Did the popular butt injections from childhood disappear? Why are they not popular now?

With the arrival of autumn and winter, there has been an increase in the prevalence of colds, causing many people to rush to the hospital Some keen observers have noticed that when they were young and fell ill, they would receive butt injections without even seeing the needle, yet their buttocks would feel sore afterwards But nowadays, it seems that hospitals no longer administer these injections Why is this? The childhood nightmare of butt injections seems to have disappeared For Mr Peng, who belongs to the post-80s generation, this was one of his childhood traumas, and he just received such an injection a couple of days ago Last weekend, I had a recurring high fever By early Monday morning, it reached 394 degrees Celsius I originally intended to take medicine, but many of my colleagues have been getting sick recently, so as a precaution, I went to the hospital to get an injection as soon as daylight arrived He explained that the reason he chose to receive an injection was because he was allergic to intravenous injections, which resulted in varicose veins According to his observations, the majority of patients in the hospital also receive intravenous therapy This observation was also the reason why butt injections became a trending topic On Weibo, the related hashtag received a total of 160 million reads and triggered thousands of discussions Many people expressed their speculation that butt injections seem to have truly disappeared over time Have the popular butt injections of our childhood disappeared? Doctors provide the following explanation - Modern Express

The Reasons for Decreased Use of Buttock Injections

It hasn’t completely disappeared, just being used less.

Some medications can only be injected into the muscles, such as streptomycin.

An intramuscular injection essentially means injecting into the muscles, the one on the far left in the image below.

There are two commonly used sites for intramuscular injections: the buttocks and the outer side of the upper arm, followed by the front and outer side of the thigh.

When should you choose the outer side of the upper arm and when should you choose the buttocks?

Generally, for larger doses, the buttocks are chosen, while for smaller doses, the outer side of the upper arm is chosen. For example, when getting vaccinated, such as with the COVID-19 vaccine, the medication dosage is small and the thickness of the muscle in the upper arm is enough to accommodate it, making it more convenient for administration, thus primarily choosing the upper arm for injection.

As for the buttocks, the difference is that the muscles in this area are thicker, as long as the site is chosen properly and there are no important blood vessels and nerves distributed there, and it can also accommodate more medication, making it the most suitable site for intramuscular injections.

In some movies, adrenaline is injected into the leg for emergency treatment, which is an intramuscular injection.

So why is it used less now?

First, there are risks.

The most common recipients of buttock injections are children, and injecting too frequently can lead to the formation of hard nodules, which are clearly palpable and not good for muscle development.

Another risk is that the muscle layer in children’s buttocks is not very thick yet. Although there are fewer nerves in the buttocks, there is still an important sciatic nerve passing through. If the injection is not directed properly or there are operational errors, there is a possibility of touching the sciatic nerve, resulting in gluteal muscle spasm or even nerve damage.

Second, it really hurts.

Those of us who had these injections as children remember it vividly.

Third, there are alternatives.

One is the availability of new medications. For example, streptomycin is now seldom used, and other intravenous medications can be chosen instead.

The other alternative is the method itself. For example, fat-soluble vitamin A can be administered by intramuscular injection (the buttock injection) or subcutaneous injection, with the latter being less irritating.

Development of the Times; Why Fewer Butt Injections?

The fundamental reason is the progress of the times.

In the 1980s and 1990s, medical care in most counties and towns was underdeveloped and highly reliant on penicillin.

Whether it was a cold, fever, infection, or allergy, when you went to the hospital, you would receive an injection in the buttocks.

And penicillin itself is highly irritating, aside from considering allergenic reactions in certain individuals.

To achieve quick results, the dosage cannot be too small. To ensure safety, the dosage cannot be too large, and absorption cannot be too fast.

There are four common injection methods:

  • Intradermal injection: usually around 0.1ml, a small dose primarily used for allergy testing.
  • Subcutaneous injection: around 1ml, a low dose of non-irritating medication.
  • Intramuscular injection: usually 1-10ml, a moderate dose, and can be used for administering irritant drugs.
  • Intravenous injection: >10ml, a large dose, and can be used for administering irritant drugs with fast effects.

