Hip Arthritis
Hip Embolization
Hip embolization is a minimally invasive procedure designed to relieve pain caused by hip osteoarthritis or greater trochanteric bursitis. It involves selectively blocking the blood vessels that supply blood to the inflamed areas of the hip joint. By reducing the blood flow, the procedure helps decrease inflammation and pain in the affected joint
Discover how a groundbreaking minimally invasive procedure is transforming the treatment of hip arthritis. This recorded webinar provides an in-depth look at embolization, an innovative technique offering patients significant pain relief and improved mobility without the need for traditional surgery.
Procedural Details
What is Hip Embolization?
Hip embolization is performed by an Interventional Radiologist, a specialist trained in minimally invasive, image-guided treatments. Using advanced imaging techniques, the physician guides a catheter to the specific blood vessels of the hip, reducing blood supply to inflamed tissues
Who Needs Hip Embolization?
Hip embolization is generally recommended for patients experiencing chronic hip pain that does not respond to conventional treatments such as medication, physical therapy, or injections. The procedure may be suitable for individuals who:
-
Have chronic hip pain due to osteoarthritis or greater trochanteric bursitis.
-
Are seeking an alternative to hip replacement surgery.
-
Prefer a less invasive option with shorter recovery times.
The arrows on the left point to the hypervascularity that occurs during the inflammation process in patients with arthritis. The image on the right demonstrates the elimination of these extra vessels which reduces the pain associated with arthritis.
The Hip Embolization Procedure
1. Preparation
The procedure is generally performed under local anesthesia with mild sedation. Imaging tests, such as an MRI or CT scan, may be conducted to assess the hip joint and plan the treatment.
2. Procedure Steps
-
Catheter Insertion: A small catheter is inserted into the common femoral artery in the groin area.
-
Guided Navigation: Using fluoroscopic guidance (real-time X-ray), the catheter is navigated to the blood vessels supplying the inflamed area of the hip.
-
Embolization: Tiny particles or beads are released through the catheter to block the blood vessels, reducing blood flow to the inflamed tissues.
3. After the Procedure
The catheter is removed, and a suture-mediated closure device is applied to the insertion site. Patients are monitored for a short period before being discharged, typically on the same day.
Post Procedure Care
Patients are usually advised to rest and avoid strenuous activities for a few days after the procedure. Follow-up appointments will be scheduled to monitor the effectiveness of the embolization and manage any side effects. Physical therapy may be recommended to restore mobility and strength in the hip joint.
​
Conclusion
Hip embolization offers a promising, minimally invasive alternative for individuals seeking pain relief from hip osteoarthritis or greater trochanteric bursitis without undergoing major surgery. Consult with a healthcare provider to determine if this procedure is suitable for your specific
Advantages of Hip Embolization
-
No surgical incision or injection into the knee joint
-
Painless procedure lasting about one hour
-
Typically return to work within a day or two without the need for a lengthy recovery
-
Very low complication rate without any effect on future hip replacement
-
Hip embolization can offer significant relief from hip pain associated with osteoarthritis or bursitis​
Risks and Complications
While hip embolization is considered safe, potential risks include:
-
Infection at the insertion site.
-
Bruising or soreness around the catheter site.
-
Allergic reactions to contrast agents used during the procedure.
-
Rare risks include damage to surrounding tissues or blood vessels.
-
​
When to Contact Your Doctor:
-
Severe pain or swelling at the insertion site.
-
Signs of infection (redness, swelling, drainage).
-
Any numbness, weakness, or tingling in the leg.
​
