By Chris Faubel, M.D. —
Video of a left hip intraarticular steroid injection under fluoroscopic guidance. Click the black title link above (if you can’t see the video).
VIDEO: Hip Intraarticular Steroid Injection Under Fluoroscopy
Home Interventional Procedures Hip - video VIDEO: Hip Intraarticular Steroid Injection Under Fluoroscopy
Conditions
Bertolotti’s syndrome – Atypical Cause of Low Back Pain
By Chris Faubel, M.D. -- Bertolotti's syndrome is an atypical cause of axial low back pain or buttock pain caused by a transitional lumbar vertebrae with a large transverse process that either fuses with the sacrum (sacral ala) or ilium, or forms a pseudoarticulation at that location.
Imaging
Auto-Resorption of Lumbar Disc Herniation
By Chris Faubel, M.D. -- MRIs one year apart showing resorption of a large lumbar disc herniation. This is spontaneous resorption of the disc without any surgical intervention.
Hi….This website is very useful.Thanks for sharing the tips.Do post for other intervention radiology procedure ( Biopsy/ drainage catheter..etc..)
Sorry Sathya, I’m an interventional pain physician, not interventional radiology. I don’t perform those other procedures.
I just had this procedure done and it was extremely painful!!!
Is this normal? I did not feel numb when the procedure was started which only took a few minutes.
It isn’t common at all to feel extreme pain during the procedure. With that said, after doing 100+ of these, I’ve had maybe 2 patients that were very sensitive to every movement of the needle no matter how much lidocaine was used to numb the area.
Thanks – very helpful. Do you actually hit the bone and pull back slightly?
How much total volume do you use?
Not really. With this injection, you need to “hit the bone”, get the patient to relax the leg by letting it fall in external rotation a bit, and then inject the contrast to confirm intra-articular spread. Don’t pull back at all. I usually use 1 ml of depo-medrol and 3 ml of 1% lidocaine.
Hello Christopher Faubel,
Is there any advantage of lateral approach to intra-articular hip injection over anterior approach. (Image guided)
The only advantage is that there is no real chance of coming close to the femoral artery with the lateral approach. I still prefer the anterior approach because it is much easier (straight down), much quicker, and with a quick check of the femoral pulse, just as safe.