buttock and hip pain

[hotdogwater]

I'm a 34 year old male that suddenly was stricken with buttock and excruciating hip pain. I've had X-rays of my hip and lower spine, mri of lower lumbar and CT of pelvis with contrast. Of course everything has come back showing nothing. The mri showed no bulging discs or anything like that. I'm get in so much pain now in the hips and buttocks I take hydrocodone twice a day. I'm currently in my 4th week of PT and all the stretches and exercises don't decrease the pain.
I really think my muscles are just weakening in my hips and lower back now. I don't have pain that goes down my leg . It's on both hips, started on the right hip.
Anyone have a clue of what it might be? Hoping to get a hip MRI.

Lifestyle:
mostly sit at a desk 8 hours a day and drive 2 hours a day.

[hotdogwater]

I guess I should mention it doesn't hurt to touch the affected areas

[Dr. Kokil Mathur]

Hi
Welcome to the MedHelp forum!
Well, sciatica was a strong possibility but you have a clear MRI. A wrong posture on a job that involves sitting for a long time too can precipitate this.
History of taking injections in the buttocks in the recent past should be looked into. A number of times old injection sites start troubling if undue pressure is put on them as in prolonged sitting. This will respond to hot water bags below the buttocks at night or kept for sometime while sitting too.
Another possibility is ischiogluteal bursitis. This is inflammation of the bursa that lies between the ischial tuberosity of the pelvic bone and the tendon of hamstring muscle. The bursa may show inflammation without any cause or in association with hamstring tendinitis or inflammation of tendon of hamstring. The pain increases on stretching.
Myofascial pain or trigger points in the Gluteus medius muscle and Piriformis muscles of the buttock can cause pain in the buttock area which may radiate to thighs. Stretching the muscle increases the pain.
Hip joint pain can also be due to old fractures, avascular necrosis of head of thigh bone (poor blood supply), muscle strain, inflammation of tendon and arthritis.
Since I cannot examine you and know other related conditions you may be having, nor is a detailed history possible on net, I have listed the various possibilities that should be looked into. Please consult your PCP for primary examination followed by proper referral to an orthopedic specialist. Take care!