II. Indication
III. Efficacy
- Single injection associated with 2.7 fold increase in those pain-free at 5 years
IV. Preparation
- Needle
- Gauge: 22-25
- Length: 1.5 inch (3.0 inch spinal needle if obese)
- Intraarticular Corticosteroid
- Methylprednisolone: 1 ml of 40 mg/ml or
- Betamethasone (Celestone Soluspan): 1 ml
- Lidocaine 1%: 5 ml
V. Technique
- Patient in lateral recumbent position
- Hip flexed to 30-50 degrees
- Knee flexed to 60-90 degrees
- Palpate greater trochanter area for maximal tenderness
- Mark areas of maximal tenderness
- Inject under sterile conditions
- Insert needle perpendicular to skin at marked area
- Insert to bone, withdraw 3 mm and inject 1 ml
- Withdraw needle and insert at next Tender Point
- Inject 1 ml at each point of tenderness
VI. References
- Greene (2001) Musculoskeletal Care, AAOS, p. 335-6
- Cardone (2003) Am Fam Physician 67(10):2147-52 [PubMed]
