Piriformis Syndrome

Piriformis Syndrome Pain Management Specialist in Tampa, FL

What is Piriformis Syndrome?

Piriformis Syndrome is a painful condition that develops when the piriformis muscle in the buttock compresses and irritates the sciatic nerve. Symptoms include pain, tingling, or numbness in the buttocks and down the leg. The pain may worsen when sitting for long periods of time, climbing stairs, walking, or running.

Who is at risk of developing Piriformis Syndrome?

Pilots, truck drivers, runners and triathletes are at high risk of developing piriformis syndrome.

Steps in Diagnosis & Managing Piriformis Syndrome:

  • Clinical Examination
  • Diagnostic Nerve Block (Ultrasound-Guided)

What treatments are available?

  • Physical Therapy & Stretching
  • Ultrasound-Guided Piriformis Injection (Local Anesthetic)
  • Ultrasound-Guided Piriformis Injection of BOTOX

Piriformis Muscle and Sciatic Nerve

The piriformis muscle is a flat, band-like muscle (orange muscle in image) located in the buttocks near the top of the hip joint. The muscle stabilizes the hip joint, lifts and rotates the thigh away from the body, enabling us to walk and maintain balance. The image shows the sciatic nerve (thick yellow structure in image) passing alongside below the piriformis muscle.

Schedule an appointment with Dr. Kalava to get back to doing the activities that you enjoy.

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Frequently Asked Questions

Ketamine is an anesthetic medication. It is a schedule 3 dissociative anesthetic, which has shown promising antidepressant effects that are both rapid and robust. It has been safely used for years as the ideal anesthetic in hospital and medical settings. When used under medical supervision, studies have shown ketamine infusions to have significant effects in healing treatment-resistant depression. It is on the World Health Organization’s List of Essential Medicines because of its safety and efficacy for anesthesia.

More recently, ketamine has been discovered as a safe and effective treatment for depression, and randomized controlled trials have shown rapid improvement in mood as well as reduction in suicidality compared to people who receive a placebo or another drug. Ketamine has the ability to go to work right away, unlike most antidepressants, which take weeks, sometimes months, to provide relief.

Ketamine infusion therapy is an IV procedure performed in-office by Dr. Kalava. Dr. Kalava & his associates will monitor your response and level of consciousness throughout the infusion.

Please contact our office to discuss Ketamine Infusion Therapy, and see if it is right for you.

The most important factors when choosing a ketamine provider are the doctor’s experience and commitment to providing safe, compassionate care. Dr. Kalava is the nation’s leading practitioner of ketamine infusion therapy and is a recognized expert in the field of anesthesiology.

[Scientific articles on Ketamine published by Dr. Kalava: Article 1 & Article 2 ]

Every patient is unique and deserves special care. Whether determining dose, infusion duration, the number of initial infusions, or the interval between return visits, we make individual assessments and structure ketamine treatments to match each patient’s response and unique needs.

Low dose ketamine is administered by Dr. Kalava, who is a Double Board Certified, Mayo Clinic fellowship trained Anesthesiologist. Ketamine, as we know, is an anesthetic and is best administered under the constant vigilance of a qualified anesthesiologist.

Depending on the medical condition being treated, IV ketamine can be administered over 1 minute, 40 minutes, one hour, or 4 hours. The actual type of treatment will be discussed with you during your initial consultation. The number of infusions and duration of ketamine therapy varies and is individualized. An average of 6-8 treatments are required for a good clinical response.

There are a handful of studies since 2014 that show promising results in managing symptoms from PTSD after ketamine infusion. (Study 1) (Study 2)(Study 3).

Mild psychotomimetic (confusion, hallucinations) effects, increase in heart rate, blood pressure, mild headache, and nausea are possible in some patients and are usually well tolerated.