Injections for Hip Osteoarthritis: What to Expect
Hip osteoarthritis is a joint condition that occurs when cartilage in the hip joint deteriorates, causing stiffness and limited movement. Symptoms typically include pain in the groin, thigh, or buttocks, stiffness after rest, and difficulty walking or bending. Contributing factors include ageing, previous joint injuries, genetics, obesity, and high-stress activities.
Treatment options may include weight management, physical therapy, medications, or injections for pain relief. This guide focuses on what to expect from injections for hip osteoarthritis, including the types of injections available and the procedure.
Why Hip Injections?
Hip injections can help to alleviate symptoms from hip osteoarthritis. In cases where physical therapy and oral medications have failed, hip injections help provide pain relief and better quality of life in suitable patients.
Injections are also useful to aid diagnosis. Patients can have pain that radiates from the lower back to the buttock and hip. These injections can help to differentiate where the pain is arising from.
Signs You May Benefit from Hip Injections
Persistent Pain Despite Medications: If over-the-counter or prescribed medications fail to provide sufficient relief, injections can be considered.
Stiffness After Inactivity: Difficulty moving after periods of inactivity, such as sitting or lying down, may indicate the need for injections to improve joint mobility.
Pain Interfering with Sleep: If hip pain disrupts sleep or occurs while resting, injections may help alleviate discomfort.
Difficulty with Movement: If walking, bending, or climbing stairs becomes challenging despite other treatments, injections can help restore function.
Types of Injections for Hip Osteoarthritis
Several types of injections can help manage the symptoms of hip osteoarthritis, with each providing specific benefits:
Corticosteroid Injections
These injections reduce inflammation and alleviate pain during flare-ups, typically providing relief for several weeks to a few months. However, overuse of corticosteroids can weaken cartilage and bones, increasing the risk of joint damage over time.
Hyaluronic Acid Injections
Also known as viscosupplements, these injections lubricate the hip joint, promoting smoother movement and reducing pain. They are generally most effective in the early to moderate stages of osteoarthritis.
What to Expect During the Injection Process
Hip injections are typically performed on an outpatient basis. Here’s what to expect during the process:
Preparation
Your doctor will review your medical history to determine if injections are suitable for you. The injection site will be cleaned with an antiseptic, and a local anaesthetic will be applied to numb the area.
Imaging Guidance
Ultrasound may be used to guide the needle into the hip joint. This ensures the medication is placed accurately in the joint space, improving effectiveness and reducing risks.
The Injection Procedure
The procedure usually takes a few minutes. The doctor carefully inserts the needle into the hip joint using imaging guidance and administers the medication. You may feel slight pressure or discomfort, but the procedure is generally well tolerated.
Post-Injection Monitoring
After the injection, you will be observed for 15 to 30 minutes to check for any immediate adverse reactions.
Recovery After Hip Injections
Most patients can resume light activities within 24 to 48 hours. Mild soreness or swelling at the injection site may occur but usually resolves quickly. Applying an ice pack can alleviate discomfort. It is advisable to avoid strenuous activities such as heavy lifting or high-impact exercises for a few days and adhere to the specific activity guidelines provided.
Potential Risks and Side Effects
While hip injections are generally safe, some potential side effects include temporary pain, swelling, or bruising at the injection site. Rare but serious risks include infection, allergic reactions, or damage to nearby nerves or blood vessels. Repeated corticosteroid injections may carry a risk of cartilage damage or bone thinning over time.
Conclusion
Hip injections provide a non-surgical solution for managing pain and improving mobility in individuals with hip osteoarthritis. With options such as corticosteroids and hyaluronic acid, patients can work with their healthcare provider to select the most appropriate treatment based on their symptoms and needs. Consult a specialist to determine the best injection type for your condition and take proactive steps toward maintaining your joint health.
If you are dealing with hip osteoarthritis and would like to explore injection therapy, book a consultation with Dr Kau today to discuss the most suitable options for your needs.
