Conversation: The conversation between human and AI assistant.
[|Human|] I have an oval shaped indentation on the top right side above my hip, near the waistline down from my back. My husband noticed it and it s odd that it just appeared recently. The patch is a different, almost pink color. There s no pain associated with that particular area. Just wondering if it is a symptom of rheumatoid arthritis. I started having patches of dry almost psoriasis like places on the back of my neck on my scalp and places on my palms. Thanks for any feedback!
[|AI|]  Hello, I have studied your case. As per your history there can be hip arthritis which can be degenerative or due to avascular necrosis of femoral head [AVN]. I will advise you do X-ray of hip again, and you can consult me with reports or with your doctor. After clinical examination IF AVN is suspected then you will need MRI. Till time take analgesic and cartilage protecting medication like glucosamine sulfate. For hip arthritis joint flexion, extension and rotation exercises will help. Physiotherapist will help you better to learn more exercises in proper protocol. If required intra-articular injection can be given. Diet rich in calcium and protein will help. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care