There are also other injection methods, such as arterial injection, intracardiac injection, and intracavitary injection.

In that era, regardless of the common dosage of penicillin injection or its irritability, muscle injection was necessary. Therefore, the misuse of penicillin was one of the main reasons due to the popularity of intramuscular injections at the time.

So why was the buttocks the primary injection site?

Many respondents analyzed the advantages and disadvantages of injecting into different muscles such as the gluteus maximus, deltoid, gluteus medius, gluteus minimus, and lateral thigh muscles.

However, personally, I believe that the doctors in towns and villages at that time were unlikely to have such fine distinctions.

Unlike the current widespread use of disposable small syringes, they mainly used 5ml or even larger glass syringes (with a few plastic ones).

The syringes and needles were reused, boiled, and repeatedly sterilized in an iron lunchbox.

This is a sterilization box from the period of the Liberation War. People born in towns and villages with memories probably know that the sterilization equipment in town and village hospitals in the 1980s and 1990s was not much better than this.

The size of the needle was not particularly considered, so when giving injections to children, the buttocks were the only viable option. The small muscles on the arms could easily be accidentally pierced through with a larger needle, maybe even hitting the bone.

And children under 2 years old couldn’t have injections on their buttocks, so they could only be injected on their thighs.

In essence, the buttocks were mainly chosen as the safest injection site in that backward era with few considerations.

Although subsequent statistics also demonstrated that this injection method was not necessarily safe and could potentially cause complications such as infections, localized necrosis, and nerve damage. But compared to the rough times before the founding of the nation, it was still considered progress.

Most people have painful memories of receiving injections in their buttocks when they were young.

However, sometimes when you encounter an experienced doctor, you may not even feel much pain. Some doctors can even forcefully nail the needle in without much pain.

So is the buttock injection inherently painful, or does it mainly depend on the doctor’s technique?

In fact, gluteal muscle injections are not random, and there are mainly two methods: the cross method and the line method.

As long as the position is accurately identified, the corresponding nerves are avoided, the patient’s muscles are relaxed, the needle is inserted quickly with sufficient speed, the medication is pushed in slowly, and the needle is withdrawn rapidly, the entire process can be done perfectly, and the patient may not even feel any pain.

But for those doctors who can administer buttock injections pain-free, it is not without countless practices on numerous buttocks.

Most rural doctors, especially young ones, do not have such skilled techniques.

For example, if they fail to correctly locate the injection site, struggle to insert the needle, or push the medication in too quickly or at varying speeds, it can cause significant pain to the patient’s buttocks.

As for needle removal, few doctors would fail to do it quickly.

Furthermore, getting injections when you were a child was usually coercive.

While being held down by your parents or grandparents, the needles were frantically poked into your buttocks, and the muscles were as tense as waves.

Less experienced doctors had a hard time locating the right position.

Even if the position was found, the needle had to pierce into the tense muscles forcibly.

The more you struggled, twisting the needle and fearing it would break, the doctors would simply go ahead and inject the medication, disregarding whether you were in pain or not.

In fact, in addition to the doctor’s experience, the less you cooperate, the more painful it is to receive a buttock injection.

Anyone want to go back in time and redo it?

But even if you really went back in time and cooperated well, it could still be painful. This is because the needles were repeatedly used and could become deformed:

Of course, the potassium ions in penicillin can also cause pain, so it’s hard to avoid pain unless other medications are used.

Why are buttock injections less common now?

As Kyoukai mentioned, it is mainly due to changes in drug formulations.

Penicillin is rarely used nowadays, and various cephalosporins have replaced it in most cases where antibiotics are needed. Cephalosporins are safer than penicillin and do not require intramuscular injections. For other conditions that used to necessitate muscle injections, they are gradually being replaced by different drug formulations, and intramuscular injections are becoming less common and gradually being replaced by intravenous injections (especially intravenous drips).

Some people have noticed that various COVID-19 vaccines are still administered via intramuscular injection.

Personally, I think this is primarily for safety considerations.

After all, COVID-19 vaccines have only been on the market for a short time, with fewer validations, and some individuals have experienced allergic reactions.

Choosing intramuscular injection is a more conservative and safer injection method.

