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Piriformis Injection

What is the piriformis muscle and why does it matter?

The piriformis muscle is involved in rotation of the thighbone. In its course running from the sacrum to the outside of the hip, it can compress the sciatic nerve. This results in pain that runs down the back of the leg into the sole of the foot. This is called piriformis syndrome. In some cases, the relationship to the nerve is more complicated, and imaging may be required to better characterize whether the nerve runs under, through, or even around the piriformis muscle.

What is the treatment for piriformis syndrome?

Piriformis syndrome is initially treated conservatively with physical therapy, heat, and NSAIDs. Stretching exercises are critical to lengthening the piriformis muscle so that it does not continue to compress the sciatic nerve. If conservative measures are ineffective, or if pain is so severe that stretching is too painful, piriformis injections can be performed.

What is a piriformis injection?

During a piriformis injection, the doctor will place a needle into the lateral aspect of the piriformis muscle. After confirming appropriate spread of contrast dye, a small amount of numbing medicine and steroid is placed into the muscle. This can allow for relatively painless stretching and also relief of any inflammation around the nerve itself.

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Office Locations

Center for Interventional Pain & Spine, LLC has multiple convenient locations to serve you. Get started by requesting an appointment at any of our offices located in Delaware and Pennsylvania areas near major hospitals and highways.

  • Delaware
  • Pennsylvania
Silverside Carr Corporate Center
405 Silverside Road, Suite 104, Wilmington, DE 19809
844-365-PAIN (7246)
302-792-1372
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Brandywine Town Center
3401 Brandywine Parkway, Suite 202, Wilmington, DE 19803
844-365-PAIN (7246)
302-477-6955
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Sandhill Plaza
118 Sandhill Drive, Suite 203, Middletown, DE 19709
844-365-PAIN (7246)
302-378-0941
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The Helen F. Graham Cancer Center
4701 Ogletown-Stanton Road, Suite 1200, Newark, DE 19713
844-365-PAIN (7246)
302-792-1372
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Pike Creek Sports Medicine and Professional Center
3105 Limestone Road, Suite 300, Wilmington, DE 19808
844-365-PAIN (7246)
302-482-2212
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Halpern Medical Plaza
1197 Airport Road, Second Floor, Suite 5, Milford, DE 19963
844-365-PAIN (7246)
302-503-3432
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Surgical Center Affiliations

  • Delaware
  • Pennsylvania
Orthopaedic Specialist Surgery Center
1096 Old Churchmans Road, Newark, DE 19713
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Delaware Outpatient Center for Surgery
774 Christiana Road, Ste 2, Bldg B, Newark, DE 19713
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Wilmington Hospital
501 W. 14th Street, Wilmington, DE 19801
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Wilmington Roxana Canon Arsht Surgicenter
625 W. 12th Street, Wilmington, DE 19801
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First State Surgery Center
1000 Twin C Lane, Suite 200, Newark, DE 19713
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Delaware Surgery Center
200 Banning Street, Suite 110, Dover , DE 19904
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