12 doctors weighed in:
How often(frequency) can my wife receive celestone/lidocaine/marcaine injection for her sciatica(lumbar foraminal narrowing) and hip bursitis?
12 doctors weighed in

Dr. Qamar Khan
Pain Management
3 doctors agree
In brief: Safety
Safe is as few injections as you need to get relief.
However if you need these injections regularly, safe is a relative term but typically around 3-4 injections/year. Some patients can have as many as 3 injections per 6 months however that is not a good idea for too long.

In brief: Safety
Safe is as few injections as you need to get relief.
However if you need these injections regularly, safe is a relative term but typically around 3-4 injections/year. Some patients can have as many as 3 injections per 6 months however that is not a good idea for too long.
Dr. Qamar Khan
Dr. Qamar Khan
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Dr. Thomas Namey
Internal Medicine - Rheumatology
3 doctors agree
In brief: Depends!
I usually will ject the trochanteric bursa up to three times without concern.
It is not weight bearing and the meds do not enter the hip. Generally most physicans who perform the block will stop after "a course of three." I do not believe this concept. If no relief is forthcoming after the first, it becomes increasingly unlikely that a 2nd or 3rd will help. A sciatic nerve block can help.

In brief: Depends!
I usually will ject the trochanteric bursa up to three times without concern.
It is not weight bearing and the meds do not enter the hip. Generally most physicans who perform the block will stop after "a course of three." I do not believe this concept. If no relief is forthcoming after the first, it becomes increasingly unlikely that a 2nd or 3rd will help. A sciatic nerve block can help.
Dr. Thomas Namey
Dr. Thomas Namey
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Dr. David Rosenfeld
Pain Management
2 doctors agree
In brief: 3 per 6 months
One needs to be careful of excess steroid exposure.
3 injections in a 6 month period is generally seen as safe.

In brief: 3 per 6 months
One needs to be careful of excess steroid exposure.
3 injections in a 6 month period is generally seen as safe.
Dr. David Rosenfeld
Dr. David Rosenfeld
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Dr. Lonna Larsh
Family Medicine
2 doctors agree
In brief: 3 times
It's generally accepted that people shouldn't get more than 3 shots in a year. Steroid injections can weaken the surrounding tissue, which is why there is a limit.

In brief: 3 times
It's generally accepted that people shouldn't get more than 3 shots in a year. Steroid injections can weaken the surrounding tissue, which is why there is a limit.
Dr. Lonna Larsh
Dr. Lonna Larsh
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Dr. Manish Suthar
Pain Management
1 doctor agrees
In brief: Further evaluation
I agree with the responses already provided which is 3-4 injections per year. If symptoms persist further evaluation may be helpful.
Often chronic hip joint bursitis is due to underlying tendinosis of the gluteus medius/maximus muscle. Persistent spine (foraminal stenosis) problem may require a surgical evaluation. PT should certainly precede these invasion steps.

In brief: Further evaluation
I agree with the responses already provided which is 3-4 injections per year. If symptoms persist further evaluation may be helpful.
Often chronic hip joint bursitis is due to underlying tendinosis of the gluteus medius/maximus muscle. Persistent spine (foraminal stenosis) problem may require a surgical evaluation. PT should certainly precede these invasion steps.
Dr. Manish Suthar
Dr. Manish Suthar
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