Injections can be helpful to provide relief in various areas around the hip and pelvis. The most common sites of injection are intra-articular injections (in the hip joint) and peritrochanteric injections (in the trochanteric bursa).
Other sites around the hip and pelvis that can sometimes benefit from injection are the hamstring origin in the posterior pelvis, the piriformis tendon, the sacroiliac (SI) joint, and the pubic symphasis.
The main two reasons to perform injections are:
- Therapeutic: To provide relief of pain at a certain site in the hip. These injections can be one time injections, or repeated at certain intervals (usually no more often than every 3-4 months) for certain situations.
- Diagnostic: Injections can be quite helpful to help confirm the source of pain. There are many structures in the hip and pelvic area that can cause pain. When injections in very specific sites temporarily alleviate symptoms, this can help confirm the reason for pain, and guide future treatment options.
Dr. Dumont performs certain injections in the clinic. When intra-articular injections (inside the ball & socket joint) are required, we may have one of our other physicians see you for an ultrasound guided injection. Ultrasound is safe and does not subject the patient to any radiation. It allows for accurate placement of the injection.
Most of the time, injections consistent of a corticosteroid (commonly referred to as cortisone) and a numbing medicine such as lidocaine.
Injections of platelet rich plasma (PRP) may sometimes be recommended. These may promote healing of tissues in certain injuries.