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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.