Question 1

what doctors taking medicare perform botox injection for piriformis syndrome?

Accepted Answer

Piriformis: I am not certain how to answer your question. Physical medicine & rehabilitation (pm&r) doctors may be more apt to identify and inject the muscle successfully.  I am not certain if neurologist trained in pain management may be able to administer botulinum toxin for this problem. Have you tried stretching exercises with physical therapy?

Question 2

had bilateral piriformis injection 4 days ago. a lot of pain on thigh left side after injection. should i be concerned of post injection nerve damage?

Accepted Answer

Bilateral Injection: Sometimes the body responds to injections differently. There may be some swelling in one and not the other. Nerve symptoms would be shooting pain to the leg. If so then go back and see the physician that injected you.

Question 3

few days after piriformis injection(which was no help for piriformis syndrome) the pain in the same side lower/middle back(under rib cage) appeared radiating to the side sometimes. doctor said these are diff areas,any ideas what could have happened ?

Accepted Answer

: Piriformis syndrome can sometimes be caused by a limb length difference or a pelvic rotation  important to strengthen the hip abductors for continued relief

Question 4

i am scheduled for breast augmentation surgery on 1/21/16. i got a cortisone injection in my piriformis on 1/11/16. is it safe to get the surgery?

Accepted Answer

Ok, but ch with Surg: The piriformis injection should generally NOT preclude the surgery you are scheduled for, but you need to discuss and disclose this information  with your surgeon to be sure they are aware of it, and ultimately, they will decide when the surgery will take place. Good luck.

Question 5

when i sit  i have a sharp pain in my right buttock, doesnt radiate down my leg. had an mri that showed tears in the gluteus medius but ortho said it doesnt mean anything. had si and piriformis injection, no improvement. any ideas for dx tests?

Accepted Answer

Diagnosis: Will not be needed, as you have one that is consistent with imaging and your symptoms. The confusion comes from communication with ortho that should read as not surgically correctable in his or her opinion. This type of lesion will at least partially heal, it will take long and physical therapy may help.

Question 6

after 3 years of lower back pain radiating to right thight was said its piriformis syndrome and got injection but no result. pain comes after standing/bending etc,sometimes goes away.had pt,painkillers, mri and x-rays are normal. how bad can it be?

Accepted Answer

: It appears that you had a thorough evaluation. I wonder if your PT was sufficient &amp; included adequate stretching and massage to relax the piriformis. Did you see a pain management specialist? Perhaps a second opinion at a spine clinic to determine whether piriformis syndrome is the cause.of your symptoms may be worthwhile. Bring your MRI,xrays &amp; other records with you if you go to the clinic.

Question 7

i have low back pain radiating to right leg for 3 years(im 24). all mri,xrays,blood tests came back normal. had pt, painkillers,piriformis injection with no result. pain is worse after activity. is there a big chance a nerve is damaged permanently?

Accepted Answer

: Very unlikely especially with you having all the tests showing negative.You may have a test involving the nerves in your leg. Good Luck

Question 8

piriformis trapped nerve dangerous?

Accepted Answer

See below: The piriformis is a muscle in your hip that helps to externally rotate your leg. (turn your leg out).  The sciatic nerve runs behind this muscle and sometimes actually runs through the muscle.  Occasionally this muscle can become tight or contracted which may increase pressure on the sciatic nerve.  This is called piriformis syndrome.  It is typically treated conservatively with physical therapy.

Question 9

why does my piriformis hurt from dancing?

Accepted Answer

Varies: The piriformis is a muscle that inserts into the proximal hip and assists in hip movement.  There are a variety of reasons it may be being aggravated.  Doing a good warmup and stretch before dancing at help.  A physical therapist can give you good exercises for it as well.  If it does not improve, see a doctor to verify diagnosis and discuss treatment directly.

Question 10

what is the main cause of piriformis syndrome?

Accepted Answer

Refer to answer: This is very rare. I have  found no cause for this yet. However our experience points to inflammatory conditions.

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Doctor answers about:

Piriformis trigger point injection

A member asked:

What doctors taking medicare perform botox injection for piriformis syndrome?

A member asked:

Had bilateral piriformis injection 4 days ago. a lot of pain on thigh left side after injection. should i be concerned of post injection nerve damage?

A member asked:

Few days after piriformis injection(which was no help for piriformis syndrome) the pain in the same side lower/middle back(under rib cage) appeared radiating to the side sometimes. doctor said these are diff areas,any ideas what could have happened ?

A member asked:

I am scheduled for breast augmentation surgery on 1/21/16. i got a cortisone injection in my piriformis on 1/11/16. is it safe to get the surgery?

A member asked:

When i sit i have a sharp pain in my right buttock, doesnt radiate down my leg. had an mri that showed tears in the gluteus medius but ortho said it doesnt mean anything. had si and piriformis injection, no improvement. any ideas for dx tests?

A member asked:

After 3 years of lower back pain radiating to right thight was said its piriformis syndrome and got injection but no result. pain comes after standing/bending etc,sometimes goes away.had pt,painkillers, mri and x-rays are normal. how bad can it be?

A member asked:

I have low back pain radiating to right leg for 3 years(im 24). all mri,xrays,blood tests came back normal. had pt, painkillers,piriformis injection with no result. pain is worse after activity. is there a big chance a nerve is damaged permanently?

A member asked:

Piriformis trapped nerve dangerous?

A member asked:

Why does my piriformis hurt from dancing?

A member asked:

What is the main cause of piriformis syndrome?

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