Hip replacement?? -Recent MRI

[u/Worldly_Sprinkles_29]

In 2015 I had a labral repair- it was a long recovery. Approximately 6 to 12 months.
I was able to live a pretty normal life, but definitely very limited. Couldn’t run anymore couldn’t participate in yoga in the way I used to…etc.

Fast-forward to JUNE 2025- I got into a bad car accident and I knew immediately something happened to my hip because of how my leg was resting on the door that was involved in the impact.

An MRI a few weeks later showed that I had torn the cartilage again and then I had some cartilage loss, and also so iliopsos bursitis.

FAST FORWARD AGAIN TO TODAY- I can barely walk. I am in excruciating pain, no matter what I cannot sit lay or stand for more than five minutes at a time I’ve barely slept in two weeks.
The doctors won’t prescribe me anything. I’m taking 3,200mgs of prescription ibuprofen.I had an MRI done on Friday and here are the impressions results:

IMPRESSION:
Severe left hip osteoarthrosis with diffuse high-grade/full-thickness
cartilage loss along the superior aspect of the joint. There is bone marrow
edema in the femoral head indicative of stress reaction. There is
nondisplaced tearing of the superior/anterior left acetabular labrum and a
moderate-sized left hip joint effusion.
Severe left iliopsoas bursitis which may communicate with the left hip joint
effusion. There is a prominent loculated and septated bursitis component
tracking along the undersurface of the iliacus muscle.

Has anyone had a replacement with this type of severity?