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99 In another study of 49 patients with deep gluteal syndrome of which piriformis syndrome is one of the subtypes, ultrasound-guided injection of a mixture of 20 mLs of normal saline, 4 mLs of 2% lidocaine, and 1 mL of corticosteroid (40 mg of methyl-prednisone acetate) in the perisciatic region between the gluteus maximus and pelvic trochanteric muscles provided some level of pain relief in 73.7% with reduction in pain score from 8.3 preinjection to 2.8 postinjection