Concierge MSK · United Kingdom
Image-guided hip injection treatment, by a consultant MSK specialist.
A properly placed hip injection under ultrasound or fluoroscopy — into the joint, the bursa or the tendon that is actually hurting. Steroid, hyaluronic acid or PRP, chosen for your problem.
Why patients choose us
- 01
Image-guided, not blind
Every injection is placed under ultrasound or fluoroscopy. Blind hip injections miss the target too often to be worth the risk.
- 02
MSK radiologist or sports doc
A named consultant — musculoskeletal radiologist, rheumatologist or sport-and-exercise physician — not a general clinician.
- 03
Independent, and free
We are paid by no clinic, so the recommendation on target, steroid, hyaluronic acid or PRP is impartial and costs you nothing.
Indicative pricing
What a private hip injection costs in the UK.
Indicative ranges across our partner clinics. Send the details and we quote firm figures across two or three options.
In short
An image-guided intra-articular hip injection in our network: £600–£1,500, home the same day.
| Injection | Indicative range | Typical duration | Home |
|---|---|---|---|
| Intra-articular hip (US or fluoroscopy) | £600–£1,500 | 15–30 min | Same visit |
| Trochanteric bursa / GTPS (US-guided) | £350–£700 | 15 min | Same visit |
| Iliopsoas bursa (US-guided) | £500–£900 | 20 min | Same visit |
| Piriformis or peri-sciatic (US or MR-guided) | £600–£1,200 | 20–30 min | Same visit |
| Hyaluronic acid course (Ostenil / Durolane) | £800–£2,000 | 15 min each | Same visit |
| PRP (platelet-rich plasma) injection | £350–£800 | 30–45 min | Same visit |
| Consultation only | £200–£400 | 30 min | Same visit |
Prices vary by clinic, by which consultant does the case, by the guidance modality used, and by whether the visit includes a consultation as well as the injection. NHS access via GP referral is free but usually slower. We come back with a firm quote within one working day.
The problem
The right target, the right agent, the right guidance.
Hip pain is not one thing. It can come from the joint, the trochanteric bursa, the iliopsoas, the piriformis, the adductors or the pubic symphysis. Inject the wrong one and nothing helps.
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Not sure it is the joint?
A diagnostic LA-only injection under image guidance tells you — before you commit to arthroscopy or a replacement.
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Been told to just wait?
A well-placed steroid or hyaluronic acid buys time for physio and delays surgery in the right patient. Waiting is not the only plan.
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Want it done properly?
A named consultant MSK specialist, ultrasound or fluoroscopy every time, and honest advice about PRP or steroid.
The journey
From enquiry to recovery — what happens, in order.
One clinician from first message to review — including the flare window.
Phase 1 · Before your injection
Concierge, off-stage for you
Phase 2 · On the day
Five to fifteen minutes on the table
Phase 3 · After
Concierge, back on
- 01
Before
You tell us what is going on
A short, confidential form. Where the pain is, how long, what makes it worse, and any imaging you already have.
- 02
Before
We come back with a recommendation
Within one working day: the right target (joint, bursa, tendon), the right agent (steroid, hyaluronic acid or PRP), the right guidance, and an indicative price.
- 03
Before
We arrange the appointment
Usually within one to two weeks. Blood-thinning medication is reviewed with the team and you are told exactly how to prepare.
- 04
On the day
Arrival at the clinic
Arrival, consent and a chat with the consultant. The area is cleaned and draped, and a small amount of local anaesthetic is used at the skin.
- 05
On the day
The injection itself
Five to fifteen minutes on the table. Ultrasound probe or fluoroscopy image confirms the target, and the injection is given over 30 to 60 seconds.
- 06
On the day
Home the same day
You walk out. Driving later is fine if you are comfortable. Written aftercare comes with you and the team is on the end of a phone.
- 07
After
Recovery and review
A pain flare for 24 to 48 hours is common. Peak effect at two to four weeks. Physio typically continues and a review is arranged if needed.
Typical end-to-end: 1–2 weeks from enquiry to injection. Peak effect: 2–4 weeks.
When it helps
When a hip injection is the right step.
The situations we see most, plus the one red flag that means an emergency rather than an appointment.