Muscle absorption is much slower than intravenous injection, which can effectively reduce allergic reactions. Especially for individuals with severe allergies, it allows healthcare providers enough time to take appropriate measures.

As for not receiving injections in the buttocks, one reason is that nowadays, needles are disposable and come in different sizes, so the deltoid muscle is sufficient. Additionally, considering that injections are usually administered in public settings to a large number of people, taking into account privacy, injection efficiency, and other factors, buttock injections are no longer appropriate.

In conclusion, buttock injections are rare due to the development of the times. However, they have not disappeared since some medications and solvents, in certain personal medical consultations, may still require them.

The Reasons for the Increase in Infusion Hanging Nowadays

The main reason is that living conditions have improved nowadays, and medical equipment has been updated, making it more convenient to receive intravenous drips.

I grew up in a mining area when I was a child, and there were many patients with silicosis and pneumoconiosis in our area. Many of them relied on intravenous drips to sustain their lives. At that time, receiving intravenous drips was still a relatively rare occurrence.

Our house was located next to the hospital, and back then, the infusion tubes used for intravenous drips had to be reused. I often saw nurses cleaning these tubes and then disinfecting them. The process was very cumbersome, so it was not possible to receive intravenous drips anytime back then. Otherwise, the medical staff would be under great pressure and their workload would be heavy.

Later on, the tubes used for intravenous drips became disposable, and more and more people started receiving intravenous drips. The invention of disposable infusion devices was one of the factors that promoted the widespread use of intravenous drip therapy, while the other factor may be the higher profits involved in intravenous drip therapy.

The skin can be divided into three layers from the outermost to the innermost: epidermis, dermis, and subcutaneous tissue. Injection methods include intramuscular injection, subcutaneous injection, intravenous injection, and intradermal injection.

Intradermal injection refers to injecting medication below the epidermis of the skin, generally within the dermis but not reaching the subcutaneous tissue.

Intradermal injections are performed almost against the skin, penetrating only the epidermis layer. Due to the dense texture of the epidermis, there is high resistance to injection. The “skin test” conducted before receiving an intravenous drip is an example of intradermal injection.

Intravenous injection involves inserting the needle at a 25-degree angle into the blood vessel. This method is used for administering intravenous fluids and for blood tests.

Subcutaneous injection involves inserting the needle at a 45-degree angle into the subcutaneous tissue, delivering medication directly into the blood. It is suitable for injecting non-irritating aqueous solutions, such as measles vaccines and meningococcal vaccines.

Intramuscular injection occurs below the subcutaneous tissue, allowing the medication to slowly enter the bloodstream through the muscle layer. This method is used when a faster therapeutic effect is required, or when the medication is more irritating or has a larger dosage. The most commonly used injection site for intramuscular injection is the gluteus maximus muscle.

However, injecting medication into the buttocks is not suitable for children because they have less fatty tissue in that area. Moreover, when injections are required for several days or even longer, as in the case of severe conditions, the buttocks can become sore and uncomfortable, which is not beneficial to the body.

Hip muscle contraction causes various problems in people’s lives.

Many people have splayed feet and cannot cross their legs because of this reason.

Most causes of hip muscle contraction are due to injections, especially the use of penicillin before 2005. To relieve pain, benzyl alcohol was added, which can lead to muscle fibrosis and contraction. However, not everyone who receives injections will experience contraction; it depends on individual constitution. The contraction of the gluteal muscles has ruined the lives of countless individuals!

Many people have bow legs and a different running gait than normal individuals. They cannot cross their legs or sit with their legs spread apart, all because of this reason!

The main cause of gluteal muscle contraction is due to injections. Before 2005, it was popular to receive injections of penicillin, also known as “butt shots.” To alleviate the pain, benzyl alcohol was added, which can lead to muscle fibrosis and muscle contraction. However, not everyone who receives injections will experience muscle contraction; it depends on individual constitution.

The History and Solutions of Antibiotics

There are roughly two types of injections I received as a child: penicillin and antipyretics.

First, let’s talk about penicillin. It is an antibiotic that kills bacteria.

The invention of penicillin can be considered groundbreaking because it is highly effective and has minimal side effects.

