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PRACTITIONER'S SECTION
Year : 2018  |  Volume : 4  |  Issue : 2  |  Page : 60-63

Piriformis injection in pain management


1 Fellow, Department of Pain, Daradia Pain Clinic, Kolkata, West Bengal, India
2 Director, Department of Pain, Daradia Pain Clinic, Kolkata, West Bengal, India

Correspondence Address:
Ronnie Kaddu
Pain Fellow, Department of Pain, Daradia Pain Clinic, Kolkata, West Bengal
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.5005/jp-journals-10046-0106

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Introduction: Piriformis syndrome is an uncommon cause of unilateral lower limb pain that is as a result of sciatic nerve compression by the piriformis muscle. Symptoms associated with this syndrome often make it difficult to distinguish it from several other conditions that lead to buttock, thigh or leg pain. Despite a number of clinical signs suggestive of a piriformismyofascial disorder, not all patients present with the typical clinical features. This probably explains why it is frequently left undiagnosed. The piriformis injection should be considered when symptoms persist after attempts have been made with conservative methods. It is simple and fast and does not require a lot of needle manipulation. The technique for needle placement uses fluoroscopic guidance to inject the piriformis muscle with local anesthetic and can be used for both diagnostic and therapeutic purposes.


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