Medical Questions > Conditions and Diseases > Orthopedics Forum

Hip Injection? Cortisone Injection? (Page 2)


August 10th, 2009
hip injection
I have an injection by floroscopy and it was such a miracle! I am having my second one done this Thursday! If anyone is trying to decide if they should have one, I say go for it. I am 41 years old and trying to keep from having a hip replacement for a few years. I am basically bone on bone. My first injection gave me relief for 10 months! I think it needs to be done in a hospital with a trained tech to have the best results! Kristy
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replied August 20th, 2009
Cortisone versus Visco supplementation in arthritic hip
I have had Birmingham Hip Resurfacing done on my left hip 5 years ago and work as a professional mountain guide without problems ,really recommend it .Now my right hip is going bad and I am trying to win some time .Does anybody have a comparrison Cortisone versus Visco supplementation like Synvisc or Durolane?
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replied August 20th, 2009
I live in Ohio, and from what I understand that procedure you had done was pioneered at Cleveland Clinic. I am considering that as an option. Had 2nd injection last week and it helped, however not as good as the first. I hear that is common. Good luck!
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replied September 5th, 2009
Bilateral Hip Injections of Cortisone
I just had my first bilateral hip injections of cortisone yesterday and am compelled to write about my experience so far. I had read so many posts about the excruciating pain and I wanted to report that my procedure was painless! I had the injections done by a radiologist with the aid of x-ray. The positioning of the needles was quick and easy. The first injection was fast-acting Lidocaine followed by a cocktail of long-lasting Lidocaine, some other pain-releiver and the cortisone. The doctor ended up having to inject a coloring agent into the joint to make sure that the needle was positioned properly on my right hip, as he said it just "didn't feel right" but the x-ray confirmed perfect positioning. I had to manoever myself to the opposite end of the table for the left hip and my injected hip felt very heavy, conjested and immobile. But that had passed by the time he was finished. I got up from the table and felt like a new person! I could walk at a normal pace again, without a limp. I beamed with a smile and my husband commented that my face looked totally different! The Lidocaine lasted for a few hours and I was told that the effects of the cortisone may not be felt for another 3-7 days. So, I don't know if it's the still the effect of the longer-acting Lidocane that I'm feeling or not. But, so far, the injections have been well-worth it! My condition is due to conjenital hip dysplasia and I am now 54 years old. My left hip is bone on bone with bone sclerosis evident in the x-ray. I know that I'm just buying time until I have a total hip replacement, but so far, the injections were a success.
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replied October 3rd, 2009
cortisone injection
I need a hip replacement and got a cortison injection three days ago and have had constant pretty severe pain in the joint and down the leg to the top of my foot. The joint now feels like it has gravel in it. I won't get another one. I'm having the opposite leg knee replacement in 3 days and this injection was supposed to make my hip tolerable while rehab-ing my knee. Unless the condition with my hip changes I am going to postpone my knee replacement. Definitely have second opinions and check out your othorpaedic as best you can. I'm 52 but I feel much older and it's hard to not get depressed at times. I've had to stop celebrex and motrin for the surgery and hydrocodone 5mg doesn't help. Any suggestions on some relief?
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replied October 3rd, 2009
Hip Injection
I had injection done last Monday (5 days ago)in the hospital. They put me out for the procedure. My doctor told me that I may feel instant relief so I was really excited about the prospect as I have had hip pain for many years and am looking at having hip replacement surgery in the near future. After the procedure I could feel a pea size area of no pain in my hip joint, but outside of that area just radiated with pain. I thought that the procedure didn't really work until Friday afternoon when I got up from my office chair to walk/limp to the restroom and realized that I had virtually no pain and no limp! I almost cried because it has been so long since I've felt no pain in my hip...that evening the pain came back, but throughout this weekend there have been many periods of virtually no pain and then, pain. I'm not sure if the medicine is kicking in or if this is the best it is going to be. I go for my followup visit with my doctor on Tuesday and will see what he says. I'm sure thankful for the hours of non-limping, no-pain that I've had and I hope that it continues for awhile.
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replied June 14th, 2011
I know the feelings too well. When the pain is removed it is like a new world. I never had any pain or discomfort from the injections. I too will need the replacement but hope to make it through this year with the shots. Good luck on it!
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replied October 7th, 2009
Lots of good stuff here, I have OA in both hips, one is bone on bone. Doctor sayus I'm too young for replacement but want to do something to get stiffness out. Considering injections, sounds like they have helped many people. Anyone have any idea of approximate cost?
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replied November 12th, 2009
my experience with cortisone injections in my hip
I've had three cortisone injections in my left hip. I have bursitis, and the shots have been the only real relief. I had mine done at my doctor's office. I used to work for him, as did my mom. So, he did my injections for just the cost of the office visit. He's a fantastic doctor.

There's no numbing of the skin. I doubt that would help much. The injection is painful. When the needle goes in, it hurts. Then, it's a burning, sharp pain as the medication goes in. The pain is very unpleasant, but it doesn't last long. The numbing part of the injection takes over and lasts about an hour. After that, my hip hurts quite a bit. Ice does help. I still take an NSAID, like ibuprofen.

