Vastus Lateralis Intramuscular Injection - Everything You Need To Know - Dr. Nabil Ebraheim
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- čas přidán 21. 06. 2018
- Dr. Ebraheim’s educational animated video describes intramuscular injection of the vastus lateralis muscle in the thigh.
Vastus Lateralis Intramuscular Injection
The vastus lateralis muscle is a common site for intramuscular injection. To inject, first locate the greater trochanter of the femur. The top border of the vastus lateralis muscle can be found a hand width below the groin. The bottom border of the vasus lateralis muscle is found a hand above the knee. The side borders are from the mid anterior thigh to the mid lateral thigh. Squeezing the muscle before injection increases the thickness and depth of the muscle and avoids nerve injuries. Make sure you do not advance the needle deep to touch the bone. Aspirate before you inject.
I’m helping my son with his IM injections and have watched 5 videos on this site. This one is the best by far. No music (thank goodness), clear instructions and the only video to mention the squeezing of the thigh muscle. Thank you.
DON'T "squeeze" the thigh muscle, simply push DOWN on the injection site, then spread the area taut with your fingers and inject the very tip of the needle, then immediately release your fingers from the site and fully inject the needle all the way. The only pain come from the initial insertion of the needle, but absolutely no pain should be felt after that. Only the skin is capable of feeling pain, unless you hit a vein. Once I mastered this technique, I never experienced pain or discomfort again. Check the other videos on this channel to find the technique I just described, or just contact me here. I'd like to help if I can.
Btw, if your son is also using HCG to counterbalance the negative side effects of the testosterone, THEN you should use the "squeeze" technique. The perfect place for this is in the looser skin of the belly area. Just squeeze, and insert.
@@tiffsaver "tiffsaver" eh? i wish we could save them all. godspeed, fellow tomboy respecter
@@ooblebip Do you people ever touch grass?
@@tiffsaverTRT is intramuscular, HCG is subQ. Totally different needles and barrels as TRT is into the muscle and HCG is into the fat with a Slin pin
@@tauras665
I've injected test into my belly fat for 10-years straight and haven't noticed the slightest loss of effectiveness.
I was giving myself butt injections for years as most of the leg injection videos just tell you to inject right at the top of the leg and it hurts a ton. This is the best video I’ve found that explains the placement and reasoning for injecting into the Vastus Lateralis muscle and since finding it I’ve had zero pain and much better success in not hitting veins. Thanks much!
Edit: A year later and I still come to this video to re-review its contents. The only issue I have is the squeezing of the muscle to make it more compact and avoid the nerve. I never seem to get that part right and just end up grabbing skin.
What gauge and length do you use ??
@@lukewarm_free_zone 25/1”
Exactlyyyyy
I wonder if some of those videos injecting at the top were for demonstrating SUBQ instead of IM, or otherwise confusing them. Mixups of needle lengths and angles at the wrong place can be dangerous, I wish other channels took as much care as this one in preparing their videos.
Did on top of the leg until one day at work it turned into a muscle tear.(climbing scaffold n up n down benches doing drywall) could barely bend my leg. Strictly butt cheeks after that. But considering this method.
Thank you, self administered my first prescribed testosterone shot with the help of this video. I like the straight forward style of this video, no background music and clear concise instructions
How often do you inject and how many mgs?
@@commentscopyrightattorney5543 I do .5 ml weekly
you must rotate the inject site
I was prescribed 1ml cypionate biweekly, and yes alternate legs for injection site, i have noticed nowadays, i have a ache in those sites, like a sore muscle from a punch, ive been off my meds for 5 months due to moving and not reestablishing a family dr, makes me wonder what sort of scar tissue buildup is happening.
Great video. I've had a professional give me a painful injection way higher in the thigh and would've made the same mistake without these instructions.
Great video I've been doing it wrong for 5 years just gave myself a shot with zero pain
So u mean you have doing it wrong for five years so does that mean u havent got your results because u have doing it wrong for 5 years
@@jordanfogal2507 No it doesn’t mean that
@ K A
I've been doing it wrong for 15 years, I'd say I hit a vein once in every 4 firings, AND I ENJOY THE PAIN!
