title: Calcific Tendinopathy of the Gluteus Medius Mimicking Lumbar Radicular Pain Successfully Treated With Barbotage: A Case Report.
abstract: We report a case of calcific tendinopathy of the gluteus medius initially misdiagnosed as a lumbar herniated intervertebral disc. It was successfully treated with barbotage under ultrasonographic guidance finally. A 56-year-old woman was referred to interventional pain clinic for right hip pain due to an L5-S1 disc herniation. Serial L5 and S1 spinal nerve root blocks and epidural steroid injections were administered. However, pain relief was sustained only for a very short period. Plain radiography of the right hip revealed a solid calcific nodule at adjacent to the insertion site of the gluteus medius tendon. Physical modalities and extracorporeal shock wave therapy failed to improve the pain. Therefore, we attempted ultrasound-guided barbotage of the calcification. Barbotage was performed twice serially and her pain was considerably improved. At 6-month follow-up, the calcification was completely resolved.
authors.affiliation: Department of Rehabilitation Medicine, Kangwon National University Hospital, Chuncheon, Korea.
authors.forename: Hannae
authors.initials: H
authors.lastname: Jo
authors.affiliation: Department of Rehabilitation Medicine, Kangwon National University Hospital, Chuncheon, Korea.
authors.forename: Gowun
authors.initials: G
authors.lastname: Kim
authors.affiliation: Department of Rehabilitation Medicine, Kangwon National University Hospital, Chuncheon, Korea.
authors.forename: Sora
authors.initials: S
authors.lastname: Baek
authors.affiliation: Department of Rehabilitation Medicine, Kangwon National University Hospital, Chuncheon, Korea.
authors.forename: Hee-Won
authors.initials: HW
authors.lastname: Park
keywords: Barbotage; Calcific tendinopathy; Gluteus medius