Arthritis and Bone Spurs at age 25 ????

  1. My son has had some right hip pain for the past year or so, unable to squat too well, etc. Finally decided to have the docs take a look. Did xrays and the doc was stunned. Told him he had the hip of a 60 year old!!! Bone spurs and arthritis.

    Any thought on this as to WHY??? (at his young age?)

    No hx. of this in the family... just the ordinary "aging" kind of arthritis. Mom has had it for the past ten years or more, but she will soon be 85. Sis and I are getting a touch of it here and there, but we're getting on up in years as well.

    So I'm thinking *** ??????????????????????????

    Told Adam he'd be using a walker and having a THR before his ol' mom !

    Really not funny, though. Any ideas why he might have this problem?
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  2. 14 Comments

  3. by   Quickbeam
    Arthritis knows no age barrier. Try a good rheumatologist. JRA (for one) can cause disabling joint pain and deterioration in a young person.
  4. by   moyz
    sorry to hear this about your son. but the technology for this stuff is getting better and better; i read an article about a young woman who had had a thr at ~28 and she seemed to be doing really well.

    the doctor didn't give any possible reasons as to why this has come up for your son? he never had any trauma to his hip? arthritis could be do to trauma... (also, i had bone spurs on my foot from trauma...) just some thoughts.

    anyway, good luck with it all!

    i did a quick web search and found:
    why would a young person need a hip replacement?
    there are many disorders or diseases of the hip that can be treated by a total hip replacement. young people commonly undergo hip replacement for a number of conditions including [color=#003399]avascular necrosis (avn) or osteonecrosis, [color=#003399]congenital hip dysplasia (cdh) and early arthritis as a result of a previous trauma. additional conditions that may be treated by a total hip replacement include hip disease as a result of osteoarthritis, rheumatoid arthritis, juvenile rheumatoid arthritis, sickle cell disease, slipped capital epiphysis or legg-calve-perthes. often young patients may have had previous hip surgeries for these disorders.
  5. by   jnette
    Quote from moyz
    sorry to hear this about your son. but the technology for this stuff is getting better and better; i read an article about a young woman who had had a thr at ~28 and she seemed to be doing really well.

    the doctor didn't give any possible reasons as to why this has come up for your son? he never had any trauma to his hip? arthritis could be do to trauma... (also, i had bone spurs on my foot from trauma...) just some thoughts.

    anyway, good luck with it all!

    i did a quick web search and found:
    why would a young person need a hip replacement?
    there are many disorders or diseases of the hip that can be treated by a total hip replacement. young people commonly undergo hip replacement for a number of conditions including [color=#003399]avascular necrosis (avn) or osteonecrosis, [color=#003399]congenital hip dysplasia (cdh) and early arthritis as a result of a previous trauma. additional conditions that may be treated by a total hip replacement include hip disease as a result of osteoarthritis, rheumatoid arthritis, juvenile rheumatoid arthritis, sickle cell disease, slipped capital epiphysis or legg-calve-perthes. often young patients may have had previous hip surgeries for these disorders.
    thanx for all the info. will look into these. i seriously doubt there is any ra, my feeling is it is more osteo. no previous trauma to the hip or elsewhere.. he's never had as much as a fx. anywhere at any time.

    will look at the links you provided and keep digging for more info. thanx!
  6. by   Spidey's mom
    Did he play football? Both my boys played and loved it but they do complain of aches and pains of older men . . . . .

    My DON had Legg-Calve-Perthes since she was a child . . . recently had a hip replacement and is doing well.


    steph
  7. by   SCRN1
    Was he ever a baseball catcher or do a lot of weight lifting, doing squats? Just wondering if the repetetive squatting motions could be linked to this in some people.
  8. by   Spidey's mom
    All of a sudden I had this thought . . .

    WHAT DID THE DOCTOR SAY CAUSED IT????



    steph
  9. by   jnette
    Quote from stevielynn
    All of a sudden I had this thought . . .

