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Doctor insights on: Fluoroscopic Guidance Needle Placement In Hip

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If source of lower back, hip & SIJ pain is undetermined, why would Dr. Recommend trigger pt injections instead of Fluoroscopic injections 2 DX & Treat

If source of lower back, hip & SIJ pain is undetermined, why would Dr. Recommend trigger pt injections instead of Fluoroscopic injections 2 DX & Treat

FIBROMYALGIA: FIBROMYALGIA IS TENDER PAINFUL MUSCLES: PT WITH TENS AND US usually IMPROVES blood flow to tender muscles. TRIGGER POINT INJECTION HELPS fibromyalgia. If SX persist or worsen You need to be reexamined check labs and potential repeat MRI If symptoms persist or worsen. Seek a second opinion. Also start a gluten free diet. WholeApproach. Com and gutbliss. Com MEDS:LYRICA/SAVELLA/CYMBALTA ...Read more

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What can be a remedy for the hip artritis? Other having needles every 6 or 9 months?

What can be a remedy for the hip artritis? Other having needles every 6 or 9 months?

Treatment Hip: If you have hip arthritis treatment options depending on the cause of the arthritis may vary. They might include a hip replacement, an osteotomy to reposition the hip, physical therapy, use of a cane, weight loss, or medication. Repeated hip injection may have some unwanted side effects cause isnfection or cause further joint damage. Consult with your orthopaedic surgeon. ...Read more

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My left hip tingles like it has pins and needles. Its not usually painful but it is annoying and irritating. This has been happening on and off for a few years. Usually its just when I lay on my side, but lately its been happening more often.

Anatomy: You may well have problems with lateral femoral cutaneous nerve of thigh, causing issues with Meralgia paresthetica, and maybe caused by being overweight and/or wearing tight clothing about your waist. Other possibilities exist, so have your doctor assess. ...Read more

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Bone marrow donations take how many needle sticks in the hips?

Bone marrow donations take how many needle sticks in the hips?

Bone marrow harvest: A standard bone marrow biopsy test involves 1 or 2 needle insertions into the iliac crest bone.
Depending on the size of the recipient and how many cells are needed it can be from approximately 20-50 needle insertions on each side for a bone marrow harvest/donation. ...Read more

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Numbness in left leg from hip to knee outter leg. Sometimes feel like pins n needles?

Numbness in left leg from hip to knee outter leg. Sometimes feel like pins n needles?

Numbness: This may represent a pinched nerve at our hip/ belt level or herniated disc on back. If not getting better with ice and anti inflammatory I would recommend you see your physician. ...Read more

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Sore hip, right side, pins and needles going right down to the toes, had it for 4weeks, what could this be?

Sore hip, right side, pins and needles going right down to the toes, had it for 4weeks, what could this be?

Sciatic nerve: Tingling from the hip down to the toes is related to your sciatic nerve or the nerve roots in your lower back until proven other wise.

Spinal nerve compression, piriformis syndrome, or other sciatic nerve compression are possibilities. Rarely, another nerve could be involved, but start with the above and work backward if nothing found. ...Read more

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What can cause ur body go totally numb, when u turn.? Last like 15to 30 secs n have pin n needle feeling all down my hips to bottom of feet?

What can cause ur body go totally numb, when u turn.? Last like 15to 30 secs n have pin n needle feeling all down my hips to bottom of feet?

A neurologist: Found through your family doc would be a good person to answer this question. I see that you also have back pain and headache. There may be a neurological/nerve condition present. Your doc can identify it and treat you. Peace and good health. ...Read more

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Waiting for hip replacement but suddenly got pins and needles in whole leg starting from my hip, near pins what could this be?

Waiting for hip replacement but suddenly got pins and needles in whole leg starting from my hip, near pins what could this be?

Why pins - previous: Are the pins present because of previous surgery. Is the total hip to replace a previous fracture that has been pinned? I would discuss this with your physician and get this explained immediately. I make this recommendation also because I would need more information to help explain your problem. Speak with your physician. ...Read more

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Feeling burning sensation (pins/needles) on left side of face, arm, leg and hip.

