Dr. CorenmanModeratorMay 5, 2017 at 4:58 amPost count: 5105
Your hips are not perfectly normal (“There is mild prominence of the anterior femoral head neck junction bilaterally. There is fibrocystic change at the anterior right femoral neck”). This could be femoral/acetabular impingement and could cause some hip pain. See https://neckandback.com/conditions/femoral-acetabular-impingement-syndrome-fai-hip-impingement-syndrome/ to understand this syndrome.
Where is your leg weakness? Is it all in one myotome (the muscles that are innervated “connected” by one nerve) or are multiple myotomes involved? Is there pain inhibition present (the muscle when activated “hurts” preventing you from contracting that muscle fully)?
A simple way to rule out the hip is to inject some numbing medication into the hip and look for temporary pain relief.
Dr. CorenmanPLEASE REMEMBER, THIS FORUM IS MEANT TO PROVIDE GENERAL INFORMATION ON SPINE ANATOMY, CONDITIONS AND TREATMENTS. TO GET AN ACCURATE DIAGNOSIS, YOU MUST VISIT A QUALIFIED PROFESSIONAL IN PERSON.If this forum has helped you, please let Dr. Corenman know!sperryguyParticipantMay 16, 2017 at 8:25 amPost count: 63
Hi Dr. Corenman
The doctors (as a team) are now quite confident that the source of the hip pain is coming from the back. I went through presurgical testing, and was sent for a neuro consult as per the surgeon. Very thorough exam. Thank goodness no nerve damage, the doctor said mechanical in nature. Any last minute instructions?
ps: The procedure will be an open revision TLIF L4 through S1Dr. CorenmanModeratorMay 18, 2017 at 6:27 pmPost count: 5105
A positive selective nerve root block (numbing of the nerve with temporary relief of hip pain) will confirm that your back is the cause of your hip pain.
Dr. CorenmanPLEASE REMEMBER, THIS FORUM IS MEANT TO PROVIDE GENERAL INFORMATION ON SPINE ANATOMY, CONDITIONS AND TREATMENTS. TO GET AN ACCURATE DIAGNOSIS, YOU MUST VISIT A QUALIFIED PROFESSIONAL IN PERSON.If this forum has helped you, please let Dr. Corenman know!
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