For the last 2.5 years, I'm suffering from pain in the hip/groin/pelvis area. I'm 36, male. It all started on a flight in December 2022: There wasn't enough space for my knees (I'm 190cm = 6'3"), so I had to sit in a twisted way. That was the beginning of my "hip pain" journey. I never had any hip related issues before.

It's shocking how easily chronic pain can be triggered. It's even more shocking that there's no fix.  
I got pretty much every diagnosis you could image. Each of those have been ruled out by other experts, and I went through a large number of unsuccessful treatment attempts.

One of the orthopedic surgeons I consulted told me: "it's for sure a cam impingement - do surgery".  
I went to a hip preservationist (a national expert w.r.t. hip impingement surgery), who told me my symptoms are not typical for a hip impingement, and who is very confident that my minor femoral bone protrusion does not cause issues and therefore doesn't require surgery.

Another orthopedic surgeon told me that "it's for sure a labral tear, and it can only be fixed with surgery".  
Other orthopedic surgeons told me that the symptoms are very atypical for a labral tear, and a recent MRI shows that there is no labral tear/lesion at all.

I have seen 5 orthopedic surgeons, 5 physical therapists, and 1 neurologist. I had 2 direct MR arthrograms (1 incl. CT), 1 regular MRI of the hip/pelvis area, 1 MRI of the lumbar spine, a couple of x-rays, but no clear diagnosis, nothing that helps.

**My symptoms:** hip flexion above 90 degrees triggers pain in the groin/pelvis/lateral hip area, e.g. when putting on shoes or even even worse when doing lunges. Sitting triggers the pain as well, especially prolonged sitting.  
I can stand and walk without any issue. I can lie on the injured side without triggering pain (i.e., it's not pressure sensitive), but when I lie on the healthy side, I feel some "pulling" pain on the upper (injured) side.  
Kinesiology tape across the painful spot temporarily helps to some degree.

My diagnostic journey:

* **Diagnosis: hip impingement** \- Manual tests not positive, expert considers the minor bone protrusion irrelevant.
* **Diagnosis: labral tear** \- After an unclear MR arthrogram, another one (3T, higher resolution) clearly shows that there is no labral tear. Injecting pain killer into the joint makes no difference.
* **Diagnosis: bursitis / tendinopathy/ tendinosis** \- Tried a bunch of things that did not help: Physical therapy, steroid + pain killer injection, NSAIDs, shockwave therapy.
* **Diagnosis: meralgia paraesthetica** \- Ruled out by neurologist based on tests and measurements.
* **Diagnosis: piriformis syndrome** \- Attempted physical therapy, which resulted in no improvement at all.
* **Diagnosis: disc prolapse causing sciatica** \- Ruled out by lumbar spine MRI.

My latest MR arthrogram has confirmed no structural damage of the hip joint at all (no labral tear, no wear, etc.).  
There are signs of a potential tendinosis, but the radiologist couldn't tell for sure. Plus, I had so many unsuccessful tendinosis treatment attempts in the past...

I understand that you guys cannot give me a diagnosis.  
However, some of you might have had a similar experience? I would be super grateful for any advice. Is there anything else to try out? Any other expert to see?

Hip Impingement? Labral Tear? Bursitis? Tendinosis? Meralgia Paraesthetica? Piriformis Syndrome?