I have been diagnosed with arthritis n my back and spondalosis of my neck,
My Back and hip is bad if I walk or excersise, if I sit all day I only have pain on standing up, I hav found also that I can not stand upright I have to stand with my leg bent at the knee and on the ball of my foot on my right leg. Is there anything I can do please.
Location: San Francisco, California, United States
Re: Back and hip pain
Have you had any imaging studies done for your hip? Do you have pain in the front or back of the hip? Typically, pain in the front of the hip correlates to a hip problem and pain in the buttock area more commonly stems from sciatic pain, though of course, you could have bursitis or a stretched ligament.
I injured my hip at 14, went undiagnosed for 16 years, and have since had three hip arthroscopies to repair a labral tear, bad bone morphology (FAI), and a full thickness acetabular delamination. During the time my hip was in pain, I had poor posture, sitting on my tailbone to relieve the pain in the front of the hip. However, during this time I also experienced an annular tear at L4-L5, leading to spinal and foraminal stenosis and now a fusion. I have also had a recurrent cervical herniation (first symptoms at age 15). I can't imagine that the lumbar and cervical issues are not in some way related to posturing and compensating for the hip problem.
With that history in mind, I would recommend starting with a sports medicine orthopedic surgeon or a physiatrist, and I would shop around until I found one who listened and was willing to diagnose all of my problems with a full workup. I would use this person to coordinate my care. However, if you determine that you have structural problems that need repair, I would recommend seeing a specialist for that body area to perform any needed surgery (spine specialist/hip specialist), then return to the sports medicine doctor to coordinate.
The sports medicine orthopedic surgeon I see is the team doctor for a major sports team. I was a bit concerned before my visit that he would not treat my case seriously because I do not earn a million dollars a year. However, he spent an hour with me on a Friday afternoon, making sure that I did not suffer any leg-length discrepancies and really trying to target the origin of my pain. When my back was in really bad shape, the urgent care doctors all thought I had a sprain, since I had no acute injury, but this doctor took my pain seriously and sent me for an MR. When it wastime to have surgery, he had the presence of mind to send me to the appropriate specialist.
I hope that some of this helps; I don't know if you have any further diagnosis than arthritis and spondylosis (I think). I am not anywhere near 100 percent, but I feel like I am on my way! Also, if you do have arthritis, try to keep those joints moving even if you need medication to allow you to move (at least in the beginning). The more you are able to mobilize your joints, the better they will fare in the long-term.
The following user gives a hug of support to SweetPeainSF: mlynnf50 (02-05-2012)
The Following User Says Thank You to SweetPeainSF For This Useful Post: mlynnf50 (02-05-2012)
First of all, when you hear a doctor say you have arthritis in your back, it does not necessarily present in the same way as arthritis in other joints in the body. There is a term, spondylosis, that is bandied about by doctors to describe, not only osteoarthritis, but also degenerative back issues and lower back pain.
(I remember way back when I first asked a doctor about my pain and was told I had arthritis, I couldn't figure out how it could hurt so much. It wasn't anything like what I had in my hands!)
In general, doctors are referring to a degenerative process in the spine, lumbar, thoracic or cervical...and I suspect this is the "shorthand" your doctor may be using to tell you what is causing your pain.
This degenerative process can affect the discs and the facet joints, which are the only synovial joints in the spine, and are subject to some of the same wear and tear issues as the other joints at the hip, knee, ankle, thumb, etc.
You may be having hip pain from a problem stemming from your hip, as the other poster suggested, but it could also be coming from a lumbar disc slightly higher up than the ones that cause back of the leg pain. Actually lower lumbar spinal nerves that become irritated or compressed can also cause pain that typically runs across the buttock to the hip attachment...this is very common and it is irritated by standing or walking.
Often people with a herniated disc at L4-L5 start out thinking they have a hip problem, such as hip bursitis. My MIL was treated for a couple years, receiving injections into the bursa, only to find out her hip was fine, but the disc between the L4 and L5 vertebra had disintegrated and the L4 and L5 nerves were compressed.
If you need specific information about the cervical area, there is another board, "Spinal Cord..." where most of the people with cervical issues hang out. You might want to post there, too, to get some further information.
Generally people with your issues undergo a course of physical therapy and are given oral medication for the pain. I series of 3 steroid injections are often offered to calm the area down and shrink whatever inflammation may be going on. But usually with arthritic issues, it is a matter of learning how to live with it and learning to manage the pain. Surgery is only a last resort.
Last edited by teteri66; 01-31-2012 at 02:16 PM.
The Following User Says Thank You to teteri66 For This Useful Post: mlynnf50 (02-05-2012)
My MRI all refers to L4-L5 and L5-S1 and they speak of stenosis, all my doctor seems to want to de is to give me pain killers but I am not really a tablet taker so do not take them. do you think injections in my spine would be better or is this just masking the problem, I have had physio and that did nothing. I live in France and my French is very limited. thank you for taking the time to reply I really appreciate it.
