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Conditions and Diseases > Arthritis Forum > Transient Osteoporosis of the Hip
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Q: Transient Osteoporosis of the Hip
asked by: jewelcatz2005 on October 28th, 2004
New User
I have been suffering from a very painful condition affecting my inner hip (or groin) area. I finally went to the doctor two days ago. They took x-rays however the doctor could not see any type of fracture and he remarked that he wasn't very good at detecting arthritis and wanted to wait until the he got the radiologist report before he would suggest a diagnosis of arthritis as opposed to bursitis. I was given a presciption for naprosyn and sent home to wait for the radiologist report in the mail.

I have been doing some research, trying to find information about hip problems, injuries, and conditions. I believe that I discovered the name for this condition that I have, except that I do not fall into either of the two categories of patients with this condition, however I am experiencing every single symptom of this condition. It is called, "transient osteoporosis of the hip.

I am a 47 year old female who is not pregnant and I am experiencing the following symptoms which match this above condition exactly:

1. Sudden onset of pain, typically in the front of the thigh, the side of the hip, the buttocks or the groin.
2. No previous accident or injury to the joint that would trigger pain.
3. Limited motion; pain intensifies with turning movements.
4. Pain intensifies with weight bearing and may lessen with rest.
5. Pain gradually increases over a period of weeks or month and may be so intense that it is disabling.
6. A change in gait as the patient tries to protect the joint and ease the pain.

The following is the only description I can find about this condition:

"osteoporosis is generally a progressive and painless condition. But one type of osteoporosis is both reversible and painful. Because it isn’t permanent and is usually most obvious in the hip joint, this condition is called transient osteoporosis of the hip.

Who’s at risk?

Women in the late stages of pregnancy (after the sixth month)
middle-aged men (between 40 and 70 years old)

a diagnosis of transient osteoporosis of the hip is usually made by eliminating other possible causes of hip pain, such as a muscle injury or stress fracture. Your doctor will ask you whether you can remember any injury to the joint. You may also be asked to do certain range-of-motion tests to replicate the pain. Because x-rays may not show bone loss until the condition is well-advanced, your physician may request an mri (magnetic resonance image) or bone scan to confirm the diagnosis. If you are pregnant, your physician may elect to delay any imaging studies until the last stages of your pregnancy, or even until after the delivery.

Treatment

this condition generally resolves by itself over 6 to 12 months. Treatment focuses on preventing any damage while bones are weakened by osteoporosis. If you are pregnant, this condition increases your risk of a hip fracture.

Your physician may prescribe a mild pain reliever.
Using crutches, a cane, or other walking aids will help relieve the stress of weight bearing on the joint.
To help maintain strength and flexibility in the muscles, your physician may also recommend a series of flexibility and range-of-motion exercises that you can do as the pain subsides. Aquatic exercises may be helpful not only because they ease movement, but also because they relieve weight bearing. "

why couldn't a middle aged woman, such as myself, have this condition that apparently is known only to affect middle aged men or women in their third trimester of pregnancy?

Again, the symptoms of this condition are the exact symptoms I am experiencing.

How do I convince my doctor that I think I have this medical condition?

Any input is appreciated. Sad

thanks,


julie
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sandyallen
replied on October 28th, 2004
Extremely eHealthy
Hi there! I am sorry to hear about your problem. You can always go to another Dr. And get a second opinion or even a third or a fourth, just keep going until you get the answers you want, a naturopathic or herbal Dr. Is always a different thought. I am no Dr. But my sympathy is with you, as I live with a lot of pain 24/7, aquatic exercise does help but the main thing I have learned with my pain is to keep up the motivation and try not to get yourself stressed out(i know, easier said than done).
Keep us posted.
Hope you get some answers soon.
Sincerely,
sandy
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jewelcatz2005
replied on October 29th, 2004
New User
Toph
Thanks, sandy. I usually do try to "keep a stiff upper lip".

Julie
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