Greater Throchanteric Bursa Injection

1. Obtain and document, at least, verbal consent for procedure

2. Have the patient side-lying with the affected hip up and slightly flexed 

3. Palpate the greater trochanter, and determine the most tender point

4. Mark with a surgical skin marker

5. Apply gloves

6. Apply topical antibacterial x 3

7. Apply analgesic, if desired (I use ethyl chloride)

8. Slowly and controlled, insert needle (22 gauge, spinal needle if necessary), through the marked entry point, and advance to the bone

9. Pull needle tip back just slightly

10. Inject slowly

11. Withdraw needle

10. Wipe clean

11. Apply bandage

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