[23F] Experiencing severe hip pain and neurological symptoms post-injury

Patient Description

A 23-year-old female presents with severe, sharp, and constant hip pain rated 8/10, with swelling around the hip area. The pain radiates from the center of the buttocks down the back and side of the thigh to the knee. These symptoms began suddenly three days ago following a significant injury where a pallet of product fell on her. She reports difficulty bearing weight on the affected leg and pain is exacerbated by sitting, laying down, standing, walking, and kneeling. Additionally, she has been experiencing nausea with upper abdominal pain for several months, which is only relieved by vomiting. The patient also reports a history of mental health conditions including severe manic depression, anorexia, self-harm, ADHD, OCD, and CPTSD, diagnosed at age 13. She is currently taking Prozac, Wellbutrin, Trazodone, and Glucophage, and has been experiencing side effects such as trembling, hindered vision, and headaches. She also reports recent onset of constipation and incontinence since the hip pain started. No known drug allergies. No other medications or supplements reported.

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Arora's Assessment

What might be happening

Based on your symptoms and the information you provided, here are some possible conditions:

  • Hip Bursitis: This is inflammation of the bursa, a fluid-filled sac near the hip joint. This can cause pain on the outside of your hip and thigh or in the buttock. Pain is often worse during activities that involve hip movement, but can also be worse at rest, particularly when lying on the affected hip.

    • Treatment typically involves rest, physical therapy, and nonsteroidal anti-inflammatory drugs (NSAIDs). In some cases, corticosteroid injections or surgery may be necessary.
  • Sciatica: This is a condition caused by an irritation of the sciatic nerve, which can cause pain that radiates down your leg to your foot. It can be associated with numbness and weakness of the leg.

    • Treatment typically involves physical therapy and pain relief medications. In some cases, surgery may be necessary.
  • Hip Fracture: Given the recent trauma of having a pallet fall on you, a hip fracture could be possible. This would cause severe pain, swelling, and difficulty bearing weight on the leg.

    • Treatment typically involves surgery.

The nausea and upper abdominal pain you've been experiencing for several months could be related to your mental health conditions, medication side effects, or another gastrointestinal issue such as gastritis or peptic ulcer disease.

What you can do

Given the severity of your symptoms and the recent trauma, it's important to seek immediate medical attention. You should go to the emergency department for a thorough evaluation. This will likely involve a physical examination, imaging studies like an X-ray or MRI, and possibly blood tests.

What you should look out for

If you experience any of the following symptoms, you should seek immediate medical attention:

  • Increasing pain, swelling, or bruising in your hip
  • Fever or chills
  • Difficulty moving your leg
  • Loss of sensation in your leg or foot
  • Increasing nausea or vomiting
  • Blood in your vomit or stool

Please remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, testing, and care recommendations.

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1 yr ago

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People Also Ask


What are the common symptoms of hip bursitis and how is it treated?

Common symptoms of hip bursitis include pain on the outside of the hip and thigh or in the buttock, which can worsen with activities involving hip movement or even at rest. Treatment typically involves rest, physical therapy, NSAIDs, and in some cases, corticosteroid injections or surgery.


How can I differentiate between sciatica and a hip fracture?

Sciatica typically causes pain that radiates from the lower back down the leg, often accompanied by numbness or weakness. A hip fracture, especially after trauma, causes severe pain, swelling, and difficulty bearing weight on the leg. Imaging studies like X-rays or MRIs are needed to confirm a hip fracture.


What could be causing my nausea and upper abdominal pain?

Nausea and upper abdominal pain could be related to mental health conditions, medication side effects, or gastrointestinal issues such as gastritis or peptic ulcer disease. A thorough evaluation by a healthcare provider is necessary to determine the exact cause.


What are the potential side effects of medications like Prozac, Wellbutrin, and Trazodone?

Common side effects of Prozac, Wellbutrin, and Trazodone can include nausea, headaches, dizziness, vision changes, and tremors. It's important to discuss any side effects with a healthcare provider to manage them effectively.


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