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Piriformis Injection
Donald V. La Barge, III, MD, MBA
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KEY FACTS

  • Terminology

    • Preprocedure

      • Procedure

        • Post Procedure

          TERMINOLOGY

          • Definitions

            • Selective image-guided injection of long-acting anesthetic and corticosteroid into piriformis muscle adjacent to sciatic nerve in treatment of piriformis syndrome
              • Some advocate intramuscular botulinum toxin A injection

          PREPROCEDURE

          • Indications

            • Contraindications

              • Getting Started

                PROCEDURE

                • Patient Position/Location

                  • Equipment Preparation

                    • Procedure Steps

                      • Findings and Reporting

                        • Alternative Procedures/Therapies

                          POST PROCEDURE

                          • Expected Outcome

                            • Things to Do

                              • Things to Avoid

                                OUTCOMES

                                • Problems

                                  • Complications

                                    Selected References

                                    1. Cohen SP et al: Fluoroscopically guided vs landmark-guided sacroiliac joint injections: a randomized controlled study. Mayo Clin Proc. 94(4):628-42, 2019
                                    2. Shah SS et al: Epidemiology and etiology of secondary piriformis syndrome: a single-institution retrospective study. J Clin Neurosci. 59:209-12, 2019
                                    3. Jawish RM et al: Anatomical, clinical and electrical observations in piriformis syndrome. J Orthop Surg Res. 5(1):3, 2010
                                    4. Kanakis DN et al: Piriformis syndrome--an attempt to understand its pathology. Clin Neuropathol. 29(2):65-70, 2010
                                    5. Gonzalez P et al: Confirmation of needle placement within the piriformis muscle of a cadaveric specimen using anatomic landmarks and fluoroscopic guidance. Pain Physician. 11(3):327-31, 2008
                                    6. Peng PW et al: Ultrasound-guided interventional procedures for patients with chronic pelvic pain - a description of techniques and review of literature. Pain Physician. 11(2):215-24, 2008
                                    Related Anatomy
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                                    Related Differential Diagnoses
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                                    References
                                    Tables

                                    Tables

                                    KEY FACTS

                                    • Terminology

                                      • Preprocedure

                                        • Procedure

                                          • Post Procedure

                                            TERMINOLOGY

                                            • Definitions

                                              • Selective image-guided injection of long-acting anesthetic and corticosteroid into piriformis muscle adjacent to sciatic nerve in treatment of piriformis syndrome
                                                • Some advocate intramuscular botulinum toxin A injection

                                            PREPROCEDURE

                                            • Indications

                                              • Contraindications

                                                • Getting Started

                                                  PROCEDURE

                                                  • Patient Position/Location

                                                    • Equipment Preparation

                                                      • Procedure Steps

                                                        • Findings and Reporting

                                                          • Alternative Procedures/Therapies

                                                            POST PROCEDURE

                                                            • Expected Outcome

                                                              • Things to Do

                                                                • Things to Avoid

                                                                  OUTCOMES

                                                                  • Problems

                                                                    • Complications

                                                                      Selected References

                                                                      1. Cohen SP et al: Fluoroscopically guided vs landmark-guided sacroiliac joint injections: a randomized controlled study. Mayo Clin Proc. 94(4):628-42, 2019
                                                                      2. Shah SS et al: Epidemiology and etiology of secondary piriformis syndrome: a single-institution retrospective study. J Clin Neurosci. 59:209-12, 2019
                                                                      3. Jawish RM et al: Anatomical, clinical and electrical observations in piriformis syndrome. J Orthop Surg Res. 5(1):3, 2010
                                                                      4. Kanakis DN et al: Piriformis syndrome--an attempt to understand its pathology. Clin Neuropathol. 29(2):65-70, 2010
                                                                      5. Gonzalez P et al: Confirmation of needle placement within the piriformis muscle of a cadaveric specimen using anatomic landmarks and fluoroscopic guidance. Pain Physician. 11(3):327-31, 2008
                                                                      6. Peng PW et al: Ultrasound-guided interventional procedures for patients with chronic pelvic pain - a description of techniques and review of literature. Pain Physician. 11(2):215-24, 2008