Intramuscular Injection

(Lidocain 4 ml and Flamicort 40 mg) for Patient with

Piriformis Syndrome
1. What is Piriformis Syndrome ?
2. What are Causes of Piriformis Syndrome ?
3. What are Symptoms of Piriformis Syndrome ?
4. How Intramuscular Injection Procedure for
Patient with Piriformis Syndrome?
5. Q & A
 What is Piriformis Syndrome ?
• Piriformis syndrome is a
condition in which the piriformis
muscle compress sciatic nerve
can make buttock pain, numbness,
and tingling along the back of
the leg and into the foot.
• The piriformis muscle is a small
muscle located deep in the
buttock (behind the gluteus
maximus).
What are Causes of Piriformis Syndrome ?

• The exact causes of piriformis syndrome are unknown.

• Suspected causes include:
– Muscle spasm in the piriformis muscle
– Tightening of the muscle
– Swelling of the piriformis muscle
– Bleeding in the area of the piriformis muscle
What are Symptoms of Piriformis Syndrome ?

1. Painful or cramp in buttocks

2. Tingling back of legs and lower back
3. Burning and tightness in back/buttock
4. Pain radiating down back of legs
5. Back or buttock discomfort while sitting
6. Weakness, muscle imbalance and fatigue
7. Numbness
 How Intramuscular Injection Procedure for Patient with
Piriformis Syndrome?

1. The doctor give information to patient about intramuscular injection for

piriformis syndrome. The medicine are Lidocain 4 ml and flamicort 40 mg. The
contains of flamicort is triamcinolone acetonide.
2. If the patient agrees with that procedure, the patient should sign the informed
consent
3. The nurse give instruction to the patient to lie with face downwards and lower
her/his pants down
4. The doctor uses guideline ultrasound for finded piriformis muscle
 How Intramuscular Injection Procedure for Patient with
Piriformis Syndrome?

6. After the piriformis muscle is finded, the drug is

directly injected with 2 ampoules lidocain and 40mg
flamicort using syringe 5 cc and spinal needle 20/22G
7. After the drug is injected, the doctor will ask the
patient to bent leg and stretched by the treating doctor
the patient`s
8. The doctor will instruct the patient to walk on the spot,
the purpose to do this action is to make the drug that
already use to spreading in piriformis muscle
9. In addition the patient will feel numbness along the
patient`s leg and then the condition will return
normally and the pain will be reduced
How Intramuscular Injection Procedure for Patient
with Piriformis Syndrome?
Question & Answer