What is piriformis syndrome?
The pyriformis syndrome is a painful neuromuscular condition that develops due to abnormal tightening of the pyriformis muscle situated near the hip joint. The tight muscle irritates or compresses the sciatic nerve in its vicinity and causes pain, tingling, or numbness along the buttock down the back of the leg and into the thigh.
- The piriformis muscle is a flat, band-like muscle located in the buttock near the top of the hip joint. This muscle stabilizes the hip joint and lifts and rotates the thigh away from the body. This enables us to walk, shift our weight from one foot to another, and maintain balance. It is helpful in almost every motion of the hips and legs.
- The sciatic nerve is a thick and long nerve in the body. It passes alongside or through the piriformis muscle, down the back of the leg, and eventually branches off into smaller nerves that end in the feet. Nerve compression can be caused by the constant pressure of the tightened or swollen piriformis muscle.
What is a piriformis injection used to treat?
Sometimes the piriformis muscle can become irritated, swollen and tight due to injury and twitching. It can then press upon the nearby sciatic nerve. This can cause hip and buttock pain that can extend down the leg. A piriformis injection is used to treat pain in the buttock area. During the procedure, a steroid (medication used to reduce swelling) is injected into the piriformis muscle. This reduces swelling and this decreases the pressure on the nerves and reduces the pain. This may allow the muscle to heal, especially with physiotherapy.
What happens during the piriformis injection procedure?
- The patient will lie on a table. The area to be treated will be cleaned and covered with a special sheet. This is done to maintain aseptic precautions.
- The doctor will use a special X-ray to view the area and then numb the area with a local anesthetic.
- The doctor may inject contrast (to help highlight the area on X-rays) and then they will inject a drug (steroid + numbing agent combination or botulinum toxin) into the piriformis muscle.
- The procedure usually takes about 10 minutes, and the patient remains awake throughout the procedure.
What are the complications of piriformis injection procedure?
Complications from piriformis procedures are rare. Possible side effects include:
What can I expect after piriformis injection?
- The patient may feel sore at the injection site for a few days after the procedure. An ice pack is applied on the injection site for 15-20 minutes at least four times a day for several days. Before using the ice, it is wrapped in a towel, so it does not touch the skin.
- The patient may continue to have the usual pain until the steroid starts to work. This can take up to two weeks. Usually, the doctor recommends over-the-counter pain medications or muscle relaxants.
- Physiotherapy is recommended after the injection to further reduce pain in the muscle.
- Pain relief from a piriformis injection usually last for several months, but this may differ from patient to patient.
- The patient may have three to four steroid injections a year. If a patient gets no relief from the steroid, doctors will continue to look for the source of the pain and explore other treatment options.
Piriformis Injection: (https://emedicine.medscape.com/article/103420-overview).
Top What Is a Piriformis Injection Used to Treat? Related Articles
Back Pain QuizThere are numerous causes of chronic lower back pain and only one ailment gets more complaints. What is it? Quiz your knowledge of symptoms, treatments, problems, and reasons for common back pain.
First Aid Sprains/StrainsView this First Aid slideshow on Care and Pain Relief. See how to get pain relief if you've bumped your head, sprained your ankle, or had a bruise, strain, or some other minor injury.
How Do You Treat Saphenous Nerve Pain?Saphenous nerve block is a type of anesthetic procedure that blocks the saphenous nerve, a pure sensory nerve of the leg, to anesthetize the lower extremity. This kills the pain during surgery for various conditions, but other longer-lasting treatments are used for chronic pain in the saphenous nerve.
Knee PainAcute injuries, medical conditions, and chronic use conditions are causes of knee pain. Symptoms and signs that accompany knee pain include redness, swelling, difficulty walking, and locking of the knee. To diagnose knee pain, a physician will perform a physical exam and also may order X-rays, arthrocentesis, blood tests, or a CT scan or MRI. Treatment of knee pain depends upon the cause of the pain.
Lower Back Pain (Lumbar Spine Pain)There are many causes of back pain. Pain in the low back can relate to the bony lumbar spine, discs between the vertebrae, ligaments around the spine and discs, spinal cord and nerves, muscles of the low back, internal organs of the pelvis, and abdomen, and the skin covering the lumbar area.
Pain ManagementPain management and treatment can be simple or complex, according to its cause. There are two basic types of pain, nociceptive pain and neuropathic pain. Some causes of neuropathic pain include:
- complex regional pain syndrome,
- interstitial cystitis,
- and irritable bowel syndrome.
All About CBD OilCannabidiol oil: It's made from marijuana and everyone seems to be talking about it. But what is it, and what does it really do?
Pain QuizIs pain all in the brain? Take the Pain Quiz to learn everything you've ever wanted to know about the unpleasant sensation we call pain.
Pelvic Pain (in Women and Men)
Pelvic pain is described as pain, usually in the lower pelvic area. Causes of acute and chronic pelvic pain in women include endometriosis, ectopic pregnancy, miscarriage, menstrual cramps, ovarian cysts, tumors, or fibroids, ovulation, and pelvic inflammatory disease (PID) or congestion syndrome, vulva pain, and rarely cancer. Pelvic pain during pregnancy may be caused by miscarriage, ectopic pregnancy (tubal pregnancy), preterm or premature labor, and placental abruption. Causes of pelvic pain in men include prostate problems, testicular pain, and groin pain. Causes of pelvic pain in men and women include kidney stones, appendicitis, UTIs, IBD, and STDs.
Signs and symptoms associated with pelvic pain depend on the cause, but man include pain during or after sexual intercourse, abdominal pain, distension, and tenderness, diarrhea, constipation, vaginal discharge or bleeding, blood, pus, in the urine, cloudy urine, blood in the stool, stool color changes, and low back pain. The cause of pelvic pain is diagnosed by a physical exam, blood tests, and imaging procedures. Treatment for pelvic pain depends on the cause.
Pelvic Pain SlideshowThere are many causes of pelvic pain and pain in the lower abdomen in women. Pelvic pain near the female lower abdomen has symptoms that can be uncomfortable, but luckily, there are treatments for pelvic pain if you can identify the cause.
Piriformis SyndromePiriformis syndrome may develop if the piriformis muscle spasms and compresses the sciatic nerve. This causes buttock pain that radiates down the back of the leg along the sciatic nerve. Symptoms include numbness, a pins-and-needles tingling sensation, and low back pain. Treatment of piriformis syndrome depends upon the syndrome's phase: acute, recovery, or maintenance.
15 Ways to Reduce PainChronic pain can be a symptom of many conditions, including arthritis, headaches, and others. Comprehensive chronic pain management therapy may include physical therapy, lifestyle strategies such as exercise, diet changes, meditation, journaling, medications, and avoiding alcohol and tobacco use. Make helpful changes to manage your chronic condition.
Sacroiliac (SI) Joint PainSacroiliac (SI) joint pain is a general term to reflect pain in the SI joints. Causes of SI joint pain include osteoarthritis, abnormal walking pattern, and disorders that can cause SI joint inflammation including gout, rheumatoid arthritis, psoriasis, and ankylosing spondylitis. Treatment includes oral medications, cortisone injections, and surgery.