Cortisone injections in the hip are a common treatment option to alleviate pain and reduce inflammation within the joint. While these injections provide significant relief, they typically require a period of rest and specific activity modifications afterward. The exact duration and type of rest can vary, depending on individual circumstances and the healthcare provider’s recommendations. Understanding these guidelines is important for optimizing recovery and the effectiveness of the treatment.
What to Expect Immediately After
Following a hip cortisone injection, it is common to experience sensations in the immediate hours and days. A temporary increase in pain, often called a “cortisone flare,” can occur as the local anesthetic wears off and the corticosteroid medication begins to work. This flare-up, which can feel worse than the initial pain, is generally caused by the crystallization of the cortisone at the injection site. This discomfort typically subsides within 24 to 48 hours.
Applying ice packs to the injection site can help manage any soreness or swelling. It is important to avoid strenuous activity, heavy lifting, or excessive strain on the hip during this initial period. While light walking for short distances is permissible if comfortable, resting as much as possible for at least 24 hours is advised to help the steroid take effect within the hip joint.
Activity Guidelines for Optimal Recovery
Rest plays a significant role in maximizing the benefits and promoting healing of a hip cortisone injection. The goal is “relative rest,” meaning reduced activity rather than complete immobilization. This allows the medication to distribute effectively, reduce inflammation, and prevent irritation of the injected area.
For the first 24 to 48 hours, limiting activity is important. After this initial period, a gradual return to activities is recommended, but strenuous activities should be avoided. Activities such as running, jumping, heavy lifting, or high-impact exercises are typically restricted for about 1 to 2 weeks.
Low-impact activities like gentle walking, gentle swimming, or cycling may be gradually introduced after several days, if they do not cause pain. It is important to listen to your body and avoid pushing through any discomfort. The full pain-relieving effects of the corticosteroid may take 3 to 7 days to become noticeable. Individualized advice from your healthcare provider is important, as recovery timelines vary based on the underlying condition and personal response to the injection.
When to Contact Your Doctor
While cortisone injections are generally safe, it is important to be aware of symptoms that may indicate a complication. Seek immediate medical advice if you experience severe or worsening pain not relieved by ice or over-the-counter pain relievers. Persistent or increasing pain beyond the expected initial flare-up is a concern.
Signs of infection require prompt evaluation. These include increasing redness, warmth, swelling, pus at the injection site, or a fever. While rare, infection is a serious complication.
New or worsening numbness, tingling, or weakness in the leg should be reported. Also report any signs of an allergic reaction, such as hives, difficulty breathing, or swelling of the face or lips.