severe upper thigh and hip pain

1. Age,sex,weight,body and face appearance, country, occupation.
I am female, 60 years old. I have been overweight my whole life, I now weigh 280 lbs, that has been my stable weight for at least 25 years. I carry most of the weight in my thighs, waist, upper arms. My face is somewhat full. I live in the USA, and for the last 15 years I have been a radiologic technologist. Before that I was a stay at home mother.

2. Main complaints and other associated troubles.
a)Where is the trouble; The exact locality of the complaint like hands,legs etc; duration of trouble.
Upper and outer thighs, both legs, left feels somewhat worse than right. Pain extends to the back of thighs at times. The problem started about three years ago, but was very intermittent. It has gotten much worse in the last year.

b)What exactly do you feel, Sensation as pain, how pain feels or burn etc.
Deep burning ache in upper outer thighs, sometimes in the back down to knee on left. Sharp pain aggravated by pressure at area of greater trochanter when I lie on that side. Times of sudden sharp pain that will buckle the knee and leg.

c)What are the factors that causes this trouble according to you.
I can tell what aggravates the trouble, but I have no idea what causes it.

d)Condition under which the complaint is reduced or you feel better like,cold or hot application,cold or hot weather,position as standing,walking,rest etc.
Most relief when sitting; application of heat gives me relief, but I have been advised by a chiropractor to not use heat as that increases inflammation.

e)Condition under which the complaint is increased like,cold or hot application,cold or hot weather,position as standing,walking,rest etc.
Standing is painful, walking is the most painful; squatting is painful due to the stretching of the muscles.

f)Any other complaint any where in the body.
Low back pain, left sided pain in abdomen and radiating back to front numbness that both seem to be related to thoracic spine, joint pain in hands, wrists and ankles, headaches caused by muscle tension at base of skull near neck, sinus pressure and pain, facial eczema, GERD, chronic sense of fullness and itching in ear canals, constipation and fecal retention in rectum, brittle nails with vertical ridges.


g)Onset time of troubles in detail, i.e which came first, after that what problem and so on.
The headaches are my oldest problem, dating back 40 years; chronic sinus pressure and pain for about the same amount of time; eczema on scalp and eyebrows for about 30 years, this year it is also on my face near my eyes; left abdominal pain and radiating numbness would be next, for about 30 years; GERD about 30 years; low back pain for about 10 years or so; constipation about 7 years; joint pain the last 5 years or so; ear canal irritation only abut 1 year.

h)Treatment method adopted and its result.
Treatment for thigh pain, short term use muscle relaxers, prescription NSAID that did not work, physical therapy: no real relief. Headaches, best treatment was chiropractic adjustment and massage of muscle near base of skull; eczema no real treatment; sinus pressure, constant use of antihistamine gives some relief; left abdominal pain and numbness relieved by chiropractic adjustment; GERD, prescription medication taken once a day gives relief; low back pain feels better with heat, minimal relief with ibuprofen; constipation, psyllium fiber taken every meal helps somewhat; joint pain, ibuprofen some relief; ear canal itching, coconut oil provides some relief,

3. History of diseases in family.
Both parents and 1 sister heart disease and hypertension. Mother, pulmonary fibrosis of unknown origin, lower limb neuropathy of unknown origin.

4. Personal History.
a)About childhood.
I am the middle child of seven children; in general, raised in a loving home although my father was a bit gruff and at times bordered on verbally abusive. My mother was very loving but very busy with all he children, and at times I felt lost in the shuffle.
b)Academic performance.
I learned to read before I was in school, many subjects came very easy to me. I did not like to put out much effort, and only worked hard in subjects I enjoyed; I knew enough to get by in the rest of them.
c)Any major incidents in life and the effect of it on life.
The main thing that affected my life and all I did was being overweight. I was a large baby, and consistently gained weight. The earliest recorded weight I remember was 156 pounds at age 8. By age 14 I was 204 pounds. It affected my every thought; I dreaded going anywhere, knowing that sooner or later someone would call out a hurtful insult. I knew other people that were overweight and had a great sense of self worth; they went on dates, went to college, didn't let it bother them. I could not be like that. In my heart I believed I was inferior because of my weight, but could never translate that into effort to lose the weight. Even though I had a great academic record, I did not apply to any colleges because I was too embarrassed to go to a doctor for a physical.

d)How you are satisfied with your sex life, friends, family members, company etc.
My family life and sex life with my husband is very satisfactory right now.

