Trying to find source of right hip pain
I'm 35 years old, male. Right hip pain, started as low back pain. Herniated disc L5S1, treated with ESI injections. Still have hip pain. Hurts when I flex my leg, SLR pain at about 45 degrees. My MRI and Xray are only of lumbar spine, however, do you see any abnormality of any bony or soft tissue of hip on these images? I understand it could be sciatica, which was the easiest thing they could come up with.
However, since the ESI injections did not provide much relief, I'm hoping you might see something on these that would point to an alternative theory of my hip pain, limitation of flexibility in hip.
I greatly appreciate your assistance. I do have a few more images, and have them as DICOM images as well. Thank you very much.
Apologies for the delay.
Two of the scan views are poor and I'm unable to determine what level; there's a suggestion of the fat squeezed out of the IVF on the right, but I wouldn't much store from that.
From what's visible of the hips they appear normal to me.
When you say 'hip pain' exactly where do you mean? In the groin, side of the hip, buttock or SI joint?
You make no mention of leg pain. Correct?
You say that there is limitation of hip flexibility. If you lie on your back and pull your knee to the chest - hip flexion - is it stiff and painful? Where?
Standing, if you bend slowly forwards, what precisely do you feel, and where? Do it carefully as you could worsen a disc injury.
Sitting in a kitchen chair, flex your head onto your chest and then straighten first your left leg parallel to the ground, and then the right. What do you feel?
Precise and full answers to all these questions are needed if you want any help from this quarter.