Trochanteric and Iliopsoas Bursa Injections

A trochanteric bursa injection or iliopsoas bursa injection is a minimally invasive procedure used to treat pain and inflammation around the hip area.

• The trochanteric bursa is located over the outside of the hip near the greater trochanter (the bony point you can feel)
• The iliopsoas bursa is located near the front of the hip joint, underneath the iliopsoas muscle

If these bursae become irritated or inflamed, they can cause persistent hip pain — often called bursitis. An injection of corticosteroid medication directly into the bursa can reduce inflammation, relieve pain, and improve mobility.

You may benefit from a trochanteric or iliopsoas bursa injection if you have:

• Trochanteric bursitis (outer hip pain)
• Iliopsoas bursitis (deep groin or hip flexor pain)
• Hip pain that hasn't improved with rest, physical therapy, or oral medications
• Difficulty walking, sleeping on the affected side, or exercising

The goal is to decrease inflammation in the bursa, allowing better movement and reduced discomfort.

The procedure is typically performed in an outpatient setting:

• You will lie comfortably on an exam table, depending on which bursa is being treated
• The skin over the hip will be cleaned and sterilized
• A local anesthetic may be applied to numb the skin
• Using ultrasound or fluoroscopic (X-ray) guidance, the doctor carefully places a small needle into the bursa
• A combination of a steroid medication and sometimes a local anesthetic will be injected
• The entire procedure usually takes about 15–30 minutes

• You may experience immediate relief from the local anesthetic, but this may wear off in a few hours
• Steroid medication typically starts working within 2–5 days
• Mild soreness or bruising at the injection site is normal and can be managed with ice packs
• Limit strenuous activity for 24–48 hours after the procedure
• Many patients experience significant pain reduction and improved function for weeks to months following the injection

While generally very safe, potential risks include:

• Temporary increase in pain (rare and typically resolves within a day or two)
• Infection at the injection site (very rare)
• Bleeding or bruising
• Steroid-related side effects (temporary blood sugar increase, flushing, or headache)

Our team takes every precaution to minimize risks and ensure your safety.

Call Horizon Spine & Pain of Utah if you experience:

• Severe pain, redness, or swelling at the injection site
• Fever or chills (possible sign of infection)
• Signs of allergic reaction (such as rash, difficulty breathing)

We are here to support your recovery and address any concerns.

At Horizon Spine & Pain of Utah, we offer:

• Board-certified specialists skilled in precision-guided hip injections
• Advanced imaging techniques for accurate, effective results
• Comprehensive care plans tailored to your individual needs
• Education and support before, during, and after your procedure

Our goal is to help you move better, feel better, and live better.

For more information on bursitis and related hip pain conditions, visit:

• Spine-health.com – Hip Bursitis Resource