Hip Pain Treatment Slough

Ultrasound is a fantastic non-invasive tool that has revolutionised the current Physical and medical practice.

Ultrasound constructs the pictures of the muscles, tendons, ligaments, nerves and joints (small or big ) throughout the body. It helps diagnose sports injuries, sprains, strains, muscle tears, trapped nerves, arthritis and rheumatology conditions.

Ultrasound does not use X radiation and is considered the safest, non-invasive modality for musculoskeletal problems, whether sports/ work or age-related.

What is Ultrasound Imaging of the Musculoskeletal System?

Ultrasound imaging is a non-ionising and non-invasive medical test that helps physicians diagnose and treat medical conditions. It is safe and painless. It produces pictures of the inside of the body using sound waves. Ultrasound imaging is also called sonography. It uses a small probe called a transducer and gel placed directly on the skin. High-frequency sound waves travel from the probe through the gel into the body. The probe collects the sounds that bounce back. A computer uses those sound waves to create an image. Ultrasound exams do not use radiation (No x-rays). Because ultrasound captures images in real time, it can show the structure and motion of the body organs. Thanks to new additions microflow can detect minor inflammations. Ultrasound images of the musculoskeletal system provide pictures of muscles, tendons, ligaments, joints, nerves and soft tissues throughout the body.

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When treating hip pain, a combination of physiotherapy and rehabilitation should be tried initially, and if that fails, an injection should be explored. Hip osteoarthritis, hip impingement (also known as femoral acetabular impingement or FAI), and trochanteric bursitis are the most prevalent reasons for hip injections. For any of these diseases, an injection can provide immediate pain relief.

If you have one or more of the following conditions, an injection may be right for you:

• Significant discomfort that has been present for at least 6 weeks or is getting significantly worse.

• Pain and sensations that prevent you from falling asleep or keep you awake at night

• Pain that’s interfering with your lifestyle, whether it is simple daily tasks, job, or exercise/sport.

• Patients waiting for surgery or wanted to avoid hip replacement due to variable reasons can be adivised cortisone injections for symptomatic relief.

It is critical to get an accurate diagnosis in order for an injection to be both safe and effective. Hip pain must be diagnosed using a combination of clinical tests and diagnostic imaging.

Sonography is one of the most useful modalities to determine the cause of your discomfort. Sonorad is run by highly qualified and experienced consultant who performs diagnostic and therapeutic ultrasound guided procedures for symptomatic relief under strict aseptic conditions. Clinical and diagnostic ultrasound imaging will be used during your initial assessment. In the vast majority of situations, this will provide the necessary information to provide you with a diagnosis; but, if more investigations (such as an X-ray or MRI) are required, your physician will be able to refer you.

Ultrasound-guided Hip joint injections must be performed by a qualified health professional who is trained in such procedures.

Non-guided (also known as ‘blind’ injections) hip joint injections are inaccurate and frequently do not result in significant pain reduction. At Sonorad, we use state of the art high-frequency ultrasound equipment for guidance to ensure proper needle placement, avoid sensitive and healthy areas, and keep pain to a minimum.

Many of the hip structures that require injection are relatively deep and surrounded by numerous delicate and sensitive anatomic structures (such as the femoral nerve, artery, and sciatic nerve). As a result, it is critical that the correct target is identified and monitored during the injection procedure. During an ultrasound-guided injection, the fragile structures that surround the hip joint can be viewed and avoided.

Our consultant radiologist initially use local anaesthetic for pain reduction to the subsequent injection. The doctor utilise the thinnest, shortest needle possible to achieve the appropriate target while using ultrasound guidance. Using ultrasound guidance provides little pain, avoids tissue trauma, and prevents unintentional soft tissue trauma.

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Steroid injections (sometimes known as cortisone injections) are the most commonly used injections for hip discomfort. They are fast-acting and provide immediate pain relief. However, we also perform Hyaluronic acid injections for hip osteoarthritis.

Choosing the best injection option is only possible after a proper diagnosis. The majority of the time, this can all be done in a single appointment.

Hyaluronic Acid ( Ostenil/Ostenil Plus) is a non-steroidal injection and is similar to the joint fluid. This lubricates the joint cavity and relieves pain. Depending upon the condition, the hyaluronic acid injections are used 3 times at two-week intervals for a long-lasting effect. Sometimes steroids and Ostenil can be combined for immediate and long-term relief.

