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Femoral neck Stress Fractures

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I was in basic training in later part of 2002 when I started getting pains in my left (dominant) knee. The DS told me it was from over work. I continued to work out with the pain when I began having pains in my right hip. The hip pain came after falling three times because my left knee gave out during a run. I went to the hospital and had an X-ray. The results where negitive. The doctor had a suspicion about the cause of the pains and ordered a bone scan. I was diagnosed with a severe stress fracture to the femoral neck in the right leg, mild stress fracture to the femoral neck in the left leg, and hot focal points in the left and right knees according to what I remember on the report. I was put on crutches,which I was on till I got discharged two months later and remained on them for another month after, and told to use my left leg since it was the less severe of the two. Two weeks later, I noticed a loud, deep popping sound in my left hip area when I would raise my knee to my chest and the same after lowering it. Pain always followed with the popping. Also, when moved to the side with my knee bent at about a 90 degree angle, a cracking noise that sounds like popping all of your knuckles at the same time during the raising and lowering to the left, and also when tightening my legs together. Pain also associated each time. I never got a chance to ask a doctor on base about it. Pain continued in my left knee, one on the inseam of the leg at the joint, about the circumference of a quarter, and another just below the knee cap. After discharge, I was taken off the crutches because I was developing shoulder problems, months later I found out they where way too high by another doctor after breaking my toe in an unrelated incedent, and was not put on any other walking device. I have recently had an X-ray and an MRI of my left hip and knee, results where negative from what I was told. They won’t do a bone scan, which was the only thing that showed problems the last time, because they don’t find a reason to. I was also put on physical therepy, relucently by the doctor and only after complaining they weren’t doing anything but giving me pain medication, and even the PT acknowledged that I should not be cracking and popping, especially associated with pain, but can only continue the PT because the doctor ordered it. My doctors, including the PA who did my exam but said he consulted with the orthopedic doctor and found nothing wrong, same doctor that ordered the PT, have even acknowledged this, but either don’t know why or say they find nothing wrong. It has been a year and the problem has not changed and if anything getting worse. It is very difficult to walk without pain, and it does effect my sleeping. Pain medications seem only to make it less painful, but still hindering. I would like to know what the possibilities could be, on both the hip and knee, and what other test can be done. I’m going through the VA and regretably can’t afford a second opinion. Also any suggestions on resources to look at to find what procedures can be done to correct the possible problems so I at least have a reference to point to when talking to my Ortho on what to do. I’m on regular PT for hip and knee and will be doing aquatics in Dec until Mar, when I see the Ortho again. I need help because I’m tired of the problem being acknowledged, but nothing really being done about it. I can provide documents or more information if needed to help.

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  1. Wow, you’ve been through the gamut. First of all do you think it would be advantageous to have a lawyer that specializes in medical issues to review your medical records? Second, with some femoral neck fractures we see necrosis of the femoral head. There is a blood vessel that supplies the head of the femur and sometimes when there is a fracture it causes trauma to that nerve thereby cutting off the supply to the femoral head causing death of the bone to that area. Are you still having hip pain, specifically in the groin region of the side affected? I’m not saying that is what it is, I’m just explaining a complication that can come from a neck fracture. Word to the wise for you…if it hurts don’t do it. If PT hurts for goodness sake don’t do it! Can you at least see a different doc on the VA system. I wish you the best of luck. Mya

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