Hip Joint Denervation/Neurotomy

The hip joint is supplied by small sensory articular branches, including branches of the femoral and obturator nerves. Hip joint denervation, or radiofrequency neurotomy of these articular branches, may be considered for selected patients with persistent hip pain, particularly when osteoarthritis is present and conservative treatments have not provided sufficient relief or surgery is not currently suitable.

After confirming that the hip joint is a significant pain source, specialised needles are placed under X-ray guidance near the selected sensory articular branches. After appropriate sensory and motor testing, controlled radiofrequency energy is used to interrupt pain signalling from the joint. The procedure does not remove or repair the arthritic joint itself.

Suitable patients may experience meaningful reduction in hip pain and improved mobility for a period of months or longer, although the duration and degree of benefit vary. Because treated sensory nerves can regenerate, repeat treatment may sometimes be considered if the initial procedure is effective. Dr Danesh will discuss whether the technique is appropriate for your anatomy, diagnosis and treatment goals.