Hip joint steroid injection technique

A patient will need to be at bedrest for three to five days. Crutches are used for approximately seven to ten days in uncomplicated cases. In patients requiring repairs or who have extensive problems, crutches may be necessary for four to six weeks. Ice is important for the first week after surgery. Ice machines or cryotherapy are popular methods of applying cold to the hip joint. A patient may use the bathroom immediately after surgery. Dressings are used for two days, and then Band-Aids are used at the small incision sites. A patient may shower the following day, and the product Press’n Seal can be helpful to keep p the dressings dry. Analgesic pain medication will be necessary for the first few days.

Just the same, cortisone shots are commonly used--and often are successful--in helping to relieve arthritis symptoms temporarily. Some patients are able to use them to get enough pain relief to hold off joint replacement surgery for months or even years. Cortisone shots are a treatment for pain; they do not alter the course of arthritis and they do not cure the condition. In general, they are more commonly used for arthritis of other joints than they are for arthritis of the hip joint.

  • "Viscosupplement" injections - These are any of several compounds that are made up of hyaluronic acid which is a component of normal joint fluid. Some of the common ones include Synvisc Hyalgan Supartz and Orthovisc. They are given as a series of injections usually weekly for 3-5 weeks. There is some disagreement as to how and whether they work.  Read more details on JBJS Article - Corticosteroids VS. Hylan GF20 in pdf format () . They are FDA-approved for managing the pain associated with arthritis of the knee but they are not, as of December 2007, FDA-approved for use in the hip joint.
  • Hip arthritis patients who have perceptible leg-length inequalities can be managed with a shoe lift either inside the shoe (typically if the difference is <1/4”) or built onto the outside of the shoe (if the difference is larger).

    I'll use the right leg for our example, as illustrated in the picture [on page 48]. The patient is supine, with the right leg in the same 90-90 position I described above. I am sitting on the patient's right side, with my right shoulder against their posterior thigh. I use both of my hands to grasp firmly around the whole of the upper thigh. My left hand will be the main hand, with the heel of my left hand pushing against the greater trochanter. I pre-tension the area by both lifting the whole thigh superior and taking it into internal rotation to the feather edge of the barrier. I then do a quick thrust into further internal rotation. I really don't use much fine-tuning of three dimensions here; it's a pure thrust into internal rotation.

    Hip joint steroid injection technique

    hip joint steroid injection technique


    hip joint steroid injection techniquehip joint steroid injection techniquehip joint steroid injection techniquehip joint steroid injection techniquehip joint steroid injection technique