@@mikeabba1990 there's no veins there lol. But you might get some arterial wingdings that helped it rush in a bit quicker ❤️
@@DetroitFettyghost
Surely you can't hit an artery with an inch+half pin, they're deeper in the muscle?!? If I've been hitting arteries all this time, why have you only recently made me aware of the problem?!? The blame's on you bro, you should have sensed the errors I've been making and reached out, saved me a lot of worrying when my bleeding thigh won't stop bleeding. I've been starved of essential knowledge that all potion taking gym folk need to know. If you lived locally I'd have strong words to dish out whilst I point and wave my finger at you. You living across the pond has kept you safe bro, I can't emphasise how strong my words and wavings would be!
jesus ive watched a shit ton of videos for my intramuscular injections and this is really the best one. ive been doing them for a year now and i just did my shot painless
This is an excellent video. This injection site is the only one I use, alternating legs every 2 weeks.
Verry helpful thank you so much
Thank you so much straight to the point get to the facts I've been injecting for a few months now and this is the best video I've seen after one view I am now a pro
As a matter of fact I'm going to subscribe to whatever channel this is good job!!
Thanks
Thank you 🙂
good video to the point - literally! was using the gels but they were not very effective on my levels and hard to get approved by the ins. company as it is a controlled subtense... just injected my 3rd T in the leg. use 25G needle. once every two weeks. no issue or pain (except for an expected pinch when the needle penetrates).
no side effects or bleeding, so I don't use a bandage. I will try pinching the muscle as described as it makes sense, and the needle is 1.5" but too long.
When the nurse was explaining to me how to use this method, she asked me if I want to do it myself, I said sure, that is why I came, she said she has seen guys faint, I assured her that with my 3y middle east military experience and almost 2 feet of scares, I am not going to drop on her. I did it myself and it was fine.
Besides, no pain, no gain. PS. someone said that coughing right before the injection helps to distract.
Thank you for making all of your videos!
This method worked best on me and a 25 gadge after using 21 gage for a month was awesome no pain use 25g it's just takes a while to inject and I have 1" length and I sink it and inject. The 21g was 1" 1/2 and I was always hiting something vein or nerves it was rough the first 4 shots but the smaller needle and experience and watching videos I am getting better. My first shot was sore and haven't been since.
I've found 25g so much nicer as well. The last needless/syringes I bought, online, sent me a box of mixed 23g and 25g needless, even though I ordered only 25g. Didn't notice the 23g until I got halfway through the box! I'm running out of the 25g, so have been switching, every week, between the two.
The only time I ever experience pain, is when I'm using the 23g. Those needles are just too wide. But I refuse to throw them out.
What a difference between those two gauges.
Dude. I did my right leg with a 26g/1" needle 2 days ago and I am in so much damn pain right now. It was my first injection on the left leg. I did the right leg 3 days before that with a 26/0.5" needle and there was pain too but not this much. Any suggestions.
Is it possible to hit bone from a 1" needle on a 255 lb man with a decent amount of body fat
Omg!! I just did this after watching this vid with a 1.5" needle (b12 vitamin) and it was pain free!! Went in like butter lol. Omg I was crapping myself. I was shaking so much I couldn't aspirate so I hope its ok.
How do you aspirate if you are squeezing the muscle? Are you using a clamp
aspirating the needle means pulling the plunger part back slightly to see if you've hit a vein. if you have it will draw up some blood. if that happens take out the needle, put a fresh one on the syringe and try again
Is it okay to then injected the little blood that came up back into your leg? After switch the needle
@@allensins4199 once you switch the needle and try again in a different spot and can make sure there's not blood coming up in the new spot it should be fine to inject, it's just going into the muscle.
The CDC new guideline is that aspiration is unnecessary
@@lilychen2304 - Ignore that new guideline. ALWAYS aspirate; there is zero reasons not to. Some credible research has shown that there were a number of heart problems related to the covid injections that were most likely the result of intravenous injections that should have been intramuscular, and would not have occurred if the aspiration test had been used prior to the injection.
Thank you. I had no clue what aspirate meant!
I tried doing this in the past and luckily it went fine but aspirating..I dont think i did it right but then I got scared about air in the needle etc. Do you have to pull quite hard to aspirate (I'll have to do this again soon :/)
How deep should i insert the needle?
شكرا
To all that do this in the leg, also it helps to cool off the area with ice for a few minutes before...it will help numb the area. It will be a bit harder to push though the injection at first but you will feel it less.
is it normal to feel pain in the injection site?
@@gabrielelias5750 You can hit a nerve that will give you immediate pain, sure. Remember however, you will be sore 1 to 2 days later for 3-4 days because you are pretty much injecting a peanut seed size pocket of liquid into the muscle area but A. You'll get use to it and B. the benefits outweighs the pain and cost.
