your hip, then I would consider discussing your concerns with your primary care physician and GYN physician. Possibly a pelvic ultrasound or CT may be telling. A general surgeon also may be able to detect a subtle hernia or other condition.

      A hip injection test, if positive, would be strong evidence that the source of pain is from an intra-articular problem in your hip.
      I wish you a full recovery.

      Dr. William Leone

      We thank you for your readership. If you would like a personal consultation, please contact our office at 954-489-4584 or by email at LeoneCenter@Holy-cross.com. General comments will be answered in as timely a manner as possible.

    • holycrossleonecenter
      holycrossleonecenter Posted on January 6, 2017 at 10:16 am

      Dear Ghiwa,

      The underlying etiology of your symptoms must be defined. While your symptoms may seem to be coming from your hip, another source also has to be considered. An intra pelvic problem such as a hernia, diverticulitis or ovarian cyst have to be considered. A thorough history to understand what brings on your symptoms and what relieves them may give a clue. Is it positional or weight bearing? Because your symptoms are exacerbated when you are having your period or are under stress suggests a hormonal relationship. A thorough physical exam is also critical, including seeing if symptoms, such as tenderness, a mass or a bulge can be determined during the exam.
      If you have seen orthopedic surgeons who do not think the etiology is from your hip, then I would consider discussing your concerns with your primary care physician and GYN physician. Possibly a pelvic ultrasound or CT may be telling. A general surgeon also may be able to detect a subtle hernia or other condition.
      A hip injection test, if positive, would be strong evidence that the source of pain is from an intra-articular problem in your hip.
      I wish you a full recovery

      Dr. William Leone

      We thank you for your readership. If you would like a personal consultation, please contact our office at 954-489-4584 or by email at LeoneCenter@Holy-cross.com. General comments will be answered in as timely a manner as possible.

  101. Kassy Fountas
    Kassy Fountas Posted on December 2, 2016 at 8:31 pm

    I have severe pain across my back when bending and severe chronic pain in the left hip going down to the groin area and to the bones on either side of the vagina. It never goes away. Now I feel pain in my bones in my left thigh in the front. Difficult to function. Also no appetite since this began. I have a herniated disc and tronchial bursitis with a torn ligament. Cortisone shot did not help. MRI’s showed nothing remarkable. Also took pelvic X-rays . Nothing. Sometimes I feel as though someone is inserting a needle in my hips . God awful pain! Today I took another MRI. Any suggestions. Worrying this might be a bone marrow issue but all my blood tests normal. HELP! Suffering since May 2016. Thank you.

  102. Kassy Fountas
    Kassy Fountas Posted on December 2, 2016 at 8:42 pm

    P.S. I have tried every medication there is for inflammation including OxyContin, prednisone, traudanol, naproxen and so on. Excruciating pain upon walking in both hips. Difficulty getting up from a sitting or lying position. Also neuropathy in both legs. Sometimes pain in abdominal area. I am a mess-been to ER 7 times. No help there. Need zanax to sleep. My PC poo poos my complaints. Thinks I am over exaggerating. Passes on the Prozac and a referral to a head doctor. What is your take because I am at the end of the rope here. Thank you!!!

    • holycrossleonecenter
      holycrossleonecenter Posted on January 19, 2017 at 2:00 pm

      Dear Kassy,

      The etiology of your pain must be understood before an effective treatment plan can be developed. Your description of your symptoms suggest a lower back etiology. Selective pain injections may help to define. If your orthopedic surgeon suspects some of your symptoms are from your hip or at least wants to rule out a hip etiology, then a fluoroscopic or ultrasonically guided injection into the hip joint may provide insight. If after injecting a local anesthetic into the hip joint, some or all of your symptoms resolve temporarily, then it would suggest that at least some of your pain is being generated from your hip. If your symptoms don’t change after the injection, then almost surely, your hip is not the problem. Selective injections into a specific areas of your spine, can similarly help localize the problem causing the symptoms.
      My recommendation is to discuss your continued symptoms and frustrations with your physician and ask for their advice and guidance. If you do have a hip injection test and you don’t get relief, consider seeking the opinion from an orthopedic or neurosurgeon who specializes in spinal disorders.
      I wish you a full recovery.

      Dr. William Leone

      We thank you for your readership. If you would like a personal consultation, please contact our office at 954-489-4584 or by email at LeoneCenter@Holy-cross.com. General comments will be answered in as timely a manner as possible.

  103. tasha
    tasha Posted on December 5, 2016 at 9:09 am

    I have been having hip pain for a while, mainly at night but the left hip is worse, if I lay on my left side and push my leg outward against the bed it hurts but it feels like that’s what i need to do to relieve the pain but sometimes it will pop and feel better. Does this sound familiar to you, what’s going on.

    • holycrossleonecenter
      holycrossleonecenter Posted on January 19, 2017 at 1:17 pm

      Dear Tasha,

      The symptoms you describe possibly are from your hip, intra- vs. extra articular. If your symptoms persist and are disabling enough, I would suggest you share these concerns with your physician.
      I wish you well.

      Dr. William Leone

      We thank you for your readership. If you would like a personal consultation, please contact our office at 954-489-4584 or by email at LeoneCenter@Holy-cross.com. General comments will be answered in as timely a manner as possible.

  104. Carrie
    Carrie Posted on December 12, 2016 at 1:34 pm

    Hello, I am 48 have had 5 kids but raised grandkids. So much bouncing and many years of much on my body. I have had pain in cpld and more frequent now helping raise 1 and a 2 month baby that takes much bouncing and walking, also an autistic seeker so I am very active and dance a lot. I now have weekness in my legs due to back but my hip is popping and at yhis moment it does when I walk and feels as if my foot shrunk 2 or 3 hairs.

    • holycrossleonecenter
      holycrossleonecenter Posted on January 19, 2017 at 2:03 pm

      Dear Carrie,

      I can only guess what your underlying diagnosis is from your description. Weakness in both lower legs suggests a lower back etiology. Hips popping may indeed be from a problem within the hip or from soft tissue that are irritated or weak overlying the hip. Suggest a general strengthening program and weight loss if you’re over weight. Much of the time getting fit and losing weight can improve back symptoms, sciatica and symptoms associated with your hips.
      I wish you a full recovery.

      Dr. William Leone

      We thank you for your readership. If you would like a personal consultation, please contact our office at 954-489-4584 or by email at LeoneCenter@Holy-cross.com. General comments will be answered in as timely a manner as possible.