Piriformis Injections for Buttock and Sciatica Type Pain
HOME /Ultrasound Guided Piriformis Injections in Leamington Spa
The piriformis muscle is a small deep muscle in the buttock that sits directly above the sciatic nerve. When this muscle tightens or spasms, it can press on the nerve underneath, causing buttock pain that often spreads down the back of the leg. This feels very similar to sciatica, but the source of the problem is different, the muscle itself rather than the spine.
At Renew Skin and Health Clinic in Leamington Spa, piriformis injections are performed by Mr Amit, Consultant Neurosurgeon, GMC 6047850, priced at £550. No MRI or X ray scan is required beforehand, since the consultant assesses and treats using real time ultrasound guidance.
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Urgent Symptoms
Contact your GP or NHS 111 promptly, rather than waiting for a routine appointment, if you experience loss of bladder or bowel control, numbness around the back passage, or rapidly worsening weakness in your leg.
Piriformis Injections at a Glance
What Is Piriformis Syndrome?

Piriformis syndrome happens when the piriformis muscle becomes tight, inflamed, or goes into spasm, and presses on the sciatic nerve running beneath it. Because the sciatic nerve is affected, the resulting pain can feel exactly like sciatica caused by a problem in the spine, which is why this condition is so often misunderstood or misdiagnosed.
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What Causes Piriformis Syndrome?
● Muscle spasm in the leg or buttock following overuse or unfamiliar activity
● Prolonged sitting, particularly on hard surfaces or with a wallet in a back pocket
● Repetitive movements such as running or climbing stairs
● A direct injury or fall onto the buttock
● Tight piriformis muscles from reduced flexibility or a sedentary lifestyle
Symptoms of Piriformis Syndrome
● Buttock soreness or a deep ache on one side
● Lower back and buttock pain that can extend down the back of the thigh
● Buttocks pain while sitting, often the most noticeable symptom, easing when standing or lying down
● Discomfort that worsens with climbing stairs or prolonged walking
● A tender spot deep in the buttock when pressed
Piriformis Syndrome or Sciatica, How to Tell the Difference?

Piriformis syndrome and sciatica caused by a spinal problem can feel almost identical, both cause pain travelling from the buttock down the leg. In line with NICE guidance on sciatica in adults, NICE NG59, a proper clinical assessment is the reliable way to identify the true source of nerve related leg pain, since the treatment for a muscle pressing on the nerve is different from treatment for a problem in the spine itself.
A piriformis injection can help confirm the diagnosis as well as treat it, since pain relief following the injection strongly suggests the piriformis muscle was the source.
The Piriformis Injection Procedure
No MRI or X-ray scan is required before this treatment. Ultrasound guidance matters here specifically because the sciatic nerve lies directly beneath the piriformis muscle, so real time imaging lets Mr Amit place the injection precisely and safely. The injection combines local anaesthetic with an anti inflammatory medication, delivered directly into the piriformis muscle.
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Who Should Not Have This Treatment?
This treatment may not be suitable if you have any of the following. Your consultant will discuss this with you at your assessment.
● An active infection, at the injection site or elsewhere in the body
● You are taking blood thinning medication, until this has been discussed and a plan agreed
● A known allergy to local anaesthetic or steroid
● You are pregnant
● Poorly controlled diabetes, since a steroid injection can raise blood sugar for a few days
Recovery After a Piriformis Injection

Your leg may feel odd or heavy for a few hours after treatment, so please arrange for someone to drive you home rather than driving yourself. Physiotherapy after the injection often improves and prolongs the result, and your consultant can advise on this at your follow up.
Pain procedures are not guaranteed to work. Most patients get meaningful relief, but a small number get little or no benefit, and how long the relief lasts varies from person to person. Mr Amit will explain what to realistically expect in your case before you decide.
Piriformis Injection Cost
All prices at Renew Skin and Health Clinic are transparent and all inclusive, with appointments available within two weeks, a free follow up review, and every procedure performed by an experienced consultant.
| Treatment | Price |
|---|---|
| Consultation with Mr Amit | £300, credited in full against treatment if proceeding the same day |
| Piriformis injection | £550, all inclusive |
Included: the consultation, the injection itself under ultrasound guidance, and a written report. Not included: MRI or X-ray scans, which are not required for this treatment, and any take home medicines or private prescriptions. For More details check Our Price List
Meet Your Specialist
Mr Amit — Your Consultant Neurosurgeon