I have written about the story of penicillin before, the link is at the end of this article.

However, as the saying goes, “the taller the peak, the taller the demon.” At first, bacteria were no match for penicillin and were easily killed off. But bacteria are not to be underestimated, as they constantly evolve to develop resistance against penicillin. In response to this, we have two main strategies:

First, we develop new antibiotics. For example, we make modifications to penicillin to create new types of penicillin. Some of these new types can be taken orally, such as the familiar amoxicillin. Since it can be taken orally, who would choose to get an injection?

Second, we increase the dosage. Currently, we still use penicillin at times, but the dosage is usually large – millions of units per day (over a dozen or twenty injections) is not uncommon. However, for the buttock injection, the usual dosage is one injection of 800,000 units. This dosage is quite small, of course. It’s impossible to inject a large amount into the buttock. Try injecting a whole bottle of water instead of medicine, and see what happens.

The second type is antipyretics.

When I was a child, injections often included antipyretics like Chaihu. Is it necessary?

Absolutely not!

A child can simply take a bit of Meilin, the strawberry-flavored one. It tastes good and won’t make them cry or throw a tantrum. The effect is even better than injecting Chaihu, so why go for the injection?

As for adults, they can take ibuprofen. Isn’t it fragrant?

Lastly, regarding the development history of penicillin:

One year, it caused 1.27 million deaths! The antibiotic problem is very serious. What are your thoughts on it?

(End of translation)

“Is buttock injection still necessary?”

“Pi Gu Zhen” (gluteal muscle injection), even before the needle is inserted, just hearing these three words causes a surge of adrenaline. This was the “torture” of our generation when we were children. Many people still have nightmares about the scenes of getting a gluteal muscle injection in their childhood. It seems like it is engraved in our DNA. Hearing children crying loudly in the hospital infusion hall reflexively brings back the painful sensation of a cold metal needle piercing our buttocks and shooting straight to our brains.

What is a “Pi Gu Zhen”?

Gluteal muscle injection is a common method of intramuscular injection, which refers to administering drugs into the muscle tissue through a syringe to achieve therapeutic purposes. Intramuscular injection is a commonly used route of administration in clinical practice, and the gluteus maximus muscle is the most commonly used injection site. Other sites include the gluteus medius muscle, gluteus minimus muscle, lateral thigh muscle, and deltoid muscle.

Gluteal muscle injections are invasive treatments and common complications include pain at the injection site, redness, bleeding, infection, and the formation of subcutaneous nodules. It can even cause serious complications such as nerve and vascular damage, tissue necrosis, etc. [1] [2] [3].

How does a “Pi Gu Zhen” differ from other injection methods?

However, this once dreaded method of administration seems to be less common nowadays. Recently, the number of children in major hospitals has increased dramatically, and most of them are seen receiving intravenous infusions with saline solution. With advances in medical technology and the development of new methods of administration, the use of “Pi Gu Zhen” has gradually become less common and is being phased out.

Reason 1: Intolerable pain:

With the fast pace of modern life, the tolerance for pain has decreased. Waiting for a long time to recover from an injection is not feasible or desirable in today’s world. Pain at the injection site is the most common complication of gluteal muscle injections, with an incidence rate as high as 40% [4]. It can cause psychological fear and anxiety in patients, especially in children, leading to reduced compliance with medication, treatment delays, or interruptions, which are detrimental to disease management [5].

The pain is partly due to the limitations of the past medical conditions. In the past, medical conditions were not as advanced, and needles were not disposable but instead reused after disinfection. The rough needle tips would increase the pain sensation. However, this is now uncommon.

Another factor is the individual differences and techniques used during the injection process. Intramuscular injections require a certain depth to reach the muscle layer, which is particularly unfriendly for obese individuals. Studies have shown that the thickness of muscle and subcutaneous fat can affect the success rate of intramuscular injections. Medications that should be injected into the muscle layer may only reach the subcutaneous fat layer instead [6]. As the number of obese patients increases, there is still a lack of comprehensive guidelines for the clinical practice of intramuscular injections in this population. To avoid piercing blood vessels, aspiration is performed before the injection. However, aspirating can cause more pain than inserting the needle [7], and recent studies have found that the effectiveness is not as good as expected.

