I can understand your concern to avoid unnecessary surgery and yet find the best treatment for your husband. Gout is a painful form of arthritis caused by having higher than normal levels of uric acid in your body.The uric acid builds up in the fluid around the joints and uric crystals form. The crystals cause inflammation. The exact cause of gout is unknown, however, individuals with kidney disease, diabetes, leukemia and obesity are at increased risk.
I would suggest that your husband make an appointment with a rheumatologist. With a thorough examination and appropriate diagnostic testing, the rheumatologist can determine the cause of pain in your husband's hip and back and rule out degenerative bone disease versus gout. I hope this information has been helpful. Please keep us posted and contact us again if we can be of further assistance.