What is an outcome for a bone-on-bone hip joint that gives no pain?

@grammato3 Well, it applies to me and my right hip. I don't want to risk deterioration of my hip joint (and I am not versed in what that might include) if I can get medical intervention right away. I cannot trust the surgeons because they undoubtedly need to pass a series of questions testing the viability of any surgery. So, for this right hip issue with no apparent pain, they must refuse the surgery.
I did receive a Dexa bone density test a few days ago and my scores are higher than 2 years ago. However, my inner mind keeps asking why I suffered a triple fracture of my pelvis in April 2023 after falling from just the very lowest rung level of a ladder. I must have some areas of my bone structure that are porous and at risk.

@laughlin1947: I'm not quite folllowing and I'm not familiar with your history or what has led to your mistrust of your doctors, but it appears you've had a difficult journey that would require a more indept conversation with medical personnel who can provide direct care to you in answering your specific concerns. I hope you're able to find answers and relief. It must be difficult to manage the uncertainty.

Susan,
I've been to 3 endocrinologists who I wanted to treat me for low free testosterone. I had to push them really hard to allow me to self-inject testosterone propionate weekly. Because it is not common, they wanted to ignore my requests, acting that I should just go away. I also approached them about estrogen blockers since that is a common side effect of testosterone supplementation, yet they wanted no part of being responsible for that treatment. For a separate condition, I saw four urologists for ED treatment, and each wanted to go directly to a penile implant, no other treatment option. I have had my best success with 3 spine pain management physicians, but at first they each offered nothing more than steroid or epidural injections (knee, back, hip), nothing more long lasting. I pushed them to administer high viscosity HLA for knee bone-on-bone treatment and radio frequency ablation for lower back pain. They finally agreed to those treatments. However, the top surgeon/aka department head of the largest local orthopedic institute refused to treat my knee and hip issues, because my pain was not severe enough. So, I've certainly had in-depth discussions with each medical professional, and each has been geared towards offering surgical options as opposed to non-invasive pain treatment, Anyway, I'm slowly getting the direct care that I need at this point, but it's been a long battle with each doctor. I'll just keep self-advocating for myself with treatments, but the doctor sure are not volunteering the options I expect them to, It's just like the carpenter who carries a hammer and is only looking for a nail. The doctors are primarily looking for candidates for surgery, not pain treatment.

I had my first hip replaced in 2012. It was amazingly successful such that I handed the surgeon a check to do the right hip in 2014. He said Miss Escalera I don’t think your hip is ready for surgery. I still see some cushion in there. I sat in extreme positions in the street doing artwork as I’m a chalk artist and I knew what was coming down the pipeline and it was a perfect time for me to have surgery between my chalk seasons. He performed the surgery against his better judgment, but I was absolutely correct. So my suggestion is that you were going to have to fudge the truth if that’s what they are saying. The research suggests that people benefit by having their second hip done within a year or two of their first, so I suggest you look up the research and also bring the research to your doctor. . Get a second opinion or even a third or fourth if you need to. I have done that in different doctors. Give different opinions. Just tell them it hurts if you are sure you are the one that counts. My second hip surgery was absolutely the right way to go. I was done with my hips back to work, but then I had to deal with my Spine. Sometimes doctors have to deal with insurance companies so sometimes they have to write the need for surgery in a particular way. Pain might be part of the way so use the pain that you have about your nighttime sleep and skip the details of when it’s not painful. It doesn’t help your case.