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J Ultrasound Med. 2015 Nov;34(11):2093-7. doi: 10.7863/ultra.14.12030. Epub 2015 Oct 7.

Perisciatic Ultrasound-Guided Infiltration for Treatment of Deep Gluteal Syndrome: Description of Technique and Preliminary Results.

Author information

1
Interventional Radiology Department (J.R., M.A.V.), Academic Unit (N.G.), and Orthopedic and Trauma and Department (C.R., M.P.), Clinica Meds, Santiago, Chile.
2
Interventional Radiology Department (J.R., M.A.V.), Academic Unit (N.G.), and Orthopedic and Trauma and Department (C.R., M.P.), Clinica Meds, Santiago, Chile. nicolasgarciaa@gmail.com.

Abstract

The objective of this study was to describe a perisciatic ultrasound-guided infiltration technique for treatment of deep gluteal syndrome and to report its preliminary clinical results. A mixture of saline (20 mL), a local anesthetic (4 mL), and a corticosteroid solution (1 mL) was infiltrated in the perisciatic region between the gluteus maximus and pelvitrochanteric muscles. Relative pain relief was achieved in 73.7% of the patients, with average preprocedural and postprocedural visual analog scale scores of 8.3 and 2.8, respectively. Fifty percent of patients reported recurrence of discomfort, and the average duration of the therapeutic effect in these patients was 5.3 weeks.

KEYWORDS:

interventional radiology; musculoskeletal ultrasound; piriformis syndrome; sciatic nerve; sciatica; ultrasound-guided infiltration

PMID:
26446817
DOI:
10.7863/ultra.14.12030
[Indexed for MEDLINE]

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