I had my last injection yesterday evening. It's a burning pain down my leg. It hurts to walk. Still, the pain will start to go away. I should start feeling the benefits of the procedure in the next couple of days. Sedating someone for this procedure would be overkill. If you can take a minute of pain, do just that. Mine was done in the office. My appointment was at 4:45, and I was done by 5:00 (including any paperwork).

As for having an x-ray so the doctor can see where he's injecting you...I say, find a doctor who can do it without it. My doctor has done a lot of these. He's done them very well and doesn't need an x-ray to find the right place. His specialty is sports medicine, so maybe that's why he has more experience with these things. It's important to remember that with sedation, there are always added risks. My vote is for making the procedure as simple as possible. A one-minute injection with some pain is easier than a 30-60 minute procedure. The pain isn't unbearable.

I'm not sure what else I can say. If anyone has any quesitons about my experience, please ask. I've also had a cortisone injection in my left elbow for tennis elbow...same doctor. Oh...and I'm only 28. I've been dealing with this pain for years now. Cortisone injections are definitely worth it. Yes, there's a chance they might not work for you, but it's worth the chance.
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replied November 24th, 2009
I had a hip injection on nov 23,2009.it was a little painful,i heard that it want last long ,my case dr was going to try this if it do not work i will have to have a hip replacement.
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replied December 2nd, 2009
Cortisone Hip Injection
Hello,

I really appreciated hearing of all the experiences that people have gone through. I just had an injection on November 30/09 and I am feeling a lot better. It was not painful. Just as the doctor said it was like the local anisthetic that you get when you're seeing your Dentist. It was a 15 minute procedure and I was up and walking out normally and then started to subconciously walk better feeling less pain. As she explained it doesn't strengthen the joint but it does ease the pain. Now as it is about 2 days after the injection, I have experienced a little nausea and a few sorta hot flashes. She said it might last up to a year. This was a recommended procedure by my Doctor to take before considering hip replacement.

I'm hoping that I can get back on the basketball court again and do a little refereeing.
I'm 61.
Good luck to all.

Nate
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replied December 9th, 2009
Well, I'm 47, had a full right hip replacement 2 years ago and now my left is in severe distress and been that way for around 6 months now. Today I will go in for my first injection, hopefully it will work. I really don't want another hip replacement, but I fear it's just a matter of time. I appreciated reading everyones experiance because now I have an idea what to look forward too. My right hip, or new hip, is great. For some reason the doctor doesn't want to just change this one out, but try injections first. Looking and comparing the two xrays side by side, I can see no difference...both looked and look screwed up to me. Does anyone know of any younger people with double hip replacements? Anyway, I'll post up how it went tonight.
Thanks,
GD
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replied January 11th, 2010
I had a cortisone shot in my hip in March 2009. My first cortisone shot ever. Didn't hardly hurt at all! They use a numbing agent. I was scared to death, so was pleasantly surprised! My shot took effect quick too. Felt much better. The shot lasted 8 months and the pain came back. Went in for another shot and this one hurt! Like he didn't have the right place! Not unbearable though. That shot did nothing for my hip. The doctor sent me to an orthopedic surgeon. No diagnosis yet.
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replied March 1st, 2010
Hi everyone, hopefully someone still comes to read this forum.
I am a 24 year old male. I have had ongoing hip pain on both sides for arond four years.
I had what doctors called a femoral acetabular impingement on both sides. I had a femoral head resurfasing on both hips. One in 2007 and the other in 2008. I had a labral tear on right side and that was fixed during surgery. I have had ongoing hip pain since surgeries..
I was very active before my surgery, rock climbing and skiing.. I have not done either since. Just bike riding which I enjoy too and physio and pool.

My orthopeadic surgeon thought it would be a good idea to have an arthroscopy to see if I had torn carlige again.. He said that was all he could do for me.

I decided to go and have another opinion of how things were going so I went and saw a sports physician. He thought I might have a labral tear too so I went in for an MRI. Results were good.
He suggested to have cortisone injections into both hips to relieve some pain and then work on physio to get stronger.
I had both hip cortisone injections last Thursday (5 days ago). I thought the procedure was quite good. Little painful but not too bad. I was sore for 2 days after where the needles went in.
I woke up last night with a little pain I. Hips.. I can't feel so much of a difference yet.. But usually my pain would come after acivity- working at a supermarket I would get very sore!

I have the week off work. Taking it easy to give it the best chance. Going to physio today to do some light cycling and then the pool..

I would just like to ask how long it has taken for everyone elses pain to be reduced?? I really hope and pray that things get easier because I'm not sure what the next step will be?

I see the physician next week.. Hopefully things are better by then! I think work will be the biggest test-- it's hard a work walking on hard floors all day.

Hope your all going well! It would be great to hear some more..

