hi,
thank you for providing the brief history of you.
As your reposts indicate that is degenerative changes in both the hip joints with reduction in the joint spaces. Also the
lumbar spine has degenerative changes in the disc which is the
soft tissue structures in between the two vertebral bodies.
As due to this, there will be pain in the hip joint and also the lumbar spine. Depending upon the extent of the lumbar disc degenerative changes there might be even pinching of
nerve root and leading to
radiating pain.
Also, an MRI will be good to understand the lumbar spine disc degenerative changes.
Your age is 65 and having degenerative changes are common as i notice in my clinical practice.
Also, for such cases usually
physical therapy iw recommended for pain management and also for muscle strengthening. Majority if cases respond well to physical therapy.
Also, no matter how active an individual is, ageing is a process like a shadow ane affects all of the humans in early or later stages of life.
Regards
Jay Indravadan Patel