Steve, Please allow me to emphasize something that I like to remind people of; biophysical agents are used to complement other skilled interventions as part of the comprehensive plan of care. There are just too many other unknowns about this patient to simply recommend use of one BPA or another. "What is the cause of the pain and what tissue/structures are involved" resonates in my mind when considering use of BPAs. A biomechanical exam and bone scan come to mind for this patient. Perhaps findings from those may shed better light on the underlying cause of this patient's symptoms.