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September 19, 2025Open Access

Ultrasound-Guided Prolotherapy for Sciatica Secondary to Sacrospinous Ligament Calcification: A Novel Etiological Factor in Deep Gluteal Syndrome – A Case Report and Literature Review

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Authors

YYYonghyun YoonKLKing Hei Stanley LamJLJaeyoung Lee

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Overview

Case report reveals sacrospinous ligament calcification causing nerve entrapment in sciatica, suggesting new intervention routes.

Key Points

  • Sacrospinous ligament calcification is identified as a new cause of sciatica due to deep gluteal syndrome.
  • Patient experienced significant pain reduction, from VAS score 10/10 to 1/10, following prolotherapy treatment.
  • Ultrasound guidance played a critical role in diagnosing ligament calcification and in administering treatment.
  • This case calls for further research to explore the implications of ligamentous pathologies in sciatica management.

Cite This Study

Yoon et al. (2025) studied this question.

synapsesocial.com/papers/68d464e031b076d99fa63d34https://doi.org/10.20944/preprints202509.1575.v1
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Ultrasound-Guided Prolotherapy for Sciatica Secondary to Sacrospinous Ligament Calcification: A Potential and Previously Overlooked Etiological Factor in Deep Gluteal Syndrome—A Case Report and Literature Review2025 · 6 citations
  2. 2An Anatomical Cadaveric Demonstration of an Ultrasound-Guided Fascial Plane Injection Pathway in the Deep Gluteal Space2026 · 2 citations
  3. 3Ultrasound-Guided Sciatic Nerve Hydrodissection Can Improve the Clinical Outcomes of Patients with Deep Gluteal Syndrome: A Case-Series Study2024
  4. 4Exploring non-invasive diagnostic tools for deep gluteal syndrome: a multimodal approach integrating clinical and imaging techniques2025
  5. 5Posterior hip endoscopy for deep gluteal syndrome associated with congenital malformation of the short external rotators: a case report2026