BoneSmart® Hip / Knee Replacement Forum
Knee Replacement & Hip Replacement
Patient Advocacy & Online Community
  1. Your support makes a difference...BoneSmartie Member

    Industry changes have drastically reduced orthopedic partner contributions, which for 13+ years supported the operation and development of BoneSmart.org.

    Our patient-focused articles and world-class joint replacement community forum have helped millions of people. Your gift today provides the important funds necessary to keep this valuable resource online.


    Donate Now
    Dismiss Notice

Cortisone injection

Discussion in 'Hip Replacement Pre-Op Area' started by suuay, Mar 19, 2012.

Thread Status:
Not open for further replies.
  1. suuay

    suuay New Member

    Member Since:
    Oct 22, 2011
    Age:
    Messages:
    15
    Location:
    United States
    Today my Dr. told me he wants to try a cortisone injection directly into my hip joint. I'm having this done tomorrow 03/20/2012 at 1:30 P.M. Central time. He said if it doesn't help with the pain , he'll do a RTHA. My question is how long does one of these injections last (short-term to long-term)? I told my husband that I'll only let this happen once. I've heard lots about the bad things that happen with corisone. Any news appreciated.

    Suuay
     
  2. Jaycey

    Jaycey Moderator

    Member Since:
    Jan 27, 2010
    Messages:
    17,877
    Gender:
    Female
    Location:
    UK
    Country:
    United Kingdom United Kingdom
    suuay, it's very hard to predict how long an injection will ease the pain. Everyone reacts differently to these things. Sometimes they do nothing and sometimes they are what is needed to get things settled.

    Have you had an x-ray already? Certainly an injection will not correct any issues with bone degeneration in the joint. However it will decrease any swelling in the area.

    Please do let us know how it goes tomorrow! All the best and fingers crossed for you!
     
    • Like Like x 1
    • suuay

      suuay New Member

      Member Since:
      Oct 22, 2011
      Age:
      Messages:
      15
      Location:
      United States
      I've had X-rays and a MRI. All of which show ostoarthritis. The Dr. said he wants to make sure the pain is from my hip and not somewhere else before he'll do a THA. All I have is Medicare and my husband just went back to work after being without a job for 3 1/2 yrs. So, is this shot going to help me or am I just going to be out the money and have to have a THA anyway?

      Suuay
       
    • Josephine

      Josephine NURSE DIRECTOR, BONESMART Administrator

      Member Since:
      Jun 8, 2007
      Age:
      74
      Messages:
      63,385
      Gender:
      Female
      Location:
      The North
      Country:
      United Kingdom United Kingdom
      Quite probably. It seems some surgeons are loath to trust their own eyes and ears! Of course some of the pain is going to arise from the spine as a bad hip makes the person limp or tip their pelvis to accommodate it. The best you can hope for is a temporary respite from the pain, maybe a couple of days or a week.

      My question would be are you sure this is the best surgeon for you? Have you asked him some key questions like how many hip replacements he does per year and what is his infection rate? You should read this to make sure you arm yourself with these leading questions to make sure you have a really good chap! How to choose a surgeon and a prosthesis
       
      • Like Like x 1
      • suuay

        suuay New Member

        Member Since:
        Oct 22, 2011
        Age:
        Messages:
        15
        Location:
        United States
        I had my injection today. First shot wasn't as bad a honey bee sting. Second shot curled my toes. When the Dr. injected the last shot, the steroid, I felt like someone had just pushed a baseball into my hip joint. That was almost eight hours ago. I have bruising about the size of a quarter at the injection sites and the baseball is still there. Not much pain unless I'm up on my feet more than 10 minutes, otherwise just a lot of pressure.

        Suuay
         
      • DallasSarah

        DallasSarah Post-Grad

        Member Since:
        Oct 26, 2011
        Age:
        50
        Messages:
        1,251
        Gender:
        Female
        Location:
        United States
        hello Suuay,

        Did they use an xray machine while the need went in so they could watch the needle go into the right muscle. There was alof pressure when my dr's wigglled around a little. I had 3 injections last year the 2nd was excellent the others were not so good. I had read the effectiveness of the injections will get weaker and weaker in tiime.

        All the best,

        Sarah
         
        • Like Like x 1
        • Jaycey

          Jaycey Moderator

          Member Since:
          Jan 27, 2010
          Messages:
          17,877
          Gender:
          Female
          Location:
          UK
          Country:
          United Kingdom United Kingdom
          Suuay, glad that's overwith! Doesn't sound fun - but then I hate needles! Rest and ice that angry area. Sometimes it take awhile for those injections to work. Let us know how you are getting on won't you?
           
          • Like Like x 1
          • LabMomma

            LabMomma Junior Member

            Member Since:
            Jan 25, 2012
            Age:
            56
            Messages:
            21
            Gender:
            Female
            Location:
            United States
            Sorry I didn't see this thread before. I got the cortisone injections done under the machine that shows the doctor where to thread the needle into the joint space (fluoroscope I think). I probably had that done 4 or 5x over 1 1/2 yrs, several months apart.. trying to put off hip replacement until I could lose weight. It takes almost a week for the cortisone to fully reduce the inflammation in the joint.

