Answered by Dr. Anuj Gupta

What are the conditions for which hip replacement is indicated?

Hello doctor,

I am experiencing hip strain. I had a total knee replacement eight weeks ago, and I am noticing groin and outer hip pain. The doctor did an MRI. Are they considering hip replacement? Can you help me understand the results of the MRI?

Thank you.

02 May 2024 - 1 min read

What does post-fall MRI of the ankle, foot, and hip show?

Hello doctor,

I would very much like a second opinion on a recent MRI of my ankle, foot and hip after a fall over four years ago. I have been wearing an air cast boot for support but I have an extremely inverted ankle or foot following the fall. However, the MRI of the foot, ankle, and hips are normal.

30 Apr 2024 - 1 min read

What is the treatment for lytic spondylolisthesis?

Hello doctor,

Two months back, when I was moving a ladder, I twisted the wrong way and injured my back. At that moment, I felt like I sprained or pulled something. Unfortunately, during the following weeks, I developed more symptoms; these include burning, numbness, weakness in the left leg, sharp shooting pain in the lower leg, hip pain or stiffness, and spasms. I did seek medical attention immediately and was sent for an MRI scan. I would like to share my images to get a second opinion. Orthopedic Dx - Radiculopathy (lumbar region) and spondylolisthesis. MRI impression - Bilateral L5 spondylolysis and 0.19 inches anterolisthesis of L5 on SI and associated degenerative disc disease and facet arthropathy producing severe bilateral L5-S1 foraminal stenosis. I received an epidural six months, which alleviated the pain, but not completely. I am currently going for PT twice a week for the past six weeks. But the results are not so appreciable. I have a constant burning sensation in my lower back. I experience pain while standing or sitting for a long time (varies between 5 to 8 on a scale of 1 to 10). Sleep has become an issue as I am constantly repositioning to get comfortable. When I get up, it pains a lot, especially the hip region. I have an appoinment with an orthopedician next week. My primary concern is getting back to work. I work in healthcare, and my job requires a lot of patient lifting. I am on my feet all day. I am very nervous because I need to work and I am afraid that the problem will worsen. I would appreciate any feedback or suggestions you can offer. Thank you.

30 Apr 2024 - 1 min read

Could vertebrae pain when bending signal a fracture?

Hello doctor,

I have had mild pain from one of my vertebrae for about eight months. It is one of the thoracic vertebrae. I am not certain of which one it is approximately in the middle of my back. It feels slightly sore when I bend backward. Also, if I press with my thumb on the spinous process. I am wondering if it could be a fracture and I worry a little bit about bone cancer. There is no lump. It does not hurt unless I move a certain way. I think it might have started when I was doing some yoga poses lying on the floor.

18 Apr 2024 - 1 min read

Will persistent lower back pain go away only after surgery?

Hello doctor,

I had discomfort in my lower back and took medications for two months. Now I have pain there occasionally I also have numbness in my right side after standing or walking for two to three minutes. Could you kindly advise me on what I should do? Is surgery necessary, or will it resolve on its own?

Thank you.