Anesth Pain Med.  2015 Jan;10(1):16-20. 10.17085/apm.2015.10.1.16.

Myofascial pain syndrome of gluteus minimus mimicking lumbar radiculitis: A case report

• Park JH
• Shim KS
• Shin YM
• Lee C
• Lee SG
• Kim EJ

• KMID: 2148052
• DOI: http://doi.org/10.17085/apm.2015.10.1.16

Abstract

Myofascial pain syndrome (MPS) can be characterized by pain caused by trigger points (TrPs) and fascial constrictions. Patients with MPS of the gluteus minimus muscles often complain of symptoms such as hip pain, especially when standing up after sitting or lying on the affected side, limping, and pain radiating down to the lower extremities. A 24-year-old female patient presenting with motor and sensory impairments of both lower extremities was referred to our pain clinic after initially being diagnosed with lumbar radiculitis. Under the impression of MPS of the gluteus minimus muscles following through evaluation and physical examination of the patient, we performed trigger point injections under ultrasonography guidance on the myofascial TrPs. Dramatic improvement of the patient's symptoms was observed following this treatment, and she was discharged without any further remaining symptoms.

Keyword

Myofascial pain syndromes; Radiculitis; Trigger points; Ultrasonography

MeSH Terms

Constriction
Deception
Female
Hip
Humans
Lower Extremity
Muscles
Myofascial Pain Syndromes*
Pain Clinics
Physical Examination
Radiculopathy*
Trigger Points
Ultrasonography
Young Adult