Clinical Pain

  • 제19권1호
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  • Pages.49-53
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  • 2020
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  • 1598-5490(pISSN)
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  • 2765-5156(eISSN)
대한임상통증학회 (Korean Association of Pain Medicine)
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이상근 증후군에서 보툴리눔 독소 주사 후 보행의 호전

Gait Improvement after Botulinum Toxin Injection in a Patient with Piriformis Muscle Syndrome

  • 최수진 (연세대학교 의과대학 재활의학교실 및 희귀난치성 신경근육병 재활연구소) ;
  • 방명환 (연세대학교 의과대학 재활의학교실 및 희귀난치성 신경근육병 재활연구소) ;
  • 박중현 (연세대학교 의과대학 재활의학교실 및 희귀난치성 신경근육병 재활연구소)
  • Choi, Soojin (Department of Rehabilitation Medicine, Gangnam Severance Hospital, Rehabilitation Institute of Neuromuscular Disease, Yonsei University College of Medicine) ;
  • Bang, Myeong Hwan (Department of Rehabilitation Medicine, Gangnam Severance Hospital, Rehabilitation Institute of Neuromuscular Disease, Yonsei University College of Medicine) ;
  • Park, Jung Hyun (Department of Rehabilitation Medicine, Gangnam Severance Hospital, Rehabilitation Institute of Neuromuscular Disease, Yonsei University College of Medicine)
  • 투고 : 2019.09.17
  • 심사 : 2019.11.17
  • 발행 : 2020.06.30
⟨ 이전 논문 다음 논문 ⟩

초록

Piriformis muscle syndrome is a condition that causes direct muscle pain around piriformis muscle or sciatica from irritated sciatic nerve and the diagnosis remains debatable. The main treatment is symptomatic relief from conservative therapy such as medication and piriformis stretching exercise, and various therapeutic injections including local anesthetic, corticosteroid, botulinum toxin can be considered for diagnostic and therapeutic purposes. In this case, a 54-year-old male who had sciatica and gait disturbance showed piriformis muscle hypertrophy in the pelvis MRI. From imaging studies, electrodiagnostic study and physical examination, he was diagnosed with piriformis muscle syndrome. He underwent trigger point injection and botulinum toxin injection into the piriformis muscle, and pain and gait disturbance significantly improved. This case reports a case of piriformis muscle syndrome with clinical symptom of gait disturbance, which was improved by botulinum toxin injection.

키워드

참고문헌

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