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Conclusion
In our series we have placed emphasis on myofascial origin in nearly 90% of our patients.. I believe periosteitis, in addition to enthesopathy plays an important part in the etiology of this syndrome.
This is unique but relatively straightforward condition affecting nearly millions of patients. On physical examination of the abdomen thorough examination of the surrounding bony points even during pelvic and rectal and also using seven signs described helps in suspecting diagnosis of POPSS Syndrome. Confirmation of the
diagnosis as well as treatment objectives is achieved simultaneously with strategically placed steroid injections.
Literally billions of dollars are saved by making swift diagnosis and administering appropriate conservative treatment. Also pain and suffering along with the cost of loss of productivity in minimized. I feel we are still in the learning phase about this an enigmatic condition and much research, needs to be done to streamline our approach and minimize or eliminate unnecessary investigations, invasive procedures, and sometimes unnecessary operations.
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