How to resolve the pain felt on my right hip other than medications and massage?
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Q. Even after taking medications and massages, I have severe pain in my right hip. What to do?

Answered by
Dr. Manav Gupta
and medically reviewed by Dr. K Shobana
This is a premium question & answer published on Nov 27, 2021

Hi doctor,

I am a 64-year-old woman. I had severe pain in my right hip near the vertebrae when I was getting out of bed. I tried applying icy hot, Lidocaine, mineral ice, heating pads, and ice packs. I also took Tylenol, Ibuprofen, and Aleve (none over the daily recommended dose). I got a massage last night that provided some relief, but the pain is back this morning. What can I do?

#

Hello,

Welcome to icliniq.com.

Thanks for the information. Is there any history of hypertension or diabetes, or thyroid issues? Is there any history of trauma? Is there any radiation of pain to your legs and feet? Do you have any instability in your hip? Do you have any history of numbness or tingling sensation in your legs and feet? As per the history you have given, it seems like a pinched nerve with muscle spasm. It will take some time to get better. As of now, take relative bed rest ( move around for very important work only) and do not lift heavyweight. Avoid bending forwards. Continue with hot packs. Use Diclofenac gel for local application. You can ask your general practitioner to prescribe muscle relaxants like Cyclobenzaprine or Thiocholchicoside for five days. Revert with the information so that I can guide you further. Regards.

Thank you doctor,

1. Is there any history of hypertension or diabetes, or thyroid issues?

- Yes, hypertension.

2. Is there any history of trauma?

- No, I do not have any trauma.

3. Is there any radiation of pain to your legs and feet?

- Occasionally, I have it.

4. Do you have any instability in your hip?

- None

5. Do you have any history of numbness or tingling sensation in your legs and feet?

-Numbness is felt.

#

Hi,

Welcome back to icliniq.com.

Thanks for the information. It seems like that most probably you have injured a disc which is causing mechanical pressure on the nerve leading to your symptoms along with reflex spasm of muscle. As advised earlier, mam, relative bed rest is very important. Take muscle relaxants and apply the gel as advised earlier. Precautions to be taken are avoid sudden bending of the back, do not lift heavyweight, avoid bending forwards and apply hot packs. Take vitamin D3 60k units weekly for ten weeks. Take tablet Calcium and Vitamin D3 one tablet once a day for three months. For numbness, you have to add tablet Pregabalin 75 mg (while sleeping ) for three weeks and take tablet Methylcobalamin 1500 mcg once a day. Your local doctor can prescribe these for you mam. It will take six to eight weeks to recover. Once the pain subsides do let me know so that I can help to get you started with the rehabilitation part for muscle strengthening. Regards.


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