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Hip osteoarthritis
Groin, buttock or thigh pain from a wearing joint — an image-guided steroid or hyaluronic acid can buy time before surgery.
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FAI and labral tears
A diagnostic intra-articular injection helps confirm the hip joint is the pain source before considering arthroscopy.
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Greater trochanteric pain syndrome
Pain on the outside of the hip, worse lying on that side — US-guided steroid plus physio is the standard first line.
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Iliopsoas bursitis or snapping hip
Groin pain with a snap on movement — a targeted US-guided injection at the psoas notch settles most cases.
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Piriformis or deep gluteal syndrome
Deep buttock pain with sciatic-type radiation — piriformis or peri-sciatic injection under US or MR guidance.
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Adhesive capsulitis of the hip
A stiff, painful hip capsule — intra-articular steroid combined with a structured physio programme.
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Adductor or pubic symphysis pain
Athletes with groin pain — targeted adductor tendon or pubic symphysis injection alongside a rehab plan.
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Red flag: fever with hip pain
A hot, swollen, exquisitely painful hip with fever is possible septic arthritis — same-day A&E, not a clinic booking.
Injection options
Not every hip injection is the same.
Each target and each agent does a different job. Here is what we actually offer, and why each has a place.
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Intra-articular hip (steroid)
Ultrasound or fluoroscopy-guided steroid and local anaesthetic into the joint — for OA, FAI, labral tears and adhesive capsulitis.
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Diagnostic LA-only injection
Local anaesthetic into the joint alone — a >50% pain reduction confirms the hip joint is the pain source before arthroscopy.
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Hyaluronic acid (viscosupplementation)
Ostenil, Synvisc or Durolane into the hip for OA. Evidence weaker than at the knee — used selectively in private practice.
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Trochanteric bursa / GTPS
US-guided steroid and local anaesthetic at the greater trochanter — up to three trial injections before considering surgery or PRP.
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Iliopsoas bursa
US-guided injection at the psoas notch for iliopsoas bursitis, snapping hip and post-hip-replacement impingement.
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Piriformis or peri-sciatic
Deep gluteal injections placed under US or MR guidance to release piriformis irritation and calm the sciatic nerve.
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Adductor or pubic symphysis
Targeted injection for adductor tendinopathy or osteitis pubis in athletes, combined with a graded loading rehab plan.
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PRP (platelet-rich plasma)
Autologous PRP for gluteal tendinopathy and early hip OA. NICE-not-endorsed but evidence emerging — no NSAIDs before or after.
Our vetted UK network
A small panel of MSK specialists, we picked them.
Consultant MSK radiologists, rheumatologists and sport-and-exercise physicians across the UK. Not listed publicly — introductions are made privately, once we understand your case.
Selection criteria
How we choose every clinician in our network.
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Consultant MSK radiologists, rheumatologists or sport-and-exercise physicians
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Every hip injection placed under ultrasound or fluoroscopy — no blind injections
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Diagnostic LA-only option offered where surgical planning is on the table
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PRP and hyaluronic acid discussed honestly, with the evidence they have or lack
Safety and recovery
What to expect afterwards — honestly.
An image-guided hip injection is a safe outpatient procedure. The things worth planning are the flare window, when benefit shows up, and knowing when to worry.
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Injection-site pain is universal
A transient ache or throb at the needle site is expected. Paracetamol and ice for the first evening handle it in most cases.
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Post-injection flare in 10–15%
The joint or bursa can flare for 24 to 48 hours before settling. Rest, ice and simple painkillers. Ring us if it is not easing after two days.
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Septic arthritis is rare
Less than one in ten thousand with proper aseptic technique. A hot, swollen, painful joint with fever is a same-day A&E problem.
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Skin depigmentation from steroid
A pale or thinned patch of skin can appear at superficial steroid injection sites — commoner at the trochanter. Usually settles over months.
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Systemic steroid effects
Transient hyperglycaemia, facial flushing and menstrual disturbance can occur for a few days. Diabetics are warned to check sugars.
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Tendon rupture is a real risk
High-dose steroid at a tendon insertion can weaken it — we avoid steroid inside the gluteal tendons and use PRP instead where possible.
