Suspect Piriformis Syndrome?
You’re not alone — and there is help. We specialize in diagnosing and treating deep pelvic and sciatic pain conditions such as piriformis syndrome.
What is Piriformis Syndrome?
Piriformis syndrome is a neuromuscular condition where the piriformis muscle, located deep in the buttock, compresses or irritates the sciatic nerve.
This can result in radiating pain, tingling, or numbness in the buttocks, hips, and down the leg — often mistaken for lumbar disc issues or sciatica.
Piriformis syndrome is underdiagnosed, but treatable.
Common Symptoms
-
– Deep pain in the buttocks or hip
– Pain radiating down the leg (sciatica-like)
– Worsening symptoms while sitting or climbing stairs
– Tingling or numbness in the back of the leg
– Pain relieved by standing or lying downMany patients are misdiagnosed with “sciatica” or “disc herniation” — when the real problem lies in the piriformis muscle.
Why It Happens?
-
The piriformis muscle can irritate the sciatic nerve due to:
-
– Muscle overuse or injury
– Pelvic or spinal misalignment -
– Previous surgeries or trauma
– Anatomical variations (in up to 20% of people, the sciatic nerve runs through the piriformis)
Diagnosis: Finding the Real Cause
-
At Pudendal Surgery, we conduct a comprehensive evaluation using:
– Clinical assessment & symptom mapping
– Advanced imaging (MR neurography, ultrasound)
– Diagnostic nerve blocksMany patients diagnosed with “sciatica” turn out to have piriformis syndrome or pudendal neuralgia.
Conservative Treatment Options
-
-
Before considering surgery, we tailor a non-surgical plan that may include:
-
-
– Guided physiotherapy focused on deep gluteal release
-
– Anti-inflammatory medications
-
– Piriformis muscle injections or nerve blocks
-
– Ultrasound-guided Botox therapy
-
When Surgery Is Considered:
-
If conservative options fail, surgical decompression of the piriformis muscle may be indicated.
Our procedures are:
🔹 Performed with microsurgical precision
🔹 Focused on nerve-sparing and minimal trauma
🔹 Backed by outcome data and extensive experience
-
-
Your Journey — Step by Step
- Online consultation – Talk to a pelvic nerve specialist within 24h
- Full diagnostics – Imaging, nerve mapping, and testing
- Tailored treatment plan – Conservative care or surgical if needed
- If surgery – Done by one of the world’s most experienced nerve surgeons
- Post-treatment follow-up – Long-term support until you’re back to living fully
You Deserve Answers — And Relief
-
If you’ve been living with undiagnosed buttock or leg pain — and no one has found the cause — this might be it.
Let us help you find the real reason behind your symptoms and start your path to recovery.
Still in Pain?
You’re Not Alone — and You’re Not Without Hope
Global Pelvic Institute – Specialists in Real Solutions
At Global Pelvic Institute, our international team is dedicated to one thing: finding and treating the true cause of your pain. Led by Dr. Renaud Bollens — a global pioneer in pudendal nerve surgery — we specialize in advanced diagnostics and minimally invasive surgical treatment.
Our evidence and long-term results show:
-
– Most chronic pelvic pain in men is pudendal-related
-
– Surgery releases the nerve without damaging it
-
– Only the structures compressing the nerve are addressed
-
– We treat the cause — not just the symptoms
Many patients we see have already consulted 10–15 different healthcare providers. They’ve tried antibiotics, nerve blocks, physiotherapy — often without success. While muscle therapy can sometimes help, it’s usually only treating the surface. In up to 85–90% of cases, the muscle spasms are a reaction to a trapped nerve.
What is Piriformis Syndrome?
Piriformis Syndrome occurs when the piriformis muscle in the buttock compresses the sciatic nerve, causing pain, numbness, or tingling in the buttock and down the leg. It’s often mistaken for sciatica caused by spinal disc issues.
How do I know if I have Piriformis Syndrome or sciatica?
If your pain increases with sitting, improves when lying down, and starts deep in the buttock, it may be piriformis-related. Diagnostic nerve blocks and imaging can help distinguish the true source of pain.
What treatments are available for Piriformis Syndrome?
Initial treatment often includes physiotherapy, anti-inflammatory medication, and nerve blocks. If these fail, surgical piriformis release or nerve decompression may offer long-term relief.
Can Piriformis Syndrome be cured with surgery?
Yes — in severe or chronic cases, piriformis muscle release surgery can relieve pressure on the sciatic nerve. At our clinic, we use minimally invasive techniques with a high success rate.
Do I need a referral to get a consultation?
No. You can book a free specialist consultation directly with us — no referral needed. We help patients from all over the world find answers and relief.
Book a Consultation
Pain in your buttock, hip or leg? It might not be your spine — but your piriformis muscle compressing the sciatic nerve. We help you find the true cause.
Why Patients Choose Us:
Piriformis Syndrome Experts
Our team is among the few in the world specializing in surgical treatment of deep gluteal syndrome and piriformis-related nerve entrapment.
Accurate Diagnosis
We use advanced imaging and nerve blocks to confirm whether your pain is caused by piriformis muscle or another pelvic nerve issue.
Relief After Years of Misdiagnosis
We treat patients who’ve tried everything — from spinal surgery to injections — and still suffer. You deserve clarity and relief.