Trendelenburg Gait Improved by Trigger Point and Scar Tissue Lidocaine Injections: A Case Report

This case report describes a 74-year-old Caucasian female patient who presented with bilateral gluteus muscle trigger point pain, decreased gluteus medius strength, a substantial transverse abdominal scar, and a history of knee replacement culminating in a Trendelenburg gait and chronic pain. Treatment of the patients’ symptoms with lidocaine solution injections, known as neural therapy, into the bilateral gluteus muscle trigger points and along scar tissue facial planes yielded markedly improved gait and immediate resolution of trigger point pain. Neural therapy used in this patient, involves the injection of anesthetic solution into trigger points and scar tissue, to release muscle tension and encourage resetting of dysfunctional nerve pathways.