Thank you for asking your query at DoctorSpring.
I need some additional information from you so that I can provide my best opinion.
1. May I know where exactly do you get the crack / pop feeling. As in over the sitting bone,/ near the vagina / over the upper hip / side (specific location)
2. Do you have any early morning stiffness ?
3. Do you have pain in any other joints (including the small joints of fingers)
4. When do you have the scale 4 pain. Time of the day / typical scenario etc
You can reply as a followup.
Patient replied :
Hi Dr Spring, the pain is in the joint between my inner thigh and pelvis so im assuming my pelvis bone is what's cracking. I get morning stiffness occasionally. Also I tend to sleep on my side with a pillow between my legs or on my stomach with one knee raised (like slighlty out and up ). This is merely for comfort. which would possibly limit the chance of pain or cracking anyway ?.the only other joint stiffness I get is in my right elbow which is more like a pain scale of 2 . My elbow is stiff only when ive had it bent or been writing for a while thus I feel the need to crack it by straightening my arm and sort or of twisting my whole arm , palm towards me while arm is straight. The groin/pelvis pain is after walking or running for a while/activity or sometimes when my legs have been crossed for too long or simply knees together too long. I do have regular back pain as I have large breast and pain is usually in right shoulder/neck area especially around time of period. Hope this is helpful
Thank you for the additional details.
I have discussed your consult with our team Rheumatologist. The groin pain you have described is non specific. By non specific we mean that the pain is not diagnostic of a single condition. However in view of the occasional morning stiffness, the elbow pain, groin pain and family history a baseline blood test is recommended.
You can get a complete blood count, CRP, AntiCCP and ANA test done in consult with your GP. For the time being you can take a pain medication like Ibuprofen OTC 400mg twice a day for 3-4days. Do some mild stretching exercises. If the cracking / pain persists get in touch with your GP and get the blood tests done.
Since you had a significant weightloss, there will be loss of some fat padding / cushioning which can cause cracking and pain in joints. This is most likely explanation for your symptoms.
Also, do track your blood sugar status by doing a FBS(Fasting Blood Sugar) and HbA1C periodically.
Hope this helps