Management of Chronic Bilateral Hip Pain in a Patient with Complex Medical Condition

Bilateral hip pain and difficulty in walking are common complaints in clinical practice, but their management can be particularly challenging in patients with complex multisystem diseases. This case report describes a patient with a history of Sjögren’s syndrome (SS), hypokalemic periodic paralysis (HypoPP), hyperparathyroidism with secondary vitamin D deficiency, and anemia, who has also experienced multiple skeletal fractures. The complexity of her medical history makes her management a unique and intricate process. A 23-year-old female with a 5-year history of bilateral hip pain and difficulty walking was diagnosed with SS, HypoPP, secondary vitamin D deficiency due to hyperparathyroidism, and anemia. Given the persistent symptoms, she underwent bilateral valgus osteotomy using a double-angle blade plate to improve alignment and function. Post-surgical rehabilitation was initiated and monitored closely. The patient’s case highlights the challenge of managing musculoskeletal symptoms in the context of systemic conditions like SS and hyperparathyroidism. SS can contribute to joint pain and stiffness, while HypoPP induces complications by affecting muscle function. A multidisciplinary approach involving rheumatology, endocrinology, orthopedics and physical medicine, and rehabilitation was essential to optimize her treatment. This case report demonstrates the complexity of managing a patient with bilateral hip pain and difficulty walking in the context of multiple systemic disorders. A close collaboration between specialties is critical in managing patients with multisystem involvement to ensure comprehensive care and optimize recovery.