Case Reports in Rheumatology / 2014 / Article / Fig 2

Case Report

Piriformis Syndrome in Fibromyalgia: Clinical Diagnosis and Successful Treatment

Figure 2

Intralesional steroid injection in right piriformis muscle. (a) x indicates point of needle entry at 1.5 cm lateral and 1.2 cm caudal to the lower 3rd of right sacroiliac joint and dotted line from right dimple of Venus to right greater trochanter runs parallel with superior margin of the right piriformis muscle; (b) after infiltration with 1% lidocaine spinal needle is placed; (c) 10 cc disposable syringe with injection methylprednisolone (40 mg/mL), 3 mL 1% lidocaine, and 2 mL 0.25% bupivacaine is in situ; (d) local gauze bandage after the procedure.

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