Reflex Sympathetic Dystrophy (RSD and CRPS) Reflex Sympathetic Dystrophy (Complex Regional Pain Syndromes Type I) and Causalgia (Complex Regional Pain Syndromes Type II)(RSD and CRPS)

 
 
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Old 08-18-2009, 10:55 AM #3
Dubious Dubious is offline
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Dubious Dubious is offline
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Join Date: Jan 2009
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Posts: 855
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Hi Allen, For what you have written, in the hip, a large spur as described would suggest early arthritic (wear and tear) changes. If they exist on both sides, you could tell if the other hip was x-rayed, then it may be a normal varient. With no joint narrowing, if any arthritic process is occuring inside the joint, it is minimal. It should be noted though that arthritis can be a misnomer in that when seen on x-rays, may be entirely asymptomatic. Just because it's there, doesn't mean it is causing a problem!

Similar findings for the knee: increased prominence of the intercondylar spines just means, again, wear and tear as this is where the crutiate ligaments attach and just represents years of those ligaments tugging on the bones, so they accomodate and enlarge. Irregularity of the posterior patella means you have some minimal level of wear and tear of the backside of the kneecap that contacts your upper leg bone and would be expected as life goes on (don't want to say age!). No narrowing means that if internal deterioration exists, it's minimal.

In all, these are pretty benign findings that smell more of wear and tear and could be found with someone who has no pain. The described visualized changes take a long time to occur, have likely been there for a year or more (x-rays if taken 6 months ago likely would have looked the same) and may even predate your current pain. So there may be no x-ray correlation with your deep bone pain of the knee and hip. But x-rays miss a lot so I would suggest you talk to your doc about a bone scan or dedicated MRI of the hip and knee, if it bugs you enough, just to make sure there is not a more ominous and yet undiscovered issue occuring.

Hope this helps...
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