Hip joint injection: Can these injections be done under ultrasound-guidance?

  • Wednesday 22 April 2020

Why would someone want an injection into the hip joint?
Injections into the hip joint are usually performed to relieve pain from joint disease such as osteoarthritis. The most common substance injected is cortisone but other substances such as hyaluronic acid or platelet-rich plasma (PRP) are also injected.

Recent evidence suggests that a cortisone injection into the hip joint provides short term relief of symptoms. However, there is not enough evidence to suggest that hyaluronic acid or PRP is useful for hip osteoarthritis.

Apart from pain, another reason to inject cortisone into the hip joint is to give the practitioner more information about the likely source of hip pain. On occasion, it might be difficult to decide whether the joint is the cause of a patient's pain. An injection into the joint under ultrasound-guidance can provide greater diagnostic certainty - if the injection relieves the hip pain, then the source of the pain is probably joint-related and not soft-tissue related.

Can a hip joint injection be done under ultrasound-guidance?
Evidence suggests that injection using ultrasound is as accurate as X-ray or fluoroscopic guidance. In addition, studies have revealed reduced cost and significant patient preference of ultrasound-guided compared to fluoroscopic-guided injections.

Hip joint injections should be done by a practitioner who is experienced in performing these injections.

Dr Masci is offering a one-stop shop for all ultrasound-guided injections at ISEH or Welbeck. All injections include an initial consultation, an ultrasound scan and an ultrasound-guided injection all in one visit.

He has vast experience in performing injections for osteoarthritis, tendon problems, shoulder, elbow, hand and wrist, hip, knee and ankle and foot pain. He performs steroid injections for conditions such as osteoarthritis, frozen shoulder, heel spurs, shoulder pain, carpal tunnel, trigger finger and thumb osteoarthritis.

He also offers hyaluronic acid and platelet-rich plasma for osteoarthritis of shoulder, hip, knee, ankle and wrist and hand.

He has helped produce and direct an on-line education programme to teach other doctors and professionals on how to perform ultrasound-guided injections at the highest level.

He has written papers on ultrasound-guided injections including this narrative review on injections in tendon disease such as Achilles, tennis elbow and shoulder pain. https://doi.org/10.1007/s40134-018-0296-2

Private insurance will usually cover cortisone and hyaluronic acid injections for joints.

For self-paying patients:
Fee for ultrasound-guided cortisone injections of any joint or tendon is approximately £350 and includes consultation, ultrasound and ultrasound-guided injection.
Fee for ultrasound-guided hyaluronic acid from £395.
Fee for ultrasound-guided PRP injection from £495

Tags: ultrasoundinjectionspatientinjuryhip