I've been having right hip pain for 2 weeks, started while walking up a steep hill, no blunt injury. rice & nsaid only helps temporarily. dexa incidentally show a lytic lesion in right proximal femur where it hurts. does that mean i may have fracture?

Lytic lesion needs further investigation and probably the cause. Pl get with ayour MD and start rightaway. Good luck.

Yes, depending on location and size a lytic lesion may predispose to a so called pathologic fracture or a fracture on affected bone. Work up with the help of a hem- onc specialist is strongly recommended, a reconstructive ortho consult may clarify the risk for fracture by examining dedicated imaging.

It is not feasible to provide a meaningful opinion without additional history, physical examination and may be some tests. A lytic lesion is a cause for concern and the underlying abnormality needs to be investigated. Start with your primary care provider for an initial assessment that may include serum protein electrophoresis. Depending on the findings, you may need to see a specialist.