After the visit to the orthopaedic surgeon no replacement hip surgery is currently foreseen. Instead, I have been referred to a spinal column – pelvis surgeon following a programmed (S5-L1) MRI. They will use the water (T1) and fat (T2) resonance decay times to determine if the nerve roots are entrained, pressed upon. There is no neuropathy so this seems unlikely. I will be back to square one, I will not pass Go, nor collect £200.

Way back in ~1994 the Imperial College heath centre were trying to figure out why I was having major pain in my lower spine and pelvis. There was very restricted motion of my hips. They mentioned ankylosing spondylitis (AS). It went on for months and they could not figure out what was going on. There was a lot of pain and this preceded my depressive breakdown ~1995-7. The prospect of incurable ankylosing spondylitis as a ~30 year old is not an attractive one.

I am going to ask the general practitioner for a blood test for the human leukocyte antigen (HLA) B27 which is strongly implicated in AS.

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There are some very lengthy forms for genetic consent here in France.

If this suggests AS I may be on the NSAIDs and Tumour Necrosis Factor Inhibitors. One of which is lenalidomide which the wife takes for multiple myeloma.

TNF

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I would like some more clarity before anyone reaches for the knife…