Hip Injections in London

The hip joint sits deep beneath thick muscles, so injections without imaging can easily miss. At LSRI, Dr Prashant Sankaye, Consultant MSK Radiologist, uses live ultrasound to guide every hip injection accurately, after confirming the cause of your pain.

Hip conditions we treat with injections

• Hip osteoarthritis (pain usually felt in the groin)
• Hip bursitis and gluteal tendinopathy (pain on the outside of the hip)
• Iliopsoas bursitis and tendinopathy (pain at the front of the hip)
• Diagnostic injections, to find out whether pain is coming from inside the hip joint

Hip injection options

• Steroid (cortisone) injection: into the hip joint or the bursa, to reduce pain and inflammation.
• Hyaluronic acid injection: may be considered for selected patients with hip osteoarthritis. The evidence is mixed, and Dr Sankaye will discuss whether it is likely to help you.
• PRP (platelet-rich plasma): may be considered for longer-standing gluteal tendinopathy.

For outer hip pain, a targeted strengthening programme is the most effective long-term treatment, and injections work best alongside it.

How hip pain is diagnosed

Ultrasound shows the tendons, bursae and fluid around the hip. X-ray shows arthritis in the joint, and MRI shows the cartilage, labrum and bone in detail. Pain can also come from the lower back, which the assessment takes into account.

What to expect

1. Dr Sankaye reviews your symptoms and any previous scans.
2. Your hip is scanned with ultrasound, and X-ray or MRI is arranged if needed.
3. You discuss the options and the evidence for each.
4. If you go ahead, the injection is given under ultrasound guidance.
5. You receive aftercare advice and guidance on exercises.

Why choose LSRI

• Consultant-led care from Dr Prashant Sankaye, Consultant MSK Radiologist with more than 20 years’ experience.
• Every injection is guided by live ultrasound, so it reaches the right spot.
• Diagnosis and treatment from the same specialist, at Harley Street or Harrow.
• No GP referral needed to self-pay, and all major insurers accepted.
• After Dr Sankaye has reported your scan, you can have a free 5-minute video consultation to go through the results.

Frequently asked questions

How do I know if my pain is from the hip joint?

Pain from inside the hip joint is usually felt in the groin. Pain on the outside of the hip is more often from the tendons or bursa. A scan can tell them apart.

How long does a hip steroid injection last?

It varies from person to person. Many people get several weeks to a few months of relief.

Will I need a hip replacement?

Not necessarily. If your symptoms are severe and not improving, Dr Sankaye can advise when an orthopaedic surgeon’s opinion is worthwhile.

Book an appointment

Call 0203 633 5040 or book online. Clinics at LSRI Harley Street (The Harley Street Hospital, 19 Harley Street, London W1G 9QJ) and LSRI Northwest London (Medic Care Direct, 62 Station Road, Harrow HA2 7SJ).

Last medically reviewed by Dr Prashant Sankaye, Consultant MSK Radiologist, on 2 October 2026.