Reason 2: Potential risks

Formation of nodules: If the injection needle used in a gluteal muscle injection has tiny barbs, it can cause damage to muscle fibers and capillaries, and in severe cases, it can lead to the formation of nodules. If the injection depth is not sufficient in the fatty layer, there is a risk of nodular formation. Prolonged stay of medication in the fatty layer can cause crystal precipitation, which stimulates the surrounding tissues and forms nodules.

Gluteal muscle contraction syndrome (frog-leg syndrome): This syndrome is commonly seen in children. Prolonged and excessive gluteal muscle injections in infants and young children can cause contraction of the gluteal muscles and their fascia, leading to restricted hip joint function. It manifests as a specific clinical syndrome with abnormal appearance, gait, or limited hip joint movement, often requiring surgical treatment.

Reason 3: Technological advances have brought better methods of administration, such as intravenous administration and nebulized inhalation

More importantly, there are now better methods of administration that are gentler and more convenient, not only reducing patient discomfort but also improving the efficiency for medical professionals. People tend to prefer painless and minimally invasive treatment options, with nebulized inhalation being the most common.

Nebulized inhalation [8] uses various types of nebulizers to produce tiny droplets or particles with a diameter of less than 10 μm suspended in a gas. These droplets or particles are then inhaled, allowing the medication to directly target the organs within the respiratory system.

The advantages of nebulized inhalation include a large absorption area, avoidance of the first-pass effect in the liver, rapid onset of action, minimal side effects, and good efficacy. It eliminates the pain of needle insertion and does not require the child’s cooperation, avoiding the risk of needle stick accidents caused by children moving during the injection process. Therefore, it is suitable for children of all ages.

Currently, the World Health Organization (WHO) has listed nebulized inhalation as one of the safe and effective methods for treating common diseases such as pharyngitis, laryngitis, asthma, acute and chronic bronchitis, and pneumonia. The commonly recommended drugs for nebulization include the “Hu San Lian” (dexamethasone injection + kanamycin injection + α-chymotrypsin). However, due to its low cost, wide availability, and broad indications, it has been widely used. In the 2016 “Consensus on the Application of Nebulized Inhalation Therapy in Respiratory Diseases”, it was corrected and not recommended for nebulization.

In addition to nebulized inhalation, there have been advancements in preventive medicine as well. In recent years, we have all become familiar with the importance of vaccination in the prevention and control of infectious diseases. When it comes to vaccination, the image of rolling up our sleeves and waiting to be pierced comes to mind. Indeed, intramuscular or subcutaneous injections are the most common methods of vaccine administration, effectively inducing systemic immune responses. However, early studies found that this method provides weaker mucosal immunity [9], offering less protection against pathogens that infect through mucosal surfaces.

Oral vaccines, on the other hand, are administered by ingestion and can induce both effective mucosal and systemic immune responses against specific pathogens, protecting the body from infection. The advantages of oral vaccines include painless administration, low cost of production, storage, and transportation, and avoidance of risks associated with needles. Currently available oral viral vaccines are all attenuated vaccines and can be transported and protected from degradation in the stomach and intestinal environment, elicit effective immune responses and immune protection in the mucosa of the digestive tract [10].

Will “Pi Gu Zhen” completely disappear from the stage of history?

Although “Pi Gu Zhen” (gluteal muscle injection) is no longer popular, it is still necessary for administering large doses of intramuscular drugs.

Muscle Injection: Pros and Cons

The buttocks injection is a muscle injection, which targets our gluteal muscles. Muscle injection is mainly used when intravenous injection is not suitable or not possible, when a more rapid therapeutic effect is required compared to subcutaneous injection, and when injecting highly stimulating or large doses of medication.

