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| 2019 | 1 Betamethasone disodium phosphate has been used because it is a freely water soluble preparation (i.e., nonparticulate with no microcrystalline suspension)[5] that has a high diffusion capacity and low risk of deposition inside soft tissues (which might otherwise cause iatrogenic damage to the enthesis). In addition, we also prescribed a personalized rehabilitation program with manual therapy and stretching focusing on the thoracolumbar fascia and the ESA. 4 weeks later, the patient reported a significant reduction of myofascial lumbar pain and improvement of active motion ranges of the lumbar spine [Figure 1c].

Ultrasound-guided injection of the erector spinae enthesis for iliac crest pain syndrome