musculoskeletal and connective tissue disorders
How To Inject a Trochanteric Bursa
Step by Step Description of Injecting a Trochanteric Bursa
Mark the site of needle entry on the skin. Prepare the area with antiseptic solution. Spray freezing spray at the needle insertion site until it just blanches and/or place a skin wheal of local anesthetic (eg, ≤ 1 mL). Wear gloves. Insert the needle perpendicularly to the skin at the point of maximum tenderness, aiming toward the greater trochanter. When the tip of the needle touches the greater trochanter,retract the needle about 1 mm. Gently pull back on the plunger prior to injection to rule out intravascular placement. Slowly inject all of the anesthetic/corticosteroid mixture and withdraw the needle. If the injection meets resistance,the needle tip may be within an overlying tendon. Stop injecting and advance or withdraw the needle until the injection does not meet resistance. Pain may be immediately relieved after a properly placed injection of anesthetic. Apply an adhesive bandage or sterile dressing. 