This method of administration, muscle injection, can be more painful as the medication fills the muscle, causing distension and discomfort. Some people are so uncomfortable after receiving a buttocks injection that they dare not sit on a chair or even walk without pain. In some cases, swelling may persist for several days. Secondly, although we try to withdraw the needle slightly while injecting to avoid injecting the medication into a blood vessel, it is still possible for the medication to enter the bloodstream because muscles contain abundant blood vessels. If the medication is injected into a blood vessel, it can lead to a rapid and significant increase in blood concentration, causing problems. Thirdly, muscle injection may cause damage to major nerves. There are many nerves distributed within the muscles, and if nerve damage occurs, it can lead to serious problems, such as muscle spasms. Fourthly, in some cases, injection into a muscle may result in the formation of muscular lumps and degeneration, which are not easily resolved. Lastly, if the hygienic conditions for intramuscular injection are not up to standard, it may cause local infection, even leading to local muscle dissolution and atrophy.

Nowadays, when it comes to medication, oral administration is preferred whenever possible. Many people hope to find a miracle drug that can immediately cure their colds. However, this is not possible. Hormones can only immediately alleviate your symptoms, but the recovery from an illness itself takes time. When you have a cold, do not blindly request intravenous drip treatment. In outpatient clinics, hospitals no longer prescribe intravenous drips, and if you do require one, the doctor will have to transfer you to the emergency room to do so. Intravenous drip allows for the adjustment of drip rate at any time. If any adverse reactions occur during medication, we can immediately stop the drip to avoid causing further harm to the body.

Why was penicillin injected into the muscle rather than the vein before?

The most common situation where we come into contact with injections, such as the buttock injections, is when we were young and had to go to the hospital to receive penicillin injections for a fever.

So why was penicillin administered via intramuscular injection instead of intravenous infusion in the past?

One important reason is that the penicillin used back then was relatively primitive. For example, long-acting benzylpenicillin, it is insoluble in water and can only be prepared as a suspension. Suspensions can only be administered intramuscularly and not intravenously, otherwise there is a risk to life.

Another example is the commonly used penicillin sodium. Although it can be administered intravenously, it must be diluted with a large amount of liquid and drip slowly, otherwise various side effects such as central nervous system toxicity may occur. Therefore, intramuscular injection was often chosen.

With the progress of pharmaceutical technology, a large number of semi-synthetic penicillins have appeared. Because of their solubility and reduced toxicity and side effects, and improved therapeutic effects, we can now conveniently and safely administer penicillin antibiotics intravenously.

However, even semi-synthetic penicillins are not so easily prepared as solutions. Take piperacillin-tazobactam, for example. When you hear nurses rhythmically tapping small medicine bottles in the treatment room, they are most likely preparing the solution for intravenous infusion of piperacillin-tazobactam.

Therefore, nurses often make the following joke:

“Others open a bottle of Paracetamol when they turn thirty, but I tap on Piperacillin-Tazobactam in the middle of the night at thirty."

Although the use of benzylpenicillin is now less common, it still has many applications in areas such as the prevention of rheumatic fever and the treatment of syphilis.

By the way, the suspension of this medication is very viscous. In order to prevent the needle from getting blocked, an 8-gauge needle is used for injection, making the administration process very comfortable.

If any fellow readers have a need for treatment, you can give it a try and reminisce about the fleeting childhood years.

@Zhihu Daily

Disadvantages of “Butt Injection”

“What is ‘Butt Needle’?”

“Butt Needle” refers to a treatment method where medication is injected into the gluteal muscles. Muscle injection is a commonly used method of therapeutic injection, which involves injecting medication into the muscle tissue to achieve the purpose of treatment. Muscle injection is mainly used when intravenous injection is not suitable or not possible, when rapid therapeutic effect is required compared to subcutaneous injection, and when injecting highly irritating or large doses of medication. The most common injection site for muscle injection is the gluteus maximus muscle, followed by the gluteus medius, gluteus minimus, tensor fasciae latae, and deltoid muscles. The key to muscle injection is accurate localization of the injection site, and when injecting into the gluteus maximus muscle, care should be taken to avoid damaging the sciatic nerve. Sitting or lying positions can be used, and when injecting into the gluteal muscle, the following positions can be taken to relax the local muscle and reduce pain and discomfort: lateral decubitus position with the upper leg straight and relaxed, and the lower leg slightly bent.

