The dorsogluteal muscle (buttocks) should be avoided as an injection site.
Why Avoid the Dorsogluteal Muscle?
The dorsogluteal muscle is located near the sciatic nerve. Accidental needle insertion into this nerve can cause partial or permanent leg paralysis. This risk outweighs any benefits of using this site for injections. Therefore, other safer injection sites are preferred.
Other Sites to Consider & Precautions
While the dorsogluteal muscle should be avoided, other sites are generally safer and more appropriate for intramuscular injections. These include the deltoid muscle (upper arm) and the vastus lateralis muscle (thigh). Even with these safer sites, proper injection technique is critical to minimize risks. It's important to:
- Rotate injection sites: This helps to reduce the risk of local tissue damage or hypertrophy (enlargement).
- Avoid injecting into areas: with significant bruising, infection, or other skin lesions.
- Choose appropriately sized needles: The needle should be appropriately sized for the volume of the medication being administered and the muscle's thickness to reduce discomfort and minimize the risk of nerve damage.
Note: The specific injection site recommendations may vary based on the type of medication, the patient's age, and other relevant factors. Always consult appropriate guidelines and professional resources for guidance.
