musculoskeletal and connective tissue disorders
How To Inject a Trochanteric Bursa
Additional Considerations for Injecting a Trochanteric Bursa
For bursal injection, local anesthetic and depot corticosteroid often are mixed in a single syringe. Adding the anesthetic helps confirm good needle placement when injection immediately relieves pain. Adding anesthetic also may decrease the risk of the corticosteroid causing subcutaneous fat atrophy and the risk of postinjection flare. If the history or physical examination suggests the possibility of septic bursitis,withhold corticosteroid injection. Immediate analgesia after injection of local anesthetic helps confirm correct needle placement and that greater trochanteric pain syndrome is the source of pain. 