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A member asked:
37 y/o m localized pain/tenderness r psis area. immediate onset c sitting, hip flexion & cervical flexion. lesi, facet block & si injection no help!
14 doctors weighed in across 2 answers
Ligament vs nerve: Dr. Omrani, pain on the psis could be due to cluneal neuritis or neuromata and iliolumbar ligament enthesopathy. Check posture for lumbar lordosis, core strength, hamstring flexibility, etc which stress this area. Consider injecting the psis area c local anesthetic to block the cluneal nerve, follow c steroid injection if DX block is positive. If no improvement consider prolotherapy for ill.
Answered 10/6/2017
5.1k views
Piriformis?: Could be piriformis syndrome. Also consider the superior cluneal nerve entrapment or even iliolumbar spasm. Consider injections to these areas to evaluate. Otherwise, you may want to consider an emg/ncs to eval further.
Answered 11/27/2017
4.4k views
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