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posted in Medisage Orthopedics Community
A 45 year old presented with progressively worsening left thigh pain of 8 years. The patient’s medical history was significant for a diagnosis of osteoid osteoma of the left femur treated elsewhere 24 years previously. The patient had no complications after surgery intermittent left thigh pain which gradually increased in frequency and severity By the time the patient presented to us, he described a dull pain present most of the time punctuated by intermittent sharp pain. The patient could not identify any particular palliative or provocative factors for the pain.Suggest a proper Diagnosis and Treatment for the same.
- #orthopaedics
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Dr. U N
Active Contributor
Based on the history provided, the most likely diagnosis for the patient's symptoms would be chronic nerve irritation or neuropathy resulting from the previous surgery for osteoid osteoma in the left femur. This could be causing the dull, constant pain with intermittent sharp pain that the patient is experiencing. To confirm the diagnosis, further investigations such as imaging studies (e.g. MRI) and nerve conduction studies may be necessary. Treatment for chronic nerve irritation or neuropathy may include pain management strategies such as medications (e.g. neuropathic pain medications, anti-inflammatory drugs), physical therapy, and potentially nerve blocks or other interventional procedures.