Feeling burning sensation (pins/needles) on left side of face, arm, leg and hip.

For how long?: Need more info: When did it start? What were you doing? Did it happen suddenly or slowly? Has it happened before? Do you have any underlying medical problems? Consider possibly seeing urgent/emergency care for an in-person examination. ...Read more

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Needle like pain on the side of my hip that moves to my pelvis area, then moves again to the middle of my hip then to the side of my foot. What is thi?

Needle like pain on the side of my hip that moves to my pelvis area, then moves again to the middle of my hip then to the side of my foot. What is thi?

Pinched Nerve: Sounds like you have a pinched nerve in your back. I would suggest seeing a pain/spine specialist to evaluate you further to evaluate what level and what can be done to treat you. There are interventional treatments besides medications and surgeries that might reduce or eliminate the pain altogether. ...Read more

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Mri showed excess fluid in hip joint. Needle aspiration as unable to obtain sample of fluid. Why and what does that mean?

Mri showed excess fluid in hip joint. Needle aspiration as unable to obtain sample of fluid. Why and what does that mean?

Depends: A needle aspiration may not obtain any fluid if the needle was not adequately placed into the joint or if there is no fluid at the time of aspiration. Typically a hip joint aspiration is performed under fluoroscopy where needle placement is confirmed with injection of contrast medium (dye). For pediatric a hip aspiration may be performed under ultrasound guidance. ...Read more

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I suffer with lower back but lately I get a lot of throbbin pain in the top of my legs and hips and pins and needles in my feet?

? Spinal Stenosis: If you are having discomfort down both legs with a history of back pain, suggest you be checked for possible spinal stenosis. You can start with our pcp who may refer you to a- back specialist-orthopedist. ...Read more

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I've had facet joint injections that haven't worked I have pains in hips and pins and needles physiotherapy has not worked what do you recommend next?

Back pain: In addition to cortisone injections, physical therapy, chiropractic care, back bracing and neuropathic pain medicine can reduce or eliminate the pain. See a neurosurgeon to evaluate the pain because herniated discs with nerve impingement, tears in the disc, and inflammation of the sacroiliac joints can mimic facet joint pain. ...Read more

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Hip hurts also numb hurt to touch feels like pins and needles and my toes get really cold right side could it mean sciatica nerve cud be gettin worse?

Hip hurts also numb hurt to touch feels like pins and needles and my toes get really cold right side could it mean sciatica nerve cud be gettin worse?

Very possibly: The pattern of pain and sensations you describe are common with a pinched nerve in the lumbar spine, what many laypeople refer to as "sciatica". ...Read more

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I have a painful hip when relaxing, needle-like stabbing pain in the outer thigh, and a mild burning sensation in foot. All on the same side?

Sciatica variety: A good physical therapist or massage therapist or chiropractor might have ways to both Dx an Tx you and provide exercises to heal damage and strengthen other muscles to offset the imbalance. It can be simple or complex and needs an eval by an expert. ...Read more

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Pain and tenderness in lower back, progressively gotten worse over the course of 3 years. Sharp pain in hips and pins and needles feeling in toes?

Pain and tenderness in lower back, progressively gotten worse over the course of 3 years. Sharp pain in hips and pins and needles feeling in toes?

Sciatica...: Hello,
What you are describing sounds like nerve entrapment/irritation in the lower back spinal nerves, particularly L3 to S1 nerve roots. Pts that present to me with symptoms as such in the lower extremity are sent for a lower back MRI, Neuro Consult, and rehab. Please consult a specialist since this is long stand. Feel better! ...Read more

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Hip steroid inj 2wks ago. Was ok but now developed petechiae & bruise around the area & a bump where needle was. No swelling. On enbrel (etanercept). Is this ok?

Hip steroid inj 2wks ago. Was ok but now developed petechiae & bruise around the area & a bump where needle was. No swelling. On enbrel (etanercept). Is this ok?

