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Hip Pain with Elevated CRP – Could it be an Infection or Inflammatory Condition?
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Rheumatic & Autoimmune Conditions
Question #24708
45 days ago
101

Hip Pain with Elevated CRP – Could it be an Infection or Inflammatory Condition? - #24708

Shiv

Hip Pain with Elevated CRP – Mujhe pichhle kuch samay se dono side hip pain ho raha hai, khas kar chalne par dard badh jata hai. Rest karne par halka rehta hai. Mere recent reports ka summary: • CRP – 40 mg/L (elevated) • ESR – 20 • Hemoglobin – (normal range me) • Calcium – normal • Uric Acid – normal • RA Factor – negative • X-ray Hip – normal Symptoms: • Chalne par hip me pain • Bukhar nahi hai • Pehle kapde bheegne jaisa pasina aata tha • Weight loss approx 10 kg Treatment currently chal raha hai: • Monocef injection • Amoxicillin + Clavulanate 625 mg Kripya bataye: Kya yeh bone infection ya inflammatory condition ho sakti hai? Kya antibiotic continue karna sahi hai ya further investigation (MRI / TB test) ki zarurat hai? CRP repeat kab karwana chahiye?

How long have you been experiencing hip pain?:

- 1-4 weeks

Have you noticed any other symptoms accompanying the hip pain?:

- Fever

What is your activity level like during the day?:

- I have reduced activity due to pain
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Doctors' responses

Dr. Bharat Joshi
I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.
45 days ago
5

Hello ji Yes repeat the tests since the problem seems associated with rhematoid arthritis In addition please get additional tests done and share result with concerned physician for better clarity Serum ferritin Esr repeat CBC repeat Crp repeat Lft Rft Regards

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Hip pain alongside an elevated CRP typically indicates inflammation or possible infection. In your case, the CRP level of 40 mg/L, alongside hip pain, could suggest an inflammation or infection like septic arthritis, but it can also be related to inflammatory conditions such as bursitis or osteoarthritis. However, given that you’re already on antibiotics like Moncef (Ceftriaxone) and Amoxicillin+Clavulanate, this would seem to suggest an empirical treatment regime for a presumed bacterial infection. If pain and symptoms persist, then further investigation with an MRI might be prudent to assess soft tissue or bone involvement, which X-rays may not show. A tuberculosis test might be relevant, especially if other risk factors align or if you’re in an area where TB is prevalent, since hip pain and high CRP can be symptomatic of musculoskeletal tuberculosis.

The continuation of antibiotics should be carefully monitored by your physician; persistence of symptoms may indeed warrant re-evaluation or even alteration of treatment approach depending on cultures or further imaging outcomes. Your doctor might consider repeating CRP in around one to two weeks to assess treatment response; however, earlier re-evaluation might be necessary if your condition worsens or fails to improve. In your daily routine, ensure you’re keeping the affected area warm, avoid overstressing the hip, and look out for any increased swelling, nighttime sweats, or new onset fever – which could signify that intervention or change in therapeutic strategy might be immediately required. Always align any further treatment changes or decisions closely with your healthcare provider to ensure safety and appropriateness to your specific clinical context.

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