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How can hip pain be managed in a diabetic and hypertensive patient?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

My mother is having lower hip side pain for almost a week now. She is taking maintenance medicines for high blood pressure (Approvel) and 24 units of Insulin everyday. What could be causing the pain and can I give her pain reliever?
Answered by Dr. Santosh Kumar Bashyal

Education:

DO

Professional Bio:

Dr. Santosh Kumar Bashyal is an Orthopedician and Traumatologist specializing in the diagnosis, treatment, and rehabilitation of musculoskeletal injuries and disorders. He is skilled in managing fractures, joint dislocations, ligament and tendon injuries, sports-related trauma, and degenerative bone and joint conditions. Dr. Bashyal has expertise in both surgical and non-surgical interventions, including joint replacement, arthroscopy, and trauma care. His practice emphasizes patient-centered management, rehabilitation planning, and restoring mobility and function for optimal quality of life.

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Hi,

Welcome to icliniq.com.

Looking into mother's problem, you have got both hypertension and diabetic under Insulin with hip pain. First of all we need to understand what is the association between the current problem and existing diseases. Once we understand why it is happening and try to find its link then it is easy to understand the diseases to diagnosis and help long term treatment preparation. Uncontrolled diabetes can affect the muscles and skeleton, leading to joint pain, nerve damage. There is a link between diabetes, arthritis, and joint pain. Both rheumatoid arthritis (RA) and type 1 diabetes are autoimmune disorders. In both cases, the immune system is attacking an otherwise healthy part of the body. According to Arthritis Foundation guidelines, losing 15 pounds can significantly improve the level of hip pain in a person with Osteoarthritis. So, I would recommend to do:

1. Radiography of hip joint antero-posterior or lateral view to assess OA changes.

2. RA (rheumatoid factor).

3. CRP-To assess condition of active joint inflammation and destruction.

I will follow up with the report.

Medically reviewed by Dr. Divya Banu M
Published At June 1, 2020
Reviewed At July 24, 2024

Education:

DO

Professional Bio:

Dr. Santosh Kumar Bashyal is an Orthopedician and Traumatologist specializing in the diagnosis, treatment, and rehabilitation of musculoskeletal injuries and disorders. He is skilled in managing fractures, joint dislocations, ligament and tendon injuries, sports-related trauma, and degenerative bone and joint conditions. Dr. Bashyal has expertise in both surgical and non-surgical interventions, including joint replacement, arthroscopy, and trauma care. His practice emphasizes patient-centered management, rehabilitation planning, and restoring mobility and function for optimal quality of life.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Education:

BDS

Professional Bio:

Dr. Divya Banu M is a dedicated Dental Surgeon with valuable clinical experience. She specializes in the diagnosis, prevention, and treatment of various diseases and conditions affecting the oral cavity. With a gentle and patient-centered approach, she is committed to promoting oral health and enhancing smiles through quality dental care. Her areas of expertise include restorative dentistry, preventive dental care, and cosmetic dental procedures.

This doctor is not available for online consultations on the platform anymore.

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Dr. Santosh Kumar Bashyal

Orthopedician and Traumatology

Education:

DO

Professional Bio:

Dr. Santosh Kumar Bashyal is an Orthopedician and Traumatologist specializing in the diagnosis, treatment, and rehabilitation of musculoskeletal injuries and disorders. He is skilled in managing fractures, joint dislocations, ligament and tendon injuries, sports-related trauma, and degenerative bone and joint conditions. Dr. Bashyal has expertise in both surgical and non-surgical interventions, including joint replacement, arthroscopy, and trauma care. His practice emphasizes patient-centered management, rehabilitation planning, and restoring mobility and function for optimal quality of life.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
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