A Pyriformis injection perform by license professional for pain management is a long lasting injection of steroid in to the pyriformis muscle present in your buttocks. This muscle is attached to the side of sacrum bone in the pectoral girdle.Sacrum is a flat bone at the base of the spine above your tailbone. Pyriformis muscle helps to rotate the leg outwards as well as hold the hip in the joint. Have you ever experienced pain down the back of your leg? This pain is caused by the tightness in the pyriformis muscle and the condition is called sciatica.
Purpose of Pyriformis injection.
Injected steroid reduces the inflammation or swelling around the nerves that pass near pyriformis muscle and this helps to relieve the pain, tingling, numbness and other symptoms of inflammation.
Procedure of Pyriformis injection.
The patient should lay on their least sore side with knees bent towards chest. The physician will examine your buttocks to find the most painful spot ( that is where the inflammation is more.) and it is marked with an ink pen.
A sticky electrode patch with rubber coated wire is placed on your skin. This wire is connected to a stimuplex electronic nerve stimulator and a second wire is connected to a special insulated needle. The skin is numbed with an anesthetic after cleansing with an antiseptic lotion. The physician will then insert the insulated needle into pyriformis muscle.
The patient may feel a thumping sensation in their buttocks muscle due to the passage of small electric current through the needle. Steroid is then injected into the most inflamed spot of the buttocks. After cleaning and removing electrode patch from the patient’s body, ice cubes are applied to the injected area.
Patient is generally asked to not eat anything six hours prior to the appointment and nothing to drink three hours prior to the appointment. After the procedure the patient is given something to eat.
Effectiveness and durability of Pyriform injection.
Its effectiveness depends upon the patient and is hard to predict. One will know if it is working if they find relief in 3-7 days post injection. Physical exercises such as stretching etc will help the healing process. Follow up steroid injections maybe required until the home therapy is effective.
Risks and side effects.
Generally the procedure is very safe. But like any procedure this too have risks. Some of the side effects include temporary pain, infection, and sciatic nerve block followed by temporary leg weakness . If you notice any side effects , you are advised to contact your physician as soon as possible.