Abstract | OBJECTIVE: To demonstrate one of the effective methods of treatment of the piriformis syndrome under the control of a highly technological visualization method. MATERIAL AND METHODS: Eight patients (7 women and 1 man), aged 44 to 63 years, with piriformis syndrome, were studied from 2016 to 2018. The main complaints of the patients were pain in the lumbosacral spine with irradiation to the gluteal region and/or legs. All patients underwent MRI and/or MSCT of the lumbosacral spine, the pelvic ultrasound, according to the results of which 1 patient was diagnosed with uterine myoma, 5 with lesions of intervertebral discs in the L4-L5 and L5-S1 segments of varying severity in combination with changes in posture. For therapeutic purposes, all patients under the control of CT fluoroscopy were administered to xeomin (n=3), dexamethasone (n=1) or betamethasone (n=4). RESULTS: CONCLUSION: In the treatment of the piriformis syndrome it is necessary to apply an integrated approach, the leading of which are methods of local impaction on the suffering muscle. Only a methodologically correct injection can increase the effectiveness of treatment in these patients and reduce the risk of complications.
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Authors | A L Yudin, M A Shomakhov, E A Yumatova, Yu A Abovich |
Journal | Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova
(Zh Nevrol Psikhiatr Im S S Korsakova)
Vol. 120
Issue 10
Pg. 85-90
( 2020)
ISSN: 1997-7298 [Print] Russia (Federation) |
Vernacular Title | Sindrom grushevidnoi myshtsy. Lechenie pod kontrolem KT-skopii. |
PMID | 33244963
(Publication Type: Journal Article)
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Topics |
- Adult
- Female
- Fluoroscopy
- Humans
- Magnetic Resonance Imaging
- Male
- Middle Aged
- Piriformis Muscle Syndrome
(diagnostic imaging, drug therapy)
- Tomography, X-Ray Computed
- Ultrasonography
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