Abstract
Background Piriformis syndrome (PS) has been considered as a complex diagnosis thus often making its management become complicated. Management of PS ranges from conservative therapies to interventional including injection and surgeries. Among interventional methods, local anesthetic and steroid injections are more commonly practiced. However, due to its negative effect, serial botulinum toxin-A (BTX-A) injections has been proposed as an alternative therapy that can provide relief. Aims To report a long term relief of pain in case of persistent PS with single BTX-A injection.
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