Hip Injection for Arthritis: Steroid, Hyaluronic acid, PRP…
Can’t walk comfortably?
Does your hip pain occur at night or while resting?
Do you have hip pain that persists for more than a few days?
Are you unable to move your hip, or does it limit your daily activities?
Hip pain can be caused by various factors. If you want to eliminate your hip pain or injury, it is essential to consult a trauma specialist clinic
Take the first step towards a full and pain-free life with Regenerative Medicine hip joint injections.
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Hip Joint Injection: Steroid & PRP Plathelet-Rich Plasma for Osteoarthritis
I am Miguel Alfonso Porcar, the director of the Regenerat Traumatology Clinic and a recognized orthopedic specialist in the treatment of hip osteoarthritis using bioregenerative therapies, including platelet-rich plasma, growth factors, and autologous serum rich in cytokines (SARC).
At Regenerat Traumatology Clinic, we specialize in the diagnosis and treatment of hip osteoarthritis.
Our goal is to determine the underlying cause of your hip pain.
We will conduct the appropriate diagnostic tests and apply conservative treatment methods, regenerative therapies, or surgical interventions to relieve your osteoarthritis-related pain, helping you recover your well-being as quickly as possible.
We are committed to assisting our patients with the safest, most effective and least invasive treatments available!
English-Speaking Orthopedic Doctor for International Patients
Dr. Carlos Mairal, an orthopedic surgeon and trauma specialist in regenerative medicine, provides expert medical care in English for international patients.
He specializes in ultrasound-guided infiltrations using platelet-rich plasma (PRP) for the treatment of hip conditions such as gluteal tendinitis, trochanteric bursitis, osteoarthritis, and bone edema, promoting faster healing and long-lasting relief.
If you’re seeking advanced, non-surgical treatment for hip pain and prefer to communicate in English, Dr. Mairal offers personalized care in a professional and welcoming environment.
Book your appointment today and receive expert care from an English-speaking orthopedic doctor.
What is osteoarthritis on hip?
Osteoarthritis of the hip is a degenerative disease of the hip joint, in which the cartilage deteriorates due to wear and tear.
Hip osteoarthritis is caused by wear and tear of the cartilage of the femoral head and the articular cavity of the pelvis which has a hollow so that they form a gear, and allow movement of the femur in multiple directions.
The consequences of cartilage deterioration initially manifest themselves as minor movement restrictions, which may later worsen and cause severe pain.
There are two types of osteoarthritis:
- Primary osteoarthritis is a genetic form of the disease. Symptoms may not necessarily be apparent in a patient with primary osteoarthritis. This form of the disease can last a lifetime without being noticed.
- Secondary osteoarthritis is caused by external impact, such as injuries due to accidents, misaligned legs (bent knees/bowed legs) or the constant stress of everyday life.
Causes of osteoarthritis of the hip
The causes of hip or coxofemoral osteoarthritis are very diverse and are usually due to a combination of several factors.
However, the common factor is a metabolic disorder of the cartilage.
Cartilage degradation processes predominate, gradually leading to bone exposure.
If one bone rubs against another, the body reacts by producing bone material (osteophytes) to counteract the degradation. This causes bone deformation, with consequent limitations in mobility, as well as pain.
Repairing cartilage damage is particularly difficult for the body. Cartilage cracks are usually irreversible.
The following factors may favor the development of osteoarthritis of the hip or be the cause of it:
- Genetic predisposition.
- Age-related wear and tear .
- Misalignment problems; dysmetria or lower limb length inequality.
- Hip diseases, especially in childhood, such as dislocations, dysplasia or Perthes disease.
- Severe obesity.
- Trauma, intense physical exertion, sports and injuries such as dislocations.
- Hip impingement: occurs when the acetabulum and femoral head do not fit together completely. The reasons for this are not clear. A genetic predisposition often plays a role.
Risk factors for osteoarthritis of the hip
In addition to genetic factors and age, the other particular risk factor is overloading of the hip joint due to obesity and permanent physical loads.
