Private Hip Pain Treatment near Nottingham for conditions such as hip joint arthritis, trochanteric bursitis and ischial bursitis



Are you looking for private hip pain treatment near Nottingham, Joint Care Clinics are HCPC-registered and members of the Chartered Society of Physiotherapy. We offer a one-stop clinic for consultation, diagnostic scans and treatment.

Ultrasound helps to visualise the muscles, tendons, ligaments, bones, joints and soft tissue of the hip region. Ultrasound uses non-ionising radiation, deemed as safe equipment for any age group, including pregnant women. We use an ultrasound diagnostic scanner to pinpoint the area of pain, for a more accurate diagnosis and tailor-made treatment.

We have joint care clinics across the UK, where this service is offered by highly experienced clinicians.

Hip Arthritis Pain Treatment near Nottingham

Diagnostic Ultrasound around the HIP region is able to identify:

  • Early arthritis changes.
  • Muscle or tendon tears.
  • Joint effusion.
  • Bursitis
  • Extra-articular cysts.

What are the limitations of the diagnostic Ultrasound in the hip region?

Like any other joints in the body, ultrasound cannot penetrate the bones, or joints of the hip, therefore intraarticular problems are not visible on an ultrasound scan. Internal structures of the joints require either an MRI or CT scan.

hip pain treatment near Nottingham
Darren Gough Cricketer

"Having played professional sport from 1989-2008 I’ve amassed plenty of aches and pains after numerous operations. I’ve been around the world and seen some of the best Doctors and surgeons out there, and Ram has been right up there with his care and skill. Never in a rush, he’s kind, compassionate and very professional. Not only helped me with knee and shoulder pain, he’s also treated my wife for elbow pain. My son is now going to see him as he’s seen a difference in how his parents are moving. Thanks for all your help, Darren Gough and Anna Gough"


Darren Gough - English Cricket Player

Hip Conditions that we can diagnose and treat at our clinics:

Hip joint arthritis

Hip joint arthritis is one of the most common joint arthritis in the UK. Ultrasound-guided steroid injection to the hip joint is carried out as a diagnostic injection to confirm or rule out the source of pain and therapeutic injection for symptomatic relief.

There are various types of injections used for Hip joint symptoms.

Cortisone Steroid Injections:

Steroid injections are very successful in controlling hip joint symptoms. If you respond to the steroids, you may experience pain relief from 2-3 months to 18 months. This depends on the severity of the problem, lifestyle, and other factors.

There is a limit on how many steroid injections can be given to the hip joint In a year.

Viscosupplementation / hyaluronic acid injections/gel injections :

Hyaluronic acid injections are particularly injected for those who are too young to have an operation or needed repeated injections There is no limit on the number of hyaluronic acid injections given to the hip joint. These injections help to enhance joint lubrication and work as a shock absorber. Hence, controls the worsening of arthritis and delays hip surgery/ joint replacement.

Platelet Rich Plasma (PRP) Injections :

Plasma injections promote the natural healing process of damaged tissue. Plasma injections contain different growth factors concentrated 6-10 in comparison to the whole blood of the same volume. This enhances the natural healing process of joint cartilage. Plasma injections are made from the patient’s own blood, hence there is no limit on how many injections can be given in a year. Usually, a course of 3 injections is recommended.

What happens in the OA hip?

  • Inflammation of the soft tissue around the joint.
  • Joint and cartilage Wear and tear.
  • This leads to extra bony growth, called spurs/osteophytes.


  • Groin pain.
  • Joint Stiffness, especially after a period of rest and in the morning.
  • Joint pain. Pain is worse with weight-bearing activities, such as walking, running, jogging, swimming, climbing, and daily weight-bearing activities.
  • Sometimes may experience referred pain in the knee joint.
  • Often difficult to cope with hobbies, such as gardening, tennis, bowling, cricket, golf, walking, and jogging.

Advantages of Ultrasound (US) Guided HIP joint injection:

  • Cost-effective.
  • The hip joint is injected accurately.
  • Easily performed in an outpatient clinic.
  • Unlike fluoroscopy, ultrasound has no radiation risk.
  • Metal implants: This does not interfere with ultrasound waves.
  • If present, joint effusion can be aspirated at the same time as a hip injection.

Other Indications for Ultrasound-Guided Hip joint injection :

  • Femoro-acetabular impingement.
  • Para labral cysts.
  • Iliopsoas Bursitis.

Trochanteric  Bursitis


There are several types of burse around the hip joint region. Among these Trochanteric bursae is the most common and Ischial bursa is another relatively common bursa. These are diagnosed and treated in joint care clinics.

Trochanteric Bursitis:

Bursa is a fluid-filled sac and works as a shock absorber and lubricant for the movement of the tendons and muscles adjacent to it. Inflamed bursa causes pain, swelling, and difficulty in walking and carrying out other weight-bearing activities.

