Inclusion Criteria:  patients undergoing a first-time ultrasound-guided unilateral intraarticular hip injection Subjects must be fluent in English Subject must be able to consent for themselves and mark pain levels on a visual analog scale.  Exclusion Criteria:  previous intraarticular hip injection (to remove bias from prior injection experiences) prior surgery on the hip to be injected use of opioid medication on the day of or day before the procedure diabetes mellitus body mass index (BMI) greater than 40