    WHAT DID THE DOCTOR SAY CAUSED IT????



    steph
    Never played football.. he wrestled all through H.S.
    But I would think that would have affected BOTH hips then.

    Steph.. the doc didn't say. At least Adam didn't say he did. Only said that he was scheduled for some physical therapy the next two weeks to see if they could "loosen him up" a bit.

    But he was never all that active except for wrestling. Bone spurs, though.. I mean come on.. at his age?

    I did have a patient's family tell me today that they had a friend who thought she had allergies and went for injections... she also had bone spurs in her hands and wrists... but she went only to have whatever allergies she had treated... toally unrelated. After the injections, suddenly her bone spurs had vanished! They were all shocked, but evidently, her spurs were also related to food allergies. Crazy.
  10. by   Roy Fokker
    Jnette: Just yesterday took care of a very sweet co-operative patient.

    Total Left Knee Replacement - at 26 years of age! I remember doing a "" and looked at the age again just to make sure.


    I wouldn't be surprised if it was arthritis... the only other thing I can think of besides that is osteo, long term steroid/drug abuse, or some rare disorder.
  11. by   SmilingBluEyes
    WOW jnette, no wisdom here but heartfelt thoughts ...I am so sorry to hear this. How sad for him...also...

    How will it affect his career?
  12. by   TheOneWithGlasses
    I was diagnosed with osteoarthritis in my right hip at 29 (I'm 31 now). I also found out I had a bulging disc in my back, I think it was L5-S1. All the doctors tried to tell me yes, there's some arthritis in the hip but the reason it hurts is because of the disc...no one seemed to hear me when I tried to explain that I had had hip pain and problems since I was 8-10 years old (maybe even before that, I don't remember) and the back pain had just started in the last few months. I never did find out what could have caused it; I never had any severe injuries, didn't play any sports and didn't have any of the mentioned conditions, as far as I know. It doesn't run in the family either. The ortho didn't seem too concerned with the "why". I think I'm gonna have to push the issue a little the next time I go in.

    I've had a hard time finding information on osteoarthritis that's geared towards people less than sixty or so...most of the resources assume that if you're young and have arthritis it's rheumatoid arthritis or is caused by CDH or some other condition. I hope you have better luck finding info.
  13. by   rehab nurse
    hiya jnette...

    sorry to hear about your son's OA. i was originally diagnosed at age 23 with SLE, for which i had to take massive amounts of prednisone. this really hurt my bones, and i had a bone scan a few years later that revealed severe osteoporosis of my spine and and hips/pelvis. i have struggled with severe pain and OA since then. i am almost 30 now. i don't go a day without pain in my back, legs, and sometimes my arms.

    roy was right in that a huge cause is steroid use. i don't know if that's something your son has gone through or not, but regardless, i hope he can find a way to manage it. i wish you and him the best, and i hope he feels better. i know some people with OA have tried glucosamine/chondroitin (sp?) and they swear by it. others have had success with Celebrex and similar drugs if they have more pain than can be managed with naprosyn/tylenol products.

    good luck...

    ETA: sorry forgot about the bone spurs part. duh. my brain/memory is not so great since starting chemo. this is more than likely not your son's problem, but when they were doing the MRI's and discograms of my back they told me that in addition to the spinal stenosis, anular tears, and the herniated discs, that there were multiple levels of bone spurs along my spine. i have never been told what the majority of the pain comes from, all i know is it hurts enough to have to take daily medicine for. i never was told what a cause of the spurs could be from either, despite asking a whole lot of doctors.
    Last edit by rehab nurse on Feb 1, '07
  14. by   morte
    could r/t be an anatomic anamoly that he was born with, and now that the growth hormones have decreased it is coming to the fore.....could be from the wrestling.....we are R legged or L just as we are R or L handed....did he ever jump off of something and land "wrong" what did he do for a job in HS/college....it truely is probable multi factorial....one leg longer than the other?...ever sprain an ankle.......good luck

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