{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,16]],"date-time":"2026-05-16T14:22:19Z","timestamp":1778941339292,"version":"3.51.4"},"reference-count":0,"publisher":"American Society of Interventional Pain Physicians","issue":"1;1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pain Phys"],"published-print":{"date-parts":[[2015,1,14]]},"abstract":"<jats:p>Multiple myeloma is a hematologic malignancy associated with destructive bone loss.\nLytic lesions, a hallmark of this cancer, can result in significant morbidity because of\nassociated pain and structural osseous compromise. Osteoplasty has demonstrated\nefficacy in the treatment of myelomatous pain within the axial skeleton; however, there\nis limited evidence supporting the utility of osteoplasty to treat extra-spinal lesions. We\ndescribe a 67 year-old woman with stable IgA lambda multiple myeloma with sentinel\nbilateral greater trochanteric lytic lesions that was referred to our interventional pain\nmanagement clinic for evaluation of bilateral lateral hip pain. Conservative treatment\noptions including physical therapy, non-steroidal anti-inflammatory drugs (NSAIDs),\noral opiates, and local corticosteroid injections to bilateral trochanteric bursae\nfailed to offer pain relief. The patient underwent minimally invasive percutaneous\ntrochanteroplasty with concomitant core biopsy of her bilateral trochanteric lytic\nlesions. The intended goals of this novel procedure were to determine the cause of\nthe suspected lytic lesions, provide pain relief, and offer structural stability by safely\nimplanting bone cement as part of a fracture prevention strategy. At 12 month followup, the patient\u2019s pain improved by 70% and she no longer required the use of pain\nmedication. The patient also displayed a significant improvement in her day-to-day\nfunctioning and quality of life.\nKey words: Pain, osteoplasty, trochanteroplasty, multiple myeloma, greater\ntrochanter, percutaneous<\/jats:p>","DOI":"10.36076\/ppj\/2015.18.e57","type":"journal-article","created":{"date-parts":[[2021,2,22]],"date-time":"2021-02-22T21:36:40Z","timestamp":1614029800000},"page":"E57-E63","source":"Crossref","is-referenced-by-count":2,"title":["Pain Relief with Percutaneous\nTrochanteroplasty in a Patient with Bilateral\nTrochanteric Myelomatous Lytic Lesions"],"prefix":"10.36076","volume":"18;1","author":[{"suffix":"MD","given":"Sayed E.","family":"Wahezi","sequence":"first","affiliation":[{"name":"Montefiore Medical Center \/Albert Einstein College of Medicine, Bronx, NY"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"21814","published-online":{"date-parts":[[2015,1,15]]},"container-title":["Pain Physician"],"original-title":[],"language":"en","deposited":{"date-parts":[[2021,2,22]],"date-time":"2021-02-22T21:36:41Z","timestamp":1614029801000},"score":1,"resource":{"primary":{"URL":"https:\/\/painphysicianjournal.com\/current\/pdf?article=MjI0OA%3D%3D&journal=86"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,1,14]]},"references-count":0,"aliases":["10.36076\/ppj\/2015.18.e63"],"issue-title":["January 2015"],"journal-issue":{"issue":"1;1","published-online":{"date-parts":[[2015,1,5]]},"published-print":{"date-parts":[[2015,1,4]]}},"URL":"https:\/\/doi.org\/10.36076\/ppj\/2015.18.e57","archive":["Internet Archive","Internet Archive"],"relation":{},"ISSN":["2150-1149","1533-3159"],"issn-type":[{"value":"2150-1149","type":"electronic"},{"value":"1533-3159","type":"print"}],"subject":[],"published":{"date-parts":[[2015,1,14]]}}}