Hip Joint Injections

Information for patients

The hip joint is a large weightbearing joint which develops wear and tear over time. Sometimes, it becomes irritable and inflamed. Some people benefit from a hip joint injection to reduce this inflammation and pain.

By injecting an anaesthetic and steroid solution into and the inflamed, painful joint, it is often possible to reduce the pain for several months.
Even if the pain relief only lasts for a short time, it can show us that the pain is coming specifically from that hip.

What will happen to me before the procedure?

When you arrive for your hip joint injections you will be shown into to a changing room and change into a theatre
gown. Your blood pressure will be taken by a nurse, in day surgery.

What will happen to me during my procedure?

A nurse will take you from the day surgery unit into the theatre where the procedure will be done.

Once in theatre, the procedure will be explained to you and you will be given the opportunity to ask any questions.

You will then be asked to sign a consent form.

You will be asked to lie on your back or on your side.

An x-ray machine is used to help locate the hip joint correctly.

The doctor/practitioner will feel for the correct entry point and sometimes mark it.

Following this they will inject the skin with a local anaesthetic before inserting the needle into the hip joint.

Once the correct placement has been found, a small amount of dye is injected into the hip joint. This is so we can be sure it is inside the joint - as it shows up on the xray. Steroid and local anaesthetic solution is then injected.
The injection may cause some temporary discomfort but this will settle quickly.

Does the steroid have any side-effects?

The steroid injection is designed to stay inside the joint and should have very little effect on the rest of your body.
However, people who have diabetes may find their symptoms become worse for a few days. Some women may experience facial flushing lasting a few days, and menstruation (periods) can become heavier or irregular for a month or two. However, this is rare.

You should not have this procedure using x-rays if you are pregnant, due to radiation.

Summary of possible side effects:

Temporary increase in the pain during the injection or for 24-48 hours afterwards.
Diabetics may notice that their blood sugar is raised for a week or so after the procedure.
Women may notice menstrual irregularities.
Facial flushing about 48hrs after the procedure.

These are normally mild and transient. If you become feverish or feel generally unwell, please contact your GP.

Will the pain go away?

Once the local anaesthetic has worn off, your pain may return. The steroid can take up to three to four weeks to have its full effect on the hip.

Some people find that they feel a bit bruised after the procedure. This is normal and can be helped by normal pain medication.

Going home

It is not advisable to drive home after the procedure and we would ask that a friend or relative would drive you home.

Following your hip joint injection you should go home and be relatively rested for the next 24 hours. You should take any regular medication you have, and you can take painkillers if necessary. After this time, you can resume normal activity.

If the patient has received a steroid injection into a joint or soft tissue area , the plaster can be removed that day or the following day as per the patients comfort. 

If the patient received a spinal injection they should seek advice from the theatre/nursing team.

Will I be followed up?

You may be followed up with a further clinic appointment, or by telephone. Or alternatively, we may ask you to get in touch with us if the injection does not give sufficient improvement. This will be explained to you at the appointment.

If you have any queries you can contact the MSK secretaries on 01305 762631.

Please download our Hip Injection information sheet to print off here.

Dorset Musculoskeletal (MSK) Outpatient Physiotherapy