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The Dangers of Blind (Landmark-Based) Trochanteric Bursa Injections: A Better Approach






The Risks of Landmark-Based Trochanteric Injections


Trochanteric bursitis is commonly treated with steroid injections using landmark-based methods. However, without imaging, these injections may miss the bursa, depositing steroids into tendons. This is problematic because:


1. Injection Accuracy: Landmark-based injections often fail to reach the intended bursa.


2. Steroid Tendon Damage: Steroids can cause tendon breakdown, especially harmful for healing structures.


3. Misdiagnosis: Without imaging, conditions like gluteal tendon tears may be missed, and the wrong issue treated.


Orthobiologics and Imaging-Guided Treatment


Instead of risking steroid injections into tendons, consider PRP injections and orthoshock wave treatment. These methods not only may heal torn tendons and surrounding structures but also avoid the harmful effects steroids can have on ligaments, cartilage, and tendons. Using ultrasound guidance ensures injections are precisely placed, effectively treating the condition.


What This Means for Patients


Patients seeking treatment for posterior and lateral hip pain should demand precision. Landmark-based injections risk damaging the very structures you're trying to heal. With imaging-guided PRP injections and/ or ortho shockwave treatments, you're not only working on protecting your joints but also promoting healing without unnecessary damage.


What This Means for Doctors


Physicians should prioritize ultrasound-guided methods for injections. Avoiding "blind" injections ensures targeted treatment and potentially prevents tendon damage. For patients with gluteal tendon tears or other tendon pathology, PRP and/or ortho shockwave treatments should be the first choice over steroids, which can reverse orthobiologic progress.


Get Precise Care at Pain Experts


Don’t risk the complications of landmark-based steroid injections. At Pain Experts, we use cutting-edge technologies to guide our procedures, ensuring the safest and most effective treatments. Whether it's PRP or ortho shockwave treatment, contact Pain Experts today for an accurate, non-invasive approach to treating your joints and tendons!

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               Deborah Westergaard, MD

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