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Piriformis Syndrome

Piriformis Syndrome is a neuromuscular condition that occurs when the piriformis muscle, located in the buttocks, compresses or irritates the sciatic nerve. This can lead to pain, numbness, and tingling down the leg, mimicking sciatica. At RAD Clinics, we offer advanced treatment options for Piriformis Syndrome, including ultrasound-guided cortisone injections.

Causes of Piriformis Syndrome

Piriformis Syndrome can be triggered by a variety of factors, including:

Muscle injury or strain – Repetitive activities, like running or sitting for long periods, can lead to injury of the piriformis muscle.
Anatomical anomalies – Some individuals have anatomical differences that make them more prone to this condition.
Trauma – Direct trauma to the buttock region from falls or accidents.
Inflammation – Inflammatory conditions can cause irritation around the sciatic nerve and piriformis muscle.

Symptoms of Piriformis Syndrome

Common symptoms include:

Buttock pain – This is typically located deep within the buttock area and can radiate down the back of the leg.
Numbness and tingling – Often felt along the sciatic nerve, extending to the foot.
Worsened pain with sitting – Pain is aggravated when sitting for long periods or crossing the legs.
Reduced range of motion – Difficulty rotating the hip or moving the leg due to pain and stiffness.

Anatomy Involved in Piriformis Syndrome

The piriformis muscle is located deep within the buttock and is responsible for stabilising the hip joint and rotating the leg outward. The sciatic nerve runs beneath or through this muscle, and when the muscle becomes tight or injured, it compresses the nerve, leading to the characteristic symptoms of Piriformis Syndrome.

Diagnosis of Piriformis Syndrome

Diagnosis often involves a combination of:

Clinical assessment – A thorough physical examination, including checking the range of motion and pain triggers, helps in diagnosing the condition.
Imaging – MRI or ultrasound imaging may be used to rule out other conditions such as lumbar disc herniation.
Diagnostic injections – Sometimes, a diagnostic injection of anaesthetic into the piriformis muscle helps confirm the diagnosis.

Cortisone Injections for Piriformis Syndrome

At RAD Clinics, we specialise in ultrasound-guided cortisone injections, which provide precise, targeted relief for patients suffering from Piriformis Syndrome.

Benefits of Ultrasound-Guided Cortisone Injections

Precision – Ultrasound guidance allows the practitioner to visualise the piriformis muscle and sciatic nerve in real time, ensuring accurate placement of the cortisone injection.
Reduced pain – Cortisone injections help reduce inflammation and swelling in the piriformis muscle, relieving pressure on the sciatic nerve.
Minimally invasive – This non-surgical procedure involves minimal discomfort, and patients can usually return to normal activities quickly.
Faster recovery – By reducing pain and inflammation, cortisone injections enable quicker rehabilitation and improved mobility.

What to Expect During the Procedure

At RAD Clinics, your cortisone injection procedure will be carried out with precision and care:

Initial assessment – A detailed review of your symptoms and medical history will be conducted to confirm the diagnosis of Piriformis Syndrome.
Ultrasound guidance – The injection site is carefully visualised using ultrasound technology, ensuring the cortisone is delivered precisely to the area of concern.
Steroid injection – A mixture of corticosteroid and local anaesthetic is injected into the piriformis muscle to reduce inflammation and alleviate pain.
Post-procedure – You’ll be monitored briefly and given advice on aftercare. Most patients can resume normal activities shortly after.

When to Seek Treatment

It’s essential to seek treatment if:

Pain persists or worsens over time, affecting your daily life and mobility.
Conservative treatments like physiotherapy, stretching exercises, and rest do not provide relief.
Symptoms like numbness or tingling in the legs become severe or interfere with walking.

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DISCLAIMER

We do not accept insurance coverage. If you wish to reimburse your fees, then please kindly check with your insurance provider prior to booking as we cannot be held responsible for any non-payments.