Frequently hip pain is mistaken for another diagnosis and vice versa. In my practice, I have seen people have hip replacements from various other doctors and their issue ended up being spine related, and not related to their hip. Not all diagnosis' are concrete. It is good for a patient to know that typically hip pain is not in the buttocks area. Hip pain from arthritis is usually in the groin, which radiates down the inner aspect of the leg to the knee. This pain is usually in conjunction to weight bearing. Hip pain is also associated with stiffness in the morning, due to being immobilized throughout the night. It is very important for your doctor to establish a correct diagnosis. Many entities such as disc herniations, hernias, abdominal or pelvis issues can mimic hip pain.
Sometimes even when the diagnosis looks simple on a XRAY, your doctor still needs to look and confirm that your pains are in fact, due to your hip. Personally, is I have even a small percentage of doubt, I will perform a hip injection under XRAY guidance. Within this injection is lidocaine and steroids. If my patient's pain goes away with the numbing agent right away, this confirms hip pathology 100% - as the cause of pain. So, as a patient, before you undergo a procedure such as a hip replacement, if you sense any doubt of the diagnosis make sure that your doctor has cleared all other options that the pains could be from.View Thread
I AM AVIDLY AGAINST BILATERAL KNEE OR HIP REPLACEMENTS. AS AN ORTHOPEDIC SURGEON AND THROUGHOUT MY TRAINING THE MAIN COMPLICATIONS IN JOINTS I HAVE SEEN HAS BEEN BECAUSE OF BILATERAL SURGERY. YOU TRIPLE YOUR COMPLICATION RISK OF BLOOD CLOT , INFECTION DUE TO LONGER SURGERY TIME AND MORBIDITIES. NOT TO MENTION THE PAIN AND THE PHYSIO. ALTHOUGH CONVENIENCE IS THE BIGGEST REASON IF THAT COMPLICATION HAPPENS TO YOU THEN YOU WILL THINK BACK.
You are correct . Intuitively your nerve is being irritated by a screw or scar or briusing from surgery. See a neurologist and see if they will get a nerve test and then go back to your surgeon and ask for a solution. Likely at 6 months surgicalView Thread
MRI have miss rates of 5 to 20 percents due to the cuts, movement, quality. In the end of the day the MRI is only a guide. Trust your surgeon . If you don't feel confident with him then by all means speak to a second or third ortho