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ICD-9 code: 355.9 Piriformis syndrome (mononeuritis) CPT codes: 20552 Trigger point injections, 1-2 muscles 77002 Fluoroscopic guidance, non-spinal Remember to bill for the injectables (contrast, steroid) if done in an office procedure room Solution (injectable): Corticosteroids: 40-mg of Depo-Medrol or Kenalog Local anesthetics: 3-5-ml of local anesthetic (lidocaine or bupivacaine) Note: Can also be done with botulinum toxin (Botox, Myobloc, Dysport) for longer relief than steroid and local anesthetic

breastfeeding women - 2.8 mcg)

This prevents dosing errors on future injections, especially if you are managing multiple peptides

Reconstitution Solution 30 mL Vial $55.00 Original price was: $55.00.$30.00Current price is: $30.00

Provider-guided therapy helps review: Whether peptide therapy is appropriate Whether hormone therapy or TRT evaluation is more relevant Baseline labs and follow-up monitoring Product quality and sourcing concerns Dose, timing, and treatment length Side effects and when to stop Health conditions that may increase risk Whether another treatment path is safer Medical guidance helps patients avoid guessing and keeps performance support tied to long-term health, not just short-term muscle gain

Modification of the 3 Ts protocol in patients with Erectile Dysfunction A substantial proportion of men with PD present with concomitant ED