Hip Injections London. Every Option Compared
The right hip injection depends on where the pain is coming from. Pain in the groin is often from the hip joint itself, usually osteoarthritis, where steroid gives short-term relief and PRP is a promising longer-lasting option. Pain on the outer hip is usually a tendon problem, where exercise outperforms steroid injection. Pain in the buttock may be coming from the back. NICE advises against hyaluronic acid injections for osteoarthritis. Because the hip is deep, every injection should be image guided.
Key points
Groin pain usually comes from the hip joint. Outer hip pain is usually gluteal tendinopathy. Buttock pain may come from the lower back or sacroiliac joint.
NICE guidance states that hyaluronic acid injections should not be offered for osteoarthritis. Steroid injections can give short-term relief.
A systematic review of 5 randomised trials of PRP in hip osteoarthritis found all reported reduced pain and better function, although at least 1 meta-analysis found no significant benefit, so the evidence is promising rather than proven.
Specialist London clinics list hip injections from around £525 for steroid to £1,095 for PRP. At The London PRP Clinic by The Wellness, ultrasound-guided joint PRP is from £595 to £995 per treatment.
Hip pain that has not settled? Message our doctors on WhatsApp or email team@thewellnesslondon.com.
Where is your hip pain?
Groin pain
Pain deep in the groin, often with stiffness and difficulty putting on socks or getting out of a car, usually comes from the hip joint. In people over 45 the most common cause is osteoarthritis. In younger, active people, a tear of the labrum, the rim of cartilage around the socket, or a shape mismatch of the joint called femoroacetabular impingement can be responsible.
Outer hip pain
Pain on the outer side of the hip, worse when lying on that side, climbing stairs or standing on one leg, is usually gluteal tendinopathy rather than bursitis. It is most common in women aged 40 to 60. Our full guide is gluteal tendinopathy.
Buttock pain
Pain in the buttock, sometimes spreading down the back of the thigh, often comes from the lower back or the sacroiliac joint rather than the hip. See PRP for back pain.
The options for hip osteoarthritis
Steroid
What it is. A corticosteroid injected into the hip joint under image guidance.
What the evidence shows. It can give useful short-term relief, typically for weeks. Repeated injections are best avoided, and surgeons usually prefer a gap before hip replacement surgery.
What it costs. A specialist London joint clinic lists an ultrasound-guided steroid injection at £525.
Hyaluronic acid
What it is. A lubricating gel injected into the joint.
What the evidence shows. NICE guidance states that hyaluronic acid injections should not be offered for osteoarthritis, because the evidence of benefit is weak.
PRP
What it is. Platelet-rich plasma prepared from your own blood and injected into the joint under ultrasound guidance.
What the evidence shows. A systematic review of 5 randomised trials found all reported reduced pain and improved function, with no major adverse events. At least 1 meta-analysis found no significant pain benefit over controls, so we describe the evidence as promising rather than proven. Research suggests leukocyte-poor preparations may work better in the hip. Our full review is PRP for hip osteoarthritis.
What it costs. Specialist London clinics list PRP from £660 to £1,095 per injection. At The London PRP Clinic by The Wellness, ultrasound-guided joint PRP is from £595 to £995 per treatment.
Exercise and weight management
Strengthening and, where relevant, weight loss remain the foundation of treatment for hip osteoarthritis whichever injection you choose.
Want a recommendation for your hip? Ask our doctors on WhatsApp.
The options for outer hip pain
Exercise first
In the LEAP randomised trial, published in the BMJ in 2018, an education and exercise programme outperformed a single steroid injection and a wait-and-see approach at both 8 and 52 weeks. By 52 weeks, roughly 80 percent of the exercise group had recovered, against around 50 percent in the other groups.
Steroid
Steroid can ease pain briefly, but the benefit is shorter-lived than exercise and repeated injections may weaken the tendon. It is not a first choice.