In most cases, osteoarthritis of the hip is caused by a combination of several factors.
Genetic predisposition, obesity and age-related wear and tear are some of the most common causes.
Symptoms of osteoarthritis of the hip
In most cases, osteoarthritis of the hip causes pain and limitation of movement in the hip joint.
However, in the early stages of the disease there may be no noticeable symptoms.
Those affected usually feel only minor pain when walking or getting up from a seated position.
These discomforts usually disappear on their own after a short time.
As the disease progresses, it manifests as groin pain that extends across the anterior aspect of the femur, sometimes up to the knees, and movements such as bending over or climbing stairs become more difficult and painful.
Rapidly progressive osteoarthritis of the hip means that all the cartilage material will break down in the near future. The bony ends, then unprotected, will rub against each other.
This often results in severe movement restrictions and pain.
The breakdown of cartilage material due to osteoarthritis cannot be stopped.
However, reducing obesity and increasing physical activity can help strengthen muscles and reduce movement restrictions and pain.
Typical symptoms of osteoarthritis of the hip are:
- Groin pain: this is the area where the pain is localized in most patients, followed in frequency by the buttock and the anterior aspect of the leg.
- Lameness.
- Limitation or loss of mobility with inability to cross the legs, tie shoelaces, climb a step or sleep on the stomach due to hip flexion.
- Pain at rest.
- Difficulty sitting or standing in low chairs.
Diagnosis of osteoarthritis on hip
Dr. Miguel Alfonso Porcar, traumatologist and orthopedic surgeon expert in hip pathologies and injuries, performs the diagnosis of your hip pain.
- The initial goal is to determine if there is a history of disease or injury. This step can also help rule out other diseases that could be the reason for the discomfort.
- The patient then undergoes a physical evaluation of mobility tests and functional tests, which provide information on mobility and reactions to pain.
In the next step, imaging techniques are used to determine the condition of the hip joint, especially the cartilage.
In the diagnosis of osteoarthritis of the hip we pay special attention to the size of the joint space. The smaller or smaller the joint space, the more advanced the osteoarthritis of the hip.
- X-rays can also detect bone growth deformities (osteophytes) on the articular surfaces where there is loss of cartilage.
- In some cases, we may also perform an ultrasound, or request a CT or MRI scan to obtain a more accurate diagnosis.
- We can also order a blood test to distinguish between arthritis and osteoarthritis, which is sometimes difficult.
Grades of osteoarthritis of the hip
Osteoarthritis can be classified by radiological diagnostic tests and divided into 5 grades.
- Grade 0: no signs of osteoarthritis.
- Grade 1: minor joint space narrowing.
- Grade 2: minor narrowing of the articular space and slight irregularities in the articular surface.
- Grade 3: pronounced narrowing of the joint space and substantial irregularities in the articular surface.
- Grade 4: pronounced narrowing of the joint space and deformation/necrosis (bone cell death) in parts of the joint.
Hip Osteoarthritis Treatment with Injections
Although there is no definitive cure for osteoarthritis there are several treatment options for osteoarthritis of the hip.
Treatment of osteoarthritis of the hip is usually conservative at first, depending on the stage of the disease. It consists of movement therapy or physiotherapy to strengthen the muscles of the hip joint.
- Specific exercises can also improve mobility and balance, thus slowing the progression of osteoarthritis and relieving pain.
Sports should not be avoided for fear of deterioration. However, it is necessary to choose appropriate sports such as aquagym, swimming, cycling or simple walks.
- Pharmacological treatment with anti-inflammatory analgesics may also be used to relieve pain.
- If osteoarthritis of the hip is due to misalignment, orthopedic insoles can help counteract it and relieve symptoms.
Multidisciplinary pain management for complex cases may include:
- Injections of corticosteroids and/or hyaluronic acid or prolotherapy injections (dextrose).
- Platelet-rich plasma injections (intraosseous PRP).