It is usually used for the prevention or treatment of certain diseases. In the field of medicine, injection therapy is a common treatment method, and muscle injection is a commonly used method. “Butt Needle” refers to injecting medication into the gluteal muscles to achieve rapid absorption of the medication. This treatment method is usually used in cases where emergency treatment or rapid onset of drug effects is needed.

During the process of gluteal muscle injection, a device called a “syringe” is commonly used, which can inject medication into the muscle. The structure of a syringe usually includes a needle, a barrel, and a plunger. When using a syringe for injection, the doctor will first select the appropriate medication and dosage, then insert the needle into the muscle and push the plunger to deliver the medication into the muscle.

The treatment effect of “Butt Needle” is usually fast because the medication is directly injected into the muscle, where it can be quickly absorbed and take effect. However, this treatment method also has some potential side effects, such as pain, infection, and bleeding.

With the rapid development of the times and the gradual improvement of medical technology, “Butt Needle” has been gradually replaced and used less due to the following drawbacks:

  1. Pain: Muscle injection itself can cause some pain, and some individuals may be more sensitive to pain. After the injection, there may be local pain, which will gradually disappear over time.
  2. Muscle atrophy: If gluteal muscle injection is frequently performed, the injected muscle may undergo atrophy, with muscle fiber rupture, resulting in muscle soreness and weakness at the injection site. In such cases, it is necessary to follow the doctor’s advice for rehabilitation exercises, and the muscle will gradually recover and improve.
  3. Drug allergies: Some patients may have allergic reactions to injected medication, resulting in local symptoms such as redness, swelling, itching, and pain. In such cases, it is important to inform the doctor promptly and receive appropriate treatment, following the doctor’s advice to use antihistamines such as loratadine tablets, chlorpheniramine maleate tablets, etc.
  4. Improper injection: If the injection site for gluteal muscle injection is selected improperly, it may cause damage to the sciatic nerve, resulting in abnormal sensation and limited movement in the affected area. In such cases, nerve repair surgery may be required for treatment.

Better Treatment Options: The Fear of Needles

Because there are better options

How many friends are still afraid of getting shots like me?

When I was a child and got sick, my father would take me to the clinic. Crying and screaming wouldn’t help. With one hand tightly held by an adult, I watched as the doctor took a needle out of an iron box, drew medication into it, and then calmly approached me. As a young child, from my toes to my buttocks and even my hair, every inch of me was tense. It’s no exaggeration to say that the hardness of my buttocks before getting the shot was no less than that of a brick.

No matter how I struggled, the doctor didn’t care. After sanitizing my skin with alcohol, they would hold the needle and quickly plunge it into me, as if lightning striking without warning. They didn’t care if it hurt or not; they just injected the entire dose of medicine. The only consolation for my wounded soul was that my parents would buy me a can of pear preserves after the injection. But I had to eat it while sitting crooked, because getting a shot in the buttocks really did hurt for a whole night.

The reason why getting a shot in the buttocks is not popular anymore is because there are safer and more humane treatment options.

  1. “Getting a shot in the buttocks” has disadvantages in terms of safety. There is a risk of hitting the sciatic nerve or breaking the needle during the injection. And because it is an intramuscular injection, there will be pain until the medication is completely absorbed. For common self-limiting illnesses such as colds and fevers, the symptoms may be caused by a variety of different factors. The true culprit could be the influenza virus, the parainfluenza virus, respiratory syncytial virus, rhinovirus, adenovirus, cytomegalovirus, EB virus, norovirus, HRSV virus, psittacosis, chlamydia, mycoplasma, and so on. Antibiotic injections in the buttocks are not a cure-all.

  2. There are more diverse methods of administration. Especially for pediatric patients who need medication, there are options such as oral administration, topical patches, nebulization inhalation, intravenous injection, and intramuscular injection. Even if an intramuscular injection is needed, using a softer indwelling needle is less torturous for children. In the face of diverse routes of administration, there is no need to choose the most painful one.

  3. More emphasis is placed on the patient’s diagnostic and treatment experience. If you visit a children’s specialty hospital, you will find that blood can be drawn by pricking the fingertip, the seats are shaped like small animals, and all kinds of medications are made into sweet strawberry-flavored syrups. Although children may still resist, this is progress in the field of medicine.