[44F] Experiencing chronic right hip pain with neurological symptoms

What might be happening

Based on the information you've provided, here are some possible explanations for your symptoms:

• Hip Labral Tear: Since you mentioned a confirmed bilateral labral tear, this is likely contributing to your hip pain, instability, and the sensation of your leg giving out. Labral tears can cause sharp pain, a catching or locking sensation, and may lead to swelling and warmth in the area. Physical therapy is often recommended to strengthen the surrounding muscles and improve joint stability. In some cases, surgical intervention may be considered if conservative treatments do not provide relief.

• Hip Osteoarthritis: Given the chronic nature of your symptoms and family history of musculoskeletal issues, hip osteoarthritis could be a contributing factor. This condition involves the degeneration of joint cartilage and can cause pain, stiffness, and swelling. Management typically includes physical therapy, pain relief medications, and lifestyle modifications. In advanced cases, joint replacement surgery may be considered.

• Nerve Impingement or Sciatica: The numbness, tingling, and weakness in your leg could be related to nerve impingement, such as sciatica. This occurs when the sciatic nerve is compressed, often due to a herniated disc or bone spur. Treatment may involve physical therapy, medications, and in some cases, injections or surgery.

What you can do

1. Continue Physical Therapy: Since you've already tried physical therapy, continue with the exercises and stretches recommended by your therapist to strengthen your hip and improve flexibility.

2. Pain Management: Over-the-counter pain relievers like ibuprofen or acetaminophen may help manage pain and reduce inflammation. However, consult with a healthcare provider before starting any new medication.

3. Lifestyle Modifications: Avoid activities that exacerbate your symptoms, such as climbing stairs or standing for long periods. Consider using assistive devices like a cane for added stability.

4. Symptom Tracking: Use MDandMe to journal your symptoms, track your progress, and share insights with your healthcare provider. This can help in identifying patterns and triggers for your pain.

What you should look out for

• Worsening Symptoms: If your pain becomes more severe or frequent, or if you experience new symptoms like changes in bowel or bladder function, seek medical attention promptly.

• Increased Instability: If your leg giving out becomes more frequent or leads to falls, consult with a healthcare provider to reassess your treatment plan.

• Surgical Consideration: If conservative treatments are not providing relief, discuss with your doctor the possibility of surgical options to address the labral tear or any other underlying issues.

Remember, while this information can be helpful, it's important to consult with a healthcare professional for a formal diagnosis and personalized treatment plan.