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Not hip problems

AnonymousUserAAnonymousUser Posts: 49,578
edited 06/11/2012 - 7:22 AM in Back Surgery and Neck Surgery
Well I convinced myself that my right hip issue was not due to my back. My NS told me it was back related. I have had 4 hip surgeries and I thought this time I was for sure right. I was wrong. I had one of the drs in my office x-ray my right and left hip. I do have some problems on the right side. It has alot of arthritis and is more narrow than the left but the dr also took an x-ray of my back. Well he said I could have a little pain from my hip but my back looks like it is causing all of my problems. He seemed to think it is my facet joints that are giving my so much pain and referred pain. He said when the facet joints are arthritic it can cause so confusion with the muscles and nerves around them. So he ended up doing 3 level bilateral facet block injection. It definately didn't feel good because they are arthritic and are really inflammed but I was tough and made it right through them. Of course, the numbing medicine made my back really numb. Everything felt wonderful when I stood up NO PAIN. YES!!!!! Of course, the numbing medicine only last about 2-4 hrs and I am right back to hurting again now.

The dr I work for told me that if I had a fusion then he would expect me hips to need replaced about 2 yrs after. He said if your spine can't move then your hips and your sacroiliac joints will take all of the movement and mine will not be able to tolerate that. He also said that if I replace my hip because of the different way I would walk my back may get worse. So either way it is a lose lose situation. I guess my only choice is medicine and hope the facet blocks work. Surgery is out of the question for me even though a fusion is the only thing that can fix my back. I know it sounds bad but I was really hoping for something that could be fixed and not something that I am stuck with the rest of my life. So depressing. :( =(( :(


  • RangerRRanger on da rangePosts: 805
    Hey Cindy,
    Talk about a no-win situation, that is a tough decision. I think your decision to go with the meds sounds most logical. Down the road if you experience tingling and/or numbness then reconsider your options.
    I have had some hip pain since last Dec. and I was sure it was my hip joint. Then my rheumy checked me out and said my hip is just fine, the problem is most likely in my lower back. It isn't a constant or unbearable pain so for the time being I'm just gonna let it ride.
    I hope you can get some relief from your pain Cindy, you sure have been thru a lot. Take care of yourself and let us know how you are doing.
  • I will definately keep everyone updated on whats going on. I really think its a combination of both though. My hip didn't really get any relief from the lidocaine after I started moving around. My back was PAIN FREE though. Its nice to say that. It feels like its been so long since I have been able to say something is pain free. I just wish something would let up. I really hope these facet injections help. I have been dealing with this for the past fifteen years and I am only 26. Meds and deal with it is my only option until I can't walk and then someone is going to do something if I have to beg. I have a 1.5 yr old son and I have to be able to take care of him.
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  • I had the same thing! They said it was the diagnostic test to determine if the Radio Frequency would work. The nurse told me that was normal for the numbing medicine to go away, but if you had temporary relief, the radio frequency would do the same thing on a more permanent or at least long lasting basis. Between 6 months to 2 years. They think that my horrible paid is coming from the facet joints too. I have scheduled this for the 21st and am in deed excited. it heats up the nerves around the facet joints so they are burned or stunted and that the relief would be there until the nerve endings grew back. From what I have read hear about this procedure, I am definately going to do it. See what your Dr. says. I think it is a better alternative to steroids and massive amounts of narcotics. I so want to get my body clean!
    I have had the fusion and if I could go back, I would not do it. Everyone is different though, just really think it through.
  • Someone just enlightened me to this name. Do a search and you will find info on it. It really might help you! I hope so!!! :-C
  • I suffer the same hip pain and basically all of the same pain as you do. A rhizotomy gave me great relief and lasts about 1 year. Good luck and please keep us posted.
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  • My hips seem to be the things that give me pain now 7 weeks after my PLIF, hardly any pain in my back though.

    Christina :)
  • Cindy -

    Why is back fusion an automatic no? I know you are against it, but not why - medically unable? Or??

    I do like the sound of the Rhizotomy for you - have you looked into that?
  • Reason for not having as fusion. My hips can't tolerate a fusion. One of the drs I work for in pain management said that if I had a fusion I would end up needing my hips replaced within 2 years afterwards because of the stress on them. So I don't want to go through all of that within a couple of years. I am going to see if the facet blocks work and go from there. I am going to talk to my PCP about changing meds and sending me to Duke.
  • Hi Cindy,
    Before I had my fusion this was one question I was very specific about asking.
    I have had hip problems since I was 11yrs old and at 15yrs had my first hip replacement then 2 years ago that wore out (after 30 years) and I had to have that taken out and a new one put in.
    My right hip has a lot of arthritis and will eventually need to be replaced but not in the near future.

    So you can imagine that when I was asking questions about back surgery I wanted to be sure it wasn't going to make my hips worse.
    I spoke with the spinal O/S as well as the hip O/S and 2 other ortho surgeons I know. All said it shouldn't make my hips any worse.
    I am now 3 months post op and have had no hip pain at all, except for muscular pain from learning to walk differenetly. I have always had a bad limp and different lenght legs so the physio is teaching me to walk with using all my muscles not just some of them.

    Hope this helps you a bit.

    Oh and what did you have done to your hips?

    Blessings Sara
  • They said it is called slipped capital femoral epiphysis. It pretty rare around here. Thankfully my ortho caught it just in time. He said if I didn't have surgery within a couple of days after the visit, I would have ended up paralyzed in that leg. He told me that the other hip would do the same thing. 2 yrs later back on the operating table again for the other hip. He also told me eventually the pins would need to come out. Well he was right again 6 yrs from the first surgery both pins had to come out. They were causing me horrible pain. He told me the next surgery on them that was needed was total hip replacement. He said he wan't to wait until the pain was horrible again and he would do it. He said if he would have went ahead and replaced them that I would need new replacements in so many years and that would have been multiple surgeries being that at the time I was only 18 yrs old.

    Now there is alot of arthritis and I am convinced that it is almost time for hip replacement on the right one. Everyone keeps telling me thats its not hip but I am not convinced. It hurts right in the ball and socket joint. It like I can feel it rubbing and popping everytime I move a certain way. I guess I am going to have to get a real x-ray on it. We did it under a fluroscope but its not very clear and we didn't do different angles. Who knows though I may be wrong?
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