Injection of the piriformis muscle by fluoroscopic and electromyographic guidance

Scott M Fishman, Onassis A. Caneris, Tara B. Bandman, Joseph F. Audette, David Borsook

Research output: Contribution to journalArticle

56 Citations (Scopus)

Abstract

Background: There is not a universally accepted single technique for injection of the piriformis muscle that has validated exact placement of the needle tip within the piriformis muscle. Objective: We sought a methodology that would precisely document needle placement within the piriformis muscle that is reliable, relatively uncomplicated, and reproducible. Methods: Patients with piriformis syndrome underwent injections of the piriformis muscle under fluoroscopic and electromyographic guidance. This technique used electrophysiological confirmation of needle placement within the piriformis muscle and image-guided identification of the piriformis muscle with radiopaque contrast media under fluoroscopy. Results: Using this methodology, injections on 17 occasions in 11 patients resulted in needle placement within the piriformis muscle.

Original languageEnglish (US)
Pages (from-to)554-559
Number of pages6
JournalRegional Anesthesia and Pain Medicine
Volume23
Issue number6
StatePublished - Nov 1998
Externally publishedYes

Fingerprint

Muscles
Injections
Needles
Contrast Media
Piriformis Muscle Syndrome
Fluoroscopy

Keywords

  • Needle placement
  • Piriformis muscle

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

Cite this

Fishman, S. M., Caneris, O. A., Bandman, T. B., Audette, J. F., & Borsook, D. (1998). Injection of the piriformis muscle by fluoroscopic and electromyographic guidance. Regional Anesthesia and Pain Medicine, 23(6), 554-559.

Injection of the piriformis muscle by fluoroscopic and electromyographic guidance. / Fishman, Scott M; Caneris, Onassis A.; Bandman, Tara B.; Audette, Joseph F.; Borsook, David.

In: Regional Anesthesia and Pain Medicine, Vol. 23, No. 6, 11.1998, p. 554-559.

Research output: Contribution to journalArticle

Fishman, SM, Caneris, OA, Bandman, TB, Audette, JF & Borsook, D 1998, 'Injection of the piriformis muscle by fluoroscopic and electromyographic guidance', Regional Anesthesia and Pain Medicine, vol. 23, no. 6, pp. 554-559.
Fishman, Scott M ; Caneris, Onassis A. ; Bandman, Tara B. ; Audette, Joseph F. ; Borsook, David. / Injection of the piriformis muscle by fluoroscopic and electromyographic guidance. In: Regional Anesthesia and Pain Medicine. 1998 ; Vol. 23, No. 6. pp. 554-559.
@article{407684ba88d248b1af92bed441d1c916,
title = "Injection of the piriformis muscle by fluoroscopic and electromyographic guidance",
abstract = "Background: There is not a universally accepted single technique for injection of the piriformis muscle that has validated exact placement of the needle tip within the piriformis muscle. Objective: We sought a methodology that would precisely document needle placement within the piriformis muscle that is reliable, relatively uncomplicated, and reproducible. Methods: Patients with piriformis syndrome underwent injections of the piriformis muscle under fluoroscopic and electromyographic guidance. This technique used electrophysiological confirmation of needle placement within the piriformis muscle and image-guided identification of the piriformis muscle with radiopaque contrast media under fluoroscopy. Results: Using this methodology, injections on 17 occasions in 11 patients resulted in needle placement within the piriformis muscle.",
keywords = "Needle placement, Piriformis muscle",
author = "Fishman, {Scott M} and Caneris, {Onassis A.} and Bandman, {Tara B.} and Audette, {Joseph F.} and David Borsook",
year = "1998",
month = "11",
language = "English (US)",
volume = "23",
pages = "554--559",
journal = "Regional Anesthesia and Pain Medicine",
issn = "1098-7339",
publisher = "Lippincott Williams and Wilkins",
number = "6",

}

TY - JOUR

T1 - Injection of the piriformis muscle by fluoroscopic and electromyographic guidance

AU - Fishman, Scott M

AU - Caneris, Onassis A.

AU - Bandman, Tara B.

AU - Audette, Joseph F.

AU - Borsook, David

PY - 1998/11

Y1 - 1998/11

N2 - Background: There is not a universally accepted single technique for injection of the piriformis muscle that has validated exact placement of the needle tip within the piriformis muscle. Objective: We sought a methodology that would precisely document needle placement within the piriformis muscle that is reliable, relatively uncomplicated, and reproducible. Methods: Patients with piriformis syndrome underwent injections of the piriformis muscle under fluoroscopic and electromyographic guidance. This technique used electrophysiological confirmation of needle placement within the piriformis muscle and image-guided identification of the piriformis muscle with radiopaque contrast media under fluoroscopy. Results: Using this methodology, injections on 17 occasions in 11 patients resulted in needle placement within the piriformis muscle.

AB - Background: There is not a universally accepted single technique for injection of the piriformis muscle that has validated exact placement of the needle tip within the piriformis muscle. Objective: We sought a methodology that would precisely document needle placement within the piriformis muscle that is reliable, relatively uncomplicated, and reproducible. Methods: Patients with piriformis syndrome underwent injections of the piriformis muscle under fluoroscopic and electromyographic guidance. This technique used electrophysiological confirmation of needle placement within the piriformis muscle and image-guided identification of the piriformis muscle with radiopaque contrast media under fluoroscopy. Results: Using this methodology, injections on 17 occasions in 11 patients resulted in needle placement within the piriformis muscle.

KW - Needle placement

KW - Piriformis muscle

UR - http://www.scopus.com/inward/record.url?scp=0031763233&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0031763233&partnerID=8YFLogxK

M3 - Article

C2 - 9840849

AN - SCOPUS:0031763233

VL - 23

SP - 554

EP - 559

JO - Regional Anesthesia and Pain Medicine

JF - Regional Anesthesia and Pain Medicine

SN - 1098-7339

IS - 6

ER -