Calcific Tendinopathy of the Gluteus Medius Mimicking Lumbar Radicular Pain Successfully Treated With Barbotage: A Case Report.
10.5535/arm.2016.40.2.368
- Author:
Hannae JO
1
;
Gowun KIM
;
Sora BAEK
;
Hee Won PARK
Author Information
1. Department of Rehabilitation Medicine, Kangwon National University Hospital, Chuncheon, Korea. hwp9980@gmail.com
- Publication Type:Case Report
- Keywords:
Gluteus medius;
Calcific tendinopathy;
Barbotage
- MeSH:
Female;
Follow-Up Studies;
Hip;
Humans;
Intervertebral Disc;
Middle Aged;
Pain Clinics;
Radiography;
Shock;
Spinal Nerve Roots;
Tendinopathy*;
Tendons
- From:Annals of Rehabilitation Medicine
2016;40(2):368-372
- CountryRepublic of Korea
- Language:English
-
Abstract:
We report a case of calcific tendinopathy of the gluteus medius initially misdiagnosed as a lumbar herniated intervertebral disc. It was successfully treated with barbotage under ultrasonographic guidance finally. A 56-year-old woman was referred to interventional pain clinic for right hip pain due to an L5-S1 disc herniation. Serial L5 and S1 spinal nerve root blocks and epidural steroid injections were administered. However, pain relief was sustained only for a very short period. Plain radiography of the right hip revealed a solid calcific nodule at adjacent to the insertion site of the gluteus medius tendon. Physical modalities and extracorporeal shock wave therapy failed to improve the pain. Therefore, we attempted ultrasound-guided barbotage of the calcification. Barbotage was performed twice serially and her pain was considerably improved. At 6-month follow-up, the calcification was completely resolved.