PRP
For gluteal tendinopathy that has not responded to a proper exercise programme, PRP is an option we discuss alongside continued rehabilitation, with the evidence and its limits explained before you decide. Our comparison of the 2 injections is PRP vs steroid injection.
Why image guidance matters in the hip
The hip joint lies deep beneath thick muscle, close to major nerves and blood vessels. Injecting it by feel is unreliable. Ultrasound lets the doctor see the joint and the tendons, confirm the diagnosis and place the needle precisely, which is why every hip injection at The London PRP Clinic by The Wellness is ultrasound guided.
What happens at The London PRP Clinic by The Wellness
You are assessed by a doctor who examines the hip, back and the way you walk, and reviews the hip with ultrasound. X-ray or MRI is arranged at the London centre best equipped for that question where it will change the decision. You then receive a written recommendation across every option, including exercise, steroid, PRP and a surgical opinion where your hip needs one.
If PRP is right, blood is drawn from your arm and prepared to a consistent, validated protocol, then injected under ultrasound guidance. The appointment takes 45 to 60 minutes and you walk out afterwards. Improvement usually builds over 6 to 12 weeks alongside rehabilitation. Runners can also read running injury clinic London, and the evidence across conditions is in PRP success rates.
What it costs
At The London PRP Clinic by The Wellness, there are 3 ways to begin.
The diagnostic package, from £695, covers assessment, imaging and blood tests, and gives you a written recommendation whatever you decide.
Ultrasound-guided joint PRP is from £595 to £995 per treatment.
A course of 1 to 3 treatments with rehabilitation is what most hip plans involve, with the exact figure confirmed in writing before you commit. More detail is in joint PRP cost in London, and the knee equivalent of this guide is knee injections London.
Ask what your hip plan would cost. Message us on WhatsApp.
Why people choose The London PRP Clinic by The Wellness
Every treatment is performed by a GMC-registered doctor, and no clinician treats a patient here until they have completed 100 supervised treatments. Every joint injection is ultrasound guided. We start by finding where the pain is coming from, we recommend exercise when it will serve you better than an injection, and we refer to a hip surgeon when surgery is the right answer. We also train other doctors in ultrasound-guided joint PRP through our Academy.
We see patients at 10 Portman Square in Marylebone and the Light Centre in Belgravia. Across our work we report an 87 percent patient success rate and more than 187 five-star reviews. Every treatment we offer is in PRP treatment London.
Book your hip assessment. Message us on WhatsApp, email team@thewellnesslondon.com, or call +44 20 3951 3429.
Frequently asked questions about hip injections
What is the best injection for hip arthritis?
Steroid gives short-term relief, and PRP is a promising longer-lasting option, with a systematic review of 5 randomised trials reporting reduced pain and better function. NICE advises against hyaluronic acid for osteoarthritis.
Do hip injections work for outer hip pain?
Outer hip pain is usually gluteal tendinopathy, where an education and exercise programme outperformed steroid injection in the LEAP trial. PRP is an option when exercise has not worked.
Should hip injections be ultrasound guided?
Yes. The hip joint is deep and close to major nerves and vessels, so image guidance is needed for accuracy and safety.
How much does a hip injection cost in London?
Specialist London clinics list steroid at around £525 and PRP from £660 to £1,095. At The London PRP Clinic by The Wellness, ultrasound-guided joint PRP is from £595 to £995 per treatment.
How long does a hip injection last?
Steroid usually helps for weeks. PRP, in people who respond, builds over 6 to 12 weeks and can last several months or longer.
Can a hip injection delay hip replacement?
Injections can relieve symptoms and help some people put off surgery, but they do not reverse arthritis. Severe pain at rest or at night needs a surgical opinion.
This article is for information and does not replace personal medical advice. All treatments at The London PRP Clinic by The Wellness are performed by GMC-registered doctors. Reviewed by a GMC-registered doctor at The London PRP Clinic by The Wellness. Last updated October 2026.
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