@@wayneious awesome thanks for clearing that up. Im pretty sure I am in the 3-4 day pain period haha Sometimes it feels like my leg is about to fold on me
@@gabrielelias5750 Glad to help, I know I was hesitant to do so at first also but in times of need you must take action and so I went all in. You'll get use to it and TBH if you go workout a bit and move the muscle around it will help with the disbursement of the Test in the area. One thing I will say to do is switch from thigh to thigh...I dont keep injecting the same leg only I swap between each one.
Needle should be 25mm long
How deep needle needs to go for intramuscular injection?
all the way in
How intramuscular injection on triceps
How far in do I go with a 1 inch needle for legal trt
I tried this method today and it works! I was giving in the middle of the thigh but had some issues, but this idea in this video is better. Thx.
Did the middle of the thigh hit a bone?
Lol same here I did this method just now & it was the best I didn't feel anything
@@malaikafigueroa4703 Yeah i have used it 3 times now with success. I'm drawing it back too, but no blood. So, so far its working better for me than doing straight to the middle of thigh.
You shoot the middle of the thigh you will hit the bone. I do it the way it shows but I don't squeeze the muscle I spread it out tight with my fingers and keep no weight on my muscle and push the needle in slow I can't do it fast I have a 2" needle and go just a little over half way and push the juice in slow if you are in a vein you will taste it and cough then you stop and move over but I have never been in a vein.
@@captaindeadpool1640 you need to pull back to make sure you are not in a vein, and rotate the injection spot.
How do you know if you are in the muscle or the fat ?
25mm is to short and 30mm is better but I'm thinking of trying a 40mm needle.
Don’t use a 40mm that’s just for drawing
@Susanne Christiansen
Wow, women firing juice, why?! What are you taking? Men run a risk taking steroids but they're synthetic male hormones. When you have a goatee, no matter how stylish it looks, it's a move too far.
@@mikeabba1990 do you know what vitamin B12 is ?
@@DougDimmaDab No it's not - when giving some minerals, you have to use 40-50mm needle because it needs to go in the deep tissue in the muscle.
@@susannechristiansen7132
Sorry for the late reply. Of course I know what b12 is, it's an important compound, responsible for your energy, metabolism?!? So you don't take anabolics?
جربتها مؤلمه وتعيق الحركه
أكيد معك صح 🖒
What happens if I inject into the lower quad right above the knee?
You will spontaneously explode
Why is it that when I did this I swelled up at point of injection same thing happen in my hip hurt like hell and lasted over a week
Hi, it is 90 degrees or 45?
Just done this for the first time: certainly wasn't pain-free - would say mildly uncomfortable - but almost straight after extracting the needle I became nauseous, knowing I had to quickly lie down. Not faint or wobbly, just a bit queasy. The feeling passed within a couple mins max, but has put me off that area for the time being
what were you injecting, if i may ask?
Same thing happened to me the first time. The butt cheeks just seem less scary to me for some reason but rn both my cheeks are sore and so I’m gonna have to try the quad again 😅
My tight tight back mucels problem
I am a football player please help me for guides
ধন্যবাদ
I feel like the « perfect » place to do it depends vastly on how where your body fat/muscles are for me the center of the point in the video is too close to the bone, and hurts. But if I go a little bit high, say at the top third of the muscle where I have the most fat then it goes in like butter and doesn’t hurt.
Are the effects still the same though? This is what I’m so confused about
I've been doing this. My 3rd shot is today. However the pain is so bad after the fact it makes me think I'm doing something wrong. Am I going too deep? I push the 2 inch needle all the way in.
2" is too big unless your 350lb
@Daddy Blaha yeah man, i have figured this out! thank you though. it was a rough learning experience.
Get a shorter needle. 2" is a spear!
@@andrewwright. Heck, I'm 330 and keep it at 1 inch.
as i lost weight, 1" became to long. I use a 5/8 now in my thigh. If you're doing test, try shaking and warming the bottle before injecting. I usually just hold them in my hand for 15 minutes, while i watch a show. Helps with the post-injection-pain (PIP). If you check the label or instruction paper, it mentions to shake and warm as well.
Is it left and right? Or only right side?
Please answer 🙏
Can be both
Is this possible to get taller by 4 inches in a month or a year?
I added at least 4” a year during puberty, stopped growing at 19yo 6’4”. If you think you may have some sort of deficiency go get your growth factors and hormone levels checked out. Testosterone,HGH, and peptide therapies could all help you grow taller if you’re still young…they won’t help you grow once you’re past puberty- but they will keep you healthy and feeling good if you’re deficient.
