Question
I am a 34 year old female. I was diagnosed mild congenital left hip dysplasia when I was 17 years old. Through the years I have been having hip pain after a long walk or excercise. In year 2002, I had a baby (I put on 46 pounds during pregnancy). In year 2004, I was travelling oversea it became worse (pain started after only 10 mins walking and pain persists even after rest). After seeing a Orthopedist, I was told it is getting worse that I am developing osteoarthritis and nothing can be done now other than taking pain relievers and suggested me to check back every 2 years. In 2008, I had another baby (I put on 40 pounds during pregnancy). This time I developed lower back pain. It is caused during pregnancy however, the lower back pain persists after child birth. I had physical therapy in summer 2008 to help the recovery of my back. However, it is not helping a lot. And my left hip still bothers me after everyday's activity (and I started to limp which bothers me as well). All these together worries me a lot since I am still young and don't want to do a hip replacement... (kind of scare me). Just want your opinion on this that what kind of doctor I should see? An orhopedist? Or some other speicalist who could help me on both my hip problem AND my lower back pain. How this will help me eliminate my back pain and help me with my physical appearance? BTW, my current weight is normal (not over weighted at all and some people might think I am too skinny).
I'd really appreciate your reply! Thank you!

Answer
Laura
I would bet that most of your other pain is a result of your hip problem.  When your hips hurt, that throws off your gait and when your gait is thrown off, you will experience pain in your back, and pelvis and your knees.  Your shoulders can also be affected.  Plus, I am certain you are limping which as you say, can affect your physical appearance.

It's best if you see an orthopedist.  I would also not shy away if the doctor wants to do a THR. Listen to his reasoning and make and educated decision, as THR surgery is considered optional surgery, not required.

Many of the prostheses today, are geared to younger people and may last 20 years or more.  But again that decision would be yours. I would suggest going to the largest teaching hospital in your area to a surgeon who has experience with younger people with bone problems.  Teaching hospitals are normally the best to go to because they are up to date on the newest types of prostheses.

Best of luck to you.