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HIP JOINT INJECTION 

 

 

OVERVIEW 

The hip is a complex joint consisting of bones, joint in between, ligaments that hold the structure together and multiple muscles around the joint which allow the joint to move within the available range of motion. There are different areas within this complex structure that could be painful. The hip joint can be painful due to arthritis or labral tear or fracture (often due to falls). Groin pain on weight-bating is often the main complaint. Nonsurgical treatment for hip or bursa pain includes physical therapy, the use of anti-inflammatory medications, and at times localized injections of steroids, PRP, or stem cells.

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A number of things can be injected into the joint for arthritis or labral tear including Steroids (cortisone),  PRP  (platelet-rich plasma),  and bone marrow aspirate containing stem cells. ​

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Risks Associated with the Procedure

It is important to know the risks associated with any medical or surgical treatment. The potential risks of injection treatments include:

 

  • Allergic reaction to steroid /contrast  (not applicable to PRP or bonemarrow aspirate)

  • Infection

  • Bleeding

  • Nerve Injury

  • Temporary increase in pain

  • Osteoporotic bone fracture  (steroid only)

  • Avascular necrosis  (steroid only)

  • High blood sugar levels (steroid only)

  • Transient vaginal spotting

  • Transient facial flushing (if steroid used)

  • A transient decrease in immunity

  • Stomach ulcers

  • Severe arthritis of the hips

  • Cataracts  (steroid only)

  • Agitation and irritability  (steroid only)

  • Negative effect on bone density (steroid only)

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Prepare for your Procedure

  • Certain medications may have to be held before elective procedures. We will instruct you on that. 

  • We will cancel the injection if you have an active infection or had a covid injection in the past 14 days ​​:

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Right after the Procedure

  • You will be observed for 15  minutes.

  • A nurse will check your vitals and review the discharge instructions.Please do not discard your discharge instructions.

  • You will leave with a pain log and a copy of the discharge instruction which contains Emergency contact 

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Discharge Instructions

  • Take the band-aid off the day after injection.

  • Ice the injection area if you have soreness. You may take Tylenol/Motrin 

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Page us if you develop these symptoms within 48 hrs of injection

  • Sudden weakness or shortness of breath

  • Fever over 101°F within 5 days after the procedure

  • Persistent redness, increased localized pain, or discharge from the site of injection.

  • Possible allergic reaction within 5 days of the procedure

  • Significantly increased pain not responding to ice, Tylenol, or Motrin, particularly if combined with  associated with fever

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