Hip
Ultrasound-guided hyaluronic acid injection in the hip
Hyaluronic acid placed with ultrasound precision inside the hip joint, to lubricate the surfaces and reduce weight-bearing pain in coxarthrosis.
How it is performed
The hip joint lies deep, which is why ultrasound guidance is essential: it allows the joint space to be identified beneath the iliofemoral ligament, any effusion to be drained, and the hyaluronic acid to be deposited exactly within the joint, avoiding vessels and nerves. Hyaluronic acid acts as a lubricant and shock absorber for the cartilage surfaces, improving gliding and reducing synovial inflammation. This is an ultrasound-guided procedure under local anaesthesia, repeatable according to an agreed schedule.
Who it is for
- Mild to moderate coxarthrosis with pain on weight-bearing and in the groin
- Morning pain and stiffness of the hip not responding to medication and physiotherapy
- Need to delay a possible hip replacement while maintaining mobility
Recovery
No downtime: you can walk immediately, avoiding intense sport for 48 hours. Benefit develops over the following weeks and can last several months.
Conditions treated in this area: hip osteoarthritis (coxarthrosis), groin pain and pain on weight-bearing, femoroacetabular impingement (alongside physiotherapy).
Scientific evidence
Level I systematic reviews on intra-articular hyaluronic acid injection in hip osteoarthritis document a clinically significant reduction in pain and improved function, with a good safety profile and an effect that is maintained over time. Meta-analyses indicate a benefit comparable to, or greater than, corticosteroid at longer follow-up.
References on PubMed
- Intra-articular hyaluronic acid injections for hip osteoarthritis: a level I systematic review
Migliorini F, Pilone M, Mazzoleni MG, et al. — Eur J Orthop Surg Traumatol, 2025 · PMID 40343507
- Viscosupplementation with High Molecular Weight Hyaluronic Acid for Hip Osteoarthritis: a Systematic Review and Meta-Analysis of Randomised Control Trials
Patel R, Orfanos G, Gibson W, et al. — Acta Chir Orthop Traumatol Cech, 2024 · PMID 38801667
- Comparison of Clinical Efficiency and Safety Between Intra-Articular Injection of Platelet-Rich Plasma and Hyaluronic Acid for Hip Osteoarthritis: A Systematic Review and Meta-Analysis
Zhang D, Ma SH, Wang HL, et al. — Pain Res Manag, 2026 · PMID 42287090
Published data describe average results in groups of patients and are not a prediction of an individual outcome. The indication for treatment must always be assessed during a consultation.
Want to know if it is right for you?
At the first consultation we review your clinical history and previous imaging together.