An intra-articular hip injection is a procedure used to treat hip and groin pain. Usually this pain comes from inflammation (swelling) that happens from daily “wear and tear.” In some patients, the pain is from an injury or a birth defect.
During the procedure, a mixture of a local anesthetic and a steroid is injected into the hip. The local anesthetic will numb the area, and the steroid may help lower the swelling. This should reduce your pain and improve the motion in your hip.
Preparing for the procedureOnce your procedure is scheduled, we will give you instructions on how to prepare. It is very important for your safety to tell us if you:• Take a blood thinner (for example, warfarin/Coumadin, Lovenox or Plavix);• Take anything that contains aspirin or an anti-inflammatory drug, such as ibuprofen (for example, Advil or Motrin) or naproxen (for example, Aleve);• Have a condition that prevents your blood from clotting normally; or• Have any allergies to latex, local anesthetics or contrast (X-ray dye).
Please plan to have someone drive you home after your procedure. If you do not, your procedure may need to be rescheduled.
What to expectThe procedure takes about 15–20 minutes. You will be awake during the procedure and ask questions at any time. Before you leave, we will give you instructions on how to care foryourself at home.
After the procedure• You will want to be as active as possible and do the activities that usually cause pain in your hip and/or groin after the procedure. This will help your doctor know whether yourpain is caused by your hip.• Keep track of your pain for 4 hours after your procedure. Your doctor will give you a diary to write down your pain levels and activities.• You may feel sore for a few days after the procedure. Use an ice pack at least 3–4 times a day to feel more comfortable.• The local anesthetic will wear off in about 4 hours. At that time, your usual level of pain may return until the steroid starts working. This can take up to 2 weeks. Keep taking pain medication, as prescribed, if you need it.• Pain relief from a hip injection usually will last for several months, but this may vary from patient to patient. You may have 3–4 steroid injections a year. If you get no relief from the injection, we will continue to work with you to find the source of your pain and explore other treatment options.
Disclosure On The Impact Of Health Care Reform On Your Care
I hereby ACKNOWLEDGE that my doctor will make every attempt to deliver the best care possible in the context of the dynamically changing health care environment. where there is an increasing amount of regulation and rules as to appropriateness and medical necessity of procedures and surgeries. In fact, your doctor is subject to such Medical Necessity and Appropriateness of Procedure Rules imposed by insurance companies, hospitals and surgery centers, where providers at the Center For Advanced Spine Care are currently performing procedures and surgeries at. As a result, the treatment recommendation that your doctor/surgeon may make could be affected by these rules and may not be necessarily the most appropriate or preferred treatment in his or her clinical judgement. In addition, procedures and surgeries may not be authorized and your doctor may simply not be able to perform certain procedures on you. With the transition of our local health care system from a Clinical Guidelines based system to a Rules based system, your doctor may not be able to provide the preferred recommended care given those newly imposed constraints.