Question: I had an accident in April 2004 that caused crushing of my pelvis with subsequent reconstruction. I was recovering from this but still had disabling pain. In February 2011, I had a hip joint replacement - apparently because there was necrosis of the head of the femur caused by the original injury. Subsequent to this surgery the joint was unstable and repeatedly disjointed. I then had a revision surgery where the surgeon 20 mm to the effective length of the neck of the. I have had worsened pain since this surgery plus a leg length imbalance of 5/8". I do water therapy three times per week but I am obese because I cannot exercise sufficiently. The pain pattern is anterior thigh. I am on oral morphine which is killing me. I have had repeated steroid injections in various locations around the hip. Also tried spinal narcotic implant. I am dying from these narcotics, I am not (willingly) addicted to them and want to an alternative - to find the cause of the pain and remedy it. No doctor seems willing to discuss anything except what narcotics I should take. Please help.

Hi Dr. Tayal,

Thanks for your response. I did not mention that I already have special shoes to even out the leg length imbalance. The pain I have is anterior thigh, from the ASIS to about 1/2 way down the thigh. What I am looking for is help in discovering what the pain generator in this area might be and what interventions I could look into. I already do all the things suggested but my pain level is unchanged and I am being killed by narcotics. I am very motivated to do what ever is needed but, so far, all I get is a choice of drugs. Is there anything you can offer? Any specialty that might actually help to change the pain pattern?

Thanks for your attention