You can perform the Carnett test yourself. Lie on your back on a hard surface. Head to toe on the ground. Now, lift just you legs up in the air. If you feel worse pain it is ACNES (you can google this on youtube). Then you need to find a pain management clinic that has some familiarity with ACNES. They should inject lanacaine into the sore area (trigger point). That will confirm enough to go to a surgeon like Dr Gillespie to review your case so hopefully to perform the procedure.