Hip pain often comes from inflammation, arthritis, or irritation of the joint capsule and nearby nerves. A hip joint injection involves the placement of local anaesthetic and a small dose of anti-inflammatory steroid directly into the joint space. This can help to calm inflammation, relieve pain, and confirm whether the joint itself is the main source of symptoms.
A PENG block (Pericapsular Nerve Group block) works slightly differently. Instead of being placed inside the joint, it targets the sensory nerves supplying the front of the hip capsule. This technique can reduce pain without affecting muscle strength, enabling physiotherapy, rehabilitation, or other interventions.
Both techniques are performed with image guidance to ensure precision and minimise discomfort.
The procedure is usually carried out as an outpatient treatment. Your consultant will use ultrasound or X-ray guidance to ensure precise placement of the injection. A local anaesthetic numbs the area to make the procedure comfortable.
If you prefer or require sedation, this can be arranged when the procedure is performed in theatre, under the care of a consultant anaesthetist. Sedation is not available for procedures done in clinic, but we can plan for treatment in theatre if this would make you more comfortable.
Afterwards, you will rest briefly before going home the same day. Some temporary soreness or a heavy sensation in the hip or leg may occur before improvement begins.
Driving advice: You should not drive that day if receiving any sedation. Our procedures do vary on whether it is possible to drive home yourself. Please seek advice from your consultant about driving advice. If you are seeing us for an injection and planning to drive, please check with us beforehand about whether it will be possible to drive yourself home afterwards.
Results vary between individuals and cannot be guaranteed. Your consultant will discuss whether this procedure is appropriate for you.
At Wessex Pain Clinic, we work as a team and meet regularly to discuss complex, treatment resistant or unusual cases. As such you will often receive the expertise of several pain consultants. We believe that we are one of very few pain clinics to offer this. Wessex Pain Clinic provides consultant-led assessment and treatment for acute and chronic pain conditions. Our multidisciplinary team includes Consultant Pain Specialists, Physiotherapists and Psychologists, offering evidence-based interventions alongside rehabilitation and self-management support. We welcome patients from across Hampshire, Dorset, Wiltshire, Surrey and Sussex, including Winchester, Basingstoke, Southampton, Portsmouth, and Chichester â with both in-clinic appointments and remote consultations available across the wider Wessex region.
Our friendly team is on hand to support you every step of the way. Please get in touch at any time.
