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Doctor insights on: Anterior Hip Precautions Handout

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What is hip synovitis. My 6 yr old has got it and is on 5 day antibiotic course. What is the recommendation and precautions. Thnx?

What is hip synovitis. My 6 yr old has got it and is on 5 day antibiotic course. What is the recommendation and precautions. Thnx?

Inflammation: The synovium is the tissue that lines a joint capsule, when it becomes inflamed you can get a synovitis. Basically when a young child presents with severe hip pain and no injury, some considerations include an infection in the hip joint or a toxic synovitis. Toxic synovitis can proceed or be concurrent with a generalized viral illness and usually resolves spontaneosly. NSAIDs and rest help ...Read more

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Dear Doctor, kindly advise what one can do to avoid a hop replacement with AVN of the hip. Are there any precautions we can take avert surgery Thanks?

Dear Doctor, kindly advise what one can do to avoid a hop replacement with AVN of the hip. Are there any precautions we can take avert surgery Thanks?

Sorry: But eventually you are more likely than not to require a form of hip replacement since there is no treatment for AVN of the hip. Best bet is to start to investigate where this will be performed! I strongly suggest an academic teaching center affiliated hospital and a surgeon who does MANY of these procedures annually!!!
Hope this is helpful...Good luck

Dr Z ...Read more

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I have done my sonography of pelvis the result is bilateral poly cystic ovaries what does it means nd any precautions also I'm not gettin my periods?

I have done my sonography of pelvis the result is bilateral poly cystic ovaries what does it means nd any precautions also I'm not gettin my periods?

PCOS has many issues: Polycystic ovary syndrome (pcos) is a metabolic disorder. Often women: ovulate infrequently, are overweight/obese, have difficulty getting pregnant, have acne/facial hair, Insulin resistance with higher risk of diabetes. First line treatment is hormonal birth control (pills-patch-ring). Treatment lowers risk of painful rupture and ovarian loss. Using metformin (diabetes drug) may help fertility. ...Read more

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Can the front of your hips hurt if you have been sitting down for a while?

Can the front of your hips hurt if you have been sitting down for a while?

Maybe: More common to have pain the the posterior area. In the anterior area the cause may be a too tight belt, too tight underwear or your posture in sitting. ...Read more

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An anteriorly rotated hip looks higher on an ap xray?

An anteriorly rotated hip looks higher on an ap xray?

Postural assessment: See your chiropractor, physical therapist or osteopath that specializes in osteopathic manipulative medicine. You need a structural evaluation and spinal alignment....And you may need a heel lift and shoe orthotic. ...Read more

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How long does it take to feel ' wonderful ' after a total anterior hip replacement?

How long does it take to feel ' wonderful ' after a total anterior hip replacement?

Varies by patient: Everybody recovers at their own pace after a total hip replacement. The direct anterior approach does minimize trauma from surgery. "wonderful" implies full recovery- may take 3 months. Acute healing phase is 2-3 weeks. Do not try to overdo in the first 6 weeks, but gradual resumption of activities is encouraged. Talk to your orthopaedic surgeon if you have specific activity related questions. ...Read more

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What is the "left anterior acetabular column" of the hip?

What is the "left anterior acetabular column" of the hip?

Anterior column: The acetabular columns were first described in 1964 by judet and letournel as an inverted y. The anterior column was composed of the bones ilium and pubis. The pelvis is composed of three bones including the ilium, ischium and pubis which fuse in early adolescence and collectively called the innominate bone. ...Read more

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What rehabilitation is involved after an anterior hip replacement?

What rehabilitation is involved after an anterior hip replacement?

REhab: Typically after any hip replacement, the first goal is to get you back on your feet again. You can work with a physical therapist who will teach you the anterior hip precautions then begin to work with you on getting in and out of bed, standing with a walker and beginning to walk with a walker. Following that phase, you will begin to work on strengthening the hip muscles usually as an outpatient. ...Read more

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What are the doctors that do anterior approach hip replacement in my area?

What are the doctors that do anterior approach hip replacement in my area?

Call: You will have to call each practice to find out. On general look for someone fellowship trained in joint replacement and have it done by a high volume surgeon at a high volume hospital. ...Read more

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Lwr back, top of butt pain, at times wraps around to hip, side, down into butt, front of thigh. At times one side, at times both. Pinched nerve?

Lwr back, top of butt pain, at times wraps around to hip, side, down into butt, front of thigh. At times one side, at times both. Pinched nerve?

See your doctor: It could be a nerve problem, but equally it could be a root problem and anything in between. There are other disorders that could predispose to symptoms such as these, so getting a good history and physical exam would be important to evaluate this completely. ...Read more

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I have pain where my leg bends in the front of the hip. When I sit and then stand it hurts. I sleep on my side and my hip wakes me hurting.?

Several causes: You may have arthritis of the hip. Laying on ones aside presses on the trochanteric bursa, and you may have bursitis there. But it also pushes the hip more so, which can exacerbate hip arthritis. Both should be ruled out. There are many more, but these are most common. ...Read more

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My level II ultrasound shows Placenta position- "Fundo anterior lower margin of placenta 4.0 CM from internal os" What precautions should I take??

