Case Reports : Psoas Compartment Blockade in a Laterally Herniated Disc Compressing the Psoas Muscle

A psoas compartment block has been used to provide anesthesia for orthopedic surgical procedures and analgesia for post-operative pain. Currently, this block is advocated for relieving pain in the lower extremity and pelvic area resulting from various origins. We report a case of a 69-year-old male...

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Published inThe Korean journal of pain Vol. 25; no. 2; pp. 116 - 120
Main Authors Hye Young Kim, Jin Woo Park, Soo Young Park, Jee Youn Moon, Jae Hyuck Shin, Sang Hyun Park
Format Journal Article
LanguageKorean
Published 대한통증학회 01.04.2012
Subjects
gait
intervertebral disk displacement
pain
psoas muscles
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Summary:A psoas compartment block has been used to provide anesthesia for orthopedic surgical procedures and analgesia for post-operative pain. Currently, this block is advocated for relieving pain in the lower extremity and pelvic area resulting from various origins. We report a case of a 69-year-old male patient who had gait abnormality with posterior pelvic and hip pain, which were both aggravated by hip extension. From the magnetic resonance image, the patient was found to have a laterally herniated intervertebral disc at the L2/3 level, which compressed the right psoas muscle. This was thought to be the origin of the pain, so a psoas compartment block was performed using 0.25% chirocaine with triamcinolone 5mg, and the pain in both the pelvis and hip were relieved. (Korean J Pain 2012; 25: 116-120)
Bibliography:The Korean Pain Society
ISSN:2005-9159
2093-0569