Originally Posted by SkiMangoJazz
I have been having some pain in my right leg right in the crease at the hip.
I saw a PA who had an xray taken and diagnosed it as arthritis caused by hip dysplasia. The xray showed that (apparently since birth) there was only about 60% of the socket in contact with the head of the femur and thus extra pressure put on the cartilage.
The PA said it might come and go, and at some point might come and stay - at which point I'd need total hip replacement!
I have already asked to see the Surgeon to confirm this diagnosis. I still think it could just be some tendonitis.
Well....Differential diagnosis of anterior hip and groin pain. Could be...
1)Lumbar strain/bulging disc
2)Hip pointer (contusion)
4)Stress fracture femoral neck
5)Hip pathology (synovitis, slipped capital femoral epiphysis, subluxation, avascular necrosis)
Not on the list but my personal opinion is that a sacroiliac (SI) dysfunction is present. IE either a forward, backward, or rotation of the ilium on the sacrum. This usually presents with groin pain, and pain, tenderness to the SI joint. It is usually a couple of these factors above. IE you have pain and start to move abnormally. You body starts to tighten, and shift, to compensate which creates other problems out and away from the site of origin.
Seeing a good PT will probably help, slow the arthritic process down.
You may find that injections of this can help. Used primarily for knees.http://en.wikipedia.org/wiki/Hyaluronan
Avoid surgery if you can. Of course I am biased.
A prosthesis generally lasts, at its longest about 17 years, I believe. So if you are younger, you are looking at several revisions over the course of your life. The longest I've seen one last was 21 years, I think. This was in a geriatric women that was not very active. If you are active the parts wear faster. After total hip replacement jumping, jarring and bumping should be avoided. This causes premature loosening and wear of the device.
If you have complications that may limit having the surgery, you may want to have it sooner. Example, you can't tolerate anesthesia, because of heart or lung problems, that are progressively worsening.
Following hip replacement hip rotation is limited somewhat. Remember Bo Jackson? The pro baseball and football player. His career was pretty much over after hip replacement. He could not fully rotate his hips to swing the bat. Most of his power had to come from his arms, can't compete long like that.
Sorry for the length, hope that helps.