- Other forms of regenerative medicine, using ultrasound to inject in a guided manner at the exact point of injury.
- Arthroscopic surgery and/or replacement with a total hip prosthesis is usually considered the treatment of last resort.
What is the best injection for hip arthritis?
The optimal injection for hip arthritis depends on individual factors and symptom severity. Common options include:
- Corticosteroid Injections: These reduce inflammation and can provide pain relief lasting from a few weeks to several months.
- Hyaluronic Acid Injections: Intended to lubricate the joint, these may offer relief for up to twelve months, though their effectiveness in the hip is less certain.
- Platelet-Rich Plasma (PRP) Injections: PRP aims to promote tissue healing, with potential symptom relief lasting to a year.
Hyaluronic Acid Injections on the Hip
Can hyaluronic acid be injected into the hip joint?
Yes, hyaluronic acid can be injected into the hip joint to lubricate it, reduce friction, relieve pain from arthritis and restrict the progression of cartilage loss . It’s mainly used in early to moderate stages. Effects may take weeks and last up to 6 months. A specialist decides if it’s appropriate.
It also tends to alleviate the clinical symptoms of osteoarthritis, being an effective non-surgical option in the conservative treatment of coxarthrosis.
These injections should be guided by the use of rx or ultrasound to ensure that we are in the hip which is a deeper plane than other joints such as the knee.
Hip Platelet-Rich Plasma injections
Do PRP injections work for hip arthritis?
Yes, PRP injections can help with hip arthritis by reducing pain and improving joint function. They promote healing and may offer relief lasting to 12 months. PRP is especially useful in early to moderate stages and when other treatments are not effective. It is an effective procedure that is an alternative prior to prosthetic surgery.
PRP contains growth factors that stimulate the normal biological healing response.
Patients who undergo PRP injection treatment typically see significant improvement in pain and improved range of motion.
PRP (Platelet-Rich Plasma) injections are a treatment option prior to hip replacement surgery and can help many patients who would otherwise need to undergo surgery.
The results are promising, indicating a more effective long-term benefit, along with the assurance of using a substance derived individually from each patient.
It has been shown to delay and even avoid surgery.
QREM Autologous Cytokine Enriched Serum (QREM Cytoquine)
QREM cytokine injections are a novel treatment for hip osteoarthitis.
We inject an adequate amount of platelet concentrates, combined with anti-inflammatory cytokines, directly into the damaged hip to reduce inflammation and initiate the regenerative cycle.
Autologous serum rich in cytokines has been shown to achieve up to 75% pain reduction for more than one year in patients with osteoarthritis.
At Regenerat Clinic, we utilize ultrasound guidance for the infiltration of PRP in the treatment of hip osteoarthritis.
This procedure is performed in our office without the need for general anesthesia, an operating room, or X-rays.
Osteoarthritis of the Hip: Surgical Treatment – Total Hip Prosthesis
Hip arthroplasty is a surgical procedure in which a damaged hip joint is replaced with an artificial joint for various reasons.
Total hip replacement (also known as total hip arthroplasty) is performed when conservative therapies do not yield satisfactory results and the pain is persistent and severe.
There are three types of hip prostheses:
- Cementless Prosthesis: The artificial joint is attached directly to the bone, allowing it to grow into the bone naturally (commonly used in younger patients).
- Cemented Prosthesis: The artificial joint is fixed to the bone using bone cement (typically used in older patients).
- Hybrid Prosthesis: The acetabular component is fixed without cement, while the femoral stem is cemented.
The surgery typically lasts about one hour and is usually performed under epidural anesthesia. Patients can often leave the hospital the day after or two days following surgery.
A total hip prosthesis generally lasts approximately 15 to 20 years before it may need to be replaced.
Why Regenerat Clinic to treat your hip osteoarthritis in Valencia?
Hip osteoarthritis treatments: Leader centers in Valencia, Gandía, Denia, Jávea…
In the field of hip pain treatment, Regenerat clinic is your reference center.
