The Rheumatologist
COVID-19 News
  • Connect with us:
  • Facebook
  • Twitter
  • LinkedIn
  • YouTube
  • Feed
  • Home
  • Conditions
    • Rheumatoid Arthritis
    • SLE (Lupus)
    • Crystal Arthritis
      • Gout Resource Center
    • Spondyloarthritis
    • Osteoarthritis
    • Soft Tissue Pain
    • Scleroderma
    • Vasculitis
    • Systemic Inflammatory Syndromes
    • Guidelines
  • Resource Centers
    • Axial Spondyloarthritis Resource Center
    • Gout Resource Center
    • Psoriatic Arthritis Resource Center
    • Rheumatoid Arthritis Resource Center
    • Systemic Lupus Erythematosus Resource Center
  • Drug Updates
    • Biologics & Biosimilars
    • DMARDs & Immunosuppressives
    • Topical Drugs
    • Analgesics
    • Safety
    • Pharma Co. News
  • Professional Topics
    • Ethics
    • Legal
    • Legislation & Advocacy
    • Career Development
      • Certification
      • Education & Training
    • Awards
    • Profiles
    • President’s Perspective
    • Rheuminations
    • Interprofessional Perspective
  • Practice Management
    • Billing/Coding
    • Quality Assurance/Improvement
    • Workforce
    • Facility
    • Patient Perspective
    • Electronic Health Records
    • Apps
    • Information Technology
    • From the College
    • Multimedia
      • Audio
      • Video
  • Resources
    • Issue Archives
    • ACR Convergence
      • Systemic Lupus Erythematosus Resource Center
      • Rheumatoid Arthritis Resource Center
      • Gout Resource Center
      • Abstracts
      • Meeting Reports
      • ACR Convergence Home
    • American College of Rheumatology
    • ACR ExamRheum
    • Research Reviews
    • ACR Journals
      • Arthritis & Rheumatology
      • Arthritis Care & Research
      • ACR Open Rheumatology
    • Rheumatology Image Library
    • Treatment Guidelines
    • Rheumatology Research Foundation
    • Events
  • About Us
    • Mission/Vision
    • Meet the Authors
    • Meet the Editors
    • Contribute to The Rheumatologist
    • Subscription
    • Contact
  • Advertise
  • Search
You are here: Home / Articles / Intra-Articular Steroid/Lidocaine Injection Improves Hip Arthritis Pain, Function

Intra-Articular Steroid/Lidocaine Injection Improves Hip Arthritis Pain, Function

May 10, 2022 • By Reuters Staff

  • Tweet
  • Email
Print-Friendly Version / Save PDF

NEW YORK (Reuters Health)—A single injection into the hip of steroid and local anesthetic improved pain and function in patients with hip osteoarthritis in a randomized controlled trial, with most of the benefit seen early after treatment.

You Might Also Like
  • OA Patient-Reported Outcomes Positive for Intra-Articular Injection
  • Exercise Helps Manage Hip Osteoarthritis Pain
  • Hip Exercises May Improve Walking, Pain with Knee Arthritis
Explore This Issue
June 2022

Researchers at two community-based clinics in England assigned 199 volunteers to receive either an ultrasound guided intra-articular hip injection of 40 mg triamcinolone acetonide and 4 mL of 1% lidocaine hydrochloride combined with best current treatment, an injection of lidocaine alone plus best current treatment, or best current treatment alone.

ad goes here:advert-1
ADVERTISEMENT
SCROLL TO CONTINUE

Patients were at least 40 years old, with moderate to severe hip pain on most days for at least six weeks and a diagnosis of hip osteoarthritis within the last two years based on clinical history, examination and imaging. Patients were excluded if they had steroid injections in the past three months, previous hip surgery or infection.

The primary outcome was pain at six months as reflected on a 0-10 numerical rating score. Secondary outcomes included pain, stiffness and physical function (Western Ontario and McMaster Universities Osteoarthritis Index [WOMAC] scores), pain self-efficacy, patient’s impression of pain, general health, return to work and satisfaction with treatment. Follow up questionnaires were mailed to patients at two weeks and at two, four and six months; the average weighted follow up rate was 93%.

ad goes here:advert-2
ADVERTISEMENT
SCROLL TO CONTINUE

Over six months, mean improvement in hip pain intensity was greater in patients who received triamcinolone with lidocaine than in those who got best current treatment alone: mean difference −1.43 (95% CI −2.15 to −0.72), P<0.001; standardized mean difference −0.55 (−0.82 to −0.27).

Most improvements were noted early, with a greater mean improvement reported at two weeks (−3.17 (−4.06 to −2.28), P<0.001; −1.21, (−1.55 to −0.81)) and two months (−1.81 (−2.71 to −0.92), P<0.001; −0.69 (−1.03 to −0.35)), but not at four months or six months, according to a report by Dr. Zoe Paskins from Keele University in the U.K. and colleagues in The BMJ.1

There was no difference in hip pain intensity over six months between the triamcinolone-lidocaine and the lidocaine injection groups (−0.52 (−1.21 to 0.18)). However, significantly higher overall mean improvement was seen in secondary outcomes such as pain self-efficacy, quality of life, WOMAC score, global impression of change, and sleep disturbances. Again, differences were greatest at earlier time points rather than during later follow up.

ad goes here:advert-3
ADVERTISEMENT
SCROLL TO CONTINUE

The presence of ultrasound confirmed synovitis or effusion was associated with a significant interaction effect favoring treatment with triamcinolone-lidocaine (−1.70 (−3.10 to −0.30)).

Pages: 1 2 | Single Page

Filed Under: Conditions, Osteoarthritis Tagged With: corticosteroid injection, hip, hip osteoarthrits, hip pain, intra-articular corticosteroids, Osteoarthritis, Pain, Pain ManagementIssue: June 2022

You Might Also Like:
  • OA Patient-Reported Outcomes Positive for Intra-Articular Injection
  • Exercise Helps Manage Hip Osteoarthritis Pain
  • Hip Exercises May Improve Walking, Pain with Knee Arthritis
  • 2015 ACR/ARHP Annual Meeting: Novel Approaches for Intra-Articular Arthritis Therapy

ACR Convergence

Don’t miss rheumatology’s premier scientific meeting for anyone involved in research or the delivery of rheumatologic care or services.

Visit the ACR Convergence site »

Rheumatology Research Foundation

The Foundation is the largest private funding source for rheumatology research and training in the U.S.

Learn more »

Simple Tasks

Learn more about the ACR’s public awareness campaign and how you can get involved. Help increase visibility of rheumatic diseases and decrease the number of people left untreated.

Visit the Simple Tasks site »

The Rheumatologist newsmagazine reports on issues and trends in the management and treatment of rheumatic diseases. The Rheumatologist reaches 11,500 rheumatologists, internists, orthopedic surgeons, nurse practitioners, physician assistants, nurses, and other healthcare professionals who practice, research, or teach in the field of rheumatology.

About Us / Contact Us / Advertise / Privacy Policy / Terms of Use

  • Connect with us:
  • Facebook
  • Twitter
  • LinkedIn
  • YouTube
  • Feed

Copyright © 2006–2022 American College of Rheumatology. All rights reserved.

ISSN 1931-3268 (print)
ISSN 1931-3209 (online)