Bump over injection: Small bump over injection area is common. It may subside slowly. Do not worry. If the size increases, become painful and persists for a long time then see your doctor. ...Read more

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I have a sixth lumbar vertebrae and pain in hips. I've started getting pins and needles up and down left leg, painful. Is my extra bone causing this?

I have a sixth lumbar vertebrae and pain in hips. I've started getting pins and needles up and down left leg, painful. Is my extra bone causing this?

Possibly: This is one of those problems where a visit to your doctor is necessary to figure out what's going on. Only after a thorough evaluation, including examination and possibly labs and other tests, can your doctor correctly diagnose you and treat you effectively. ...Read more

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Whole right leg sore more than week, hip, knee mainly and calf feels like it could burst at times, pins and needles right foot often also, causes?

Whole right leg sore more than week, hip, knee mainly and calf feels like it could burst at times, pins and needles right foot often also, causes?

Pain in leg areas: Your pains seem to be possibly all related to a nerve impingement syndrome. that condition can cause all those symptoms. The sciatic nerve innervates your Leg as it exits out the spinal cord in your low back area and travels through the hip providing sensation all the way down to the Toes. Get an evaluation as this needs to be treated asap. ...Read more

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My doctor gave me celeston soluspan 6mg/ml to the hip for sinus infection. Both my arms and knees feel like pins and needles is that normal?

My doctor gave me celeston soluspan 6mg/ml to the hip for sinus infection. Both my arms and knees feel like pins and needles is that normal?

See details: I doubt that the pins and needles are related to the injection. However, that med is a weird choice as it is a combination of soluble and insoluble corticosteroids. I would not personally use it to treat sinusitis. ...Read more

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Tailbone pain worse, going up to hips, feet pins/needles, constipated, can't sit. Hubby now found a lump in my vagina, could all this be related? Prev sacral bone erosion & tissue thick. Mri next wk: (

Tailbone pain worse, going up to hips, feet pins/needles, constipated, can't sit. Hubby now found a lump in my vagina, could all this be related? Prev sacral bone erosion & tissue thick. Mri next wk: (

Nerve irritation: These could have symptoms suggest nerve irritation. This does not say what is irritating the nerve but this is what your physician is looking for with the mri. ...Read more

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Nerve damage to groin and hip area after illiac crest bone harvest. What's it called and is it reversable? Six months post op. Cervical fusion of c6-c7 with autograft from hip and hardware. Sensations range from numb, sharp quick pins and needles and sand

Nerve damage to groin and hip area after illiac crest bone harvest. What's it called and is it reversable? Six months post op. Cervical fusion of c6-c7 with autograft from hip and hardware. Sensations range from numb, sharp quick pins and needles and sand

There: There are a few nerves around the pelvis that could be injured during graft harvest. The most common one is the lateral femoral cutaneous nerve which supplies the skin on the outside of the thigh. From your description, it is more likely the ilioinguinal or pedundal nerve that is affected. Since I don't know where the bone was harvested (anterior or posterior crest), I don't know how the nerve might have been injured.

Most of these nerve injuries are what are called neurapraxias. The nerves recover with time, but can be painful for several months to a year. A charring injury from the cautery used during surgery also recovers with time.

If the nerve is partially (axonotmesis) or completely (neurotmesis) severed, the recovery is less predictable. The nerve fibers have to regrow and find their way to the nerve endings. If they "get lost" they can cause a painful ball of nerve fibers called a neuroma. Nerves take a month to start growing and grow at 1mm/day or about an inch a month. Based on the location of the injury and the distance to the nerve endings, it can take a long time to regenerate.

Injured nerves can be very irritable and send any stimulus as a painful signal. To quiet the nerve, we use desensitization techniques. By constantly giving the nerve a low level stimulus, it "learns" what is normal and stops the painful signal. Then you increase the stimulation until that feels normal.

