Operative therapy for Piriformis Syndrome | What is the best therapy for Piriformis Syndrome?

Operative therapy for Piriformis Syndrome

In addition, in individual cases the symptoms can also be improved by surgery, especially if the sciatic nerve does not run under the piriformis muscle due to congenital anatomical changes, but rather through it. Surgery for the treatment of piriformis syndrome is nevertheless rather rare. There are special cases in which the sciatic nerve does not run below the piriformis muscle into the legs, but through it.

In this case, appropriate exercises to stretch and loosen the nerve are not helpful, since the nerve is further compressed. This anomaly occurs in up to 15% of all people. However, it does not cause discomfort in all people.

If this condition is present and the symptoms cannot be resolved otherwise, then surgery can be performed. The exact course of the sciatic nerve is determined in various preliminary examinations. During the procedure itself, the tendon of the piriformis muscle is severed.

In most cases, this leads to satisfactory results. Due to the proximity of the sciatic nerve to the surgical site, this method should only be used after all conservative options have been exhausted.