Non Surgical Options for Sciatica

Piriformis block-Can be done with anesthetic, steroid, or botox. Injection of these substances can result in perhaps association of contraction that may provide symptomatic relief for the patient. Some may be prolonged especially in the case of botox. There can be atrophy of the piriformis muscle after the injection that sustained pain relief as well, that can suggest some evidence for functional denervation after a block result in prolonged pain relief. Injections are guided by palpation with ultrasound, CT, or MR. Image guidance ensures that the injection in the right place in area so we can help out diagnostically and provided non-operative option for treatment.