Hip injections for arthritis pain

Scott R. Greenberg, MDScott R. Greenberg, MD

Does a hip replacement make a patient with existing health conditions feel better? Research says NO

Researchers in the Journal of Clinical Nursing have offered an opinion that patients with cardiovascular problems do not feel that their quality of life changed regardless of the success of the procedure.

The research study team sought to evaluate to what degree total hip replacement, or co-morbidities or their progression, influence the health-related quality of life of patients after the operation. They looked for an objective method to reflect the severity of cardiovascular diseases and to better characterise the health-related quality of life of patients with total hip replacement.

Their study involved 109 patients who had had total hip replacement. The patients’ health status – objective and subjective functional performance at the time of operation and five years later – was evaluated using questionnaires and the hospital database.

The concluded: “After successful total hip replacement postoperative health awareness is influenced mainly by existing and developing cardiovascular diseases. It seems to be the case that for patients with significant hypertension, ischaemic heart disease or chronic heart failure, even successful surgery will not improve the patients’ overall feeling of health.” (1)

Hip injections for arthritis pain

If a patient comes in with chronic hip pain and their symptoms include problems of obesity, immunity, heart disease or any other factors that may inhibit their ability to heal – we suggest a plan towards health.

We encourage our patients to consume a diet rich in phytonutrients, antioxidants, fiber and omega-3 fatty acids such as salmon, mackerel and sardines. We also recommend a diet low in sugar, saturated and trans-fats and dietary cholesterol. We stress the importance of supplemental antioxidant therapy including vitamins C, E, CoQ-10, alpha-lipoic acid and other nutrients such as folate, magnesium, L-carnitine and L-arginine. Specific herbs and botanicals are also used to support your vascular health. We encourage our patients to avoid cigarette smoking, processed foods, excessive alcohol, sugar and caffeine. Engaging in a regular exercise and stress- reduction program is also paramount to success.

Finally, we have found that chelation therapy and other intravenous infusions of antioxidants can be an integral part of a cardiac disease stabilization or reversal program. With our comprehensive program, we have helped thousands of patients to regain their strength and vitality and to achieve optimum health.

1. Király E, Gondos T. Cardiovascular diseases and the health-related quality of life after total hip replacement. J Clin Nurs. 2012 Jul 11. doi: 10.1111/j.1365-2702.2012.04101.x. [Epub ahead of print]

Rodney Van Pelt, MDRodney Van Pelt, MD

Hip injections for arthritis pain, namely, Prolotherapy techniques and solutions have improved to the point that even severe degenerative hip osteoarthritis can be helped with Prolotherapy.

In general, the number of Prolotherapy treatments will depend on the extent of the arthritis. In my experience it is not uncommon for more advanced cases to need 10 to 14 treatments given one to six weeks apart. Most commonly, I see patients for hip treatments at two-week intervals. One can expect at least a 70% overall success, though with less advanced arthritis the success rate is higher. During the treatment course the patient follows standard post-Prolotherapy instructions. Patients are to be active and exercise to pain tolerance and use heat and avoid ice and other anti-inflammatory medications.

The hip is one of the deepest joints in the body. As is the case with all injections, knowledge of the basic anatomy is important to delivering safe and effective Prolotherapy to the hip joint. It is a ball and socket joint with a large range of motion. Directly in front of the hip joint runs the femoral nerve, artery and vein, all structures that obviously I want to avoid with my needles.

Read this entire article at the Journal of Prolotherapy - Hip Arthritis Prolotherapy Injection Technique