PMC7700084_01
Two marked intense tender points on the left superior gluteal area.
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It is worth noting that the patient complained of two exact pain points in buttocks without a press and two intense tender points were palpated in the left superior gluteal area with significant pain points (probably gluteus minimus), not on the piriformis muscle region (Figure 1), and the pain referred to the posterolateral aspect of the thigh and the peroneal region of the lower leg (the region in which the patient complained of pain) when these two trigger points were pressed.
Frontal and lateral view of X-ray showed mild scoliosis of lumbar vertebra, mild collapse of L3-4 intervertebral space, and mild forward slip of L3 centrum.
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Sagittal and axial view of MRI scan showed L3-4 intervertebral disc extrusion with dural sac and left L4 nerve root compression.
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