What is the role of surgery in the treatment of piriformis syndrome?

Updated: Sep 16, 2020
  • Author: Milton J Klein, DO, MBA; Chief Editor: Ryan O Stephenson, DO  more...
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Answer

Surgical management is the treatment of last resort for piriformis syndrome. Surgery for this condition involves resection of the muscle itself or of the muscle tendon near its insertion at the superior aspect of the greater trochanter of the femur (as described by Mizuguchi). [5] These procedures may be effective and may not cause associated superimposed postoperative disability. However, because surgical decompression is usually performed later in a chronic state, it may not, even if successful, bring about complete resolution of associated chronic piriformis syndrome pain.


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