May 15, 2009
17 year old female with hip & knee pain for around 5 years, please help!?
Started having stiffness and pain in both knees since I was about 12/13, pain in hips started about 3 years ago and has been getting worse since. Nothings swollen. Doctor finally got me into physiotherapy after 4 years of badgering, but that made it a lot worse when my course was finished. Went back to the docs had blood tests:
Auto antibody screen
FBC
LFT
C reactive protein
Thyroid function test
Rheumatoid factor
Bone profile
Immunoglobulins & EL
Apparently they're all fine apart from one of my immunoglobulins proteins is a bit lower but he wrote to the lab and they said its not muskuloskeletal.
I'm at the end of my tether now cos all the doctors are useless. I sometimes have to use a crutch, occasionally taking tramadol 50mg but not often cos 1 doesn't work but 2 make me woozy. Also I sometimes have a really loud crunching sound in my left hip when i put my left leg forward when walking but that doesn't hurt. I've been told its not arthritis looking at my blood test results.
I know its a lot but please help! Charlotte x
I've seen most of the docs at my surgery and they're all as bad as eachother. From what I can see I'm not lopsided, I was having appointments with a physio who came into my surgery and he said he might send me for some scans but for some reason I'm not seeing him anymore at the moment. All the blood tests I've had are listed and none of the doctors will give me anything different than tramadol cos they don't know whats wrong with me and ibuprofen very rarely works for it.
I wish I could answer this for you, but unfortunately this area of medicine can be vague. You don't mention whether your blood has been tested for ESR (Eurhythrocite sedimentation rate) which is a indicator of inflammation, but it probably has been done. You should ask to see a specialist consultant rheumatologist and to have X rays and possibly ultrasound scans of the affected joints. These tests would help to illuminate the situation.
You need a good physio who can help you understand things as it sounds like the one you had made you overdo things. You need to pace yourself so that what you do does not make you worse - then you end up having to rest and recover, so you never actually get to build up your activity. A pain management course or clinic should be available to you. Tell the doctors you insist on this. I would not worry too much about the crunching at present.
It might be worth having one or two appts with a private physio who can give you some info to present to the doctors.
It may be worth looking into Fibromyalgia and ME - you may not have these but advice on management may be similar.
I am sorry you are having all this trouble. Hang in there. Try co-codamol instead of the tramadol, or anti inflammatories.
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Filed under Reactive arthritis by John
Comments on 17 year old female with hip & knee pain for around 5 years, please help!? »
too much sex lol j/p idk sorry for your pain hope you find out whats wrong and soon…..
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Have you had the difference in the length of the right and left side of the body checked? Sometimes one side of the body develops more than the the other and throws everything off. You can check this by standing straight nude in front of a mirror, Also measure carefully the inside of your thighs to you heels. There should not be more than a smidgen difference. When you look in the mirror, check the alignment of the hips.
There are very simple remedies for these conditions if they exist. Good luck.
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Go see a different doctor and keep going until you get someone to help you. By now you should have had a bone scan, an MRI and a CAT scan and probably a nuclear study. You are too young for this and the doctor may be thinking your just drug seeking and isn't doing what he should be doing. So keep looking until you find a doctor who will help you!
References :
I wish I could answer this for you, but unfortunately this area of medicine can be vague. You don't mention whether your blood has been tested for ESR (Eurhythrocite sedimentation rate) which is a indicator of inflammation, but it probably has been done. You should ask to see a specialist consultant rheumatologist and to have X rays and possibly ultrasound scans of the affected joints. These tests would help to illuminate the situation.
You need a good physio who can help you understand things as it sounds like the one you had made you overdo things. You need to pace yourself so that what you do does not make you worse - then you end up having to rest and recover, so you never actually get to build up your activity. A pain management course or clinic should be available to you. Tell the doctors you insist on this. I would not worry too much about the crunching at present.
It might be worth having one or two appts with a private physio who can give you some info to present to the doctors.
It may be worth looking into Fibromyalgia and ME - you may not have these but advice on management may be similar.
I am sorry you are having all this trouble. Hang in there. Try co-codamol instead of the tramadol, or anti inflammatories.
References :
Im not a doctor and havent heard about your problem, but i just know that u have so,ething wrong in your body. Doctors cant find out? U should go to Cuba and u only have to pay a little bit and they have the best doctors. I have a friend that here in the US they told her she had cancer and she went to cuba and she did not have it, they gave her medisine,a dnshe is perfect now.
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