Dr. Crane's Regenerative Approach
Once piriformis syndrome is confirmed, treatment targets both the muscular dysfunction and any contributing structural factors.
Regenerative injection into the piriformis muscle addresses chronic myofascial trigger points and promotes healthy tissue remodeling. Growth factors stimulate repair of the damaged muscle fibers and modulate the inflammatory environment that perpetuates muscle spasm and nerve irritation. This is fundamentally different from steroid injection, which reduces inflammation temporarily but weakens tissue with repeated use.
We also address the ligamentous and periosteal structures that contribute to biomechanical imbalance. When SI joint laxity, sacrotuberous ligament insufficiency, or hip capsular instability contribute to piriformis overload, regenerative treatment of these structures reduces the mechanical demand on the piriformis and eliminates the driver of chronic spasm.
This combined approach-treating both the muscle and the biomechanical factors driving its dysfunction-produces more durable results than treating the muscle in isolation.
What to Expect: The Treatment Process
Treatment typically involves 2-3 sessions spaced 3-4 weeks apart. Ultrasound-guided injection ensures precise delivery to the piriformis muscle and adjacent structures. Most patients notice improvement within 4-6 weeks.
Complementary physical therapy focusing on piriformis stretching, hip strengthening, and biomechanical correction enhances the regenerative treatment.