I find this all gross but I'm stuck doing it 3 times a week. I just quickly jab the 25mm all the way in to get it over with. How the heck are you guys aspirating? Doesn't that freak you out? What are you withdrawing when you do that??
It’s to make sure you’re not in a blood vessel, like a vein. If you pull back on the plunger and see blood in the syringe, stop and find a new injection site. Otherwise, the injection will go straight to your lungs and you’ll cough uncontrollably.
@@tommythetank212 and if you are at the right location (muscle in this case), nothing is withdrawn while aspirating?
I really don't understand how you can aspirate with one hand.
Dylan soon as the needle is in your leg, you let go of the muscle..you no longer need to squeeze your leg so you can have your hand free.
It's all depends on Practice. Practice makes perfect.
No need to aspirate for a IM injection actually haha to deep
@@Skill_Issue92 Yes there is, plenty of blood vessels to hit in the thigh and you do NOT want to inject into the blood stream
@@Impetuss I've hit blood on more than one occasion as I was not taught to pinch or aspirate. What happens negatively if you do hit blood...other than the obvious bleeding?
Please why do you aspirate before injecting?
If it has blood when you aspirate, that means you are accidentally in a vein instead of the muscle
is 2 weeks enough time to leave between each leg before using it again to inject? I rotate legs after each one my weekly injections but I wonder if that’s enough time for it to fully heal
I've been rotating thighs, every week, for about 12 years now. As time goes on, we are making scarring issues, at least that's what the doctors all tell me. I don't inject in exactly the same place, on each thigh, so I'm hoping that'll help in the long run, because this weekly injection is for life.
Based on what the doctors have told me is, over time, the injections may become more painful, from scaring, which mine have, but as long as I use the higher gauge needle (25g), it's much less painful, compared to when I use a 23g needle.
I often think to myself, "and I have to do this every week until I die?!??"
I feel for you as well.
Am I only one squirming thinking about their first upcoming IM shot ?
Can't lie my 1st one I was a tad. Just commit to it and don't hesitate you'll be just fine!
I was too. The only thing making you squirm is the thought of something foreign going an inch into your muscle. On a scale of 1-10 the pain is a 1 or 2. Sometimes I don't feel it at all.
@@gonadiator
I don't feel the shot but the next day and the next following days after that my leg is almost paralyzed with pain especially lower in the leg towards the knee.
I don't know what I'm doing wrong but it feels like I got stabbed with a sword
@@BARBELLS-AND-BUDS not a Dr but you might be hitting the IT band. Just a thought. I haven't started on my thigh, only have had 3 shots alternating glutes. Next shot will be in the thigh so I'm a lil nervous about hitting anything I'm not supposed to.
@@dashthescott i only had one shot that didn't hurt BAD for several days.
What cc should I need? Im a 132lbs
You never inject more than 1mL at a time per injection.
i wonder is 1 and a half inch needle too long for here?
1.5 was meant for butt, use 1 inch for thigh. some people even use 1/2 inch and say it works fine for them but I was prescribed 1" so I use that
I can't even lift my arms from injecting in them and it's extremely painful..
tried this yesterday and now i can’t bend my leg, outer quad is so swollen and tender , any tips ?
Same here with repeated administration to delts. Very sore and swollen
What does "aspirate the needle" mean?
you pull back gently and just a little bit to check for blood, you do not want to inject into a artery or vein, if blood remove the needle, replace tip with a new one, recheck for air bubbles, then try again.
@@julie-annefriessbourg5156 Do you pull back the needle or the plunger? The 3rd injection I gave myself all this blood came out (whereas there is normally no blood). I obviously hit something and I would like to avoid that next time. I probably lost medicine in the process.
Why didn't they just say I hale before you inject?
why do some say squeeze muscle and some say stretch the skin ?????? thanks anyone for helpful answer/reasoning
i fucking get nervus every time i inject its realy getting me dawn
Is injection top or side of leg?
i believe it's top of the leg, but not directly on the center
Side leg right into the quad.
what's the best needle lenght? I'm terrorized about hitting a nerve
Hitting a nerve isn't bad as long as you shoot it in the spot shown in the video. I hit a nerve a felt a tingle shoot down my thigh just pull back a little and slant the needle a little. The nerves heal themselves.
Bro why did it hurt so much when i did it
you may have used too large needle? use 25 gauge or maybe 27g its painless.
Thanks injected my trenbolone
pip?
It hurt 12 hours later is that normal
Yes its sore for a few days usually sometimes it will swell as well but if you draw a circle around the injection site you can monitor to make sure it goes down eventually
I gave myself a shot and I think I fucked it up cause ow it hurts ;w;
Cypionate or propionate?
