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Extreme/prolonged hip pain after hip cortisone injections
Hello! I received bilateral greater trochanter corticosteroid injections in August to treat suspected trochanteric bursitis in both hips. I was unable to walk almost immediately after the injections and 2-3 days following. I understand that this could've been a cortisone flare. However, in the 5 months since the injections, my mobility remains severely impacted - my bilateral hip pain is easily 20x worse than before the injections. Imaging done post-injection shows labral tears, burisitis and tendonitis in both hips. My doctor does not know why my pain has gotten worse and is effectively shrugging at my concerns. I am 33/f an otherwise healthy. I completed a course of PT without improvement. Is it possible that the injections caused the labral tears or other soft tissue injury?
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@elleelan I am so sorry that you are going through this hip pain, when you ‘thought’ you were having something done to alleviate the pain. I would get a second opinion from an hip surgeon and maybe an MRI, to get a closer inside look. I do not know what type of physician you went to but you need a hip specialist now. Pain management physicians mostly give cortisone shots. Sometimes the procedure may have missed its mark and the cortisone actually went where it was not suppose to. I do not know what a labral tear is but imaging should have been done prior to shots. (Update) : I did read about labral tears. Get a second opinion. Sounds like you may be able to get some help of you are able to get a good caring doctor. Good luck and blessings.
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3 ReactionsYes, another opinion but how about a regenerative medicine specialist? I saw 5 doctors before I found an answer to what was causing my groin pain, not just a shot to get rid of the pain! It wasn't my hip but I had an overstretched ligament that was fixed with prolotherapy ... no surgery, no pain medicine!
Hope you find out what is wrong!
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2 ReactionsI have arthritis in both hips. And definitely need hip replacement in the right and probably the left as well. In May 2022, I had a steroid injection (image guided) in the left hip. It alleviated the pain for about 3 1/2 months. Late in the fall, I had an injection in my right hip ( the one with severe degeneration) because I'm not ready for surgery. Anyway, it was done by a different radiologist and whether that had something to do with it or not it made my hip much worse. I was initially hoping it was a cortisone flare but no such luck. If I could turn back the clock...
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1 ReactionI have had 1 cortisone shot in my L3. It had total reverse effect, my left SI killed me for a month. Some sort of pain transfer. Of course the doctors had no clue. Just recently, (3 weeks)I had 6 shots of a lidocaine,, as a precursor to possible nerve ablation. I was told if this helped ,the nerve ablation would help. This procedure did nothing but make things worse. So obviously it's not in my nerve endings.
2 shots in my sacral.2 in L5, 2 in L4. I had a headache for a solid two days after the procedure. My blood pressure is still very high. Constant sweating when I don't normally. I can't wait for this stuff to make its way out of my system. I'm pretty certain I am done with shots in my spine. I can't say I will never get another cortisone shot. Shoulder or knee or something. But sticking 35 gauge needles in my spine, Just to see what happens.No more.
A radiologist gave you a shot? I have never heard of that.
Yes, I am in Canada. Image guided so that the needle goes exactly in the correct spot. Second time, it was a resident guided by the radiologist.
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1 ReactionMy first injection in 2011 was done by a radiologist, recommended by a family friend who worked at the VA hospital in Gainesville FL. He was excellent. Image guided at L4, he told me if it didn’t help not to get anymore, not everyone responds to epidurals. It did not. Unfortunately, once I was sent to pain management by my primary doctor, that was part of their treatment plan and I had many injections over the next few years, which did not help. I finally said no more!
But I just tried again, had one in a new spot, at L5-S1, which they determined was the source of my pain since my fusion two years ago. I was going on a cruise and needed some pain relief. It did help Reduce the pain for a week, for which I was very grateful! The lidocaine, which I had in combination with the steroid, I was told is diagnostic only; if it stopped the pain even for a few minutes, that was where the problem lies. However, it is temporary. The steroid was added this time, hoping it will help for a longer period of time.
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1 ReactionI just had the cortisone steroid in ejection in my neck. I I came out hurting worse than when I went in. I gave it all the time it needed to work but I hurt so bad it never felt any better I'm at my wits. Now they want to do blocks. Nothing stops the pain but opiods and I can't take them. I fail.