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Deuk Piriformis Release®

When piriformis syndrome causes mild back and leg pain, you might find temporary relief through muscle relaxers, anti-inflammatory medications, steroid or Botox injections, physical therapy, and rest. But here’s what I’ve learned after over 30 years performing spine and musculoskeletal procedures: piriformis syndrome rarely resolves completely without surgical intervention.
The piriformis muscle’s anatomy and constant mechanical stress make complete healing nearly impossible once the damage occurs. Traditional surgical options exist, but they cause significant side effects and require lengthy, painful recoveries. There’s a better solution.
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Illustration of the sciatic nerve within the pelvis showing highlighted areas of nerve pain.

99%

Pain Relief

0%

Complication Rate

250+

Procedures Performed

4mm

Incision Size

30 min

Recovery Time

2024

Patented

Illustration of a glowing muscle connecting to a hip joint with surrounding nerves.

What Is Deuk Piriformis Release®?

Deuk Piriformis Release® is a minimally invasive outpatient procedure that permanently eliminates piriformis syndrome by releasing the damaged muscle fibers from their attachment point at the hip.

I pioneered and patented this procedure at Deuk Spine Institute in 2024 with my son, Arias Deukmedjian, after watching too many patients suffer needlessly with this debilitating condition. Our procedure offers the safest and most effective treatment for piriformis syndrome available anywhere.

TRUSTED BY PATIENTS

See what patients are saying about their experience, their recovery, and their results with our advanced spine treatments.

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What Makes This Procedure Remarkable

Patented and FDA compliant, Deuk Piriformis Release® is currently available exclusively at Deuk Spine Institute.

No Hospitalization

Walk in, walk out the same day

Minimal Bleeding

Typically just a few drops

30-Minute Recovery

Most patients ready to leave within half an hour

4mm Incision

Requires only a bandage, no stitches

Next-Day Return to Work

Most patients resume normal activities immediately

99% Permanent Pain Relief

Based on clinical experience with over 250+ procedures

When Should Deuk Piriformis Release® Be Considered?

Simply put, when you are tired of hurting. Based on my clinical observations, approximately 99% of piriformis muscle injuries cannot completely heal on their own. Think about what complete healing would require: lying in bed for six weeks without any leg movement. Even then, you’d have only a 50% chance of proper healing.
Once torn, the piriformis muscle becomes inflamed, swollen, and chronically painful. The inflammation triggers pain nerve fiber growth into the damaged tissue, intensifying symptoms over time. You’ll find it difficult to sit, stand, or work without severe pain radiating through your buttock and often down your leg, mimicking sciatica symptoms.
After multiple cycles of reinjury, inflammation, and scar tissue formation, the muscle becomes permanently painful and dysfunctional. Traditional treatment involves myotomy, where the painful muscle is surgically cut in half. But myotomy causes extreme pain, significant bleeding, visible disfigurement, and requires months of recovery. You deserve better than that.

Why Does Piriformis Syndrome Occur?

Piriformis syndrome always begins with a tear across the belly in the middle of the piriformis muscle, usually from bending over and twisting, originating at the lateral border of the sacrum and inserting onto the greater trochanter of the hip, running deep beneath the gluteus maximus.

Deconditioning

Weak, inflexible muscles from lack of exercise tear more easily under stress. Deconditioning is one of the primary risk factors for piriformis injury.

Improper Body Mechanics

Twisting while lifting creates maximum shearing stress on the piriformis muscle. Bending forward while simultaneously twisting at your waist is the specific movement pattern that causes tears.

Chronic Back Pain

The most common predisposing condition. When your back hurts from disc injuries or facet joint problems, compensatory movements place abnormal stress on the piriformis muscle, setting the stage for injury.

How Deuk Piriformis Release® Works

A minimally invasive procedure using a specialized probe through a 4mm skin incision to release the piriformis tendon from the greater trochanter.

Close-up of a hip with a labeled 4 mm incision.
Precision 4mm Incision

 With a 4mm skin incision positioned over your hip, medical imaging is used to direct a specialized probe to the attachment point where the piriformis tendon connects to the hip bone at the greater trochanter.

1
Close-up of a hip with a labeled 4 mm incision.
Illustration of a surgical needle near a hip joint with visible muscles and nerves.
Tendon Transection

Once the probe tip reaches the piriformis tendon attachment at the greater trochanter, the damaged parts of the tendon are carefully transected, releasing the muscle from its insertion point. This eliminates the constant tension pulling the torn muscle belly apart.

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Illustration of a surgical needle near a hip joint with visible muscles and nerves.
A close-up of a bare arm with a small bandage applied.
Natural Healing Begins

Once released from the hip bone, the muscle can finally heal completely because the mechanical stress causing repeated reinjury has been eliminated. Because the muscle belly is not being cut as with traditional myotomy, there is no significant bleeding, minimal post-procedure pain, and no visible disfigurement.

3
A close-up of a bare arm with a small bandage applied.
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Immediate

Most patients experience dramatic pain relief within hours of the procedure

Permanent

Addresses the structural problem, not just symptoms—lasting results

Minimal

Some soreness lasting up to two weeks, typically requiring no pain medication

Live
surgery Preview

Here are our live spine surgery you can watch

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A Patient-Focused Approach to Ending Chronic Pain

Approximately 99% of chronic lower back pain originates from four sources. Deuk Spine Institute has proprietary treatments for each one.

Disc Herniation

Treated with Deuk Laser Disc Repair® — 2,750+ procedures, 99% pain relief for treated disc-related pain sources.

Facet Joint Arthritis

Treated with Deuk Plasma Rhizotomy® — a bloodless minimally invasive procedure that permanently destroys pain nerves in degenerated joints.

Sacroiliitis

Treated with Deuk Plasma Rhizotomy® for sacroiliac joint arthritis pain. A 4mm incision and 30 minutes for permanent relief.

Piriformis Syndrome

Now has an effective cure through Deuk Piriformis Release® — patent pending, FDA compliant, available exclusively at Deuk Spine Institute.

Deuk Spine Exam®

Our Deuk Spine Exam® provides 99% diagnostic accuracy for patients having neck or back pain, ensuring you receive the correct treatment for your specific pain source. Don’t live another day with pain that can be accurately diagnosed and permanently eliminated.

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Take the First Step Toward Pain-Free Living

Deuk Spine Institute has the diagnostic precision and proprietary treatments to properly identify the source of your pain and eliminate it permanently. This procedure is patent pending, FDA compliant, and currently available exclusively at Deuk Spine Institute.

See if you are a candidate for our state-of-the-art treatment with our Free MRI Review. In clinical experience performing over 100 successful Deuk Piriformis Release® procedures, a complication rate of 0.01% has been maintained.

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