| GMC Number | 6047850 |
| Title | Consultant Neurosurgeon |
| Specialist Register | Neurosurgery |
| Experience | Over 25 years of experience |
| Primary Focus | Spinal surgery since 2013, with expertise also in orthopaedic surgery, pain management, neurosurgery, and neurology |
| Professional Memberships | British Association of Spine Surgeons, Eurospine, Society of British Neurological Surgeons |
| Practises At | Renew Skin and Health Clinic, Leamington Spa, and Woodlands Hospital, BMI Three Shires Hospital, The Meriden Hospital, and Nuffield Health Warwickshire Hospital, all in the West Midlands |
Mr Amit is a highly experienced Consultant Neurosurgeon specialising in neurosurgery and spinal surgery, with international training in India, the United States, and the United Kingdom. Since 2013, his main focus has been spinal surgery, and his expertise also extends to orthopaedic surgery, pain management, and neurology.
He began his formal training in neurosurgery and spinal surgery in India before moving to London, where he trained at the Royal Free Hospital. He then undertook further specialist training at Frenchay Hospital in Bristol and the Royal Victoria Hospital in Belfast, followed by a two-year clinical fellowship in Ohio, USA.
At Renew Skin and Health Clinic, Mr Amit provides expert assessment and treatment for a full range of spinal, nerve, and pain-related conditions, with a strong focus on patient safety, precision, and long-term symptom relief. Alongside piriformis syndrome injections, he treats facet joint pain in the middle back, nerve root irritation with epidural steroid injections, and lower back and pelvic pain with sacroiliac joint injections. He also offers a pudendal nerve block for pelvic nerve pain, carpal tunnel syndrome treatment for nerve compression in the wrist, and migraine injection treatment for people with recurring headaches.
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Why Choose Renew Skin and Health Clinic for Piriformis Injections?
| At Renew Skin and Health Clinic | What This Means for You |
|---|---|
| Consultant neurosurgeon led treatment | Expert assessment, not just a generic injection clinic |
| No MRI or X-ray required beforehand | One appointment, no waiting on a scan first |
| Ultrasound guidance used throughout | Precise, safer placement of the injection |
| Transparent, all inclusive pricing | You know the exact cost before you book |
| Appointments available within two weeks | No long wait to get treated |
| Free follow up review included | No extra bills to check your progress |
| CQC registered clinic | Independently inspected for quality and safety |
| Trusted locally, 4.9 stars from 850+ Google reviews | Chosen by thousands of patients across United Kingdom |
For any query feel free to contact us
Piriformis Injections Near Leamington Spa

Patients searching for piriformis injections or buttock and sciatica type pain treatment in the Midlands regularly choose Renew Skin and Health Clinic in Leamington Spa. Our clinic is easily accessible from Coventry, Birmingham, Warwick, Rugby, Stratford upon Avon, and across Warwickshire.
Book Your Consultation with Mr Amit
- Call: +44 1926 422 454
- Email:
- Address: 18 Guy Street, Leamington Spa, CV32 4RT, United Kingdom
- Whatsapp: +44 1926 422 454
Frequently Asked Questions
1. Is piriformis pain the same as sciatica?
They can feel very similar, since both cause pain travelling from the buttock down the leg, but the source is different. Piriformis syndrome comes from the muscle pressing on the nerve, while sciatica usually comes from a problem in the spine. A clinical assessment identifies which applies to you.
2. What is the best injection for piriformis syndrome?
The recommended treatment combines local anaesthetic with an anti inflammatory medication, injected directly into the piriformis muscle under ultrasound guidance. Mr Amit will confirm the most suitable approach for you at consultation.
3. Is a piriformis injection available on the NHS?
Piriformis injections may be available on the NHS in some areas, though eligibility criteria and waiting times vary. Private treatment at Renew Clinic offers a same week appointment with no referral required.
4. How long does a piriformis injection last?
Relief varies from patient to patient, from several weeks to several months. Results are not guaranteed, and Mr Amit will discuss what to realistically expect at your consultation.
5. How to permanently get rid of piriformis syndrome?
There is no guaranteed permanent cure, but many patients achieve lasting relief through a combination of injection treatment and physiotherapy afterwards, which often improves and prolongs the result.
6. How much does a piriformis injection cost?
At Renew Clinic, treatment is priced at £550, all inclusive, with consultation at £300, credited against treatment if you proceed the same day.
7. What should you avoid if you have piriformis syndrome?
Avoid prolonged sitting, especially on hard surfaces, and activities that involve repetitive hip movement until your symptoms are assessed. Your consultant will give you specific guidance based on your case.
8. Do I need a scan before a piriformis injection?
No. This treatment does not require an MRI or X-ray beforehand. Mr Amit uses real time ultrasound guidance during the injection itself, since the sciatic nerve lies directly beneath the piriformis muscle.
9. Can I drive home after a piriformis injection?
It is best to arrange a lift, since your leg may feel odd or heavy for a few hours after treatment.
10. How do I book a piriformis injection consultation near Leamington Spa?
You can book a consultation by calling +44 1926 422 454. We welcome patients from Leamington Spa, Coventry, Birmingham, Warwick, Rugby, and across United Kingdom.
