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Doctor insights on: Piriformis Trigger Point Injection

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Will a steroid injection fix piriformis syndrome?

Will a steroid injection fix piriformis syndrome?

Cortisone: Piriformis syndrome failed on drug therapy responds to cortisone shots.

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What doctors taking medicare perform botox injection for piriformis syndrome?

What doctors taking medicare perform botox injection for piriformis syndrome?

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.

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I had a botox injection for piriformis syndrome 15 days ago and no result yet. More intense pain than usual. How long before I give up hope?

I had a botox injection for piriformis syndrome 15 days ago and no result yet. More intense pain than usual. How long before I give up hope?

Never give up!: But the Botox does most of what it is going to do within 3-7 days and all it can do within 2 weeks. Might need a bigger dose before you decide it won't help.

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I am in a lot of pain from a pinched sciatic nerve caused by piriformis syndrome. Have had a steroid injection already not much help. What can I do?

I am in a lot of pain from a pinched sciatic nerve caused by piriformis syndrome. Have had a steroid injection already not much help. What can I do?

EMG, PT, botox, surg: Make sure you had quality EMG ruling out lumbosacral radiculopathy. Then physical therapy involving strengthening of the pelvic and hip region and stretching of the piriformis. Besides Ultrasound-guided glucocorticoid injections, botulin toxin injections have been used. If all of the above fail, a surgery (piriformis tenotomy) can be pursued if symptoms are that persistent and debilitating.

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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?

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?

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.

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Piriformis trapped nerve dangerous?

Piriformis trapped nerve dangerous?

Piriformis sciatica: I'm not sure what you mean by "dangerous". Most cases of piriformis syndrome with intermittent sciatica are painful, but not at all what i'd consider dangerous. As you can see from the image attached, the sciatic nerve can pass behind the muscle or split the muscle (just butt pain then), or one or both parts of the nerve can pierce the muscle which can cause the shooting pain down the leg.

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Why does my piriformis hurt from dancing?

Why does my piriformis hurt from dancing?

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.

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What is the main cause of piriformis syndrome?

What is the main cause of piriformis syndrome?

Irritation of muscle: Piriformis syndrome is caused when the piriformis muscle compresses the sciatic nerve. Since piriformis syndrome is usually caused by sports or movement that repeatedly stresses the piriformis muscle, such as running or lunging, prevention is often related to good form. Avoid running or exercising on hills or uneven surfaces. Warm up properly before activity and increase intensity gradually.

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Are there usually many symptoms when you have piriformis syndrome?

Are there usually many symptoms when you have piriformis syndrome?

Piriformis Pain: The sciatic nerve runs underneath the piriformis muscle and typically does not irritate the nerve. However if the muscle is irritated or the nerve runs through the belly of the muscle (5-10% of people) it can press on the sciatic nerve and cause the sciatica type pain in the buttock region but also radiate into the leg as well. Typically stretching and nsaids are mainstay for treatment.

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How is piriformis syndrome treated? And how long does it take to go away?

How is piriformis syndrome treated? And how long does it take to go away?

Piriformis symdrome: Manifests when the sciatic nerve is compressed by a muscle in the buttocks called the piriformis uscle. You can have lower back pain and also in the hip (or sciatic notch). worse with sitting, running or cycling. You can reduce pain by various exercises, stretches, and anti inflammatories. It can take up to 4 to 6 weeks to get relief. See a doctor

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I have piriformis syndrome. How long should I expect it to take to recover?

I have piriformis syndrome. How long should I expect it to take to recover?

Wrong Question: Piriformis synd rarely goes away by itself. The question is 'What can be done to get rid of piriformis synd.? ' Some people advocate stretching the piriformis muscle, but in my pain practice that rarely works. A simple, gentle osteopathic technique which you can be taught to do at home may help. I recommend seeing an osteopathic dr. Trained in hands-on diagnosis & manipulation to get proper treatment

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What exactly does a radio frequency lesioning to the piriformis do? I had one today. 

What exactly does a radio frequency lesioning to the piriformis do? I had one today. 

Usually not much: Many people only get temporary relief, some get new types of 'confused' nerve sensations, and a few get great relief.

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Have piriformis issues. Saw pt who said there was a knot in it. He worked it out and I feel better, but now I worry it was a tumor and he smooshed it?

Have piriformis issues. Saw pt who said there was a knot in it. He worked it out and I feel better, but now I worry it was a tumor and he smooshed it?

No worries: A tumor is typcally a solid mass of tissue. It couldn't be broken up by someone massaging or manipulating it. For a young healthy person having a tumor in muscle is very unusual. You shouldn't worry about that, but if you want reassurance a doctor can do simple blood tests and imaging studies that would rule out a tumor.

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I have piriformis and been given a excise plan I have been advised not to run or do other activities, will I be able to do normal things things again?

I have piriformis and been given a excise plan I have been advised not to run or do other activities, will I be able to do normal things things again?

Yes!: Piriformis syndrome, I am assuming is what you are directly asking about? Once the muscle spasm subsides and the pain is relieved, strengthening and stretching exercises will allow you to go about your normal activities. That being said, you may need alteration of those activities. One of the common reason for pririformis syndrome is poor mechanics in running, so make sure you review this with pt.

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What do you suggest if my piriformis hurts from dance?

What do you suggest if my piriformis hurts from dance?

Piriformis: Lots of stretching... although to have 'just' piriformis pain after dance is rare. It might just be pain from working out, depending on the dance, and your hip rotators all might be sore. Drink plenty of water and stretch all rotators and hip muscles just after warm-up, and also during cooling down if possible. Best of luck!

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Does the clamshell, exercises the piriformis? When doing the exercise I lots of pain later on.

Does the clamshell, exercises the piriformis? When doing the exercise I lots of pain later on.

It does: But it's just one part of several treatments... http://en. Wikipedia. Org/wiki/Piriformis_syndrome#Treatment my advice? Don't do any one exercise/maneuver to the point your pain is significantly exacerbated. You have to pick and choose to do your exercises at the right time and at the right intensity/amount. One tip I suggest is walking in the pool in waist deep water: side ways/backwards/forward

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What causes your piriformis to have issues, and how do you treat the discomfort and lead a normal life? Is it possible to fix it 100%?

What causes your piriformis to have issues, and how do you treat the discomfort and lead a normal life? Is it possible to fix it 100%?

Yes: By treating an underlying cause of postural abnormality. Piriformis pain is an effect of pelvic imbalance either due to short leg syndrome or unequal muscle tone in the spine or pelvis. This can be done with heel lifts. You need a good thorough physical exam by someone who understands postural biomechanics.

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How to know if I have pinched nerve or piriformis syndrome?

Pyriformis/nerve: Its very difficult for you to tell. But a doctor who does a proper examination should be able to tell. Sometimes its difficult without an injection being done.

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