Femoral Torsion

[mayperl]

That's the dx the ortho provided. I'm having a difficult time finding any research material online related to adults.

I'm 35, female and have sat in a "W" my entire life. Well, I guess I stopped between age 16-18. At around age 31 I began experiencing extreme deep aching pain in my hips, thighs, and back of butt bones. I had also been previously dx'd with multiple sclerosis so, many neurologists had to monitor and attempt treatment with muscle relaxers assuming it was spastic muscles. Recently, after an 8 hr drive I wasn't able to walk afterward. I mean, I was able to walk, barely, and looked as though I was crippled and missing my wheelchair... Looking as though I should not be walking. It was extremely painful for about 2 weeks. That is what prompted the ortho visit and demand some attention to this.

Now, I am in PT and explaining my previous deep aching pain that has me in bed at times just crying because it hurts to be awake. That pain is rare, but it comes and goes with no rhyme or reason. When I go for walks, I get a sharp pain in both sides of my groin where hip meets thigh joint. I stop, try to work it out by rotating my hip and slowly get back to it.

My question is this: my ortho told me to give PT a try for 6 weeks and if it doesn't work to come back so we can discuss other options. From what I've read about the adolescent torsion treatments, surgery sounds scary with pins, realignment of the femur bones and wheelchairs. Where can I find more accurate research material, should I get a second opinion, what are the probable other treatment options my ortho may have been implying?

Additionally, my PT eval today resulted in me seeing, for the first time, how much my knees naturally turn inward. I now have black tape from my knees to the back of my hips in an attempt to "tell the muscles" where they should be aligning. If that bit of info helps?

[mayperl]

Thank you for your response!  I have had an X-ray, but not the other tests you mention. I thought there should be more to the dx itself, so this makes sense. Thanks.

[Dr. Kokil Mathur]

Hi!
I am sorry to hear about your medical problems. You must explore other causes of your symptoms as femoral torsion is not so common in adults and yes, usually needs surgery followed by extensive physiotherapy. Sharp groin and hip pain with limited and painful internal rotation of the thigh along with tingling can be due to several causes such as: osteoarthritis, tendonitis, muscle pull and strain, femoral neck stress fractures, sports hernia or hidden/occult hernia of oblique aponeurosis, or Obturator or ilioinguinal nerve entrapment.
You would need all or any of the following for diagnosis: Clinical examination by an orthopedic specialist, X-rays, blood tests, MRI or ultrasonnography. Please discuss with your ortho specialist. Take care!

The medical advice given should not be considered a substitute for medical care provided by a doctor who can examine you. The advice may not be completely correct for you as the doctor cannot examine you and does not know your complete medical history. Hence this reply to your post should only be considered as a guiding line and you must consult your doctor at the earliest for your medical problem.