Conversation: The conversation between human and AI assistant.
[|Human|] Hi, I have had ongoing pain in my left leg (calf, ankle, groin and upper buttock area, worst pain in my calf) since November of last year. The pain is 24/7 and worst when I am sitting down. However, if I lay down for about 10-15 mins. the pain completely goes away. It is helped when sitting if I elevate it, but it only dulls the pain. It is at it s worst when I am sitting down and from then on it is constant. Pain relievers of every kind do not help the pain at all (advil, motrin, NSAIDs, oxycodone, nothing works). My current doctor did an MRI of my spine (checking for herniated discs) and it was completely normal. They now did a second MRI of my pelvis and found swelling and edema around the femoral neck of my left leg/ hip. They said it was a femoral neck stress and most often seen in avid runners. However, I am not an avid runner. I jog and walk very occasionally when the weather is nice but that is all. Please give me some kind of thoughts bc my doctor told me he has no idea what this could be caused by, especially if I am not a runner. I am in so much pain every day and I am a 21-year-old college student. It is beginning to affect my ability to sit and do homework or papers. I am miserable and I feel as though no one is going to find the answer. I could really use your help. My medical conditions are: endometriosis (surgically diagnosed), Hashimoto s thyroiditis, Vitamin D deficiency. The only surgeries I have ever had are: removal of an ovarian cyst (4/4/18) and a bone marrow biopsy (5/17- on my lower right back). Please help me, I am in so much pain. Thank you very much.
[|AI|]  Hi, Your MRI report is suggesting stress fracture of the femoral neck. A stress fracture is usually caused by unaccustomed activity like running, jumping to which person is not habitual.  Treatment is avoiding overactivity and rest. It should heal within 2 to 3 months. Pain should be relieved within one month of rest. If you are not getting better repeat MRI of the hip is needed.  Start vitamin D supplements and calcium tablets. Visit orthopedic surgeon for detailed clinical assessment is recommended.  Hope I have answered your query. Let me know if I can assist you further.