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Diagnosing the Source of Pain
What is a Hip Injection?
A Hip joint injection involves injecting medicine directly into the joint. These injections can help diagnose the source of pain, as well as alleviate the discomfort.
- Diagnostic function: by placing numbing medicine into the joint, the amount of immediate pain relief experienced will help confirm or deny the joint as a source of pain. If complete pain relief is achieved while the hip joint is numb it means this joint is likely to be the source of pain.
- Pain relief function: Along with the numbing medication, time-release cortisone is also injected into the joint to reduce inflammation, which can often provide long term pain relief.
The procedure is performed by a radiologist under Computed Tomography (CT or CAT scan) guidance.
What is the Preparation for a Hip Injection?
- You are not required to fast before your hip injection.
- The nurse from Advanced Imaging will give you specific instructions on what medications you may take with water the day of your hip injection.
- Patients taking aspirin and ibuprofen containing medications, multivitamins, garlic, and Fish Oil (Omega three) are asked to stop these medications 5 days prior to the procedure if time permits.
- Patients taking Coumadin, Persantine, Plavix, or Platel may be asked to hold these medications after their treating physician has given consent to hold the medication. This will be coordinated by the nurse at Advanced Imaging and your treating physician. You will be notified what day to hold your medication if there is a need to place you on a hold.
- In most cases you will not need to change your clothes.. Pants with an elastic waist band work well. No belt or wallet in pocket.
- A nurse from Advanced Imaging will call to obtain a medical history prior to your procedure, as well as a current list of medications you are taking (this will include herbal medications, multivitamins, etc.).
Can I drive myself?
- Patients are advised to have someone drive them the day of the procedure.
How long will I be at Advanced Imaging?
- You will be at Advanced Imaging for approximately 1 to ½ hours.
What to Expect the day of the Hip Injection
- Upon your arrival at Advanced Imaging you will check in with the receptionist. You will be asked to provide a picture ID (usually a license) and a valid insurance card.
- You will be asked to complete and sign the Authorization for Care and Release of Health Information. (If you wish to allow any other person to receive your medical information or have your results released to anyone, other than yourself you will indicate that on this form)
- You will be given and asked to sign the Acknowledgement of Receipt of Notice of Privacy Practices.
- Family members will be asked to wait in the lobby when you are called for your procedure.
- For most cases you will not need to change your clothes; however a gown will be provided if access to the hip area is obstructed.
- You will be asked to sign consent for treatment and given an opportunity to ask questions prior to the procedure.
- A nurse will evaluate your vital signs.
- You will be escorted to the CT scan suite and positioned so the physician can easily reach the hip joint area to be injected.
- A CT scan will be obtained to locate the hip joint to be injected.
- The Radiologist will prep the area with betadine and administer a local anesthetic.
- The needle will be advanced slowly, and several CT scans obtained while the needle is being positioned.
- Once the needle is positioned in the hip joint area a small mixture of anesthetic and anti-inflammatory cortisone is then slowly injected into the joint.
- Firm pressure will be applied to the hip injection site.
- You will be asked to remain for 15 minutes following the injection for observation.
- Patients may or may not obtain pain relief in the first few hours after the injection, depending upon whether or not the joint that was injected is the main source of the patient’s pain. On occasion, the patient may feel numb or experience a slightly weak or odd feeling in the leg for a few hours after the injection.
- Keep a journal and record the levels of pain relief during the following week. The journal will be helpful to clearly inform the treating physician of the injection results and in planning future tests and/ or pain management treatment as needed.
- Patients may notice a slight increase in pain lasting for several days as the numbing medicine wears off and the cortisone is just starting to take effect.
- If the area is uncomfortable in the first two to three days after the injection apply ice or a cold pack to the general area of discomfort.
- You may return to your regular activities the day after the procedure.
- Increase activities gradually.
Report any of the following to Advanced Imaging:
- Redness, heat or swelling at procedure site.
- Allergic reaction to medication used.
You will receive a follow up phone call the day following your biopsy from the nurse at Advanced Imaging.
- If a fluid specimen is collected it will be sent to an independent Pathologist for evaluation
- Your physician will receive a separate written report from the radiologist and pathologist within two to seven days. It is important to keep your follow up appointment to obtain these results.
If you are unable to keep your appointment, please let us know as soon as possible. Should you be admitted to the hospital, please inform your physician about your appointment.
If you have any questions please call Advanced Imaging at : 941-235-4646 and ask to speak to the nurse.
The staff at Advanced Imaging has over 75 years of experience in the imaging industry! With that kind of experience you can rest assured that you are in the best hands.