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Letter to the editor involving the article ‘Piriformis muscle syndrome: A cross-sectional imaging study in 116 patients and evaluation of therapeutic outcome’

  • Letter to the Editor
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A Letter to the Editor to this article was published on 15 June 2018

The Original Article was published on 07 August 2017

Key Points

• Lack of use of local injection test to confirm the diagnosis may lead to miss the diagnosis of PMS of myofascial origin.

• Piriformis muscle syndrome should be diagnosed on the basis of clinical symptoms, specific physical examinations, and positive response to local injection.

• Sciatic nerve entrapment is not a must in the diagnosis of PMS and PMS is mostly myofascial in origin.

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Abbreviations

CT:

Computed tomography

MRI:

Magnetic resonance imaging

PMS:

Piriformis muscle syndrome

References

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  2. Niu CC, Lai PL, Fu TS, Chen LH, Chen WJ (2009) Ruling out piriformis syndrome before diagnosing lumbar radiculopathy. Chang Gung Med J 32:182–187

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  5. Misirlioglu TO, Akgun K, Palamar D, Erden MG, Erbilir T (2015) Piriformis syndrome: comparison of the effectiveness of local anesthetic and corticosteroid injections: a double-blinded, randomized controlled study. Pain Physician 18(2):163–171

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Funding

The authors state that this work has not received any funding.

Author information

Authors and Affiliations

  1. Department of Physical Medicine and Rehabilitation, Istanbul University, Cerrahpasa Medical Faculty, Istanbul, Turkey

    Tugce Ozekli Misirlioglu, Deniz Palamar & Kenan Akgun

Authors
  1. Tugce Ozekli Misirlioglu
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  2. Deniz Palamar
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  3. Kenan Akgun
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Corresponding author

Correspondence to Deniz Palamar.

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Guarantor

The scientific guarantor of this publication is Tugce Ozekli Misirlioglu.

Conflict of interest

The authors of this manuscript declare no relationships with any companies, whose products or services may be related to the subject matter of the article.

Statistics and biometry

No complex statistical methods were necessary for this paper.

Informed consent

Written informed consent was not required for this study because it is a ‘letter to the editor’.

Ethical approval

Institutional Review Board approval was not required because it is a ‘letter to the editor’.

Methodology

There was no methodology because it is a 'letter to the editor.

Additional information

This comment refers to the article available at https://doi.org/10.1007/s00330-017-4982-x.

An author’s reply to this comment is available at https://doi.org/10.1007/s00330-018-5553-5.

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Cite this article

Misirlioglu, T.O., Palamar, D. & Akgun, K. Letter to the editor involving the article ‘Piriformis muscle syndrome: A cross-sectional imaging study in 116 patients and evaluation of therapeutic outcome’. Eur Radiol 28, 5354–5355 (2018). https://doi.org/10.1007/s00330-018-5554-4

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  • DOI: https://doi.org/10.1007/s00330-018-5554-4

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