Decompression of the gluteus medius muscle as a new treatment for buttock pain: technical note
Purpose The clinical features and etiology of low back pain and buttock pain remain poorly understood. We report ten patients with buttock pain who underwent gluteus medius muscle (GMeM) decompression under local anesthesia. Methods Between December 2012 and November 2013 we surgically treated ten p...
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| Veröffentlicht in: | European spine journal 2016-04, Vol.25 (4), p.1282-1288 |
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| creator | Kim, Kyongsong Isu, Toyohiko Chiba, Yasuhiro Iwamoto, Naotaka Morimoto, Daijiro Isobe, Masanori |
| description | Purpose
The clinical features and etiology of low back pain and buttock pain remain poorly understood. We report ten patients with buttock pain who underwent gluteus medius muscle (GMeM) decompression under local anesthesia.
Methods
Between December 2012 and November 2013 we surgically treated ten patients (four men, six women; mean age 65.1 years) for buttock pain. The affected side was unilateral in seven and bilateral in three patients (total sites,
n
= 13). The interval from symptom onset to treatment averaged 174 months; the mean postoperative follow-up period was 24 months. Decompression of the tight gluteal aponeurosis over the GMeM was performed under local anesthesia. Assessment of the clinical outcomes was on the numeric rating scale (NRS) for low back pain (LBP), the Japanese Orthopedic Association (JOA) score, and the Roland–Morris Disability Questionnaire (RDQ) score before and at the latest follow-up after treatment.
Results
There were no intraoperative surgery-related complications. The buttock pain of all patients was improved after surgery; their NRS decreased from 7.0 to 0.8 and JOA and RMDQ scores indicated significant improvement (
p
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| doi_str_mv | 10.1007/s00586-016-4440-5 |
| format | Article |
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The clinical features and etiology of low back pain and buttock pain remain poorly understood. We report ten patients with buttock pain who underwent gluteus medius muscle (GMeM) decompression under local anesthesia.
Methods
Between December 2012 and November 2013 we surgically treated ten patients (four men, six women; mean age 65.1 years) for buttock pain. The affected side was unilateral in seven and bilateral in three patients (total sites,
n
= 13). The interval from symptom onset to treatment averaged 174 months; the mean postoperative follow-up period was 24 months. Decompression of the tight gluteal aponeurosis over the GMeM was performed under local anesthesia. Assessment of the clinical outcomes was on the numeric rating scale (NRS) for low back pain (LBP), the Japanese Orthopedic Association (JOA) score, and the Roland–Morris Disability Questionnaire (RDQ) score before and at the latest follow-up after treatment.
Results
There were no intraoperative surgery-related complications. The buttock pain of all patients was improved after surgery; their NRS decreased from 7.0 to 0.8 and JOA and RMDQ scores indicated significant improvement (
p
< 0.05).
Conclusion
In patients with buttock pain, pain around the GMeM should be considered as a causative factor. Less invasive surgery with cutting and opening of the tight gluteal aponeurosis over the GMeM under local anesthesia yielded excellent clinical outcomes.</description><identifier>ISSN: 0940-6719</identifier><identifier>EISSN: 1432-0932</identifier><identifier>DOI: 10.1007/s00586-016-4440-5</identifier><identifier>PMID: 26894751</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Buttocks - surgery ; Decompression, Surgical - methods ; Female ; Humans ; Ideas and Technical Innovations ; Low Back Pain - complications ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Muscle, Skeletal - surgery ; Musculoskeletal Pain - complications ; Musculoskeletal Pain - surgery ; Neurosurgery ; Pain Measurement ; Surgical Orthopedics ; Treatment Outcome</subject><ispartof>European spine journal, 2016-04, Vol.25 (4), p.1282-1288</ispartof><rights>Springer-Verlag Berlin Heidelberg 2016</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c497t-677262a9d0b1d82beca8b2aa0acb5af067f034b0f1ac2231a1d67b657c256dbe3</citedby><cites>FETCH-LOGICAL-c497t-677262a9d0b1d82beca8b2aa0acb5af067f034b0f1ac2231a1d67b657c256dbe3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00586-016-4440-5$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00586-016-4440-5$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>315,781,785,27929,27930,41493,42562,51324</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26894751$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kim, Kyongsong</creatorcontrib><creatorcontrib>Isu, Toyohiko</creatorcontrib><creatorcontrib>Chiba, Yasuhiro</creatorcontrib><creatorcontrib>Iwamoto, Naotaka</creatorcontrib><creatorcontrib>Morimoto, Daijiro</creatorcontrib><creatorcontrib>Isobe, Masanori</creatorcontrib><title>Decompression of the gluteus medius muscle as a new treatment for buttock pain: technical note</title><title>European spine journal</title><addtitle>Eur Spine J</addtitle><addtitle>Eur Spine J</addtitle><description>Purpose
The clinical features and etiology of low back pain and buttock pain remain poorly understood. We report ten patients with buttock pain who underwent gluteus medius muscle (GMeM) decompression under local anesthesia.
