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A 72-year-old female asked:

What doctors taking medicare perform botox injection for piriformis syndrome?

4 doctor answers8 doctors weighed in
Dr. William Gaya
Neurology 30 years experience
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?
Dr. Thomas Marxen
Periodontics 37 years experience
I do not know any: Sorry, I do not know of any doctors taking medicare that use Botox for piriformis syndrome.
Dr. Lauren Elson
Physical Medicine and Rehabilitation 17 years experience
Other options: Botox is not approved by insurance companies or medicare for pirifoemis syndrome. There are other options for treatment, however, including standard trigger point injections (with Lidocaine or saline), topical Baclofen (from a compounding pharmacy) and physical therapy. Acupuncture can help. It is also out of pocket, but likely less than botox.
Dr. Bahman Omrani
Pain Management 18 years experience
Piriformis Syndrome: A difficult diagnosis to make as other more common conditions can mimic this. Osteopathic manipulative therapy can be quite effective as the trained do knows how to isolate this muscle. Botox injection can be tried, but recommend they be performed with utilization of msk ultrasound guidance w/ the right probe & venous/vascular capability to help minimize inadvertent systemic injection.

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Last updated Feb 23, 2020

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