Conversation: The conversation between human and AI assistant.
[|Human|] I have pain on my left side by hip/pelvis laterally. Have trochanteric bursitis on that side and just had 2 cortisone injections the which did not help this new pain. Been living with the bursitis for more than 20 years and injections usually help. Orthopedic doc said bones (had recent x-rays) look fine, this is a soft tissue issue. Also, have pain in right groin which he said is tendonitis & had injections there prior to this new pain. Fell & landed on both knees the end of March which didn t interfere much with walking or ADL s. Pain is so bad on both sides that walking is very difficult. Don t know if I should see another orthopedic doc(mine may be retiring soon since he s close to 80) or someone suggested a Rheumatologist. Can you guide me?
[|AI|]  Hi, Cannot say in your particular case, but generally, the location and movement of a pain gives clues as to what is going on. So, if the pain is shooting, electrical or with a temperature component and going out in the pattern of a nerve it is a nerve pinch. This is common with the bones of the lower back. The lowest of which shoots from the back around to the groin and is worse with moving/stretching/extending the back. Or, it can be sore muscle and that's pretty easy because the muscles can be poked and that gives pain. OR it is the joint. Changes in the cartilage occur and are not visible on X-rays but are on MRIs. Hope I have answered your query. Let me know if I can assist you further.