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Cortisone injection in hip. Still in pain.
I am in my 3rd year of hip pain. I was a healthy painfree man, when I went out for a snowshoe a few winters back. I came back 1 hour later with pain in y hip, that has never left. 4 different x-rays showed very good hip structure at that point. I was told the pain was refered from my back. Back manipulations did not help. I was then told it was due to tight muscles and tendons. Physical therapy did not help. About 1- 1.5 years later, I asked to have another x-ray taken of the hip. It showed a large amount of deterioration, and a hip replacement was recommended. I don't want to go that route. Also, I can't figure out how I could have severe pain at the outset, when the x-rays showed a perfect hip. The pain didn't change any as the hip apparently got worse.
So now it is Cortisone. After 3 days, I am in about the same pain I was in before the injection. Immediately after the injection, I was pain free. This lasted a few hours, and now thew pain is back. Is this normal? I am also interested in pursuing RFA for the hip. Any ideas?
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I will make my same comment again. Find a Regenerative Medicine Doctor where they will check for ligament injuries and can fix them with PRP or prolotherapy if them find them.
Ligaments are often overlooked and have been since they do not show up on Xrays and the best way to know if there is something wrong with them is through physical touch exam. A good place for an explanation is the at the website of Dr.Johnson ..... https://prolotherapynashville.com/.
Good luck finding the answer to what is wrong.
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1 ReactionI feel your pain (literally)! I am so sorry you have to deal with this. I don't bother with the shots anymore as they really don't help me and I am diabetic so I try to stay away from steroids. I have been trying to find what works. Salon Pas sometimes helps numb me a little and lying in the warm tub feels good. Please let me know if you find anything that helps and I will let you know the same.
I hope this is encouraging. I get cortisone injections in both knees and shoulder....My shoulder is the worst pain wise. It takes about 2 weeks for me to feel the full effects in the shoulder....less time in the knees. My shoulder ramps up even worse right after the cortisone shot. I totally agree in that sometimes cortisone shots do not work...I have been blessed. Try and wait it out a little longer and see if the injection kicks in. Try Volataren Gel (over the counter) and rub it on your hip up to 4 times a day. Try heat or ice. Try epsom salt soaks. I'm so sorry you are going through this. Pain is so tiring. God Bless You!
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2 ReactionsThank you, kindly. Voltaren is something I haven't tried yet.
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1 ReactionDo you know if PRP is covered under Medicare?
It isn't.
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1 ReactionHas anyone had Radio Frequency Ablation done for hip arthritis?
Cortisone shots are good for the short term. It’s not good to have them indefinitely. I agree with the other comments seeking out reasons for your pain. I would also recommend finding a good acupuncturist. It helped my husband with an Achilles injury. Friends have also used acupuncture with good results.
We have also used Arnica cream and CBD cream for muscle pains and other aches. And side effects from either.
Best to you.
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1 ReactionRelating my experience here for what it's worth.
Had cortisone shots in both shoulders. They are temporary and were variable in effect - doctor mentioned getting the cortisone in the proper location makes a difference. Fast forward several years and I had arthroscopic surgery on one shoulder to take out the arthritis and re-attach a torn labrum. Not quite a month since the surgery - still in a sling for another 5 weeks, but doing PT to stretch out the shoulder. Approx 3-6 months of PT remain after getting out of the sling. Note that the arthritis does grow back. Jury is out on my doing the other shoulder.
Both hips have arthritis, the left has a torn labrum. Treated with a cortisone injection which lasted ~ 90 days. Helped greatly. Not only painful to walk, but also painful to stand and sit. Probably will have another injection then a future hip replacement. It's hard to keep weight down when one can't walk for exercise - was doing 2.5 mile walks every other day. So the conundrum to solve is I need to walk to reduce my weight to reduce wear/tear/stress on the hips, but walking is how I get the weight down. Bike seats are also painful on the hips. Looking for a soft, level surface to walk - concrete is awful, bituminous slightly better, so I street walk.
Also, for me, pain relievers - including prescriptions with opioids aren't very helpful.
Try walking on a trampoline. No impact.