Painful hip in 12 year old girl - any clues?

[sarannie]

Hello, my 12 year old is a keen trampolinist and over 3 weeks ago she got up out of a chair and had an excruciating pain in her left hip. She saw the GP the next day and was given anti inflammatories which didn't begin to touch the pain. The next GP sent her for a hip x-ray which came back clear. The next GP sent her for blood tests which all came back clear. Yesterday the pain was so bad we went to A&E and all sorts of doctors with different specialities had a look at her. There was still no diagnosis and they decided to send her to the fracture clinic next week. HELP!!!!!!!!!!!!!!!
We are off on holiday (quite an active holiday with walking, swimming etc) and I am desperate for advice on whether she should be active or not, what pain killers might actually work etc..
I am wondering whether it might, after all, be a soft tissue injury which is causing hip pain mainly on the left with sharp shooting pains sometimes? The doctors have not mentioned it but I'm wondering whether to pay to see a physio for advice before we go away.
By the end of the day she is usually crying with the pain and is normally a fit and healthy girl. She has been taking co-codamol and diclofenic but now refuses them as they don't work.
If it was a soft tissue injury would inflammation have shown up in the blood tests? I realise tissue wouldn't have shown on the x-ray but they haven't done a scan so I'm wondering.
Any ideas, I'm really desperate?
Thanks for reading

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[muhammad]

you didnt mention the location xactly on hip side probably she has developed trochanteric busitis nd she needs to take rest you can do whole lot of icing for it,for pain relief i would say go for muscle relaxant along wd anti inflammatory.

[deepthy77 physio]

hi,any apprnt shrtng?synovitis hip might show this results.what abt esr?absolute rest prfrbly with traction for 2 weeks followed by moderate activity might help.get well soon .....

[estherderu]

dear Sarannie,

Muhammad asked for the exact location and this is an important question.
Pain felt in de middle of the groin indicates that something is wrong in the hip joint area and pain felt at the side of the buttuck is often more muscle-tendon and/or bursa related.

It could be a number of things such as soft tissue injury, bursitis,fracture. It is unusual that it started without any reason. Are you sure she didn´t hurt herself? Did she fall or stumble, did she land incorrectly? I think it is very important to realize that pain is a sign that should not be ignored especially is she is limping as well. A fractuur is sometimes missed in the case of children because of the growth plates. Having this checked is not a bad idea.

Untill the diagnosis is clear I would suggest that your daughter do as little as possible to aggrevate the pain.

I wish you all well.

Esther