An annotated Xray portraying the deuk piriformis release procedure.

Piriformis Syndrome Surgery: Deuk Piriformis Muscle 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. Early in the injury process, when damage to the piriformis muscle remains minimal, these conservative treatments can help manage symptoms.

 

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.

 

What is Deuk Piriformis Release®?

Deuk Piriformis Release® is a minimally invasive outpatient procedure that permanently eliminates piriformis syndrome by releasing the damaged muscle from its attachment point at the hip. I pioneered this procedure at Deuk Spine Institute in 2024 with my son, Arias Deukmedjian, after watching too many patients suffer needlessly with this debilitating condition. This procedure offers the safest and most effective treatment for piriformis syndrome available anywhere.

What makes this procedure remarkable:

  • No hospitalization required: Walk in, walk out the same day
  • Minimal bleeding: Typically just a few drops
  • 30-minute recovery: Most patients are 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% pain relief: Based on my clinical experience with over 100 successful 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. Any movement involving your legs causes reinjury of the piriformis muscle, and the pain cycle restarts immediately.

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.

Here's what happens without surgical intervention: The tear begins scarring together with rest, but reinjury typically occurs before complete healing. 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. This muscle originates at the lateral border of your sacrum and inserts onto the greater trochanter of your hip, running deep beneath the gluteus maximus muscle in your buttock. The tear happens during a specific movement pattern: bending forward to lift something while simultaneously twisting at your waist. This creates a shearing force the thin, short piriformis muscle simply cannot withstand.

Through decades of clinical practice, I've identified the primary risk factors that make piriformis injuries more likely:

  • Deconditioning from lack of exercise: Weak, inflexible muscles tear more easily
  • Improper body mechanics: Twisting while lifting creates maximum stress
  • Chronic back pain: The most common predisposing condition

That last point matters more than most people realize. When your back hurts from disc injuries or facet joint problems, you instinctively alter your movement patterns. These compensatory movements place abnormal stress on the piriformis muscle, setting the stage for injury. Your body tries to protect your spine but ends up damaging the piriformis muscle instead.

How Deuk Piriformis Release® Works

Using a 4mm skin incision positioned over your hip, I direct a specialized probe to the attachment point where the piriformis tendon connects to the hip bone. Once the probe tip reaches the piriformis tendon attachment at the greater trochanter, I carefully transect the tendon, releasing the muscle from its insertion point. This eliminates the constant tension pulling the torn muscle belly apart.

Once released from the hip bone, the muscle can finally heal completely because the mechanical stress causing repeated reinjury has been eliminated. The procedure delivers three critical advantages:

  • Immediate pain relief: Most patients experience dramatic improvement within hours
  • Permanent solution: Addresses the structural problem, not just symptoms
  • Minimal recovery discomfort: Some procedure-related soreness lasting up to two weeks, typically requiring no pain medication

In my clinical experience performing over 100 successful Deuk Piriformis Release® procedures, I've maintained a complication rate of 0.01%, the same exceptional safety record as our other proprietary procedures. 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. This procedure is patent pending, FDA compliant, and currently available exclusively at Deuk Spine Institute.

Use our Free MRI Review to determine if you are a candidate for our advanced pain elimination procedures.

A Patient-Focused Approach to Ending Chronic Pain

Deuk Spine Institute offers patients the most advanced procedures for eliminating chronic pain available anywhere in the world. Most of the procedures we offer were pioneered at Deuk Spine Institute through decades of clinical research and refinement. For herniated discs causing back or neck pain, we offer the proprietary Deuk Laser Disc Repair®, a procedure decades ahead of current surgical standards. In our clinical experience with over 2,700 Deuk Laser Disc Repair® procedures, patients report an average of 99% pain relief for treated disc-related pain sources.

For facet joint and sacroiliac joint arthritis, we offer Deuk Plasma Rhizotomy®, a bloodless minimally invasive procedure that permanently destroys the pain nerves responsible for arthritis pain in degenerated joints. A 4mm incision and 30 minutes are all that's required to permanently eliminate back, neck, or joint pain from these sources. Piriformis syndrome now has an effective cure through Deuk Piriformis Release®.

Based on my clinical experience with over 30 years performing spine and musculoskeletal procedures, approximately 99% of chronic lower back pain originates from these four sources:

  • Disc herniation: Treated with Deuk Laser Disc Repair®
  • Facet joint arthritis: Treated with Deuk Plasma Rhizotomy®
  • Sacroiliitis: Treated with Deuk Plasma Rhizotomy®
  • Piriformis syndrome: Treated with Deuk Piriformis Release®

Deuk Spine Institute has the diagnostic precision and proprietary treatments to properly identify the source of your pain and eliminate it permanently. Our Deuk Spine Exam® provides 99% diagnostic accuracy, ensuring you receive the correct treatment for your specific pain source. Don't wait. Don't live another day with pain that can be accurately diagnosed and permanently eliminated. See if you are a candidate for our state-of-the-art treatment with our Free MRI Review.