Methods
Between December 2012 and November 2013 we surgically treated ten patients (four men, six women; mean age 65.1 years) for buttock pain. The affected side was unilateral in seven and bilateral in three patients (total sites,
n
= 13). The interval from symptom onset to treatment averaged 174 months; the mean postoperative follow-up period was 24 months. Decompression of the tight gluteal aponeurosis over the GMeM was performed under local anesthesia. Assessment of the clinical outcomes was on the numeric rating scale (NRS) for low back pain (LBP), the Japanese Orthopedic Association (JOA) score, and the Roland–Morris Disability Questionnaire (RDQ) score before and at the latest follow-up after treatment.
Results
There were no intraoperative surgery-related complications. The buttock pain of all patients was improved after surgery; their NRS decreased from 7.0 to 0.8 and JOA and RMDQ scores indicated significant improvement (
p
< 0.05).
Conclusion
In patients with buttock pain, pain around the GMeM should be considered as a causative factor. Less invasive surgery with cutting and opening of the tight gluteal aponeurosis over the GMeM under local anesthesia yielded excellent clinical outcomes.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Buttocks - surgery</subject><subject>Decompression, Surgical - methods</subject><subject>Female</subject><subject>Humans</subject><subject>Ideas and Technical Innovations</subject><subject>Low Back Pain - complications</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Muscle, Skeletal - surgery</subject><subject>Musculoskeletal Pain - complications</subject><subject>Musculoskeletal Pain - surgery</subject><subject>Neurosurgery</subject><subject>Pain Measurement</subject><subject>Surgical Orthopedics</subject><subject>Treatment Outcome</subject><issn>0940-6719</issn><issn>1432-0932</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNqNkU1rFTEUhoNU7LX1B7gpgW7cjJ5kJl_upH5CwY1uG5LMmXbqTHKbZBD_vTPcWooguDpw8pw3J3kIecngNQNQbwqA0LIBJpuu66ART8iOdS1vwLT8iOzArE2pmDkmz0u5BWDCgHxGjrnUplOC7cjVewxp3mcsZUyRpoHWG6TX01JxKXTGftzKUsKE1BXqaMSftGZ0dcZY6ZAy9UutKfygezfGt7RiuIljcBONqeIpeTq4qeCL-3pCvn_88O3ic3P59dOXi3eXTeiMquuOikvuTA-e9Zp7DE577hy44IUbQKoB2s7DwFzgvGWO9VJ5KVTgQvYe2xPy6pC7z-luwVLtPJaA0-QipqVYpjQILgwX_4EqCVppZlb0_C_0Ni05rg_ZKCG0Fmaj2IEKOZWScbD7PM4u_7IM7ObJHjzZ1ZPdPNltibP75MWvn_ww8UfMCvADUNajeI350dX_TP0NZqudUg</recordid><startdate>20160401</startdate><enddate>20160401</enddate><creator>Kim, Kyongsong</creator><creator>Isu, Toyohiko</creator><creator>Chiba, Yasuhiro</creator><creator>Iwamoto, Naotaka</creator><creator>Morimoto, Daijiro</creator><creator>Isobe, Masanori</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QP</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope></search><sort><creationdate>20160401</creationdate><title>Decompression of the gluteus medius muscle as a new treatment for buttock pain: technical note</title><author>Kim, Kyongsong ; Isu, Toyohiko ; Chiba, Yasuhiro ; Iwamoto, Naotaka ; Morimoto, Daijiro ; Isobe, Masanori</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c497t-677262a9d0b1d82beca8b2aa0acb5af067f034b0f1ac2231a1d67b657c256dbe3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Buttocks - surgery</topic><topic>Decompression, Surgical - methods</topic><topic>Female</topic><topic>Humans</topic><topic>Ideas and Technical Innovations</topic><topic>Low Back Pain - complications</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Muscle, Skeletal - surgery</topic><topic>Musculoskeletal Pain - complications</topic><topic>Musculoskeletal Pain - surgery</topic><topic>Neurosurgery</topic><topic>Pain Measurement</topic><topic>Surgical Orthopedics</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kim, Kyongsong</creatorcontrib><creatorcontrib>Isu, Toyohiko</creatorcontrib><creatorcontrib>Chiba, Yasuhiro</creatorcontrib><creatorcontrib>Iwamoto, Naotaka</creatorcontrib><creatorcontrib>Morimoto, Daijiro</creatorcontrib><creatorcontrib>Isobe, Masanori</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Proquest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><jtitle>European spine journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kim, Kyongsong</au><au>Isu, Toyohiko</au><au>Chiba, Yasuhiro</au><au>Iwamoto, Naotaka</au><au>Morimoto, Daijiro</au><au>Isobe, Masanori</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Decompression of the gluteus medius muscle as a new treatment for buttock pain: technical note</atitle><jtitle>European spine journal</jtitle><stitle>Eur Spine J</stitle><addtitle>Eur Spine J</addtitle><date>2016-04-01</date><risdate>2016</risdate><volume>25</volume><issue>4</issue><spage>1282</spage><epage>1288</epage><pages>1282-1288</pages><issn>0940-6719</issn><eissn>1432-0932</eissn><abstract>Purpose
The clinical features and etiology of low back pain and buttock pain remain poorly understood. We report ten patients with buttock pain who underwent gluteus medius muscle (GMeM) decompression under local anesthesia.
Methods
Between December 2012 and November 2013 we surgically treated ten patients (four men, six women; mean age 65.1 years) for buttock pain. The affected side was unilateral in seven and bilateral in three patients (total sites,
n
= 13). The interval from symptom onset to treatment averaged 174 months; the mean postoperative follow-up period was 24 months. Decompression of the tight gluteal aponeurosis over the GMeM was performed under local anesthesia. Assessment of the clinical outcomes was on the numeric rating scale (NRS) for low back pain (LBP), the Japanese Orthopedic Association (JOA) score, and the Roland–Morris Disability Questionnaire (RDQ) score before and at the latest follow-up after treatment.
Results
There were no intraoperative surgery-related complications. The buttock pain of all patients was improved after surgery; their NRS decreased from 7.0 to 0.8 and JOA and RMDQ scores indicated significant improvement (
p
< 0.05).
Conclusion
In patients with buttock pain, pain around the GMeM should be considered as a causative factor. Less invasive surgery with cutting and opening of the tight gluteal aponeurosis over the GMeM under local anesthesia yielded excellent clinical outcomes.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>26894751</pmid><doi>10.1007/s00586-016-4440-5</doi><tpages>7</tpages></addata></record> |
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| identifier | ISSN: 0940-6719 |
| ispartof | European spine journal, 2016-04, Vol.25 (4), p.1282-1288 |
| issn | 0940-6719 1432-0932 |
| language | eng |
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| source | MEDLINE; SpringerNature Journals |
| subjects | Adult Aged Aged, 80 and over Buttocks - surgery Decompression, Surgical - methods Female Humans Ideas and Technical Innovations Low Back Pain - complications Male Medicine Medicine & Public Health Middle Aged Muscle, Skeletal - surgery Musculoskeletal Pain - complications Musculoskeletal Pain - surgery Neurosurgery Pain Measurement Surgical Orthopedics Treatment Outcome |
| title | Decompression of the gluteus medius muscle as a new treatment for buttock pain: technical note |
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