Corticosteroid plus hyaluronic acid hip injection combined with physiotherapy for mild hip conditions.

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This interventional program enrolls people 40–60 years old with mild hip arthritis (Kellgren-Lawrence grade 2 or lower) and/or labral tear or femoroacetabular impingement who get >50% pain relief from an ultrasound-guided diagnostic anesthetic injection. Enrolled participants receive an ultrasound-guided intra-articular injection combining a corticosteroid and hyaluronic acid followed by a course of physiotherapy paid for by the participant. Key exclusions include moderate-to-severe arthritis, osteonecrosis, prior hip or pelvic surgery or fracture, connective tissue disorders, chronic low back pain with sciatica, or a recent hip steroid injection. The intervention is offered at a single private center (ArthroBiologix) in Hamilton, Ontario, and outcomes will focus on pain and function over the months following treatment.

Why it matters

Who can join: the full rules

Inclusion Criteria:

1. Patients aged 40-60 years old.
2. Patients with mild hip arthritis (Kellgren-Lawrence grade 2 or lower) with or without a labral tear and/or femoroacetabular impingement and/or mild hip dysplasia.
3. Patients who demonstrate more than 50% reduction in hip pain following a diagnostic injection (ultrasound guided intra-articular anaesthetic only).
4. Able to subsidize private physiotherapy services.
5. Able to provide informed consent.

Exclusion Criteria:

1. Active infection
2. Osteonecrosis of the hip, moderate to severe arthritis (Kellgren-Lawrence grade 3 or higher), or moderate-to-severe hip dysplasia
3. Previous hip fracture, pelvic fracture, or lower limb fracture,
4. Previous surgery to the pelvis, hip or lower limb
5. Hypermobility disorder or connective tissue disease (e.g. Ehler's-Danlos syndrome, Marfan's syndrome etc.)
6. Patients with chronic low back pain and/or sciatica
7. Patients who received an intra-articular steroid hip injection within 3 months
8. Patients who have previously received a hyaluronic acid injection
9. Injuries sustained in a motor vehicle collision.
10. Injuries sustained in the workplace and have a worker's compensation claim.
11. Injuries resulting in a medico-legal dispute.
12. Patients who are pregnant of planning to become pregnant
13. Currently enrolled in a study that does not permit co-enrollment
14. Unable to obtain informed consent
15. Unable to comply with the study protocol
16. Contraindication to corticosteroid or hyaluronic acid injection
17. Prior enrollment in the study.

Where it's running

• ArthroBiologix
  Hamilton, Ontario, Canada Recruiting

Study contacts

• Study coordinator: Steven Phillips
• Email: steve.phillips@myorthoevidence.com
• Phone: (289) 389-8181

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.