Nonsurgical treatment may take away most of the symptoms, but it does not treat the underlying structural cause. Follow-up visits are necessary so Dr. Pablo Pazmino can check if symptoms have gotten better, worse, or have stayed the same.
The piriformis muscle runs from the base of the spine to the thigh bone and helps the hips rotate. Sometimes this muscle can experience spasms, leading to the compression of the sciatic nerve. This compression causes pain, numbness, and tingling up the back of the leg in addition to the pain in the buttocks from the piriformis muscle.
This pain may go down the back, outside, or front of the leg
For some patients with significant pain and weakness, after failure of conservative management, Dr. Pablo Pazmino may recommend a surgical treatment option. The surgical treatment options may vary and depend on the individual patient and their pathology. Surgery may be necessary for patients with progressive neurologic symptoms or severe pain that does not improve with other treatments. Surgery may remove bone spurs or disc material (Decompression) and provide lasting pain relief.