Thanks
-Brenden
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replied March 2nd, 2010
Hip Injection
I had my first injection, on my right hip, back in June 2009 and has lasted about 8 months, though I could have had it done around 6 months but I tolerated the discomfort. I just had another injection last month, Feb. 2010. Each injection had a different radiologist, with what I guess, a different technique (entry way). The first injection seemed to take longer and I was in constant pain through the procedure, though they numb you. I was able to get up off the table and walk. This last one, was pain on top of pain (one after another) but the procedure was shorter, however, when they asked me to bend my leg it was quite painful and I felt like my leg was going to give out, when I was finally able to walk. I'm hoping this second hip injection will last as long as the first but I have my doubts. The pain in my groin, knee and down the front of my leg (between my knee and ankle) has temporarily gone away. I am grateful to have this procedure but it's never pleasant. Always make sure they give you 5mg of valuim (or something comparable) and take it within 1 hour of the procedure to calm you down! I, too, am only in my early 40's and I'm trying to keep my right hip as long as I can. Good luck to those of you who will need this procedure done.
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replied March 19th, 2010
I've been to so many doctors for the pain I've had and the last one (the Ortho) believes it's from a small tear in the cartilage of my right hip joint. Wednesday I am going to have a cortisone shot and I am so excited to think about being pain-free! Only time I am not hurting is when i lay down. I'm in my 40's and have had this "mystery pain" for over 3 months. I have a 5k Breast Cancer walk coming up in May and i hope that I will be able to walk with my friends. I'll let you know how it goes. Good luck to everyone!
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replied March 29th, 2010
Hip Labral Tear
I recently had the MRI with the dye shot in along with the cortisone. I worried far more than necessary. The MRI was not claustrophobic, I could see out the top. The numbing meds injected in me caused me no pain and I didn't feel the needle going into my joint at all. I was a bit uncomfortable for 2 days afterwards, but no big deal. It's been 2 months and the pain in my groin is starting to come back.
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replied April 11th, 2010
hi, iv just read brendan''s post and it is exactly what i have. I have femoral acetabular impingement in both of my hips and i am only 19. I am going into hospital to have my injections next thursday and am very skeptical about it after what i have heard. I to have had a hip arthroscopy and a laberal tear and everything brenden has said has also happened to me to its encouraging to know that it is not just me going through this. My orthopedic surgeon has offered me the injection to see if they will reduce the pain so i can get back to work, if not then he wants to re operate on both my hips but that is all he can do until i am old enough to have a double hip replacement. i will write back after my injections to let you know how i got on. also, for everyone who has had the in injections without being knocked out i really admire as there is absolutely no way you would get a needle near me with ut being asleep!!
Natalie
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replied April 19th, 2010
Hello,

I am a physical therapist and would agree that having an injection into the hip joint is both difficult and can be painful. If the pain is limiting, consider having physical therapy. It can be quite helpful in restoring range of motion/strength.
Hope this helps.
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replied April 30th, 2010
Hi Brendon and Natalie,

There are clearly a lot of us suffering with exactly the same symptoms. I had my injection yesterday and am just starting to feel a dull ache going through the area.
I have also had the exact same op''s as Brendon. I wore a brace when I was a baby and believe this to be a contributing factor in all of this as well as being hyper flexible according to the doc. I am 31 and work as a waitress and am also on my feet a lot. Although, I find this helps, as opposed to sitting down which sometimes still causes discomfort, especially long car journeys.

I used to run 6 miles every day, but cant even do 1 without being in incredible pain so have had to knock that on the head too, which is a shame.

I see a consultant in London and will be returning to see him in 6 weeks to ascertain if things have changed. I don''t have high hopes as a freind has also had the same injection several times and feels her surgeon is just stalling for time to save doing a bigger op. I''m not sure but hope this injection alleviates some of the pain.

Will be in touch to see how you are getting on and wish you the very best of luck with things to come.

Shelly
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replied May 5th, 2010
Thanks to everyone sharing their experiences of these injections, and also of their hip problems. I am 33 and have congenital hip dysplasia. My right hip is painful and really limiting my mobility. I used to run and cycle eveyday but now I struggle to walk down to the end of the road. I have a 10 month old baby so it's difficult trying to look after her and go to work, and my poor husband is having to do more than his fair share for us to manage. My Consultant says he will do a replacement as soon as I'm ready, but wants to try an injection first to ensure it is the hip causing the pain (originally I thought it was muscle strain from rising up out of a low chair with the sleeping babe in my arms) and to see whether it will help to delay my THR, which at my age is worth doing. Given that I want to enjoy the time with my little one while she's young and have another baby in the near future I wonder whether I should just go for the THR as I don't know how long the injection will help me for, if it does at all. I don't think my condition is as bad as most people get to before having a THR, so I am hopeful that given this, the injection will work well for me - anyone have any thoughts on this? Whilst the THR is major surgery, I am tempted to go ahead and do it asap so that I can get back to life how it was and have my second child whithout the worry that it will leave me unable to walk and in a lot of pain without being able to take strong painkillers.
I was wondering whether anyone else is in a similar situation? Any young UK-based hip dysplasia sufferers out there?
Sue
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