Intramuscular Injection (Lidocain 4ml and Flamicort

40 mg) for Patient with Piriformis Syndrome

BY : Gusti Agung Indah Pradiyanti

RSKI SABA
 TABLE OF CONTENTS

1. What is Piriformis Syndrome ?

2. What are Causes of Piriformis Syndrome ?
3. What are Symptoms of Piriformis Syndrome ?
4. How to Explain to The Patient About Intramuscular Injection for Piriformis
Syndrome?
 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, in response to injury or spasm
• Swelling of the piriformis muscle, due to injury or spasm
• Bleeding in the area of the piriformis muscle
What are Symptoms of Piriformis Syndrome ?

• Large painful knot or cramp in buttocks

• Tingling back of legs and lower back
• Burning, aching, tightness in back/buttock
• Pain radiating down back of legs
• Back or buttock discomport while sitting
• Weakness, muscle imbalance and fatigue
 How to Explain to The Patient About Intramuscular Injection for Piriformis
Syndrome?

1. Patient give information from the doctor about intramuscular injection for piriformis
syndrome. The medicine are Lidocain 4 ml and flamicort 40mg. The contains of flamicort is
triamcinolone acetonide.
2. If the patient agrees with that procedure, the patient signs the informed consent
3. The nurse instruct the patient to lie down on stomach
4. Ask the patient to lower his pants a little
5. The doctor uses guideline ultrasound for finded piriformis muscle
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
7. After the drug is injected, the patient's legs are legs bent and stretched by doctor
8. The patient is instructed by doctor to walk on the spot for drug to spread
9. Initially the patient will feel numbness along his legs, after which the condition will return as
before and the pain will be reduced.