Hip joint effusion on mri
Well I met with the pain mgt doc that ordered the pelvic/hip MRI. Trying to figure the cause of a deep, constant left buttock pain (had this pain for 5 yrs now). The MRI was without contrast and reads "Minimal joint effusion in left hip as compared to the right. I see no abnormality of the acetabular labrum on this nonarthrographic study. Conclusion: Other than evidence of lumbar spine degenerative disease and past surgeries, this is an unremarkable study."
I read this and took it to mean my left hip could be rules out as the culprit. So, I was quite surprised when my doc cited the "minimal joint effusion" as potentially significant. What do you all think?
Thing is I have lots in the lumbar region that is wrong. But none of the nerve blocks I've had there have helped with this bum pain. So today we made a plan to do an exploratory set of blocks via fluoroscopy to try to reproduce this pain and then knock it out with novacaine. Doc talked about periformis syndrome, the hip joint, and even the SI joint (though there's nothing on the MRI to indicate anything wrong with my SI joints). Based on the now two physical exams he's done, doc thinks hip could still be the issue. I'll have this procedure on March 1 so pretty soon. I know it won't be pleasant but I also know I've got to do it. I limp pretty badly, and I'm losing muscle mass in the left leg. The pain ruins my sleep and keeps me on medication.
I appreciate any feedback and I wonder if anyone else has ever had just joint effusion on MRI and major pain? Thanks so much SQ