Buttock and Groin Pain due to Piriformis Syndrome

Presenting complaint

The patient presented with chronic pain in the groin of more than 14 months duration. Pain radiated to the buttock area to some extent. The pain was worse with standing and walking. The patient walked with a limp and had to use a stick for support, in spite of being very young.

The patient had been unable to work for at least 12 months because of the severity of her pain and being unable to drive.

Previous investigations/ treatments

The patient had seen various specialists in the past including hip specialist, spinal surgeon and a sports physician. Various investigations were done including blood tests, an ultrasound scan of the groin and MRI scan of the spine and the hip but no cause could be identified.

The patient had tried various medications without benefit.

Treatment from Dr. Krishna at Pain Spa

The patient saw Dr. Krishna at his private clinic in Bristol, desperate for some answers. Dr. Krishna diagnosed Piriformis syndrome, based on history and examination findings.

Dr. Krishna performed piriformis injection under ultrasound guidance, which relieved the pain completely within 48 hours.


The patient continues to be pain-free more than 18 months after the piriformis injection. The patient managed to go back to work after being off sick for more than 12 months.

For further information please click the link below or contact us at clinic@painspa.co.uk.