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I am a 40 year old male. About 8 months ago, I started feeling pain on my leg leg upper thigh/groin area after running on a weekday and moving some furniture the following weekend. I have seen quite a few doctors, some of whom are suggesting that the pain is being caused by nerve pinch, while my physical therapist and acupuncturist (also an MD) are doubtful. I don't have any shooting down pain or tingling feeling, just aching pain. I saw orthopedic surgeon about a week ago. He wanted me to go though surgery to fuse L4-L5 (due to bulging disk), and possibly L4-S1. I am just not sure they are diagnosing my problem right! I put together the information below (kind of long) to share with the doctors I will see next on my activity to resolve the pain, but would really appreciate if you can help me out with your advice! One thing to note: my pain starts to get better with a period of inactivity, but as soon as I do something like walk for 10 to 15 minutes, pain is back in full force the next day!
I started feeling moderate aching pain on left leg upper thigh/groin area after running about 4 miles. Pain was only felt while walking or standing for more than a few minutes. I helped move some heavy furniture following weekend. Pain got much worse afterward. I wasn’t able to see a doctor right away because I was about to go on a month long overseas trip.
Pain persisted throughout the month of December while on overseas trip.
Back to the United States, I saw Dr. A of Resurgens Orthopedics in Atlanta. After looking at my hip X-ray, his assessment was that I had hip arthritis. He prescribed me Diclofenac 75 mg and sent me to physical therapy. While Diclofenac gave me some relief, physical therapy didn’t help any. Once I got off Diclofenac, pain was back in full force.
Saw Dr. B of Resurgens Orthopedics for second opinion. Dr. B ruled out hip arthritis. He ordered hip MRI. After seeing the report that mentioned "small focal labral tear involving the anterosuperior labrum," he referred me to Dr. C of Resurgens Orthopedics.
Upon seeing the hip MRI images, Dr C ruled out labral tear. However just to be sure, he prescribed steroid injection on my left hip joint. Dr. D of Resurgens Orthopedics performed left hip joint injection on 4/16/2013. I didn’t get any relief from the injection afterwards, and pain persisted. At this point, Dr C suspected that pain might be coming from nerve pinch from my back. I was diagnosed with spondylosis (disc bulging between L4-L5) about 7 years ago. He sent me back to Dr. D for further evaluation.
Dr. D was very confident that my leg pain was coming from my back and was VERY confident that epidural injections would fix my pain. He injected 2 epidural injections on my back. 1st one was on 6/4/2013. I didn’t get any relief from it. As a matter of fact, pain got worse the next few weeks. He also sent me to physical therapy, which didn’t provide any relief either.
Dr. D injected 2nd epidural shot on 7/2/2013. While injecting, he hit a nerve, which caused severe pain down my left leg during the process. Pain got worse afterward, and I started having pain on left leg shin area. Not being able to explain why pain persisted, Dr. D wanted me to get surgical opinion on my back problem, and also referred me to acupuncture for alternative treatment.
After seeing me twice, Dr. E, who is an M.D., an acupuncture practitioner questioned the diagnosis done by Dr. D and thought that my pain was not coming from my back, but still was coming from my hip area. She advised me to see a hip specialist again (which I already had done before - Dr C). I also contacted my physical therapist, who was referred to me by D, to know her opinion on this. She agreed that my pain was unlikely to be coming from my back.
Last week I saw an orthopedic surgeon, who is suggesting that I go through surgery to fuse L4-L5 and possibly L5-L1. My acupuncturist didn't think the nerve that's between L4-L5 goes through the front thigh/groin area, but the surgeon disagreed!
I am just not sure what to do next! I don't want to be the guy that finds out after surgery that pain is still there! Please let me know what you think and if you have had any similar experience.