<s>[INST] I have low back pain, hip pain, and groin pain. The back pain started several years ago, but the hip and groin pain started about a month ago. I did get an X-ray, and one doctor recommended a MRI. His associate said a hip replacement isn t necessary, and recommend3d a Cortizone shot. I don t have a diagnosis. Any thoughts? Thanks, [/INST] Hello and welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. My thoughts on this subject are clear. Before starting any definitive treatment I would like to have a confirmed diagnosis. I suggest you get a MRI and let us also know the report. Till that time take mild painkillers only. Hope I have answered your query. Let me know if I can assist you further. </s>