Intracapsular hip block injection
This page provides with information about intracapsular hip block injections and how the procedure is carried out
What is an intracapsular hip block?
This is an injection into the fluid surrounding the hip joint, with the aim of reducing pain. The hip joint can become painful through wear and tear or disease such as arthritis. It has been found that injecting the joint can provide effective short or long- term pain relief. It may also be useful as a diagnostic procedure.
What is injected?
A small amount of local anaesthetic with steroid is injected into the hip joint. The steroid acts only around the area where it is injected and does not have the same side effects as taking long-term steroids.
Where is the procedure done?
The procedure is carried out in the Chedworth Suite at Cheltenham General Hospital. An appointment will be sent to you by the pain clinic secretaries.
- You may be asked to put on a hospital gown.
- You will be asked to lie on an X-ray trolley.
- X-rays images (pictures) may be used to guide the needle.
- The area to be injected will be cleaned with antiseptic.
- The consultant will numb the area with local anaesthetic, if needed, before injecting the anaesthetic and steroid.
- You may feel some discomfort during the procedure; this is a good sign, as it helps the consultant to know that the needle is exactly where it is needed.
How long will I be in hospital?
Although the procedure itself only takes about 15 to 20 minutes, you may be on Chedworth Suite for a couple of hours, so please come prepared for this. After the procedure, you will be offered a drink and allowed home shortly afterwards.
Can I eat and drink?
You may eat and drink as normal, unless your consultant advises you otherwise.
Can I take my usual medication?
Continue to take your medication as usual on the treatment day. If you are diabetic and your blood sugar is above 15mmol/l on the day of your procedure you may not be able to have your injection, this will be decided by your consultant. If your blood sugars are above 15mmol/l leading up to your injection please contact your pain consultant’s secretary for advice.
Can I drive home?
For safety reasons you are asked not to drive yourself home. You should also have somebody with you for the rest of the day.
After the injection
In the days following your injection you may have:
- mild discomfort around the injection site. This is expected and should settle by itself.
- an increase in your normal pain, this is usually temporary. You can take your normal pain relief to reduce any discomfort. If the pain is severe, please contact your GP for advice.
- temporary weakness and numbness in the limb or area that was treated. If it was safe to do so you may have been discharged home with these symptoms. Please take care to protect the area/limb until normal sensation returns; this will help to prevent accidental injuries.
- an allergic reaction to the injection, which results in redness and itching around the injection site. This is not serious, although we need to know about it for future treatments.
- facial redness or flushing as a normal response to steroid injection treatment.
What happens next?
Your response to the injection treatment will either be assessed before you leave Chedworth Suite or you will be asked for feedback 6 weeks after the treatment.
Please provide your email address before leaving Chedworth Suite.
A member of our administrative team will email you in 6 weeks with a form to complete about the result of your injection treatment.
You will be asked to complete the form with your name, date of birth, hospital number and the name of your pain consultant.
You will also be asked to let us know how much pain relief was provided by the injection and what improvements you have noticed. The improvements may include being able to sleep better, able to do more physically, reduce medication or improvements in your mood and general wellbeing.
If you are not able to access email - please telephone your pain consultant’s secretary 6 weeks after the injection treatment. The contact number is at the end of the leaflet. You will be asked for the same information that is requested by email.
The next step in your treatment will be decided according to your response to the injection treatment. Any further appointments will be posted to your home address.
If your pain has improved greatly, you will not need a routine follow up appointment.
Instead you will be given a 6 months open appointment during which time you can contact your pain consultant’s secretary if your pain becomes difficult to manage again.
For injection treatment follow up or to rearrange an appointment please contact your consultant’s secretary, Monday to Friday between 8:00 am and 4:00 pm.
Dr Young’s secretary
Tel: 0300 422 3383
Dr Makins secretary
Tel: 0300 422 2558
Dr Harper’s secretary
Tel: 0300 422 3383
Dr Bodycombe’s secretary
Tel: 0300 422 3198
Dr Rea’s secretary
Tel: 0300 422 2804
Dr Patel’s secretary
Tel: 0300 422 2558
For all other queries please contact the:
Clinical Nurse Specialists
Tel: 0300 422 2976
An answerphone will be in operation at all times, please leave a message and we will return your call as soon as possible.
For urgent calls please contact your GP or NHS 111.
For more information about the Gloucestershire Hospitals Pain Management Service please visit the website below:
Website www.gloshospitals.nhs.uk/our-services/services-we- offer/pain/