5. Habits/Addiction.
a)Smoking, Alcohol,Sleeping pills, Laxative etc.
No smoking, very limited alcohol, maybe 1 glass of wine every 2 months or so
b)Masturbation and frequency.
Not very frequent at this point in my life

6. How is your Appetite and Thirst.
I am thirsty a lot, and usually have something to drink nearby, but I do not like plain water, even though I know it is better for me. My appetite seems to be diminishing, even though it does not translate into weight loss.

7. Likes and Dislikes.
a)Alcohol Bread Butter Bitter Salt Sweet Sour Fats Milk Mud Chalk Egg Spicy food Meat Fish Fruits Fried Food
Warm food-drink Cold food-drink Ice Ice cream Chocolates Tea Coffee.
I don't like the feeling from alcohol, so I don't drink it very much. I love bread and butter. Don't like bitter foods. I do like salt, my whole family has always used a lot of salt, my dad is 94 and they are still trying to get him to stop. I like sweets, good quality cakes and pastries, I do add sugar to things. I like sour things too. I like fats, I use butter a lot. I do like milk. Mud and chalk NO! I do like eggs, especially fresh eggs from our chickens. I do not like spicy food, can only stand very mild spice. I like most meats and fish. I do like fruit. I do like fried food a lot.

b)Anything else about like and dislike of any activity with you or surrounding.
I like to read, I like to sew and do other needle crafts. I hate confrontation and will avoid at if at all possible. There have been some real stresses in my life in the last 8 months; I have lost my job under less than good circumstances, we have had to move under duress from a difficult landlord; things are settled now but it has been a rough time lately.

8. Bowel movements.
a)Nature of stool, frequency, satisfactory or not.
Differing sizes, usually every morning, some difficulty.


b)Any discomforts associated with stool.
Constipation, retention of stool in the rectum, difficult to evacuate. I need to strain and push with my back, almost like pushing during labor.

9. Urine.
a)Frequency, nature, volume.
4 or 5 times a day, seems normal, average amount.
b)Any discomfort before, during or after urination/odour
Again, some difficulty voiding, seems like I have to push in the same way I do for stool. Sometimes a strong odor.

10. For men.
a)Any difference in erection/want of erection/weak erection/Ejaculation early/late.
ANS.
b)Any other trouble in sex.
ANS.

11. For Females.
a)Menses, Regular, Irregular,Early, Late.
In menopause, N/A
b)Duration of menses.
ANS.
c)Nature of flow, Scanty, Blood colour, Consistency, Odour, Staining, itching/ when and what makes it worse/better.
ANS.

12. Sleep.
a)The quality of sleep, the quietness or restlessness of sleep,
position of sleep, times of waking and reasons for waking,
need for cover over various parts of the body,
whether the window must be open or closed etc.
common dreams, peculiar sounds or gestures during sleep, etc.
Terrible quality right now, interrupted by pain. Very restless. Most comfortable has always been on my left side, with my right leg bent and slightly twisted at the pelvis so the top (right) leg rested on the bed. Cannot do this now, causes immediate pain in back. I now sleep on one side or the other, balanced on my side on my hip. Pain usually wakes me up around 3 AM, sometimes I can fall back to sleep through the pain, sometimes I have to get up and sleep in a chair. I have to have a least a sheet covering my lower half, even if it is hot. I prefer it to be cold, and have the windows open, down to 30 degrees, at least a little, but cannot always do so. I have a few dreams subjects that recur from time to time, like tornados and alien invasions; not the exact same dream, just the same subject.

