Psoas muscle steroid injection

In addition, recent cadaver studies have confirmed the presence of a sixth muscle, the tensor vastus intermedius . [1] While the muscle has variable presentations, it consistently originates at the proximal femur, runs between the vastus lateralis and vastus intermedius muscles, and inserts distally at the medial aspect of the patellar base. [1] Historically considered a part of the vastus lateralis , the tensor vastus intermedius muscle is innervated by an independent branch of the femoral nerve and its tendinous belly can be separated from the vasti lateralis and intermedius muscles in most cases. [1]

I have some info.  I developed this same ileopsoas tendinitis two weeks after left hip and two weeks after right hip replacement.  The surgeon denied it could be the hip causing this.  He sent me to a rheumatologist and low back surgeon, wasting my money.  He is considered the best surgeon in the state!  He got so frustrated with me.  The pain became so severe I could barely walk.  I was in misery.  Finally, he put cortisone in the trochanter bursa and the pain went away in a couple days.  When the same pain occurred after the second hip, I got the cortisone.  I have also tried cortisone directly into, by ultrasound, the tendon.  That did not work any better than just doing the bursa.  So every three months for five times each hip, I got cortisone.  I went to PT and stretching made the pain severe and debilitating.  I also had several dry needling from the PT which did nothing.  

Dichlorodifluoromethane-trichloromono-fluoromethane is a nontoxic, nonflammable vapor coolant spray that does not irritate the skin but is no longer commercially available for other purposes because of its effect in reducing the ozone layer. However, its use is safer for both patient and physician than the original volatile vapor coolant, ethyl chloride. Ethyl chloride is a rapid-acting general anesthetic that becomes flammable and explosive when 4 to 15 percent of the vapor is mixed with air. 10 Nevertheless, ethyl chloride remains a popular agent because of its local anesthetic action and its greater cooling effect than that of dichlorodifluoromethane-trichloromonofluoromethane. 5

Psoas muscle steroid injection

psoas muscle steroid injection


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