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Intramuscular injections began to be used for administration of vaccines for diphtheria in 1923, whooping cough in 1926, and tetanus in 1927. [30] By the 1970s, researchers and instructors began forming guidance on injection site and technique to reduce the risk of injection complications and side effects such as pain. [8]
In surgical and body contouring praxis, the plastic surgeon creates the implant-pocket—either for the gluteal prosthesis or for the injections of autologous fat—by undermining the gluteus maximus muscle with a dissection technique that avoids the sacrum, the sacrotuberous ligament, and the tuberosity of the ischium; which, if accidentally ...
Ultrasound-guided injections are the gold standard for differentiating deep gluteal syndrome from other sources of pain. [9] Diagnostic injections function in a similar way to deep palpation. While palpation causes a signal to be sent along a nerve which patients can localize relative to their pain (the spot hurts or it doesn't), anesthetics ...
Each technique is defined by its relation to the gluteus medius. The approaches are posterior (Moore), lateral (Hardinge or Liverpool), [74] antero-lateral (Watson-Jones), [75] anterior (Smith-Petersen) [76] and greater trochanter osteotomy. The literature offers no compelling evidence for any particular approach. [medical citation needed]
Therapists may use myotherapy (deep pressure as in Bonnie Prudden's approach, massage or tapotement as in Dr. Griner's approach), mechanical vibration, pulsed ultrasound, electrostimulation, [15] ischemic compression, trigger-point-injection (see below), dry-needling, "spray-and-stretch" using a cooling spray (vapocoolant), low-level laser ...
Prolotherapy, also called proliferation therapy, is an injection-based treatment used in chronic musculoskeletal conditions. [1] It has been characterised as an alternative medicine practice. [ 2 ]
In osteoarthritis, joint injection of glucocorticoids (such as hydrocortisone) leads to short term pain relief that may last between a few weeks and a few months. [5] Injections of hyaluronic acid have not produced improvement compared to placebo for knee arthritis, [6] [7] but did increase risk of further pain. [6]
The gluteus maximus arises from the posterior gluteal line of the inner upper ilium, and the rough portion of bone including the crest, immediately above and behind it; from the posterior surface of the lower part of the sacrum and the side of the coccyx; from the aponeurosis of the erector spinae (lumbodorsal fascia), the sacrotuberous ligament, and the fascia covering the gluteus medius.