13. Sweat
a)How much, what parts, staining, Odour.
I sweat a lot in summer, all over, usually. Sometimes more n my face and scalp. Regular body odor, sometimes takes on food odor like garlic or onions.

14. Weather
a)Tolerance to heat and cold, dryness, humidity, weather changes, sun,
foggy weather, wind drafts, closed rooms, etc.
Prefer cool or cold weather, cannot stand humidity, although dryness affects my skin and dries it out. I cannot stay in the sun long, it gives me a severe headache. Humidity seems to worsen my sinus problems. I like being in wind and breeze.

15. Mental Status
a)The quality of the patient's life in relationship to loved ones, family, friends and colleagues. Overall quality of energy available to function in daily life, and under various circumstances.
I love my husband, children, grandchildren....I am always afraid of not being the best I can be for them. I have little to no energy to deal with things now, due to pain and lack of sleep.
b)Any mental/emotional shocks occurring in the patient's life-grief, major financial losses separation from loved ones, death, identity crisis and other stress in life.
Oh my. I have been through a divorce at age 40, after being a stay at home mom, I had to go to school and learn a marketable skill. After being apart for 8 years, my husband and I got remarried and have been back together for 12 years now, and are very happy together. We have been through major stresses especially in the last 2-3-years. Our youngest daughter and her husband were living with us for 2 years, we were trying to live in a homestead self sustaining farm situation; they decided to move out which caused my husband a lot of stress and unhappiness; he happened to get severely sick at this same time and I went through a terrible time, supporting him in his illness, and trying to help the emotional issues that were going on due to our daughter moving. I was working full time and helping him through severe illness, hospitalizations, and emotional issues. Also, as mentioned earlier, the last 8 months have had major stresses also...losing a job and moving.

c)Memory,ability to concentrate/comprehend.
Memory has gotten worse, some lessening of ability to concentrate.

d)Are you fearful of anything eg: Animals, people, being alone, darkness, death, disease, robbers, thunder, storm, high places.
Being in enclosed spaces...cannot do an MRI.

e)Are you anxious about anything: if yes, give details.
I am anxious thinking about dangers that might befall my children and grandchildren. If something is good is planned, I get anxious something is going to ruin the plans


f)Are you impatient.
Sometimes it is hard to wait, but I'm not generally impatient.

g)Are you doubtful or suspicious.
I sometimes imagine and am suspicious of people's motives

h)Are you hurt easily (emotionally)how do you react. Does it cause hatred/revenge.
I don't get hurt easily; when I do get hurt, I feel anger, but I do not feel hatred, and do not feel revenge.

i)Does your pride get hurt easily.
Yes, at times.

j)Are you depressed, if so, reason/circumstances.
Sometimes I feel depressed and overwhelmed by my current pain and inability to function normally.
k)Do you like to share your problems.
Yes. Sometimes I feel I share too much

l)Effect of consolation.
It does help to have someone understand and care.

m)Do you ever become suicidal when? How.
No, I never have felt suicidal.

n)Memory- quality if poor, for what ( eg. Names, places, people, what you read).
I have a hard time remembering facts I used to know; I used to be an 'automatic speller', words came easily and I was always right, now I have to look them up. I am always forgetting where I put things.

o)Do you weep easily, effect of weeping, ie, does it make you worse or better.
Yes, I am very emotionally weepy. Sometimes it makes me feel better, if I've cried about a real issue. If I cry about a story or short video, it can trigger sadness that lingers, making me think about things that make me anxious.

p)Are you easily irritated. What makes you angry, how do you express it.
Yes, I get irritated by being interrupted when I am focused on something, by people talking to me when I am in pain. I express it by talking in a sharp voice.

q)Are you destructive.
Not really, though sometimes I am by default...I am not a meticulously careful person, and I have ruined somethings that way. I also have a nervous habit of picking at my cuticles, and am destructive in that way, causing them to bleed and making my fingernails look terrible, which are already very brittle and have vertical ridges.