Bursitis is an inflammation of the bursa.

The trochanteric bursa is located at the trouser pocket level. If you are experiencing pain on the outside of the hip at the pocket level and are unable to lie on your side, it concludes the possibility of  ‘Trochanteric bursitis.

Symptoms of Trochanteric Bursitis:

  • Pain over the outside of the hip, thigh, and back of the hip.
  • Unable to lie on the side for any length of period.
  • Pain is often worse with activities, such as climbing stairs, getting up from a chair, or getting out of the car.
  • Pain is worse when you palpate on the outer side of the hip at a pocket level.

What causes Trochanteric Bursitis?

  • Weak hip muscles.
  • After a hip replacement.
  • After a knee replacement.
  • Fall: on to the side of the hip or
  • Overuse: long-standing job, walking, climbing.
  • Deposition of the calcifications in the gluteal tendons.
  • Tight ITB/TFL/Hamstring/quadriceps and other lower limb muscles.
  • H/O Inflammatory arthritis : Ex: Rheumatoid, psoriasis arthritis, Gout.
  • Poor posture: leg length difference, scoliosis, arthritis of the hip, lumbar spine, SI joint.

How to prevent recurring trochanteric bursitis following an ultrasound-guided injection:

Though the prevention of bursitis is not always easy, the following steps prevent the worsening of bursal inflammation:

  • Strengthen hip muscles.
  • Stretches to the leg muscles.
  • Avoid repetitive activities that strain the hip.
  • Correct the leg length differences, if noted.
  • Loose weight – in the case of overweight.

Ischial Bursitis


There are several types of burse around the hip joint region. Amongst these burse, Trochanteric bursae is the most common and Ischial bursa is also relatively common. These are diagnosed and treated in joint care clinics.

It is an inflammation of the bursa, which is located over the ischium, part of the pelvic bone. The common complaint is the worsening of pain with sitting, especially on a hard surface.

Symptoms of Ischial Bursitis:

  • Worsening of pain with hamstring stretches.
  • While Climbing stairs.
  • Squatting
  • Karate, Martial arts, kickboxing,
  • Prolonged sitting.

How to prevent recurring ischial bursitis following an Ultrasound-guided injection:

Though the prevention of bursitis is not always easy, the following steps prevent the worsening of bursal inflammation:

  • Strengthen hip muscles.
  • Loose weight – in the case of overweight.
  • Prevent over-stretching of the hamstrings.
  • Avoid prolonged sitting, especially on hard surfaces.
  • Avoid repetitive activities that strain hamstring muscles.

Our in-house clinical consultation combined with Diagnostic Ultrasound can detect bursitis problems. Also, a diagnostic ultrasound scan helps to detect tendon quality, possible tears, fluid accumulation, calcific deposits, bony spurs or collection of blood in case of a fall/ trauma to the side of the hip.

Ultrasound also helps to guide the needle to the trochanteric or ischial bursa, to inject steroid, plasma or hyaluronic acid /viscosupplementation accurately.  Ultrasound-guided injections are particularly useful for deeper and small structures.

 Why do I need an Ultrasound-guided injection?

  • If you need repeated injections.
  • Avoids accidental injection into the tendons.
  • Accurate injection offers prolonged pain relief.
  • The trochanteric/ischial bursa is a deep, thin structure In between the tendons, often difficult to inject accurately without guidance.
  • When the landmark-guided injection failed to treat the symptoms. Ex, No relief from a landmark guided injection.
Richard Kilty

"My name is Richard Kilty, I am the current captain of the British athletics team. World 60m champion, double European 60m champion & European 4x100m relay record holder. I have been using Ram Rachaputi for many years now. I have used many of his different treatments for my performance, injuries & general training recovery. I have always had huge success after seeing ram. He is truly world class at what he does. I will continue to work with ram all the way throughout my career and will be forever grateful for his precise and incredible work"


Richard Kilty

Musculoskeletal issues?

If you are experiencing painful joints, muscles, tendons or ligaments please get in touch for an ultrasound diagnostic scan and or treatment


How long does an ultrasound guided injection take?

This will vary depending on the area and other factors, but an assessment, scan & ultrasound-guided injection will generally take around 60 minutes. Ultrasound-guided injection alone is done in a few seconds. Injection alone is carried out in a few seconds.

Are ultrasound guided Hip injections painful?

Discomfort from the needle insertion can be minimised by using local anaesthesia using a very fine needle. Ram is experienced and carried out more than 30,000 Ultrasound-guided injections so far. He routinely treats complex patients and patients with needle phobia, through the technique he developed through his experience.

For a hip pain consultation at our clinic near Nottingham, click here

What is an ultrasound guided cortisone / Steroid / Corticosteroid injection?

