Why am I in so much pain? I had an injection in my piriformis muscle on the right side on Friday. I feel worse. The pain is more acute. I’ve had one previously in the hip joint. The pain relief was very temporary. The right side groin pain and radiating pain around my right hip into my buttocks is terrible. I started taking Tramadol every 6 hours yesterday. The anxiety I’m having from the pain being worse is terrible. In May I had an MRI of my right hip due to increasing but still manageable right hip pain. The results show no fracture of the bony pelvis Degenerative change of pubic symphysis No hip fracture or a vascular necrosis Joint effusion Illio-psoas is intact No bursitis Gluteal tendinopathy No bursitis Fat planes around the sciatic nerve are normal Hamstrings are intact 7mm degenerative subchondral cyst in the posterior medial femoral head Degeneration and tear of anterior superior labrum and posterior superior labrum Normal contour at the femoral head-neck junction I have been told I shouldn’t be in this much pain with these results. An MRI of my lumbar spine did not show too much. I am very upset being in this much constant pain. I’m contemplating a right THR but want to know if this is what I need to do to resolve this pain. Does anyone have any thoughts on my predicament?