What is a piriformis injection?
A piriformis injection is a procedure in which a local anesthetic and corticosteroid is injected into your piriformis muscle, which is located deep in your buttocks. This procedure can be used both diagnostically to determine the source of your pain and therapeutically by providing pain relief.
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"On first arrival Dr. Kohler and his staff at Ospina Medicine were warm and welcoming. He was precise in his knowledge and explained all parts of both my pain management due to previous injury, and preventative measures for future treatment. Their New York City based state of the art technology and contemporary office made me feel at ease immediately. As someone with continual back pain, and as someone who wants to avoid opioid treatment, the very nature of Ospina Medical using non-opioid approaches to pain management for me was a big bonus. The results have been brilliant, and I am so pleased to have Dr. Kohler to help me through my pain management process."- M.M. / Google / May 17, 2021
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"Dr Maniam and his staff are excellent. Renya at the front desk is always friendly and makes me feel comfortable. There’s a real sense that they care about their patients. I’ve had numerous spinal epidural‘s and radio frequency ablations, they’ve been painless and have gotten excellent results. This is the best pain management group that I’ve been to and I’ve been to more than a few... I highly recommend Ospina!"- M.G. / Google / May 14, 2021
"I've had 3 cortisone injections with Ospina and I'm amazed by the care they take when applying the injections. I can't believe how well it works and what good care they take of me. (I had received an injection somewhere else and it was more painful, bruised badly, and didn't last near as long.) I will ONLY go to Ospina now. The staff and doctors are truly WONDERFUL. Don't hesitate!"- P.G. / Google / Apr 30, 2021
Who is a candidate for a piriformis injection?
People who experience buttock pain or pain in the back of their leg and have not responded to conservative treatments, such as ice, heat, and stretching may be a candidate for a piriformis injection. Your sciatic nerve runs underneath the piriformis muscle and when this muscle becomes tight and spasmed it can cause your sciatic nerve to become irritated. While simple stretching and rest can sometimes alleviate spasm and pain, in more severe cases a piriformis injection may help to release the spasm and reduce swelling in the sciatic nerve.
How is a piriformis injection performed?
We can perform all piriformis injections in our office using ultrasound guidance. During the procedure your physician will locate your piriformis muscle under ultrasound and inject a combination of local anesthetic and a corticosteroid. The local anesthetic will help to provide immediate pain relief, while the corticosteroid will provide longer relief. Corticosteroids take 3-5 days to begin working, so it is normal for your pain to return to normal after the local anesthetic wears off. These procedures are minimally invasive and can be performed in less than 30 minutes.
If you are experiencing buttock pain and pain in the back of your leg which has not gotten better from rest or stretching then a piriformis injection may be helpful for you! Contact our midtown Manhattan office today to schedule your consultation!