PIP is common, especially the first few times you pin
Sometimes they do sometimes they don't 😂
DON'T DO IT!! I tried injecting myself in the thigh after warnings from a friend not to do it, Friday AM followed the instructions perfect entry no blood and exit
Friday = everything normal Saturday AM everything normal about 12:15ish started getting tingling on the right side of my thigh going down the front to the knee by the evening it hurt. Sunday pain I could trace from the top right of my RIGHT KNEE up along a path of pain to the location of the injection Monday AM pain more isolated top right of the knee and some redness as of now still feels about the same.
NEVER the thigh again!
Why aspirate before inject?
To make sure you have not hit a vein
@@tumbac3515 sweet .. yeah I've done more research since my comment .. I'm starting my first cycle next week and kinda thoughtfull about it, but I think from the knowledge I have gained it should be alrite.. just gonna b weird pinning for the first time i guess
@@donnie5670 why don’t you ask a local nurse or doctor to show you how to properly do it once. Accidental iv infusion of anabolic steroids could be lethal.
@@Chris-hp9be yeah thanks for the interest bro I have done now my research and know why, o have been doing it a while now and I always aspirate first
I injected myself exactly there but on the left leg, perforate a vein and bled quite a bit!
Daniel Rus don’t be stupid
That is a really stupid comment, and won't help anyone with any anxiety about self injecting. There are no veins or blood vessels in that area, that is why it is a safe and recommended injection site. It is painless, and you are talking absolute rubbish. Please everyone ignore this idiot.
+Daniel Rus
I hit accidentally a vein a few times, too. When you do, it really hurts, and blood immediately enters the syringe, giving you an immediate warning that you injected the wrong spot. If you see this happen, immediately pull out the needle, then just try another area. DON'T INJECT ANYTHING IF YOU SHOULD SEE BLOOD ENTERING THE SYRINGE.
@@DD-hj3sj Dear Douche Bag... LOOK WHO'S TALKING.
@@tiffsaver That's a blood vessel not a vein, if you are going into you're gluteus or quad and finding that then you must be using a javelin. Stop talking crap.
why do you aspired
I hope I didn’t mess up, I’ve been injecting it in my buttocks like the doc told me to do but that’s very hard doing that by myself of course so I came across the thigh tutorials. I injected mine in the dead center of my leg right in the middle of the knees and hip but it hurts so bad That when I put the slight pressure on it, the pain slowly grows and starts hurting pretty rapidly where I can’t hold my finger tip on it anymore with even the slightest of pressure when I was rubbing the muscle to spread the testosterone out faster like my doc said.
Camden Brewer ~ Ouch! How is it doing now? I’m debating trying this one
I always use the quads because you can accurately place the needle that way, which you are limited to when injecting your glutes. But you should NEVER inject directly in the center of your quads, only the upper, outer quadrants!! Check out the other injection videos on this channel to see the actual diagrams. Placement is everything. You should feel no pain at all, especially when using a 23-25-gauge needle. Good luck.
tiffsaver I had a painless injection but dang it has been sore. No pain the first 12 hours. But three days of soreness
@@rickallmightyjones6189
Did you gently massage the area for 20-seconds after you injected??
tiffsaver yes, it was impressive that there was no pain at all. Definitely going to try this again on the other leg
This girls moth clicks are wild😆
And aspirate means what? Go the extra mile and explain terms to your audience so they can all understand.
Pull back on the plunger to make sure you don't pull back blood. If the liquid comes back clear and only air you're good
In all seriousness though...literally NO ONE ever aspirates. I know 100’s of people through out the years who self administer and maybe 2 of them ever aspirated as a habit. Have been self administering for over a decade.
There’s this website google where you can look up words you don’t know. You might have heard of it.
to suck up air
I aspire to achieve your level of initiative someday.
Welp. Ruined ALL my veins. Just plugged 50$ worth of fentynl into my thigh muscle. Hopefully it's not a complete disappointment. I know it won't be no rush- but I just need to be well. Help me god 20 years of this.
Wtf go to the clinic.
you need help go to a pain clinic or drug rehabilitation.
i got shots today ;-;
God i fucking HATE shots.. I look up the image of this on google like every time to comfort me. Ty :3
Voodoo
You do not need to aspirate
yes you do, that's one of the reasons so many people died after the covid vaccine, staff were not aspirating and injecting straight into the blood stream.
finally someone with common sense