Calcific Tendinopathy of the Gluteus Medius Mimicking Lumbar Radicular Pain Successfully Treated With Barbotage: A Case Report
Annals of Rehabilitation Medicine
; : 368-372, 2016.
Article
in En
| WPRIM
| ID: wpr-185206
Responsible library:
WPRO
ABSTRACT
We report a case of calcific tendinopathy of the gluteus medius initially misdiagnosed as a lumbar herniated intervertebral disc. It was successfully treated with barbotage under ultrasonographic guidance finally. A 56-year-old woman was referred to interventional pain clinic for right hip pain due to an L5-S1 disc herniation. Serial L5 and S1 spinal nerve root blocks and epidural steroid injections were administered. However, pain relief was sustained only for a very short period. Plain radiography of the right hip revealed a solid calcific nodule at adjacent to the insertion site of the gluteus medius tendon. Physical modalities and extracorporeal shock wave therapy failed to improve the pain. Therefore, we attempted ultrasound-guided barbotage of the calcification. Barbotage was performed twice serially and her pain was considerably improved. At 6-month follow-up, the calcification was completely resolved.
Key words
Full text:
1
Index:
WPRIM
Main subject:
Shock
/
Spinal Nerve Roots
/
Tendons
/
Radiography
/
Follow-Up Studies
/
Pain Clinics
/
Tendinopathy
/
Hip
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Intervertebral Disc
Type of study:
Diagnostic_studies
/
Guideline
/
Observational_studies
/
Prognostic_studies
Limits:
Female
/
Humans
Language:
En
Journal:
Annals of Rehabilitation Medicine
Year:
2016
Type:
Article