![travell and simons trigger point for sciatica travell and simons trigger point for sciatica](https://images-na.ssl-images-amazon.com/images/I/51FMGyPh4iL._SX347_BO1,204,203,200_.jpg)
The leg pain was noticed not to involve the feet.
![travell and simons trigger point for sciatica travell and simons trigger point for sciatica](https://www.greatlakesdentaltech.com/media/catalog/product/cache/5c6df360a0c9ee6fe2841e9bfb23abf8/0/7/070_001_Big1_2330_2ea1.jpg)
The pain was confirmed to be in the lower back/buttocks area and radiating down both legs. At that time, he was asked to come to our pain clinic for evaluation and treatment. On routine telephone call follow-up evaluation on postoperative day 1, the patient indicated that he was doing well, although later that day (approximately 24 h after the anesthetic), the patient called to complain of excruciating low back pain with paresthesias radiating to both legs. After an uneventful intraoperative and postanesthesia care unit (PACU) course, the patient was discharged home. During surgery lasting 1 h, the patient was in the supine position. Adequate anesthesia was obtained with a T10 sensory level. No paresthesias were elicited during needle insertion or injection of local anesthetic. After adequate backflow was confirmed, 70 mg (1.4 ml) of 5% MPF-lidocaine in 7.5% dextrose (Hyperbaric Xylocaine, Astra Pharmaceuticals, Westborough, MA) was injected over approximately 30 s.
TRAVELL AND SIMONS TRIGGER POINT FOR SCIATICA SKIN
A skin wheal was raised using 2 ml of lidocaine, 1%, solution at the L4-L5 level using sterile technique, and a 25-gauge Quincke needle was used to obtain free-flowing, clear cerebrospinal fluid (CSF), on the first attempt. With the patient in the right lateral decubitus position, the lumbar area was prepped with an iodine-containing solution, draped, and the skin wiped dry. A 30-yr-old man with chondromalacia of the right patella was scheduled for an arthroscopy and debridement.