Treatment of Attachment Trigger Points in the Gluteal Muscles to Cure Chronic Gluteal Pain – A Case Report

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Title:	Treatment of Attachment Trigger Points in the Gluteal Muscles to Cure Chronic Gluteal Pain – A Case Report
Authors:	林銘達(Ming-Ta Lin);陳信水(Hsin-Shui Chen);周立偉(Li-Wei Chou)*;洪章仁(Chang-Zern Hong)
Contributors:	健康照護學院物理治療學系;全家醫院台中東區分院復健科
Keywords:	Gluteal muscles, lumbar spine, myofascial pain, trigger point
Date:	2010
Issue Date:	2011-01-28 17:16:25 (UTC+8)
Abstract:	"Background The purpose of this case report is to demonstrate a patient of chronic myofascial pain syndrome in the gluteal region secondary to lumbar facet joint lesion. Findings Initially, he was treated conservatively with medication and physical therapy and had only temporary pain relief for few days. Later, he was treated with lumbar facet joint injection [with kenacort] and myofascial trigger point [TrP] injection [with one percent xylocaine] to bilateral L4-5 paraspinal muscle and gluteal muscles with a complete relief of low back pain but persistent pain in the gluteal region. Finally, he was found to have attachment TrP in the origin and insertion sites of gluteus medius and gluteus minimus muscles. He then further received a local injection with kenacort and one percent lidocaine to the attachment TrPs with immediate relief of gluteal pain. A follow-up confirmed that he had no pain recurrence up to six months. Conclusion Chronic myofascial pain syndrome in the gluteal region can be caused by both lumbar facet joint lesion and attachment TrPs of the involved muscles. It is necessary to eliminate the underlying etiological lesions appropriately in order to provide long-term relief of myofascial pain."
Relation:	JOURNAL OF MUSCULOSKELETAL PAIN ():
Appears in Collections:	[Department of Physical Therapy, Graduate Institute of Rehabilitation Science] Journal articles

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