Hi Everyone- I have been lurking on the bonesmart website for almost a year now and I have to thank each and every one of the admins, commentators and experts for the general knowledge you have posted in the tome of enlightenment. My story is not unlike others, I was diagnosed with bilateral AVN in early May of 2018. I started the rounds, visited 6-7 surgeons and healthcare systems for multiple opinions before landing at Ohio State University Wexner Medical Center (OSU). On July 12 of 2018 I had my first surgery on my left hip. This was a scope type procedure that consisted of a core decompression, labrum repair, stem cell bone graft and also a bone sculpting to round out the head of my femur. This was an out patient procedure. Post op I was in pain but it was well controlled with pain medication, muscle relaxers and a Game ready cryotherapy device. I had to use walking aids such as crutches for 8 weeks post op. Physical Therapy began the day after surgery and was 2x per week with home excercises as well. In October I noticed that my recovery on the left side stopped progressing. I still had residual joint pain but the collapsing of my leg from beneath me was no longer happening. Around this time I also noticed significant pain in my right joint. After reviewing with my surgeon we determined that repeating the same procedure on my right side was in order. On January 3 2019 I repeated the core decompression, labrum repair, stem cell graft and bone sculpting on my right side. Immediately after surgery I faced significant pain that was uncontrolled. The staff at the hospital were not able to control my pain and advised that the best option was to discharge me so that I could go to the pharmacy to pick up muscle relaxers. Long story short, my uncontrolled pain lasted for four horrific days. At one point I was alternating oxycodone with tramadol every 2 hours and it still wasn't taking the edge off. During the course of recovering from my right side surgery my left started deteriorating. I was referred to Dr. Li for his opinion on what to do. We decided based on my experiences that a total hip replacement on the left side using a Posterior approach was the best option. Considering the negative experience I had with my right side we also decided to tentatively schedule for it's replacement as well. May 13, 2019 I was admitted to the hospital for a left total hip replacement. Compared to my other surgeries, this one was a breeze. Pain was well controlled and I was up walking and in PT the same day. I was discharged the next day with the standard hip precautions of 90 degree bend, crossing legs etc. It's now June 9th and I'm able to walk short distances.without a walking aids. Yay! Follow-up surgery for my right side is scheduled for 7/15. Here are my questions: 1) my only complaint is muscle tightness around the incision site. What's the best way to work through this and get it to ease up? I'm currently doing quad sets and glute sets at home and this helps for a short period of time but wears off. Is there something better? 2) I had an issue with CVS Caremark where they refused to cover my third week of pain medication due to exceeding maximum # of tablets allowed in a month. I had to pay for it 100% out of pocket. I was prescribed 2, 5mg tablets of Oxycodone every 4 hours - 84 tablets per week. What are alternatives I can ask my doc about when I have my next hip replacement done? 3) needless to say this last year of continual pain coupled with the stress and worry of this year is taking a toll on me mentally. My doc sent me for some testing and I scored off of the chart for anxiety, depression and ADD. I had a referral sent for psych but I haven't been able to get in. What strategies have you used to help you get through this rough stretch?