It’s my 9 days countdown to the #intraarticular #steroidinjection in the hip!! I’m excited, nervous, terrified yet chilled about it. I’m literally every emotion under the sun!!
Though it’s an awake procedure, and I should go home around 30mins afterwards, I do have to go prepared with an overnight bag just in case. So in this I will pack minimal.
- Dressing gown
- Phone charger
- Tablet to watch downloaded shows
So not too much, but enough to entertain me, and cover me up should I need to walk around to the loo. Obviously I’m taking my walking stick too. As I know from experience, the leg feels dead and numb. So walking is awkward even with a walking stick.
I’ll be wearing shorts, so no need to strip off. I can do absolute minimum and be more time efficient. So what is an Intra articular Steroid Injection? What does it do?
Intra-articular Steroid Injections for the Hip
Intra-articular steroid injections are a prescribed treatment for relief from joint-pain. The steroids administered through the intra-articular injections are used to decrease the inflammatory reaction associated with osteoarthritis and rheumatoid arthritis.
This means the intra-articular steroid injections are administered with the aim of providing 2 to 6 weeks of pain relief for patients with hip osteoarthritis. (God i hope longer!!) However, the higher-dose steroids with or without joint lavage can provide pain relief for a period as long as 24 weeks. Honestly out of 3 I’ve had the longest relief I got was mere 2-3weeks)
Research shows that the intra-articular steroid injections delivered for relief from the pain related to hip osteoarthritis can produce highly effective results as compared to the standard form of treatment. But those with #EhlersDanlosSyndrome like me, may find it’s limited in terms of longevity.
Often patients who were administered intra-articular steroid injections showed a significant improvement in all the symptoms including pain, stiffness, physical function and global assessment as against those given the conventional form of treatment and medications. I’ve experienced this, in 2016, but it was only for a few weeks. It was heavenly though.
Intra-articular steroid injections are extensively used for treating the pain associated with hip osteoarthritis. In addition, steroid infiltration into the arthritic joints is now a very common means of treating pain. This form of treatment is also done to differentiate pain in the hip from that in the low back or knee. All of my previous 3 steroid injections were used as diagnosis points. This one is specifically for pain relief. Will it work?
There are various types of preparation of steroids that have a different duration of effect and action. The guiding principle which determines the effectiveness of each of these preparations is their solubility.
The insoluble preparations are known to have a longer duration of effect and are the most preferred. For the benefit of analysis, here we briefly list each one of the preparations of the intra-articular steroid injections.
Aristospan (Triamcinolone HEXACETANIDE) – These are the most soluble and preferred preparation for intra-articular injections. The duration of effect is usually 6 months.
Aristocort (Triamcinolone ACETONIDE) – Highly insoluble, this is the preparation normally preferred after the above. This particular preparation normally has a duration of 3 months.
Depo-medrol (Methylprednisolone acetate) – This is highly soluble and should only be used as a last resort. The duration of effect in this preparation is only 5 weeks. (Think this is the only one I’ve had? I definitely had Depo last time 2016) before I’ve had a kenalog one.
we’ve listed the basic steps involved in using an intra-articular steroid injections for the hip.
- Selection of preparation to be used for the injection is done, after careful consideration of the extent of the problem and patient history.
- The steroid is injected into the joint
- At the same time, a local anaesthetic (lidocaine 1%) is injected. This is to confirm whether the pain is relieved by the injection.
- Once done, an iodinated contrast is injected to observe immediate distribution of the steroid and local anaesthetic and confirm which joints are being treated.
Specialists dealing with intra-articular steroid injections generally instruct their patients to maintain a simple diary of pain for at least a week’s duration after the injection. The commonly recommended entry in the diary is pain vs. previously expected pain or same physical workload.
A majority of professionals in the field of pain management support the use of intra-articular steroid injections for the treatment of pain that arises due to osteoarthritis of the hip.