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Hip Joint InjectionsFluoroscopic and ultrasound-guided hip joint injections to diagnose and treat hip arthritis — and to distinguish true hip pain from referred lumbar spine pain — at Remix Medical in Houston, TX.

Specialty
Pain Management
Type
Procedure
Body location
Hip joint, femoral head, acetabulum, acetabular labrum, hip joint capsule
CPT code
20610 (arthrocentesis/injection, major joint, without ultrasound), 20611 (with ultrasound guidance and permanent recording); 27093/27095 (hip arthrography injection); 77002 (fluoroscopic guidance, when reported separately)

Also known as: Intra-Articular Hip Injection, Hip Steroid Injection, Hip Arthrogram Injection, Hip Joint Block

Hip Joint Injections in Houston, Texas

The hip is a deep joint, and it lies. Its pain shows up in the groin, the buttock, the outer thigh, and — with unhelpful frequency — the knee. Patients spend months in treatment for a lumbar spine problem while the joint responsible has never been examined. An image-guided hip injection settles the question.

What is a Hip Joint Injection?

A hip joint injection places local anesthetic, usually with corticosteroid, directly into the ball-and-socket joint under fluoroscopic or ultrasound guidance.

The hip sits beneath thick muscle and adjacent to the femoral neurovascular bundle. It cannot be reliably entered by landmark alone. Image guidance is mandatory, not a refinement.

Diagnostic Value

Hip pain and lumbar spine pain coexist frequently, and each can convincingly imitate the other. An intra-articular hip injection is the cleanest way to separate them: if local anesthetic in the joint substantially relieves your pain, the joint is the source. If it does not, attention properly returns to the spine.

This distinction changes management entirely, and it is worth establishing before anyone operates on either structure.

What It Treats

  • Hip osteoarthritis with groin pain and stiffness
  • Labral tears and femoroacetabular impingement
  • Inflammatory arthritis involving the hip
  • Avascular necrosis in early stages, for symptom control
  • Unclear hip-versus-spine pain , as a diagnostic tool

Answering the Right Question at Remix Medical

Months of back treatment for a hip problem is a common and avoidable story. Contact Remix Medical to schedule a consultation with a board-certified pain management physician in Houston.

How it's performed

The patient lies supine and the hip is visualized under fluoroscopy or ultrasound. After skin anesthesia, a needle is advanced along the femoral neck into the joint capsule, deliberately lateral to the femoral neurovascular bundle. Contrast confirms intra-articular position, after which local anesthetic and corticosteroid are injected into the joint.

How to prepare

Avoid pain medication immediately beforehand if the injection is being done for diagnostic purposes. Arrange a driver. Hold anticoagulants only as directed by the prescribing physician. Bring recent hip and lumbar spine imaging. Be prepared to record pain scores for several hours afterward.

What to expect after

Record pain scores hourly for 6 hours after the injection — the anesthetic phase carries the diagnostic information. Ice the groin area 20 minutes every 2 to 3 hours on the first day. Avoid strenuous activity for 48 hours. Monitor blood glucose if diabetic. Report fever, escalating groin pain, or inability to bear weight immediately.

Outcome

Substantial relief during the anesthetic phase confirms the hip joint as the pain source and reliably separates hip pathology from lumbar spine pathology. The corticosteroid component typically provides weeks to months of symptomatic relief.

Related

Learn more

Your physician

Your pain management at Remix Medical.

Every clinician at Remix Medical is board-certified and owns the practice — so the physician in your exam room is the one making decisions about your care.

  • Raju Mantena, DO

    Pain Medicine Physician

    Medical Center — South Freeway · Montrose — Upper Kirby · Pearland

    Board certifiedAccepting newBook

This page is for general education and is not a substitute for medical advice. Whether a given procedure is appropriate depends on your individual evaluation. Contact a Remix Medical clinician to discuss your care.

Updated July 9, 2026.

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