Hello, I am new to the forum. I'm 62, have always been very athletic, and an avid tandem cyclist and walker. I have bilateral mild-moderate OA, some labral tears, and osteophytes. The left hip started doing the typical groin pain off and on when cycling but was tolerable. Over the past several months I've been dealing with butt pain that frequently is so bad I can hardly walk for a solid day, usually the next day after having walked several miles for exercise or strangely, after taking a bath with my weight on my sacrum. Over the last 3 years, I have fallen on the lower end of my sacrum (but not the coccyx thankfully) due to missing a chair (eyeroll), and in the last year I fractured my left ankle, took a fall onto my hips and a few weeks later, crashed landed onto my knees, which drove some force into my left hip. I have sub-titled 2021-2022 as the year of orthopedic injuries! All of this has complicated trying to sort out what's going on with my hip. I have no doubt I will need a THR at some point, but right now I'm trying to figure out if the hip joint is the primary pain generator, or if it could be piriformis syndrome, or if it could be coming from my low back. I did have one diagnostic shot to the hip before July last year and it did get rid of most of the butt pain but not all of it. My surgeon is thinking the hip may be the cause of it but I'm still not completely convinced. Sometimes I get the butt pain in the right hip now, since I crash landed on the floor onto my hips. I have never had the pain there before that. That makes me suspicious of the low back. Has anyone here gone down a similar road of trying to diagnose where pre-op butt pain is coming from? I am going to go get another diagnostic shot in a couple weeks and if the pain still exists, I am going to go see a physiatrist. I've been doing piriformis stretches and sometimes it helps but if I do too much of it it aggravates it. I'm also trying to do some low back exercises to see if that helps. Maybe I'm just prolonging the inevitable, but I'm terrified of having a THR and still having this butt pain after I've recovered.