Left back,hip,pelvic pain

[tesh707]

I am a healthy 28 year old female, no kids, active but not on a daily basis. About 4 months ago I began having left lower hip area pain at night. I thought it was due to me sleeping on my left side which I stopped doing. It still continued and through out the last couple of months it has increased to pain through out the day as well. Now the last week it has turned in to what I can only describe as a radiating,throbbing (like menstrual cramps) pain that now alternates between my lower back and pelvic area through out the day, all day long. Like its switching back and forth all day. I cannot connect to any specific thing I am doing. I have been taking it easy. I have also tried stretching in that area as well. I have had xray,blood work and a pelvic ultrasound. My Dr. has no clue and does not seemed concerned but I cannot live with this pain everyday. I have seen similar situations that seem to have no diagnosis but thought I would put this out there for any feedback.

[S. Kaul, MD]

Hi there!

Well, if you can otherwise function well and there are no other symptoms except the left sided pain with the primary tests being fine; this is unlikely to be anything serious, though it is best decided after an evaluation by a specialist; wherein a management plan can be decided upon. Meanwhile you could try some Tylenol or occasional OTC NSAIDS and see if this seems to help.
Hope this is useful.

Take care!

[tesh707]

Thank you for your reply, that definitely gives me more info than I have received so far. I am still waiting the hear back from my doctor. The pain is getting worse and is relocating itself in different areas all through out the day..(left side only: pelvis,hip,lower back, up my side). I have had diarrhea almost every day the last 2-3 weeks,it's like the pain is stimulating my nervous system. It his hard to explain all these symptoms to my doctor with out sounding like a hypochondriac.  I just worry of course that it is something bad and the longer I go without finding a diagnosis the worse it is getting.

[S. Kaul, MD]

Hi there!

Hip pain can be caused by a number of reasons such as infections, inflammations, arthritis, bursitis, capsulitis, ligament/ tendon/ muscle injuries, tendonitis, fractures, dislocations, nerve impingement/ injury, muscle strain, avascular necrosis, growths/ osteophyte formation etc. just to name a few. A few of these may not be detectable on regular imaging techniques such as the x-rays/ ultrasound or blood tests and may require further evaluation. Radiating/ throbbing pain is more likely to be related to neuro-vascular causes or rarely hormonal/ endocrine abnormalities and micronutrient deficiencies. It would be best to get this evaluated by an orthopedician with opinion from a neurologist and vascular medicine as well. If a cause is diagnosed, it can be managed accordingly.
Hope this helps.

Take care!