How can severe hip pain be effectively treated?

Hello doctor,

From the start of this month, I have been suffering hip pain and some tightness around the lumbar region. I had a steriod injection and thereafter the pain reduced to 80 %. I was on Aceclofenac 100 mg two times a day after 15 days. I had an MRI and the report is attached. I have a major complaint of hip pain. There is no thigh or back pain and no tingling, no numbness. I am able to walk after taking painkillers and I am able to do physiotherapy. Kindly guide as I am still with pain and on painkillers. I am attaching MRI images and report. Also, see remarks about L3. Is it serious? What do I need to do? My current medications include a steroid injection 1000 mg Methylprednisolone, Aceclofenac 100 mg twice a day, Pantoprazole twice a day, and Etodolac 400 mg twice a day.

Hello doctor,

The answers to your questions are as below:

1. Yes, I can sit in a cross-legged position with no pain or pain noticeable. Sitting to getting up and standing to sit gives pain to hip to leg with bearable pain.
2. On the right side, there is a hip pain; on the back side only there is mild pain, no thigh pain, and I have mild pain in calves. The MRI shows L5-S1 disk herniation as per report which terrifies me.
3. The pain started a month ago. It triggered up while car washing which I ignored and two days later, the right hip pain locked me to walk but there was no back pain on that day until date. There is only hip pain and some lower hip and calf pain. The doctor gave me steroids, Methylprednisolone IV and I had relief 70 % around with bearable pain. I am able to walk, drive, sit, stand up with the bearable pain of course with painkillers.
4. I have radiculitis on the right side and on the left side I have meralgia paresthetica which has been treated with pregabalin, B12 and suitable clothing which is now only 10 % noticeable on the left side knee thigh area but nothing on the right side. I had right toe pain with mild numbness before one month. But, right now nothing in the right leg. There is no numbness, tingling, or shock pain.
5. Hip pain severity has slightly decreased and roughly 70 % bearable with painkillers.
6. Pain is more when getting up and sitting down from bed or chair. No significant pain while sleeping but while sitting more than 20 minutes, when trying to get up I need to slowly get up and warm up to get up to avoid more pain. Once I get up, I am able to walk with pain.
7. Sitting down and getting up from the chair and walking more than normal give more pain. I had started one physiotherapy exercise for a week. After one week, it started to hurt.
8. I rarely eat eggs and chicken.
9. I had LFT and TMT and both are normal before this pain.
10. I have not taken any steroids.
11. I drink alcohol rarely. Currently nothing.
12. I had depression two years ago. I was on Escitalopram, SSRI 10 mg, Amitriptyline HCL 10 mg for a tension headache which has been cured completely. These were prescribed by a neurologist.