Right Hip pain and stabbing pain in right Foot

[cabrown56]

In November of 2010 , I slipped on the pavement at work and injured my lower back, sacrum area and severe  pain in my right hip. I stupidly thought that time would heal all wounds.

After three months of discomfort and pain in my sacrum, tailbone and right hip,right foot. I went to Doc. To  make a long story short I am still waiting for an MRI for my right hip as I believe that is what I hurt the most back when I first fell. ( It took 20 minutes before I could put any weight on right leg due to the pain in hip. I had an MRI of lower back and hey found nothing L5 a bit swollen and my  a bit of trauma to my tailbone, no impingement of nerves found.. Am I nuts for asking for an MRI of my hip?

[Dr Sharma]

Dear Cabrown,
I understand your predicament and anxiety over your ailment. You would have sustained injury to your coccyx during the fall, even as the MRI confirms tailbone injury. This causes pain and discomfort in the tail bone area. It takes time to heal and is very painful. You must avoid prolonged sitting down, prefer hard surfaces, and keep weight off from the tailbone by forward leaning. Using a doughnut pillow could ease the discomfort. You need to avoid constipation with high fiber foods, keeping active etc.
MRI spine shows swelling of L5, which means interverbral disc bulging at the level, and could be causing nerve irritation and sciatica or pain in hip upto foot although there is no documented nerve compression in the MRI done few months back. You could get a repeat MRI spine and a neurological examination to correlate findings. MRI with contrast for right hip would rule out any local trauma and damage.
You could be given NSAIDs or over the counter painkillers, physiotherapy if not contraindicated due to coccyx injury and epidural injection of steroids, would help you. Consult an orthopaedician for the best advice.
You are welcome with further queries.
Wish you the very best.

[cabrown56]

Thanks  I will research that. I am scheduled for an MRI with contrast in a couple weeks. Not really looking forward to that.

[milvet]

research Femoral Nerve Dysfunction

[cabrown56]

I will keep all posted. I will soon have the MRI with contrast for my R Hip. Just had one for the lumbar-sacrum area to the cox sis. There is some degenerative disease on L-5,  but mild.   I be back with more soon :-)

TX

CB

[ggreg]

Well, apparently your fall injury has gotten worse since the original MRI was done.  When things get out of whack in the lower back, it will sometimes cause pain like you have in your foot, and this would be indeed from a compressed nerve.  But your original MRI said there was no nerve impingement.  So, this is what leads me to believe your lower back and hip situation has gotten worse.  Now, this doesn't necessarily mean you've injured yourself further, altho you could have, but rather could be this disorder in your lumbosacral spine and hip has made the whole area inflammed and swollen, and this can cut off a nerve the same way as if it were a bone impingement.

So, no, you are not crazy to get a new MRI.  In fact, think the MRI should also include pictures not only of your hip, but your lumbosacral spine, too.  I think you are in such awful straits, for SO long, that something is amiss, whatever it might be, and once the doc who ordered the test gets the results, you should have an appointment already set up with him for followup, so he can explain what's going on.  Keep us posted on what happens!