            The injections always helped me tremendously, although for shorter and shorter intervals each time. Just an FYI, I believe you have to wait at least 4 months after the last injection before having hip surgery.

            Hope it helps!
             
            • Like Like x 1
            • Josephine

              Josephine NURSE DIRECTOR, BONESMART Administrator

              Member Since:
              Jun 8, 2007
              Age:
              74
              Messages:
              63,385
              Gender:
              Female
              Location:
              The North
              Country:
              United Kingdom United Kingdom
              No, no! He has a scrub nurse to do that! :snork:

              aencrypted_tbn1_google_com_images_280dbc9d2b7a603189c990cd47d794c4._.jpg
               
            • lizbec

              lizbec New Member

              Member Since:
              Jul 5, 2011
              Age:
              Messages:
              6
              Gender:
              Female
              Location:
              UK
              Hi there, little late - but just to add.... following arthroscopy in June 11 which sorted out various impingements etc , the pain from the arthritis became more severe. I was given injection last November. For 6 weeks it was magical! after that it decreased a bit and I had mild pain for another 2 months. 5 months on, I am having nothing like the pain I had back then but enough to sustain a heavy limp and to experience quite a few sleepless nights due to stubborn pains going down leg.I still know I have a problem but it is good to be out of the severe pain and debilitating situation.
              Best of luck and heres to your "ongoing" pain free (or much less) year!
               
            • Jamie

              Jamie Administrator

              Member Since:
              Mar 24, 2008
              Age:
              67
              Messages:
              44,033
              Gender:
              Female
              Location:
              Kansas
              Country:
              United States United States
              Lizbec.....have you considered having a THR on your hip? You might at least discuss this option with a surgeon. You know, it's not good for your hip nor the rest of your body to continually walk with a "heavy limp."
               
            • calmom51

              calmom51 Junior Member

              Member Since:
              Apr 23, 2012
              Age:
              Messages:
              50
              Location:
              USA - N. California
              I would like to know whether it's OK to get a cortisone injection into the joint, as well. I have read that if you inject cortisone a number of times, it will actually make the joint (any joint) deteriorate more/faster. I am only considering getting one shot to help me get through the summer.
               
            • Josephine

              Josephine NURSE DIRECTOR, BONESMART Administrator

              Member Since:
              Jun 8, 2007
              Age:
              74
              Messages:
              63,385
              Gender:
              Female
              Location:
              The North
              Country:
              United Kingdom United Kingdom
            • kjac95

              kjac95 Junior Member

              Member Since:
              Apr 9, 2012
              Age:
              Messages:
              27
              Location:
              Northern NY
              Just my 2 cents but, I only had hip pain since last May. During the ensuing months, I had 4 hip injections under fluoro. With the cortisone completely gone in my hip joint, my Orthopod was not concerned with preserving the joint so my injections were somewhat closer...say 8 weeks apart. I never really had pain relief with the injections but I always managed to recover my ROM which made me stop limping quite as badly. The last injection was 5 weeks prior to my THR with the approval of my OS. Anything less and the OS would not have approved.

              Kathy
              LTHR 03/26/12
               
            • navyvet92

              navyvet92 Graduate

              Member Since:
              Feb 18, 2012
              Age:
              Messages:
              597
              Location:
              Randolph, Mass - USA
              IThe cortisone injection did'nt work for me at all,as amatter of fact the Dr tried using the cortisone injection twice and it failed both times, it only worked at best, for about 3 weeks when our hope was 6~8 weeks i think that was the deciding factor to do the surgery( one of many deciding factors) i wish you the best in whatever decision you make i know its not an easy one.
               
            • calmom51

              calmom51 Junior Member

              Member Since:
              Apr 23, 2012
              Age:
              Messages:
              50
              Location:
              USA - N. California
              What is the difference between what a cortisone injection would do, versus hyralaunic acid (or however you spell it, sorry)?

              I understand that cortisone is an anti-inflammatory. Hyralaunic acid is a joint lubricant (??) When would you get one versus the other?
               
            • Josephine

              Josephine NURSE DIRECTOR, BONESMART Administrator

              Member Since:
              Jun 8, 2007
              Age:
              74
              Messages:
              63,385
              Gender:
              Female
              Location:
              The North
              Country:
              United Kingdom United Kingdom
              You are correct in your description of the two treatments. It's an either/or situation that the doctor chooses. He could try one and see if it works. If it doesn't maybe try the other. Neither are a cure, just a band-aid type of treatment and usually very temporary.
               
            • calmom51

              calmom51 Junior Member

              Member Since:
              Apr 23, 2012
              Age:
              Messages:
              50
              Location:
              USA - N. California
              Actually, the doctor yesterday told me that he would inject cortisone, lidocaine, some other numbing stuff, AND the hyalaunic acid into my joint. So I guess sometimes they do both at the same time.
               
            Thread Status:
            Not open for further replies.

            Share This Page

            If this forum is helpful to you, please consider a donation!

            Support BoneSmart with a Tax Deductible Donation