Extreme/prolonged hip pain after hip cortisone injections

Posted by elleelan @elleelan, Jan 3, 2023

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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I had horrible hip pain that turned out to be pain referring to my hip from my back. I had one cortizone injection to my back and that was the end of it.

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I get cortisone injections into my hips about every three too six months. There are a couple of things that I have noticed. 1. They put lidocaine in the hip joint. If you do not stay off of your hips for a couple of days you can fall. I broke my foot in three places and chipped a bone.
2. Cortisone it helps not to walk on your hips for about three days. Do not use a heating pad on your hips. It spreads out the medicine quicker and causes your hip not to last as long.
3. If they don’t inject the right place it doesn’t work. Figure out where your pain is and show your doctor.

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This literal exact same thing just barely happened to me, and I’m very worried. I’m 32f, active and healthy—went in to get a shot in my left hip for a bursa and came out unable to walk, sit, lay, or anything 2-3 days after the initial shot.

I’m about 5 days out from the shot now and it isn’t getting better. My doctor said that it could be a “flare” like you say, but I disagree because I’ve had these shots in several other places and it didn’t react the same way. I even got it in my right hip and it was fine.

They did an MRI of the location and it shows that I have bursitis—but it wasn’t this severe until the corticosteroid shot.

What ended up happening for you?

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Hello, i had left hip replacement in 2021 due from a truck accident in 2018, since the surgery i have pain in my left groin while sitting or standing even walking to long. I had a MRI and it showed i have tendonitis/Bursitis causing the pain in the iliopsoas muscle i had several cortisone injections with lidocaine if it helped at all it was minimal . the doctor recommended to have the iliopsoas' released" it may or may not help. In 12/2024 i had that procedure done at Mayo in MN. AS of this day i am still going through PT its been 7 months and i still have the pain ,it has lessened i bit but still hurts enough to cause discomfort throughout my day. MY doctor from Mayo informed me it can take up to a full year to get the full benefit from the surgery. I honestly believe i am at that now and will just have to live with it taking meds to help me and use my cane while walking longer distance oh by the way i am i 62 male in average shape. I hope it all goes well for you, as everyone is different when it comes to healing , when i got my last injection they did it under ultra sound and the nerves are very close to the tendon I'm thinking they may have got your nerve in the process, did they use Xray guided or ultra sound when they did your injection? My doctor said ultra sound is better because it shows all the nerves muscles etc.
Thanks Frank

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Hello i thought i was alone my hip injections and three surgeries and still have major issues walking and sitting to long in my groin. Its been i rough last few years i have more doctor appointments and still doing PT, we will see how it all falls in a few more months but i think its as good as it will get. I am a 62 year old male and prior to my accident that caused all this i was a avid bicycle rider and golfer.

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