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Dr.Amita, Doctor
Category: Medical
Satisfied Customers: 2127
Experience:  MD.Extensive knowledge of medicine.Faculty at a leading tertiary care teaching hospital.
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I recently had an appointment at my local orthopaedic

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Hi I recently had an appointment at my local orthopaedic department regarding pain in my hip and knee. I had an x-ray which shows "almost complete losset of space in my hip" and had been linked to "moderate degenerative change". I'm 27 years old I seem somewhat young for degenerative change. There initial thoughts were that is inflammatory arthritis. Yet apparently have determined from an x-ray which obviously doesn't show cartilage, ligaments or any other soft tissue. Despite having days where moving even about my flat is impossible they have recommended physio. From my rather brief summary i'm interested in hearing your thoughts. Thanks

Thanks for your question.

You are absolutely correct that degenerative changes to this extent are not expected at your age and therefore consideration must be given to other possible causes which would include some type of inflammatory arthritis as well as any infective etiology.

The diagnosis of degenerative changes should not be made based only on x ray changes.

You need to have blood tests for inflammatory markers like ESR and CRP Quantitative as well as tests to look for any inflammatory disorder including tests like rheumatoid factor, anti ccp antibody and ANA.

Advanced imaging like MRI may also give clues regarding the cause.

This is my initial answer.Please reply if you need any clarification.

If done do take a moment to rate my answer as this is the only way e are paid for our time here.You can always come back to this thread if you forgot something.

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