HomeAnswersOrthopedician and Traumatologyslipped capital femoral epiphysisWhat could be the reason for my severe hip pain?

I am just 14 years old and I experience extreme pain in my hip. What could it be?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. Atul Prakash

Medically reviewed by

iCliniq medical review team

Published At March 20, 2015
Reviewed AtJuly 21, 2022

Patient's Query

Hello doctor,

I am a 14-year-old female. My height is 5 feet and 5 inches, and I weigh about 140 pounds. I experience extreme pain in my hip. It is difficult for me to walk or climb stairs. Also, it keeps me awake at night. Please help.

Answered by Dr. Atul Prakash

Hi,

Welcome to icliniq.com.

My worry here is that you may have a slipped capital femoral epiphysis (SCFE), and you need an urgent orthopedic opinion to help rule this out. I say so because the pain and limp from the hip in an adolescent has only a few causes, one of which is SCFE. The other reason is an infection, and it is equally important.

I hope you ask your parents to arrange a visit to an orthopaedician for a physical examination at the earliest. This will certainly help, as a complete examination of the hip and x-rays and blood reports will help clear any doubts.

Patient's Query

Thank you doctor.

What exactly is a Slipped Capital Femoral Epiphysis? What are treatments I would need? Would I need surgery?

Answered by Dr. Atul Prakash

Hi,

Welcome back to icliniq.com.

The condition Slipped Capital Femoral Epiphysis (SCFE) is an adolescent hip disorder. SCFE happens in children approaching puberty, especially when overweight (obese). There is a slowing down of bony growth at the hip. Subsequently, a weak spot occurs in the growth cartilage. Then slips due to overweight leading to a painful limp and difficulty in movement.

Not always surgery is required. But, if a painful limp is present, then surgery is needed. Get the physical examination and tests done. Once the diagnosis is confirmed, the treatment may be decided accordingly.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Atul Prakash
Dr. Atul Prakash

Orthopedician and Traumatology

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