Dr. Howard Liss treats disorders that cause pain and disability by providing consultative services and soft tissue and joint injections when needed. When medically appropriate, he makes specific referrals for diagnostic testing (lab work, imaging, electrodiagnosis), physical and occupational therapy, interventional procedures (epidurals and facet joint injections), and surgery.
When patients experience hip, buttock, leg or low back pain, hip joint injections (which contain numbing medication and cortisone) may be administered to relieve pain and reduce inflammation. When injected into the joint, the patient may experience immediate pain relief. In other cases, the patient may not. Even so, the patient’s response to the injection provides important diagnostic information relating to the nature and source of their pain.
To better understand the structure of the hip joint, it is located at the intersection of the thigh bone (femur) and pelvis. As a ball and socket joint, the end of the femur bone fits into the socket formed by the pelvic bone. Ligaments containing synovial fluid form around the ball, and cartilage is located between the two bones to provide movement without causing friction.
Using fluoroscopy, which is an x-ray guided method for hip joint injections, physicians insert a small needle into the joint. Contrast dye is used to confirm the proper placement of the needle, and a combination of anesthetic and anti-inflammatory is injected into the joint in a 30-60 minute procedure.
Hip Injections and Rehabilitation
As a component of interventional physiatry, x-ray guided steroid injections, including hip injections, have become a trusted way of reducing pain and targeting other inflammatory conditions. Yet, hip injections are just one part of a comprehensive treatment protocol designed by physiatrists.
With extensive knowledge and education concerning multiple disciplines and conditions, physiatrists are well positioned to identify, develop and manage a wide range of conditions affecting the brain, spinal cord, nerves, bones, joints, ligaments, muscles and tendons. While steroid injections accomplish the primary objective of reducing pain, they provide critical diagnostic information that is needed to customize plans for rehabilitation.
Physiatrists may suggest a series of conservative, nonsurgical modalities that work to maximize a patient’s level of functioning and quality of life. Aside from ice therapy, ultrasound and hip injections, rehabilitation may include acupuncture, dry needling, core exercises and closed kinetic chain exercises, gait analysis, biomechanical (body mechanics) analysis, balance enhancement exercises, soft tissue massage, bracing, joint mobilization, TENS unit and flexibility exercises and stretching.
At the Howard Liss, M.D. Rehabilitation Institute in Tenafly, patients can rely on Dr. Liss to put together the right treatment, therapy and rehabilitation plan to ensure the most optimal outcome. Dr. Liss works closely with other specialists required to rehabilitate patients suffering from chronic pain or serious injuries, and Dr. Liss will refer patients as needed to ensure appropriate treatment. With extensive education and exposure to a variety of conditions that affect the cervical and lumbar spine, bones, nerves, joints, ligaments, tendons, muscles, brain, and spinal cord, Dr. Liss is uniquely positioned to help patients manage their pain and maximize their functioning.
If you are experiencing hip pain, or if you are suffering from buttock, leg or low back pain, contact Howard Liss, M.D. Rehabilitation Institute in Tenafly today.