For more information about hyaluronic acid injections please visit our web page Hyaluronic Acid Injections Slough

At Sonorad, we find that a single injection is sufficient to treat the majority of patients; however, as previously discussed, if you do require additional injection therapy (for chronic conditions, for example), we recommend no more than three injections in one area over a one-year period. If three injections within a year do not control your symptoms and you have been diligent with your rehabilitation programme, it is strongly advised that you seek an orthopaedic assessment to determine whether surgery is warranted.

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In short, injections do not simply mask pain. A corticosteroid is a powerful anti-inflammatory drug used to lessen or regulate inflammation. By eliminating the inflammation associated with a condition such as bursitis or osteoarthritis, you will be able to safely rehabilitate your condition while experiencing substantially less discomfort.

It usually takes 1-3 days for the steroid to begin functioning. A steroid injection can even start functioning the same day in rare circumstances.

All injections are accompanied by a short-acting local anaesthetic, so you should feel relief shortly after the injection. This can take up to two hours, during which time you may experience discomfort. There is a slight chance that you will experience increased discomfort after an injection; this can linger for a few days and is completely normal. Please do not be concerned if this occurs. A short time of relaxation, some over-the-counter medication, and an ice pack are generally sufficient to bring things back to normal.

A hyaluronic acid injection and a platelet-rich plasma (PRP) injection can take longer to start working (up to 4-5 weeks), so some patience is required. Your clinician is always available to address your inquiries.

It’s very unlikely to have a major post-injection side effect.

However, as a precaution, you are advised not to drive back by yourself as skin local anaesthetic may take some time to wear off. Please arrange for some family member, or friend or use a taxi/ public transport to travel back. Most of the motor insurance companies also advise the same.

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There can be rare side effects.

Rarely some patients may encounter discomfort/ pin flare up which may happen within 24-48 hours and would fade away with the use of usual pain medication ( paracetamol).

Infection has also been described as a rare and almost a theoretical complication one in 2000. Fortunately, we were never been notified by any of our patients about the infection. At Sonorad we perform procedures in strict aseptic conditions to avoid the risk of infection. If post injection, you feel any symptoms of redness or temperature, we recommend you to contact your family physician for advice.

At Sonorad your doctor will discuss once again with you the benefits and any possible side effects before proceeding injection/ treatment plan. You will be given the opportunity to ask as many questions as you like. As our standard practice your consent will be obtained before any procedure.

It’s ideal to bring a referral from your clinician. If you do not have one, you must book a consultation appointment with The Sonorad Consultant radiologist to assess the condition to define a course of treatment planning.

Benefits of ultrasound-guided injection

Ultrasound scanning is non-invasive and painless (no needles or injections).
Ultrasound imaging is extremely safe and does not use  X-radiation.
Occasionally, an ultrasound exam may be temporarily uncomfortable, but it should not be painful.
Ultrasound is widely available, easy to use, and less expensive than most other imaging methods.
Ultrasound scanning gives a clear picture of soft tissues that do not show up well on x-ray images.
Ultrasound provides real-time imaging. This makes it a good tool for guiding minimally invasive procedures such as needle biopsies, fluid aspiration, and treatment of tendon inflammations.
Patients with certain cardiac pacemakers and metallic implants or fragments in the body often cannot be safely exposed to the strong magnetic field of magnetic resonance imaging (MRI); however, patients can safely receive ultrasound imaging.
Ultrasound is also an excellent alternative to MRI for claustrophobic patients.
Compared to MRI, ultrasound may provide greater internal detail when assessing soft tissue structures such as tendons and nerves.
The unique ability to capture real-time images gives ultrasound an edge to see the dynamic movement of tendons, joints or extremities.
Ultrasound imaging is faster than MRI and does not require the patient to remain completely still, allowing infants to be imaged without sedation.

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We operate our clinic from Manor Park Medical Centre, 2 Lerwick Drive, Slough, Berkshire SL1 3XU. Please note we are not part of Manor Park Medical Centre but use the premises.

We have people travel to us from many miles around Berkshire including Windsor, Hayes, High Wycombe, Ascot, Marlow, Hounslow, Uxbridge, West Drayton, Maidenhead, Staines, Oxford, Richmond, Twickenham and West London.