While Neurontin can be helpful, I have had better pain control (though not necessarily side effects) with lyrica (pregabalin). Insurers are often reluctant to cover it because it's more expensive. Amitriptyline or nortriptyline can enhance the effects, but also add to the sedation.

It is possible you may need surgery to explore the nerve and remove a possible neuroma, though that would likely leave an area of numbness. Only your surgeon knows what the likelihood of that is. Nerve conduction studies usually are not very helpful in this area and can be painful to get, particularly if the nerve is quite irritable.

To date we do not have any means of making nerves function. We can decompress them, repair them, remove neuromas, and even transfer them, but they have to work on their own. Maybe in the future we will have nerve growth factors or stem cells to help boost nerve function. For now, however, nerve pain remains a frustratingly difficult problem. ...Read more

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What does it usually mean if a teenage girl has needle-like pains in the lower part of her pelvis a week after her period? Not sexually active

What does it usually mean if a teenage girl has needle-like pains in the lower part of her pelvis a week after her period? Not sexually active

May need to see Dr.: If the pains are occurring 2 weeks before your next period it could be pains associated with ovulation. However, many things can cause lower abdominal pain, particularly urinary tract infections, vaginal infections and bowel problems. Write down on a calendar when you experience them next time and see if it correlates to approximately 2 weeks before your next period, if so it is likely ovulation. ...Read more

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Pins and needles in calf, spasm, pain in thigh, swollen groin and hip and lower back pain. Had leg sonogram last month and no clot. What could it be?

Pins and needles in calf, spasm, pain in thigh, swollen groin and hip and lower back pain. Had leg sonogram last month and no clot. What could it be?

Possibly venous: You may have venous insufficiency, or venous reflux, of the leg veins or pelvic veins. Ask for an ultrasound of your leg veins to check for it - it is different than looking for a clot - make sure you are sitting or standing during the scan. You would need an mrv to look for dilated pelvic veins. ...Read more

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Had a fluoro-guided spinal tap that ended up being dry. Needle was put in 2 spots, but no fluid. Does this happen often, even w/ fluoroscopy guidance?

Had a fluoro-guided spinal tap that ended up being dry. Needle was put in 2 spots, but no fluid. Does this happen often, even w/ fluoroscopy guidance?

An unsuccessful: Spinal tap happens in a very small percentage of cases. Usually it is due to spinal deformity, severe degenerative arthritis, or inability of the patient to hold still. ...Read more

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If a patient had total colectomy w/ileostomy placement, what would be the purpose in having them undergo a Fluoroscopic Single Contrast Enema Exam?

If a patient had total colectomy w/ileostomy placement, what would be the purpose in having them undergo a Fluoroscopic Single Contrast Enema Exam?

After the resection-: -the bowls R usually hooked up again 2 what remains. The colostomy is done 2 divert the contents of the bowls. This is what is done in the acute phase of diverticulitis. The study is 2 see how the anastomoses is doing. If it's a permanent colostomy, it's 2 eval the rectum & what's left of the colon. Tumors can B seen. If a temporary 1, if all is OK, the colostomy is taken down. ...Read more

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Fit 54 y, hip replacement, 12 weeks post: increased disability/pain; pain on change of position; abnormal painful walking. Prosthesis placement good?

Fit 54 y, hip replacement, 12 weeks post: increased disability/pain; pain on change of position; abnormal painful walking. Prosthesis placement good?

Don't Know: Worsening symptoms 3 months after a hip replacement can mean anything from simply overdoing it in rehab or having inadequate rehab to having an infection. You should be evaluated by your surgeon. ...Read more

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Is it challenging to correct mild dysplasia during hip replacement? What is considered the desired alpha angle post-placement?

Is it challenging to correct mild dysplasia during hip replacement? What is considered the desired alpha angle post-placement?

No: The challenge in correcting hip dysplasia occurs when you are trying to realign and spare the joint. When performing a total hip arthroplasty, you can position the hip however you want. Dysplastic hips may have shallow sockets and pose a challenge to replacement. See a board certified orthopaedic surgeon, who specializes in adult reconstruction. ...Read more