Greater Trochanteric Pain Syndrome (GTPS) after Lumbar Spinal Injections:ACase Series
|Binod Shah, Stephanie Rand*, Sikha Guha and Stanley Wainapel|
|Department of Rehabilitation Medicine, Montefiore Medical Center, Bronx, NY, USA|
|Corresponding Author :||Stephanie Rand
DO, 150 East 210th Street
Department of Rehabilitation Medicine
Bronx. NY 10467, USA
E-mail: [email protected]
|Received: May 18, 2015 Accepted: July 14, 2015 Published: July 20, 2015|
|Citation: Shah B, Rand S, Guha S, Wainapel S (2015) Greater Trochanteric Pain Syndrome (GTPS) after Lumbar Spinal Injections: A Case Series. J Pain Relief 4:189. doi:10.4172/2167-0846.1000189|
|Copyright: © 2015 Shah B, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.|
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Subjects: Five patients with low back pain and radicular symptoms.
Case description: Five patients presented with low back pain radiating to the lower extremity, which correlated with pathology identified on MRI. After undergoing the appropriate spinal injection, each patient complained of severe back pain, difficulty in ambulation and lateral hip pain with maximum tenderness at the ipsilateral greater trochanteric area. All experienced complete pain relief with injection of the greater trochanteric bursa.
Discussion: After undergoing a Spinal interventional procedure, patients may complain of acute onset of severe pain in the back, hip, and leg. Prior to proceeding with costly investigations, it is important to rule out GTPS. 20% of patients referred to spine specialists with back pain/sciatica have been found to have GTPS.
Conclusion: This report highlights the importance of ruling out other possible causes of low back pain/sciatica before and after interventional spinal injection therapy