What causes on-and-off pain in the pelvis-femur junction?

Question

Hello doctor,

I am a 16 year old female. For a year now, I have been getting regular, on-and-off pains in my pelvis around where the femurs connect, and the lower spine. Sometimes it can only be fixed when I put pressure on one side, but other times it hurts to put pressure on it.

It started with slight pains in either side, but now it has spread to both the sides, and now to the front of my pelvis, where the femur connects. It hurts when I stand, when I twist my leg, and when I lie down I am not comfortable. Sometimes when I make sudden movements, the pain is excruciating. Sometimes it will feel slightly better if I crack one of those joints somehow. What could it be and how can I fix it?

An additional that I have to include is, that this pain may persist for two to five days, then stop for about a week. Please help.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

These symptoms that you describe can be due to the following:

1. Bursitis which your doctor says there is a gland that is inflamed. Bursitis may occur occasionally but, if not taken care of, may last for months. In such a case, complete bed rest for a few days, along with Voltaren (Diclofenac), would help for sure. It is a self-limiting disease.

2. This could be the initial phase of arthritis, as your mother also suffered the same.

In either case, anti-inflammatory drugs are the first choice of drugs which is being given to you. However, it is important that you investigate with x-ray hip and blood reports like CBC (complete blood count), and CRP (C-reactive protein) to rule out any other issues. If anti-inflammatory drugs do not work then, DMARD (disease-modifying antirheumatic drugs) drugs followed by monoclonal antibodies.

I hope that you get your answer.

Please let me know if you need any help.

Thank you.