My level II ultrasound shows Placenta position- "Fundo anterior lower margin of placenta 4.0 CM from internal os" What precautions should I take??

As per OB.: You did not state how far along the pregnancy you are. If before third trimester, the placenta may migrate posteriorly and further from the os. Speak to your OB for any concerns. If there is any concern on the part of the OB, a follow-up ultrasound will be gotten. There are however no precautions you should take, unless so directed by tour OB. Why does you profile say 25 yo male? ...Read more

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Hello! I had a sudden onset of numbness that extends from the right side of my spine almost to the front of my right hip? No injury that I'm aware of.

Hello! I had a sudden onset of numbness that extends from the right side of my spine almost to the front of my right hip? No injury that I'm aware of.

Sciatica: The sciatic nerve supplies sensation from the buttocks all the way down to the toes. Anything that compresses the nerve can cause sciatica. Your need to see a doctor to find the underlying cause for the right treatment to be prescribed. Meanwhile stay comfortably active & avoid prolonged sitting or heavy lifting. If you get bowel or bladder control problems or fever, seek IMMEDIATE care. ...Read more

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Hip pain that runs down the front of the leg?

Hip pain that runs down the front of the leg?

Maybe: It maybe osteoarthritis of the hip or a pinched nerve. See your doctor to have this better evaluated. ...Read more

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I have back pain that radiates to hip and butt and front of thigh. What can be the problem?

I have back pain that radiates to hip and butt and front of thigh. What can be the problem?

Back or Hip: There are many causes of low back pain and hip pain. Often they are related. A bad hip can cause buttock, groin, and/or thigh pain. Sometimes a pinched nerve in the back can cause back, buttock, and thigh pain depending on which nerve is involved. If your pain does not improve or gets worse you should contact your physician to help identify the cause. ...Read more

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I'm getting pain in my lower back to the front of my hip been 3 months in agony what type of doctor should I see?

A good one!: Who will take the time to get a thorough history and do a complete physical examination on you. Then order a directed laboratory exam looking for possible metabolic metabolic bone diseases, or endinocrinological disorders or orthopedic disorders. He or she after a thorough evaluation should be able to set you on your way to a good healing of what ails you! ...Read more

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Twisted hip about a month ago and loud pop, sharp pain when moving in any direction, front of my hip, difficulty moving.?

Twisted hip about a month ago and loud pop, sharp pain when moving in any direction, front of my hip, difficulty moving.?

Go see your: Primary dr who may order an x-ray and/ or MRI of your hips and possibly refer u to an orthopedic specialist. You could have a dislocated hip, strain, tendinitis, arthritis, etc give us a feedback on the final dx. Take care! ...Read more

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What would cause pain in my left hip that radiates down the front of my leg? This occurs while I am lying down for an extended period.

Hip/leg pain: Could be a variant of sciatica (radiates down back/ and side), or piriformis syndrome or L2 disc herniation- consider LS spine MRI, or meralgia paralytica -lateral femoral cutaneous nerve compression usually with weight gain, diabetes, seat belt trauma-a burning in lateral thigh. Would also check for abdominal lesions that could result in pain like ovarian/colon/appendix masses. F/u/ doc ...Read more

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I have had an anterior hip replacement 3 weeks. Ago. After a days activity is it usual to feel a lot of discomfort in the groin area?

I have had an anterior hip replacement 3 weeks. Ago. After a days activity is it usual to feel a lot of discomfort in the groin area?

Yes: Not unusual to have aches and pain for 6-12 weeks in general. Most joint replacements improve over 12-18 months when they usually achieve their full recovered state. You still need to make your follow up appointments so your surgeon can assess you. Any worsening pains, fever, chills you need to call your surgeon with right away. But groin pain after activity is your body saying take it easy. ...Read more

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I have a tighteness around the front of my waist line from hip to hip. Right above my waist and below my waist line my muscles are loose.?

CANCER: Please see your primary care physician. Blood in the stool has many causes the most severe being cancer or tumor formation. Seeing as you are also constipated there is a chance that your bowel (intestine) is obstructed. ...Read more

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Hello. I am an energetic, healthy, 75 year old woman who had bi-lateral hip replacement (anterior) 3 months ago and i’ve been walking a lot.

Excellent: More mobility through walking is like putting money in the bank. More activity done at an earlier age makes life easier at an older age. ...Read more

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Hello. I am a flexible, energetic, healthy, 75 year old woman who had bi-lateral hip replacement (anterior) 3 months ago and i’ve been walking a whole?

Hello. I am a flexible, energetic, healthy, 75 year old woman who had bi-lateral hip replacement (anterior) 3 months ago and i’ve been walking a whole?

Great -exercise very: Exercise is very important. Instruction from physician for any restrictions are important. Flexibility suggests you may have Ehlers-Danlos syndrome (a joint hypermobility syndrome. Ask your physicians if you have this. ...Read more