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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Remedy For Piriformis Syndrome Post A Shot For Rh Factor

My daughter has been recently diagnosed with Piriformis and was found to have a pocket of blood on her hip. Do you know of this condition and what treatments, if any are available? She also just recently had a child in June of last year and was given a shot for Rh factor.
Tue, 15 Mar 2016
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Orthopaedic Surgeon 's  Response
hello
I have studied about pyriformis syndrome,and some salient points of treatment is physical therapy in which leg is taken away from body laterally and externally rotating the foot which relaxes the pyriformis muscle and pressure on nerve passing underneath it.Also lidocain,cortisone or botox injections are injected in the muscle under radiographuc screening by an orthopedic surgeon to shrink size of the muscle and prevent commpression of nerve under it.
Diagnosis is by Magnetic resonance neurography, MRI of spine to exclude bone causes in spine, electrophysiological studies by a neuro-physiologist of the hip and buttock musclenerve conduction in the region.
Another method of treatment includes TENS (trans cutaneous nerve stimulation of sciatic nerve if its conduction is found slow on electro-physiological study of nerve conduction.
Treatments stated above work reasonably well
best wishes
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Suggest Remedy For Piriformis Syndrome Post A Shot For Rh Factor

hello I have studied about pyriformis syndrome,and some salient points of treatment is physical therapy in which leg is taken away from body laterally and externally rotating the foot which relaxes the pyriformis muscle and pressure on nerve passing underneath it.Also lidocain,cortisone or botox injections are injected in the muscle under radiographuc screening by an orthopedic surgeon to shrink size of the muscle and prevent commpression of nerve under it. Diagnosis is by Magnetic resonance neurography, MRI of spine to exclude bone causes in spine, electrophysiological studies by a neuro-physiologist of the hip and buttock musclenerve conduction in the region. Another method of treatment includes TENS (trans cutaneous nerve stimulation of sciatic nerve if its conduction is found slow on electro-physiological study of nerve conduction. Treatments stated above work reasonably well best wishes