Done once, hip steroid injections show “continued response in 1/3 of cases. I would never do once a frozen shoulder injection just once so one sees that the “One Shot Wonder” society is a alive and well. Their volume was way too high to be a hip injection.
Skeletal Radiol. 2018 Aug 28. doi: 10.1007/s00256-018-3052-z. [Epub ahead of
Efficacy of intraarticular corticosteroid hip injections for osteoarthritis and
Lai WC et al.
- quote study finding only 1/2 of orthopods think injection is useful
one study got a 56% response to methylprednisolone injections at 14 days, whereas another got a 82% responded to steroid injections at 6 – 8 weeks
- severity was not found to predict results not BMI
- duration of over 5 years blunts response
- this study – 82 injections in 78 cases; more females than males; 64.4 average age
47.6% showed immediate response(≤2 weeks of pain relief)
Knee Surg Sports Traumatol Arthrosc. 2017 Mar;25(3):958-965. doi:
10.1007/s00167-015-3705-6. Epub 2015 Aug 2.
Multiple PRP injections are more effective than single injections and hyaluronic acid in knees with early osteoarthritis: a randomized, double-blind,placebo-controlled trial.
Görmeli G et al
When will they ever learn.
As for the steroid quantity – I use triamcinolone – I let it settle out and dispose of supernatant. I mix the concentrate with 2-5% lidocaine and keep it to 1 ml.