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

Writer: Deborah Westergaard, M.D.
Deborah Westergaard, M.D.
Sep 14, 2024
2 min read

Updated: 6 days ago



Stylized illustration of a blindfolded physician holding a syringe.



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!



Disclaimer

This post is for informational and educational purposes only and should not be taken as specific medical advice. Each individual patient is unique, and medical conditions vary greatly. The content shared here does not replace a personalized evaluation by a qualified healthcare professional. If you have a health concern or are considering treatment options, please consult your physician or specialist for a comprehensive assessment tailored to your individual needs. Please note that some treatments or approaches mentioned may not be appropriate for all patients or may not be available in all regions. Always seek professional advice before making any decisions about your health or treatment plan.

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COSTS & COVERAGE

What will treatment cost?

Your evaluation is billed separately. Procedure costs depend on the treatment plan, so we provide an individualized estimate before scheduling.

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​Orthobiologic procedures are generally not covered by traditional insurance. Regenexx employer benefits may cover eligible treatment, depending on your plan. CareCredit is available, subject to credit approval.

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