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Chronic pain

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Orthopedic consultant made me feel shit today!

18 replies

NippyNinjaCrab · 04/02/2026 16:07

It's a long ne apologies.

I had an appointment with an orthopedic consultant today to discuss chronic hip pain and the possibility of a replacement.

I had my left hip replaced 11 years ago, I was born with a dislocated hip and had an operation when I was a baby to put it back in place, that was successful.

I know my right hip is getting worse despite the x rays showing no further change from 10 years ago. I have constant pain in the joint, sleep disruption, walking is difficult, I am struggling to sit on the loo after walking any distance and walking up a kerb height leading with my right leg is too painful now.

Today, he introduced himself and started off with, I've received your GP letter about your right hip, what's the problem! So I explain, I tell him it is getting to the same pain stage that I was at before the left was done. He said so you remember that pain? From how long ago? I said 11 years. He replied in a dismissive tone that he cannot remember last week never mind 11 years ago! I was too slow for a sharp response but I did reply that I remember that pain and bone on bone when the cartilage is gone isn't forgettable.

He states that the x rays have no change from 10 years ago and he cannot just give out a hip replacement without evidence of it deteriorating. He said my left hip was done because it was deformed. I said nothing but I was under the impression it was due to arthritis and wear and tear contributed by the dislocated hip, anyway it doesn't matter.

He asks me to get on the exam table, asks exactly where the pain is, and manoeuvres my right leg various ways. When I show pain at certain movements he says okay we need to book an MRI to see what's going on with the cartilage in the hip.

After we sat down again he asked what pain meds I take, I told him paracetamol and that I had been taken off opioid meds and was given Nefopam when my pain was bad, also Naproxen. He said good. He did seemed a tad better towards me I suppose, he said he would organise the MRI, and would see me back at the clinic when it was back.

I thanked him for his time and seeing me today, I said I dont want to waste your time but I am only 53 and need to stay active. He said okay see you back when you've had the MRI and we will take it from there.

I just feel a bit rubbish tbh, I suffer with arthritis in most of my joints and I am not a stupid person, I wouldn't ask for a big op for a little bit of pain. I dont know what I want from posting, maybe just support and yep we've been there. It is making me not want to see him again.

OP posts:
Pistachiocake · 04/02/2026 16:11

I'm so sorry you were treated like this. Some doctors are like this (I'm not going to say it's medical misogyny as I have know lots of men also treated badly, as if they should beg for the service they've been paying for all their lives).
They say going with a partner and a list of questions, and very specific info helps, for example, I had to call in sick ten times-the pain scale was x.
And no, you shouldn't have to do this, but it might help.

Miranda65 · 04/02/2026 16:22

He's offering you an MRI - he's right, he can't treat you unless there is evidence that it's needed. OP, I'd reserve your judgement until you've actually had the MRI and then, with knowledge, you can discuss any next steps.

NippyNinjaCrab · 04/02/2026 16:26

Thanks both, my previous op was done privately and I had an MRI done before I was referred to the consultant. I just felt that it has been a waste of money having the x rays when the MRI would be clearer.

OP posts:
NippyNinjaCrab · 04/02/2026 16:29

I will do a list @Pistachiocake thank you. I had read up on him before the appointment and he came highly recommended from the GP too.

OP posts:
AnnaMagnani · 04/02/2026 16:36

I obviously wasn't there but is it at all possible he made a jokey attempt at small talk, saying he can't remember last week, and it just fell completely flat.

He has booked your MRI and clearly took you seriously when he examined you.

NippyNinjaCrab · 04/02/2026 16:47

He definitely didn't attempt a joke @AnnaMagnani 😂

OP posts:
ChangeIsDue · 04/02/2026 16:47

It doesn’t sound like a great bedside manner. But without knowing any better I’d feel that by sending you for an MRI he is taking you seriously, and it sounds like the right next step.

NippyNinjaCrab · 04/02/2026 16:50

Yes I am glad he is sending me for the scan, I've never had a problem with any medical staff before and I have seen a few. Hopefully the next appointment will be better.

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Cappie73 · 04/02/2026 16:54

OP I’ve read your post three times now and I don’t know what I’m missing?

Coffeeishot · 04/02/2026 16:58

Some male consultants are like this I have dealt with them my whole life anyway he was being flippant and thinking he was being "relatable", you are in pain in a new situation of course you are going to be caught off gaurd, it really was him, hopefully the mri comes up with answers for you.

7238SM · 04/02/2026 16:59

I just felt that it has been a waste of money having the x rays when the MRI would be clearer.
Did you pay privately for the xrays or do you mean the cost to the NHS? Xrays are the norm to look for arthritis whereas MRI is better at seeing torn ligaments etc. Both would be the norm before a hip replacement.

I too assumed he was making a clunky joke by saying her can't recall last week! I find some surgeons can be quite direct and not have the best bedsit manner.

leaflikebrew · 04/02/2026 17:04

I hear you OP.

I have rheumatoid arthritis and have seen many different doctors over the years.

I remember one bloke was very snippy in his manner and didn't want me to start a new drug despite me being in a lot of pain. He did inject the joint with steroid, (but it hadn't worked the previous time)- I spoke up; and got my head bitten off.

Ego the size of South America😁

Don't take it personally as he's probably just a bit of a dick but hopefully competant enough.

Can you get some better painkillers for night time? It's no joke having pain at night 😓

NippyNinjaCrab · 04/02/2026 17:06

Cappie73 · 04/02/2026 16:54

OP I’ve read your post three times now and I don’t know what I’m missing?

What are you looking for? 😂

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Lightuptheroom · 04/02/2026 17:07

Be grateful for the MRI. That sounds flippant but I waited 3 years for an MRI on my knee (they discovered that part of the fat pad was snaring in the joint which is why I was in pain all the time) during that time , the consultant cancelled several scan appointments. I also had a rheumatology appointment as I couldn't straighten my fingers, the consultant asked why my GP had done an 'urgent' referral as quote 'you don't walk on your hands'

NippyNinjaCrab · 04/02/2026 17:08

leaflikebrew · 04/02/2026 17:04

I hear you OP.

I have rheumatoid arthritis and have seen many different doctors over the years.

I remember one bloke was very snippy in his manner and didn't want me to start a new drug despite me being in a lot of pain. He did inject the joint with steroid, (but it hadn't worked the previous time)- I spoke up; and got my head bitten off.

Ego the size of South America😁

Don't take it personally as he's probably just a bit of a dick but hopefully competant enough.

Can you get some better painkillers for night time? It's no joke having pain at night 😓

The Nefopam was supposed to replace the opioid meds but although it does work on the pain it causes insomnia. I can use it morning only. X

OP posts:
leaflikebrew · 04/02/2026 17:13

@Lightuptheroom blimey - that sounds really crap. It took 8 years before I was diagnosed with RA. Initially started with swollen finger and wrist joints.

I've never had an MRI - just x rays.

Lightuptheroom · 04/02/2026 17:15

@leaflikebrew this consultant would only diagnose tendonitis and put me on 8 prednisolone a day for 6 weeks (tapering that was fun!) Extensive family history of RA in both parents and 3 siblings!

NippyNinjaCrab · 04/02/2026 18:14

@Lightuptheroom ffs thats disgusting! @leaflikebrew hugs to you. I do have other conditions that cause chronic pain but I know this pain is the hip.
In hindsight its maybe the wording of the GP referal letter that got him prickly. When he first spoke it did sound like I was demanding a hip replacement. My GP is fantastic, she wouldn't refer unnecessarily. X

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