Hip Joint Injections
Steroid and Local Anesthetic
Injections to the Hip Joint
The hip joint is a ball-and socket type of joint formed by the pelvis (acetabulum) and the thighs (femur). Medical conditions such as osteoarthritis, bursitis, and trauma can cause this joint to be painful. The hip joint can radiate pain to other regions including the groin, thigh, and buttocks. Injection of the hip joint is done under fluoroscopy guidance. We usually take a lateral or anterior approach to the hip joint.
Following sterile preparation of the area to be injected, a spinal needle is guided under fluoroscopy (x-ray) into the hip joint. When the hip joint is entered, an x-ray dye is used to confirm placement of the needle and direction of flow. Cortisone (steroid) and local anesthetic (Xylocaine and or Marcaine) is then injected and the needle is removed.
Patients may notice a slight increase in pain lasting for several days as the local anesthetic wears off and the cortisone starts its effect. If the area is uncomfortable in the first two to three days after injection, apply cold packs to the area.
Although there is no limit to the amount of times that the hip joint can be injected with cortisone, the typical recommendation is no more than three times per year. There are several choices of steroid that can be used depending on physician preference. These include Kenalog, Depo-Medrol, and Celestone.
Complications include infection, local bleeding, allergic reaction to the medication, post injection flare up, and possible depigmentation of the skin. If you are taking Coumadin, Warfarin, Heparin, Plavix, or other blood thinning agent; please notify your physician so these medications can be discontinued for 7-10 days prior to your procedure
PRP (Platelet Rich Plasma) Injections
PRP injections into the hip joint may facilitate the healing process following a hip injury. Platelet Rich Plasma is obtained from the patient’s own blood, placed in a Harvest Centrifuge, and separated into platelets, plasma, and blood cells. A small portion of the plasma is mixed with the platelets and this combination is injected into the hip joint under fluoroscopic guidance. Most of the usage of PRP has been with sports injuries. The product accelerates the rate of soft tissue and bone healing following injury. Many athletes use PRP to speed recovery following injury to the hip area.