Home > Hip Pain Injections > Piriformis Syndrome
Piriformis Syndrome Treatment Near Buckingham
Deep buttock pain that radiates down the back of the leg is a symptom that is easy to misattribute to the spine. For many patients near Buckingham, piriformis syndrome is the true cause, yet without an accurate diagnosis and targeted treatment, the condition can persist for months while the underlying problem remains unaddressed.
At RAD Clinics, we offer private piriformis syndrome treatment near Buckingham through ultrasound-guided injections, providing a precise, minimally invasive route to relief for patients whose symptoms have not responded to rest, stretching, or physiotherapy alone.

What Is Piriformis Syndrome?
Piriformis syndrome occurs when the piriformis muscle, situated deep within the buttock, becomes tight, inflamed, or irritated. Because the sciatic nerve passes in proximity to this muscle, and in some individuals directly through it, any enlargement or spasm of the piriformis can compress or irritate the nerve, producing symptoms that closely resemble lumbar disc-related sciatica.
Distinguishing between piriformis syndrome and spinal pathology is clinically important because the two conditions require quite different treatment approaches. A thorough assessment at RAD Clinics helps clarify the source of symptoms before any treatment is recommended.
What Causes Piriformis Syndrome?
- Prolonged sitting: sustained pressure on the deep buttock structures, particularly on firm or uneven surfaces, is one of the most common triggers
- Repetitive hip movements: running, cycling, and stair climbing can cause the piriformis to tighten over time through repeated use
- Direct trauma: a fall or impact directly to the buttock can cause acute muscle spasm and localised inflammation
- Muscle imbalance: weakness in the gluteal muscles can cause the piriformis to compensate and become chronically overloaded
- Anatomical variation: In a proportion of the population, the sciatic nerve passes through rather than beneath the piriformis, increasing susceptibility to nerve irritation
Understanding which of these factors is most relevant shapes the most appropriate treatment strategy, which is why clinical assessment always precedes injection treatment at RAD Clinics.
What Are the Symptoms of Piriformis Syndrome?
- Deep aching or burning pain in the buttocks that can be difficult to pinpoint precisely.
- Pain that radiates down the back of the thigh, sometimes extending to the lower leg or foot.
- Symptoms that worsen with prolonged sitting, particularly on hard surfaces
- Discomfort during hip rotation, squatting, climbing stairs, or crossing the legs
- Tenderness when pressing over the piriformis muscle in the deep buttocks
- Symptoms that are typically unilateral and often aggravated by driving for extended periods
If these symptoms have been present for more than a few weeks without adequate improvement, a private specialist assessment near Buckingham is the most direct route to an accurate diagnosis.
Diagnosis at RAD Clinics
- Clinical Assessment: Your clinician will take a thorough history and assess hip range of motion, piriformis muscle tension, and any neurological signs that help differentiate piriformis syndrome from lumbar spine pathology. Specific provocation tests can reproduce the characteristic pain and help confirm the diagnosis.
- Ultrasound Imaging: Real-time ultrasound allows the clinician to visualise the piriformis muscle and the sciatic nerve, identifying asymmetry, muscle enlargement, or nerve compression. Ultrasound also provides the precision guidance needed for accurate injection placement, which is particularly important given the proximity of the sciatic nerve throughout this procedure.

Piriformis Syndrome Injection Near Buckingham
Where injection treatment is clinically appropriate, RAD Clinics provides ultrasound-guided injections into the piriformis muscle as a targeted, non-surgical approach to managing the pain and spasm associated with piriformis syndrome. Private piriformis syndrome treatment near Buckingham at RAD Clinics is always performed under live ultrasound imaging, ensuring the injection is placed accurately within the muscle while avoiding the adjacent sciatic nerve.
| Benefit | What It Means for You |
|---|---|
| Precise injection delivery | Ultrasound guidance places the injection accurately within the piriformis, away from the sciatic nerve. |
| Pain and spasm relief | The injection reduces muscle tension and inflammation, easing both buttock pain and referred leg symptoms. |
| Supports physiotherapy | With spasm reduced, stretching and rehabilitation exercises become significantly more effective. |
| Minimally invasive | No surgery required; the procedure is completed on an outpatient basis with minimal downtime. |
| Diagnostic value | The clinical response to the injection also helps confirm whether piriformis syndrome is the true source of symptoms. |
What to Expect During the Procedure
Preparation: You will be positioned comfortably to allow clear access to the buttock region. The skin is cleaned, and a local anaesthetic may be applied to minimise discomfort.
Ultrasound Guidance: Your clinician uses real-time ultrasound to visualise the piriformis muscle and sciatic nerve before the needle is introduced, identifying the safest and most precise injection point.
The Injection: A fine needle is guided carefully into the piriformis muscle under continuous ultrasound imaging, and the injection is delivered directly to the affected tissue. The procedure takes only a few minutes.
Post-Procedure Care: Temporary soreness in the buttock is normal for the first day or two. Most patients can carry out light activities shortly after the appointment. Physiotherapy is strongly recommended following the injection to address any underlying muscle imbalance.
When Should You Seek Treatment?
If you are near Buckingham and have been managing persistent deep buttock or leg pain without a clear diagnosis or adequate relief, private piriformis syndrome treatment near Buckingham through RAD Clinics offers a focused and efficient path to both diagnosis and treatment.
Early intervention reduces the likelihood of the condition becoming chronic and helps you return to normal daily activity and exercise without ongoing pain or restriction.
Book a consultation with RAD Clinics today and take the first step towards identifying and treating the true source of your symptoms.
Why Choose RAD Clinics?
- Ultrasound-guided precision: every injection is performed under live imaging, which is particularly important given the proximity of the sciatic nerve
- Thorough clinical assessment: symptoms, movement patterns, and neurological signs are considered fully before treatment is recommended
- Patient-centred care: you are kept informed and comfortable throughout the entire process

Exceptional Efficient Service Recommended By Google
Exceptional professional service, highly recommended for quick, efficient, and friendly ultrasound scans and injections. Instant relief, thorough analysis, and personalized treatment at reasonable prices.
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.
ACCREDITATIONS AND PARTNERS






