Pain in the groin often originates from the hip joint itself but may also come from other processes including nerve compression, and some internal problems. It is possible that due to the knee surgery your gait has been altered in a way that it is increasing the forces on your hip now causing you to expereince the pain, but you should speak to your orthopedist concerning this new complaint.
Surgical Therapy Q & A
No, not necessarily or not at all. Bone marrow “edema” is a finding on magnetic resonance imaging (MRI) that could signify several things – 1) true edema or fluid in the bone 2) inflammation in the bone; 3) fatty infiltration of the bone. Many times the ‘edema’ is reversible – that is, it will get better on its own. One study shows that – if you have rheumatoid arthritis – that ‘edema’ precedes destruction of the bone. We don’t fully understand these lesions yet. Our technology (MRI) is ahead of our understanding of the cause and implications of the finding.
There are ankle replacements being done in specialized centers. You should seek a consultation to see if you are a candidate
We aren’t orthopedic surgeons. But I would recommend visiting the Johns Hopkins Orthopedic web site which is pretty robust and might provide some information for you.
Unless there is an unusual circumstance, I would expect the success rate to be lower. The procedure called vertebroplasty inserts a balloon into the fractured vertebrae, blows up the balloon to re-establish the height of the bone and then cemented. It is done for pain control, but I would expect that the fractured bone has already healed in 3 months. Talk to his doctor. Also see Archives News section on this site for a review of a research article.
The question is whether the pain you are experiencing in the knee is due to ongoing inflamnmation or due to severe destruction in the absence of inflammation. Since some patients may have both inflammation and destructioon at the same time, it is often difficult to figure out. If the predominant problem is destruction, then surgery may be the best option.l However, if there is ongoing inflammation (evidenced by elevated ESR, other inflammed joints or inflammation in the joint fluid on examination) then a trial of more aggressive anti-inflammatory therapy might be useful. Discuss with your rheumatologist.