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Nerve effects are usually transient
A short-lived femoral nerve block from intra-articular volume, or transient sciatic irritation, can occur. Permanent nerve injury with US guidance is very rare.
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Peak effect at two to four weeks
Do not judge the injection on day three. Steroid works for weeks to months, hyaluronic acid for months if it works, PRP over three to six months.
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Injections are not a career plan
If you are needing repeat injections to function, that is a sign to plan the definitive step — surgery, or a proper loading programme — not to keep injecting.
Reading your procedure note
Your procedure note in four parts. Read the last one first.
Whichever target was chosen, the note the consultant sends you keeps to the same shape.
A quiet reminder
Radiology language is precise and can read coldly — we translate it for you.
If you would like us to talk you through the note before your review, just ask.
- 01 Header
Indication and target chosen
Why the injection was done — OA, GTPS, iliopsoas, piriformis — and which target and guidance modality were agreed with you.
- 02 Technique
Guidance, agent and dose
Ultrasound or fluoroscopy, the exact agent (for example triamcinolone 40 mg plus bupivacaine 0.25% with saline), and how it was delivered.
- 03 Findings
Real-time imaging and diagnostic response
What the scan showed on the day — effusion, tendon changes, labral appearance — and, for diagnostic injections, the immediate pain response.
- 04 Impression
Aftercare, physio and review timing
Read this first: expected flare window, when to expect benefit, whether physio continues, and when a review or repeat is planned.
Recognised by major UK insurers
Cover for image-guided hip injections varies by insurer and by indication — usually funded when medically indicated, self-pay for PRP and viscosupplementation. We confirm cover before booking.
Frequently asked
Everything we get asked about hip injections.
Quick answers on pain, cost, guidance, agents and how long the effect lasts.
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Why should a hip injection be image-guided?
The hip joint sits deep under muscle and the bursae and tendons around it are millimetres apart. Ultrasound or fluoroscopy places the needle in the exact target. Blind hip injections miss often enough that we do not offer them.
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Does a hip injection hurt?
A small sting from the local anaesthetic at the skin, then pressure rather than pain as the injection goes in. The whole procedure is over in five to fifteen minutes. A dull ache for 24 to 48 hours afterwards is normal.
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Steroid, hyaluronic acid or PRP — which one?
Steroid works fastest and is the standard for most bursitis and joint pain. Hyaluronic acid is used selectively for hip OA — evidence is weaker than at the knee. PRP is used for gluteal tendinopathy and early OA where steroid would risk the tendon. We recommend based on the diagnosis and the goal.
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How much does a private hip injection cost in the UK?
Roughly £600–£1,500 for an image-guided intra-articular injection, £350–£700 for a trochanteric bursa injection, £800–£2,000 for a hyaluronic acid course and £350–£800 per PRP injection. We confirm a firm figure within one working day.
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How long does a hip injection last?
Steroid injections give benefit over weeks to months — often three to six. Hyaluronic acid, when it works, can last several months. PRP effects build over three to six months. None of them cure the underlying problem; they buy a window for rehab or surgical planning.
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Can I drive home and go back to work?
Yes to both, provided you are comfortable. Most patients walk in and out and return to a desk job the same or next day. Heavy lifting, running and long standing wait 48 hours or until the flare has settled.
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How is a diagnostic hip injection different?
A diagnostic injection uses local anaesthetic only, placed inside the joint under image guidance. If your pain drops by more than half in the next few hours, that confirms the hip joint itself is the pain source — useful before deciding on arthroscopy.
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When should I see a GP or A&E urgently?
A hot, swollen hip with fever after an injection, spreading redness, or severe pain that will not settle after 48 hours are all reasons to seek same-day medical help. So is loss of sensation or power in the leg.
Related treatments
Looking for something else?
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Hip physiotherapy
Consultant-led rehab for hip pain, GTPS and post-injection loading.
Learn more -
Hip impingement surgery
Arthroscopic treatment for FAI and labral tears.
Learn more -
Shock wave therapy (ESWT)
Focused ESWT for gluteal and hip tendon problems.
Learn more -
Hyaluronic acid injections
Viscosupplementation for hip and knee osteoarthritis.
Learn more