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Cortisone Shots Treat Severe Hip Pain
Reported December 23, 2009
(Ivanhoe Newswire) -- Ultrasound-guided cortisone injections may be
an effective treatment for gluteus medius tendinopathy, a common condition
caused by injury to the tendons in the buttocks which can cause severe hip
pain.
"The underlying causes remain unclear but probably are multi-factorial and
involve mechanical and degenerative processes," Etienne Cardinal, MD, lead
author of the study, was quoted as saying. Medical treatment usually
includes physiotherapy, nonsteroidal anti-inflammatory medication, and local
injections of corticosteroids.
The study, performed at the University of Montreal's Hospital Center,
included 54 patients with gluteus medius tendinopathy. All patients received
ultrasound-guided cortisone injections. "One month after treatment, 72
percent of the patients showed a clinically significant improvement in pain
level,” said Cardinal. “Seventy percent of patients were satisfied with the
results of the intervention.”
"The use of ultrasound for guiding musculoskeletal procedures has increased
over the past several years,” said Cardinal. “Advantages of ultrasound over
fluoroscopy include its soft-tissue imaging capabilities that allow a
diagnostic study to be performed before cortisone injection. This
noninvasive, nonionizing imaging technique allows continuous monitoring of
the needle position, which facilitates the performance of safe and precise
cortisone injections."
SOURCE: American Journal of Roentgenology, January, 2010 |