Case: A 35-year-old male patient was diagnosed with priformis syndrome by the orthopedics outpatient clinic for 5 years with right hip, leg pain, and impaired perception of sensation radiating to the feet, and was operated for this reason. Since his complaints did not resolve, he was referred to the algology outpatient clinic. When it came to us it was VAS 9-10. Pregabalin 150mg/day and paracetamol + tramadolol were started in this patient. Thereupon, it was reported that when our patient took these drugs, the complaints decreased and regressed to VAS 6-7, but when the drug effect decreased, it increased to VAS 9-10, where the complaints increased again. Thereupon, right piriformis block was planned for our patient. He reported that the VAS value decreased to 4-5 at the follow-up 15 days after this block was made. Thereupon, caudal epidural block was added to the right piriformis block. He reported that his complaints decreased a lot and regressed to VAS 3-4 at the follow-up 15 days later. Right piriformis block + caudal epidural block
was repeated. He reported that he had no complaints after 15 days and his VAS was 0-1. Thereupon, medical treatment was arranged for our patient and the interventional block was discontinued.
Conclusion: We can say that these interventional blocks are more effective in both treatment and reduction of complaints in cases where medical treatment is insufficient in these patients. For this reason, we can say that it would be more appropriate to perform these interventional blocks first, if the medical treatment fails after the medical treatment before the surgery.
