Hi Welcome to HCM This pain is neurological which are the worst pains ever experienced. such type of pain mostly responds to normal anti inflammatory drugs but mostly have no effect to it. The problem persists until the pressure on the nerves fibers is released. The management option for such problem involves anti inflammatory drugs along with muscle relaxant and vitamin B complex as they help in maintaining damaged neurons. If pain is severe drugs like neurotransmitter blocker can also be used. sometime steroid injection is also very helpful. The physiotherapy is very much effective in relieving the pressure on the nerve fibers. If all treatment option fails and there is development of neurological deficits like numbness and loss of sensation and tone and power activity then surgery is the absolute indication. It is recommended to visit a good neurologist for better management option Thanks Regards