Piriformis syndrome presents as a common cause of buttock and leg pain, which can manifest either spontaneously or as a consequence of an injury. Individuals affected by this condition often experience tightness and tenderness in the buttock muscles, leading to a deep-seated pain that may radiate upwards into the lower back or downwards into the back of the leg.

Managing Piriformis Syndrome encompasses a range of treatment options tailored to individual needs. These include physiotherapy to address muscular issues, medication such as muscle relaxants, analgesics, and anti-inflammatories to alleviate pain, and the potential use of local anaesthetic and steroid injections. In cases of persistent discomfort, medical professionals may recommend Botox injections to reduce muscle spasms in the Piriformis muscle.

When injections are deemed necessary, the procedure is typically performed as a day case at the hospital. Patients are positioned face down, and precise needle placement is guided by X-ray or Ultrasound imaging. A contrast dye is introduced to outline the Piriformis muscle, followed by the administration of local anaesthetic and steroids. This combination effectively reduces inflammation and swelling around the nerves passing through or near the Piriformis muscle, contributing to pain relief and overall improvement in the patient’s condition.