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Piriformis Muscle Injection (Fluoroscopically Guided)

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Pain Medicine

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Abstract

: Primarily used for piriformis muscle spasm/pain +/− piriformis syndrome.

CPT:

Trigger point injection 1–2 muscles: 20552

Fluoroscopy (outside the spine) 77002

Professional component 26

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Additional Reading

  • Benzon HT, Katz JA, Benzon HA, Iqbal MS. Piriformis syndrome: anatomic considerations, a new injection technique, and a review of the literature. Anesthesiology. 2003;98(6):1442–8.

    Article  PubMed  Google Scholar 

  • Fishman LM, Dombi GW, Michaelsen C, Ringel S, Rozbruch J, Rosner B, et al. Piriformis syndrome: diagnosis, treatment, and outcome--a 10-year study. Arch Phys Med Rehabil. 2002;83(3):295–301.

    Article  PubMed  Google Scholar 

  • Fowler IM, Tucker AA, Weimerskirch BP, Moran TJ, Mendez RJ. A randomized comparison of the efficacy of 2 techniques for piriformis muscle injection: ultrasound-guided versus nerve stimulator with fluoroscopic guidance. Reg Anesth Pain Med. 2014;39(2):126–32. doi:10.1097/AAP.0000000000000056.

    Article  PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. Anesthesiology, Dartmouth-Hitchcock Medical Center, Geisel School of Medicine at Dartmouth, One Medical Center Drive, Lebanon, 03756, NH, USA

    David V. Dent DO, MPH

Authors
  1. David V. Dent DO, MPH
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Corresponding author

Correspondence to David V. Dent DO, MPH .

Editor information

Editors and Affiliations

  1. Department of Anesthesiology Perioperative and Pain Medicine, Brigham and Women’s Hospital, Boston, Massachusetts, USA

    R. Jason Yong

  2. Department of Anesthesia and Perioperative Medicine, Brigham and Women’s Hospital/Harvard Medical School, Boston, Massachusetts, USA

    Michael Nguyen

  3. Department of Anesthesiology Perioperative and Pain Medicine, Brigham and Women’s Hospital, Boston, Massachusetts, USA

    Ehren Nelson

  4. Harvard Medical School, Brigham and Women’s Health Care Center at Chestnut Hill, Center for Perioperative Research, Sedation for Interventional Medicine, Brigham and Women’s Hospital, Boston, Massachusetts, USA

    Richard D. Urman

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© 2017 Springer International Publishing Switzerland

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Dent, D.V. (2017). Piriformis Muscle Injection (Fluoroscopically Guided). In: Yong, R., Nguyen, M., Nelson, E., Urman, R. (eds) Pain Medicine. Springer, Cham. https://doi.org/10.1007/978-3-319-43133-8_91

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  • DOI: https://doi.org/10.1007/978-3-319-43133-8_91

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-43131-4

  • Online ISBN: 978-3-319-43133-8

  • eBook Packages: MedicineMedicine (R0)

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