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Right Thigh and Groin Pain
Strway2Heaven77 posted:
Hi community,

About 4 months ago, I started to feel a dull pain in my right groin area. Over time, it began to radiate more towards the front and lower, and can now even activate some pain in my quads or knee. Responds well to NSAID's, but their efficacy is diminishing, and I'm taking several a day.

Pain is nearly constant, worse at night. Rarely, it seems to have a good day where I feel very little, but baseline would still be a 3-4 on the pain scale. Pain is diffuse, dull, and difficult to excite with any certain leg movements - though leg articulation while weight-bearing (like climbing stairs) seems to be increase pain.

Saw my orthopedic doctor and got an XRAY this week. The results are as follows:

"AP of the pelvis and 2 radiographs the right hip obtained.
No fracture, malalignment or bone lesion. Small acetabular labral
ossicle noted bilaterally. No avascular necrosis. Femoral head-neck
offset is normal. AP projection of the pelvis suggests acetabular
retroversion with a figure-of-eight sign."

Can any of the professionals in the community comment to what this means? This is a little beyond basic internet articles on the subject, and a little outside of my lexicon.

My doctor still has a slight fear of idiopathic avascular necrosis, so I am getting an MRI done in two days to rule it out.

I know I cannot ask for anything diagnostic from the community, but some suspicions, suggestions, or comments that can help set my expectations will make me feel much better.

Thanks for your input.
annette030 responded:
Please discuss the xray results with the treating orthopedic doctor. You need to talk to someone who has examined you as well as can see the xrays. The radiologist who wrote the report only saw the xray, no patient examination, your own doctor examined you, now he has seen the xray, also. Doctors need to do both to really come to any conclusions at all. It sounds like your doctor also wants an MRI done, all good information.

If it is any comfort to you, it sounds like he is doing the right things.

Take care, Annette
Peter Abaci, MD responded:
An acetabular retroversion can potentially cause the type of pain symptoms that you have described: dull groin pain progressing to radiate into the thigh. Whether or not this issue is a factor in your particular problem is not something that I could say, but definitely continuing the orthopedic work-up appears to be a good idea. Review this radiographic finding with your orthopedic doctor and ask him if you any physical exam findings consistent with this being a potential problem for you.

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