Hi and thanks for the query,
It might be very important to get the opinion of the orthopedic surgeon. Predisposing to this condition have to be carefully checked for. The pain could depict an active inflammatory process. Measurement of markers of acute inflammation like the erythrocyte sedimentation rate
and C reactive protein
could be useful. If high, this could be a justification for steroid
use of non steroidal anti inflammatory drugs, either locally or through the mouth or by injections.
A complete specialist clinical review could be very useful to identify the exact cause and give rapid treatment. However, anti inflammatory drugs at appropriate doses and well directed could aid as initial treatment. Measurement of blood Calcium levels is always important in bone disease
Thanks and hope this helps , kind regards,
Bain LE, MD.