A cortisone injection is also known as a Corticosteroid injection or steroid injection. This is a strong anti-inflammatory medication used for many inflammatory and arthritis conditions to control pain, swelling, stiffness and improve function. Corticosteroid injections are NOT the same used by bodybuilders use. Corticosteroid injections do not cause weight gain. To find out more please visit our ultrasound-guided steroid injections page from the ‘Types of Guided injection’ menu on the top.

Always, consider having the Steroid injections under ultrasound guidance for accuracy.

Schedule a Hip Pain Diagnostic Scan and Treatment at our clinic near Nottingham

What is an ultrasound guided hyaluronic acid (HA) injection?

HA injection is also known as Gel injection or Lubricant injection. This viscosupplementation injection is a natural component of synovial fluid. This tends to increase joint fluid viscosity and restores joint lubrication. Hence, acts as a shock absorber to control the joint /tendon symptoms. Limits the further damage to the joint and delays or avoids the need for surgery. Also, helps to enjoy your daily activities or your preferred hobbies. To find out more please visit our  GUIDED ULTRASOUND HYALURONIC ACID INJECTIONS page from the ‘Types of Guided injection’ menu on the top.

These injections are very popular, especially for knee joint pain. Any number of injections can be taken in a given period, due to minimal or no side effects from these injections. Usually, a course of 3 Injections is preferred, though some may do well just with an injection per year 9 we have patients managing just with 1/year.

What is an ultrasound guided PRP injection?

Platelet Rich Plasma (PRP) injections are rich in growth factors (help in repairing the cell and its growth) and prepared from the patient’s own blood. Separated growth factors from the patient’s blood are injected back into the affected area of the same patient. PRP’s ability to heal and even regenerate injured or ageing tendons, ligaments and joints, provides some patients with an alternative to surgery. PRP therapy may reduce the required healing time for the injuries (especially for sports injuries and early Arthritis); otherwise, athletes/sports professionals may require longer periods of rest from their sports-related activities. To read more please visit our Ultrasound Guided PRP page.

Always, consider having the PRP injections under ultrasound guidance for accuracy. Click here to book a Hip Pain Diagnostic Scan and Treatment at one of our UK Clinics

can i drive after an injection

You will not be able to drive immediately after the procedure. Bring someone with you Or use another form of transport to return home. This is mainly due to your driving license policy, rather than injection efficacy. The majority of motor insurance policies will not allow you to drive for 3-5 hours after the injection with Local Anesthesia.

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What should i expect after an injection?

After the injection, you may feel pain-free for a couple of hours due to Local anaesthesia. However, the pain returns after 2 hours, you may even feel more pain for a couple of days due to bruising pain. Usually, you should start feeling better from the third day onwards. Pain relief from the steroid injection may take 1 to 2 weeks.

Book your consultation at our clinic near Nottingham

How to manage bruising pain after hip pain treatment?

Discomfort from the needle insertion can be minimised by using an ice pack (wrapped in a towel, to minimise the risk of frostbite from direct skin contact) to the area of treatment. Use the ice pack up to 3-4 times a day and 10-15 minutes at each time.

Will i always feel 100% pain free?

We can accurately inject the treatment area. However, pain relief depends on several factors, such as the severity of the problem, body response to the steroid injection, rest period following an injection, rehabilitation, and exposure to the risk factors.

Interested in a consultation for Hip Pain Treatment at a clinic near Nottingham

how many injections can I receive?

Corticosteroid injections: 3 or 4 per treatment area/year.

Hyaluronic Acid: No limit as long as you are benefiting.

Platelet-rich plasma (PRP): This is a course of 3, which you can repeat as you like. 

What conditions can be treated?

Arthritis, Tendinopathies, Ligament, Muscle and Nerve related problems. We also offer trigger point injections for persistent pain (usually a course of 2-5 is effective).

How long does the ultrasound guided hip injection effect lasts?

It is hard to determine without an assessment. It may be possible to estimate after assessing the patient. Usually, lasts up to 3 months. There are many patients who benefited for more than a year to 2 years.

Why not contact us today for Hip Pain Treatment at one of our UK Clinics

Do you offer Hip Pain Treatment Near me?


We cover many areas throughout the UK, with our convenient Joint Care Clinics including:

Warwickshire clinic covering Bedworth, Coventry, Kenilworth, Leamington Spa, Nuneaton, Rugby,  Stratford upon Avon, and Warwick.

West Midlands clinic covering Birmingham, Coventry, Dudley, Edgbaston, Harborne, Sandwell, Solihull, Sutton Coldfield, Walsall and Wolverhampton

Buckinghamshire clinic covering Aylesbury, Bedford, Leighton Buzzard and Milton Keynes

Northamptonshire clinic covering  Daventry, Kettering, Northampton and Wellingborough.

Leicestershire clinic covering Leicester and Nottingham (Nottinghamshire)

We also have a clinic in Newcastle, Gateshead covering the North East.