r)How good are you in making decisions.
Terrible. I go back and forth, trying to decide things, worrying that any decision I make will be wrong.

s)Do you like company or like to remain alone.
I like company when they are here, I am considered a people person, but truth be told if given a choice I would stay by myself. i could be a loner, staying by myself watching TV.

t)How seriously are you affected by disorder and uncleanness in your surroundings.
No at all. I have gotten better, but generally I cause the disorder and uncleanness in our home. My husband is the organized one.

u)How does failure appear to you?
Not finishing something. Not being able to get a handle on my weight,
Being a bad money manager and modeling that behavior to my daughters.

v)Are there any matters that you deeply dislike?
Injustice; being wrongly accused of something.

w)What activities you deeply like? How does it affect your mood?
Reading; singing and worship; sewing and crafts; cooking and baking. It makes me relaxed and I feel a great sense of accomplishment when I have finished a project.

x)Are you affectionate? How does others sorrow affect you?
Yes, I am very affectionate. I feel the sorrows of others deeply.

y)Any present fears in your life or future.
That I will not get a job, that I will not be rid of this pain, that we will have to move again; however, I do trust that God is active in my life and is leading me.

z)Any present life or future life desires.
To become healthier; to be able to help my children and grandchildren, to be able to contribute to our work on the farm.
Thank you for your time and consideration
[message edited by grannyburd on Fri, 21 Nov 2014 06:56:37 GMT]

Thank you for your help. Before I try your suggestions, I need to clarify. You stated Phosphorus 200; when I go to purchase, it is available in 200C and 200X...which is correct? Also, when you said 'report how you felt in pain and mental freshness after 20 days of stopping medicine', do you mean I should take it 20 days and then stop and let you know how I am doing? Thank you for clarifying.

Simone, thanks so much for your interest and clarification. I certainly would have overdosed myself if I had not asked the question! I appreciate the additional info. I will check back after the 20 days

Thank you homeo.mzp, I am sorry I misread your original post. What I am understanding now is that I take only 2 doses, one at night and one in the morning. If pills, take only one dose of three pills, chewing them up. Then keep track and report symptoms or changes after 20 days. Thank you again.

To homeo.mzp, I am sorry to be getting back to you so late...due to family and other circumstances, I was not able to obtain the phosphorus until December 14. I am now reporting after 20 days. The morning after the first dose, I was very emotional, woke up crying for no real reason. I took the second dose that morning. I felt very tired that day, and in the next 2-3 days was very tired. My emotions stabilized, but I was very foggy in my thinking. That continued on throughout the twenty days. I am having a hard time concentrating. I have had no improvement in my hip and low back pain. It is as bad as it every was. I am now in constant pain, with almost no comfortable position. I cannot lay on either side without experiencing pain, so sleep is difficult. I also now have pain while sitting, where before, sitting use to be mostly pain free. I would say there has not seemed to be much change or improvement. Again, so sorry to be getting back to you so late. I appreciate any further advice you could give me. Thank you for your time.

I have checked for 3 days, to the best of my ability this is what I have observed: Tongue appearance: slight teethmarks, slight red edges with thin coating mostly in center (red edges are not coated). Tongue taste, bad taste in morning, dry throat,sticky saliva in corner of lips. I have observed this all three days. Thank you

Hello again, I have taken the cell salts as directed, and have not really had much relief. The pain seems to have localized to my joints and points of muscle connection as opposed to up and down the entire muscle. My main points of pain are my hips, with the left being the worst, also now pain in more joints: both knees, ankles, wrists, and also the fingers (especially thumb) on my left hand. The skin eruptions have gotten much worse, up over my ears, down the back of my neck, and getting even closer to my left eye. I have been told by a medical professional that this is not eczema as I thought, but rather is psoriasis. This is where my condition is right now. Thank you again for your time and your help.