But in Piriformis Syndrome, the mainstay treatment is muscle mass rest by means of stretching, exercises and physiotherapy. In stubborn muscle problems, Myospan injection of PRP or Botox may very well be required to crack the recurring muscle mass cramps Clients who present with options suggestive of cauda equina syndrome https://www.theorthopaedicandpainpractice.com/lower-back-and-buttock-pain/