Pseudo sciatica due to piriformis muscle hypertrophy
Pseudo sciatica due to piriformis muscle hypertrophy
Patient’s history
The middle-aged patient has been suffering from buttock pain for four years. The pain restricted mobility and interfered with normal functioning. MRI examination of lumbar spine did not show any abnormality.
Previous treatment
Patient was treated with anti-inflammatory pills, injections and rehabilitation without any long term improvement.
Treatment form Dr. Goczewski
During an ultrasound examination piriformis muscle hypertrophy was noticed and the piriformis muscle syndrome was diagnosed. Under ultrasound guidance piriformis muscle prolotherapy and sciatic nerve hydrodissection was performed. The symptoms disappeared.
Outcome
The patient returned to a sport activity.
