Sorry you're having so much pain. I hope it gets better before your Hawaii trip. Drs don't want to treat pain anymore. The piddly 3 pain meds I take daily isn't enough. But they don't want to hear that. They really don't seem interested in your pain. I just don't get it. I'm not some drug addict looking for pain meds, I'm 69 years old and my pain is excruciating at times and it's VERY real. I don't want to spend the rest of my life in pain. Hip is STILL swollen after 14 months. I'll send a prayer your way. You can't miss Hawaii. You have to go, no matter what. Don't miss your chance. Will your Dr give u a shot with different medicine?