I'm in my early 30's and recently developed bilateral hip pain that isn't going away. The only think I can think of as a cause is past prednisone use. Orthopedist did an xray which didn't show signs of AVN but mentioned that in the early stages it doesn't always show up on an xray. I have a prescription for an MRI but I have major concerns with doing one because of another rare medical condition I have - hyperacusis. Loud noises are physically painful for me and can have lasting effects (lingering pain and increase in tinnitus). Even with earplugs I have concerns of it being too loud for me. After a hearing injury I had years ago my ears simply don't tolerate noise levels that are okay for most people. My question is: Is it worth trying to diagnose AVN early before it can be seen on an xray? For me it's not a zero risk exam. Are there any other exams I could do instead of the MRI that would either detect or rule out recent onset avascular necrosis?