It is strange that you said that about your friend thinking it was her hip as that is what I though but had an xray of my hip and it is fine, i think it is all steming from what they say in the MRI it being the L$-L5 and L5-S1 and the stenosis all the MRI is in French.
I really dont know which way to go as this is so dibilitating when I can not walk for long and the pain goes into the bones in my bottom.
Location: San Francisco, California, United States
Re: Back and hip pain
It's not uncommon to have pain in other areas when you have disc problems and/or stenosis. Your pain sounds like sciatica, espeically if it is most concentrated in the buttock area. For my lumbar stenosis, I had two years of PT, three epidurals, and eighteen months of chiropractic care. Some of this treatment was helpful, but ultimately did not fix the problem, and I recently had a one-level fusion.
I would highly recommend going through and continuing physical therapy or core strengthening exercises, all the way through. My surgeon indicated that I had no instability on my flexion and extension x-rays, but when he performed the surgery there was a lot of scar tissue, indicating long-term instability. He attributed strong muscle tone to the appearance of stability on the x-rays. My post-surgery rehab has been going really well, too. If traction works well to alleviate your hip and leg pain during PT, the therapist should be able to show you how to self-traction. If you don't have access to a physical therapist, there are lots of demonstration videos on the internet. Just don't do anything painful.
The three lumbar epidurals helped for a very short time, and I would recommend trying them out. (My cervical epidural took care of my neck/arm/hand problem, but I suspect it will resurface at some point. If I get a few years out of the epidural, then it was well worthwhile.) I got very bad headaches the day of the epidurals, but I just slept them off.
Any treatments you can get to help you regain activity will help with your overall health, while you decide what the long-term plan for you will be. Sitting may be more comfortable, but will put more stress on your back long-term. Can you bicycle or walk for even short periods of time? I hope that you find someone to help with the language barrier. I see folks at PT who have a translator; does the French government have similar resources?
If you want to copy the radiology report, I think I read French well enough that I could see what it says, and if there are issues other than stenosis.
The thing with stenosis is that if it is severe enough, there are few conservative measures that will relieve the problem. In my case, my stenosis was so bad that there was barely a pinprick of space for the nerves to pass through. I could have exercised forever and had the strongest core and back muscles and my stenosis would still have prevented me from being able to walk or stand. It was just too painful.
The Following User Says Thank You to teteri66 For This Useful Post: mlynnf50 (02-06-2012)
My treatment plan was based on the severity of the stenosis (l5-S1, the complete herniation of one disc and moderate in two others, and the fairly rapid progression from that horrible hip/buttocks/leg pain into numbness running the outside of my calf and across to my foot. Based on those things, they did not believe the injections would provide more than very brief relief and would generally be a waste of time and effort. I had surgery (no fusion), and while recovery has been unpleasant, it is mostly better than the original pain!!
Hi thank you for offering to read the french reoprt,
Dimetre antero-posterieur de canal rechidien etroit de facon constitutionnelle et majore par la discarthrose surtout en regard de L4-L5 et L5-S1
Arthrose articulaire posterieure retrecissant le canal dans le sens transversal
Protrusion discale L3-L4 L4-L5 et L5-S1.
Arthorose inter-articulaire posterieure bilaterale entrainant un conflit a l'emergence des racines L5 dans les resessus, surtout gauche et imprtant arthrose inter-articulaire bilaterale L5-S1 predominant a gauche entrainant un conflit sur la racine S1 gauche.
Dimetre antero-posterieur de canal rachidien etroit de facon et majore par la discarthrose
Aspect normal du disque
Aspect Libre des racines L3 dans les foramens
Saillie discale globale harmonieuse en faveur d'une protrosion
importante arthrose inter-articulaire posterieure retrecissant le canal dans le sens transversal et entrainant un conflit a l'emergence des racines L5 dans les resessus en particulier a gauche apects libres racines L4 dans les foremens
Aspsects libre des racines L5 dans les foramens
importante arthrose inter-articualte posterieure predominant a gauche entrainant un net conflit sur l'emergence de la racine S1
Pas d'hypersignal de la medullaire osseuse en regard de articulations sacro-iliaques et coxo fermorales ainsi qu'an niveau de l'insertion de tendons gluteaux.
Hope thats ok, and thank you so much, I am just in consitant pain.
I have read your post and I see that you have already consulted a big of doctors regarding your problem. Sometimes there are situations in which a doctor cannot explain or cannot treat but can be done by "alternative means" like Chiropractors in which they do not prescribe drugs or perform surgical procedure. Just try it, it might help ease the pain that you are experiencing.