Hip Pain

I am currently on my neurology placement and am currently treating a man diagnosed with Fredrick's Ataxia 15 years ago and has been attending physiotherapy for 10 years. He is currently experiencing hip pain which has been narrowed down to his hip flexors. This pain is perpetuated by the fact that he has a flexor withdrawal reflex so when there is sensory input in the soles of his feet, he goes into hip and knee flexion involuntarily. Last treatment session, he was going to be admitted into hospital to help manage his pain but he refused admission because he did not want to be in a hospital. He lives independently and refuses help because he does not want strangers in his house and his family lives far away.

Intervention so far has consisted of stretches and trigger point release. Focus has been on reducing his hip pain so he is at risk of his progress going backwards or plateauing. Although I know that independence is very important for him, his hip pain is inhibiting him in all ADL's. I have considered doing US for him but because the flexion is involuntarily and occurs numerous times a day I do not know how effective it will be. I feel helpless in this situation because when I am treating him, I am causing him pain and not helping him at all. Our supervisor is running out of ideas to help him because he has refused hospital admission and most pain drugs cause him to be drowsy and he does not take them. If anyone has any different interventions or approaches to this situation let me know.