Patient Testimonials
Our patients appreciate our experience and multidisciplinary approach to treating hip osteoarthritis.
We provide solutions that eliminate pain and help you regain your activity after treatment, often without the need for surgery.
State-of-the-art technology
We use high-resolution ultrasound scanners in our clinic to diagnose, locate lesions, and perform state-of-the-art treatments in the injured area.
This approach allows us to be less invasive, effectively relieving and often eliminating your hip pain in Valencia, ultimately enhancing your health and quality of life.
Desde el primer momento, el trato que recibí en la Clínica Regenerat fue increíble. El Dr. Miguel Alfonso Porcar y todo su equipo fueron muy profesionales, cercanos y atentos, lo que me hizo sentir completamente cómodo y confiado desde la primera consulta. Aunque mi rodilla se encontraba en un estado crítico, los resultados iniciales que he obtenido con el tratamiento de PRP han sido sorprendentes. El proceso fue explicado detalladamente y me dieron todas las opciones disponibles para mejorar mi situación.
Estoy muy agradecido por la dedicación y el cuidado que me han brindado. Recomiendo totalmente esta clínica a cualquier persona que esté buscando un tratamiento efectivo y personalizado para problemas articulares. ¡Gracias a todo el equipo por su apoyo y por hacerme sentir como en casa!
Causes of Hip Pain Treatable by a Hip Specialist
The primary cause of acute hip pain is often a fracture of the femoral neck.
Hip fractures are particularly common in the elderly population due to underlying conditions such as osteopenia and/or osteoporosis
Other causes and treatments for hip pain:
- Gluteal tendinopathy shots: For overuse injury of the hip tendons that are activated when we walk, stand and transfer weight from one leg to the other during walking.
- Hip bursitis injection: A procedure to address inflammation of one or more bursae in the hip. Bursae are small, fluid-filled sacs located between bones and soft tissues, such as tendons or muscles, that act as cushions to reduce friction.
- Trochanteric bursa injection: A treatment for inflammation of the bursa that cushions the greater trochanter bone of the hip. This condition typically causes pain in the lateral region of the hip
- Hip injection for arthritis: Osteoarthritis, a degenerative joint disease, is more common in the elderly. In this condition, the cartilage within the joint gradually wears away, leading to pain, swelling, stiffness, and restricted movement in the affected area.
- Bone marrow edema of the hip: A condition characterized by increased interstitial fluid within the bone marrow, typically in the femur. It can result from inflammation or injury in the medullary area (inside the bone) of the hip, often due to trauma, overuse, or underlying conditions
New opening Regenerat: Orthopaedic surgeon in Gandía, Denia, Jávea....
Specialists in Regenerative Medicine and Physiotherapy in Gandía
Call ☎ 961 146 834
Regenerat is a paediatric and adult trauma clinic, specialising in regenerative medicine treatments that delay and, in many cases, avoid orthopaedic surgery.
Our patients get an unbiased diagnosis and we offer you various surgical and non-surgical treatment options.
The most common pathologies treated at our medical center are osteoarthritis, back pain, tendon injuries, and sports injuries.
Providing expert care to patients from Denia and Javea to Benidorm and across Alicante at our Gandia clinic.
We are located at C/ Ciutat de Laval, 23, 46702 Gandia, Valencia, Spain.
Make an appointment in Gandia, Catarroja or Torrent
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Contact information
☎ 961 146 834
info@regeneratclinica.com
Schedule
Mornings – 9:30am – 14:00pm
Afternoons – 16:00pm – 20:00pm
Saturday & Sunday – Closed
Regenerat Clinic in Catarroja
Carrer Emili Ferrer Gómez, 4, 46470
Regenerat Clinic in Torrent
C/ del Mestre Lorenzo Fuertes Julvez, 14, 46901
Regenerat Clinic in Gandia
C/ Ciutat de Laval, 23, 46702 Gandia, Valencia
