I am getting radiating right hip pain. Is this due to psoriatic arthritis?

Hello,

Welcome to icliniq.com.

I can understand from your query that you are experiencing some hip pain with radiation to the knee region. Where exactly are you feeling some projecting swelling? Also, since this is only a week-old story, there is no need to worry especially if there is no history of injury or any symptoms like fever, swelling around the hip, etc. Can you tell me whether there is any history of numbness in the affected leg, tingling, or altered sensation called paresthesia? Do you feel stiff when you wake up in the morning? Do you have any associated back pain? Lastly, have you done any investigations? If so, kindly send me the reports and films. Is it possible for you to send a clinical picture showing the swelling or projection which you are feeling? Once I have more clinical information and x-rays and blood tests, then I can look and let you know what is required. Also, I suggest you mild anti-inflammatory medication for pain relief till further tests are done.

Hello,

Welcome back to icliniq.com.

I am have gone through your question in detail. I will advise you the following things.

1. X-ray pelvis with both hips anteroposterior view (AP).
2. X-ray lumbosacral spine AP and lateral (flexion and extension) views.
3. CBC (complete blood count), ESR (erythrocyte sedimentation rate) and CRP levels (C-reactive protein) along with vitamin D and B12 levels.

I would like to have a clinical picture where you feel that there is a deviation in your limb region. Kindly send me your doctor's prescription, so that I can see your examination findings and advise you accordingly. As far as your question on physical therapy exercises, I can advise them only when there is some consensus on diagnosis, which can be made only once I see examination findings and relevant investigation results. Lastly, this is not normally a presentation of psoriatic arthritis. In your case, it appears that the pathology is either in your hip or lower back region. Anyways, once we have more clinical details and investigations with us, I think we can proceed further in this case. Until that time you can continue with medications prescribed by you.