Re: ischium pain
Did you try Prolotherapy? I met people who had wonderful permanent results after the this therapy. I know Ischial Tuberosity Pain is not a walk in a park, but if it can be helped with this wonderful Prolotherapy, I would try without a doubt before I would sign for another opiod. This is just my opinion. If I wouldn't meet people who benefited from it, I wouldn't be able to suggest anything to you.
I had so much pain and damages after car accident in 2003, spinal surgery suggested, but for 3 years I worked, being in pain 24/7 and tried everything under the sky before I scheduled my first surgery. And even than I wouldn't take opioids, tried everything else and only when I realized that nothing, i mean nothing is working, than only I went on them.
This just my opinion but I care for people, I know how hard life is for someone who lives on pain medication: physically, mentally, emotionally. This is why I always tell people, please try everything else, let it be your last straw...
To your Question: Dilaudid is a good drug for some people, but be careful. My good friend developed such terrible reaction to it. I didn't have any reaction but couldn't stand the nausea. I hope it will work for you.
I hope you will feel better.